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随着经济的发展和生活方式的改变, 痛风的发病率在全球范围内呈逐年升高趋势.越来越多的痛风性关节炎 (GA) 患者受到疾病的困扰, 疾病的早诊早治就显得尤为重要.目前痛风的诊断除了根据临床表现进行判断以外, 影像学手段也发挥着越来越大的作用.目前用于痛风诊断的影像学检查有普通X线平片、CT、双源CT (DECT) 、MRI、US等.然而, 痛风的不同临床时期及不同的发病部位又给影像学诊断带来挑战.在痛风的诊断中, 每种影像方法都各有优缺点, 本文将阐述以上各成像方式在痛风诊断中发挥的作用.“,”With the development of economy and the change of life style, the incidence of gout is increasing year by year. More and more people with gouty arthritis are suffering from the disease, so early diagnosis and early treatment of the diseases is particularly important. At present, in addition to judging gout according to its clinical manifestations, imaging methods also play a more and more important role in the diagnosis of gout. The current imaging examinations for gout diagnosis include plain X-ray, Computed Tomography, Magnetic Resonance Imaging, Ultrasound, and Dual-energy Computed Tomography.However, different clinical stages and different sites of gout pose a challenge to imaging diagnosis. In the diagnosis of gout, each imaging method has its own advantages and disadvantages. This article will describe the role of the above imaging methods in the diagnosis of gout.