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Objectives To investigate the characteristics of monosodium urate (MSU) deposition in patients with the first-episode of acute gouty arthritis (Gout) by using dual energy CT (DECT) imaging technique. Methods A total of 70 first-episode patients with acute Gout diagnosed in Peking University Third Hospital in 2019 were collected as the case group, including 69 males and 1 female, aged 17-65 (39±14) years. During the same period, a total of 15 male patients aged 19-56 (33±12) years were collected as the control group. They were admitted t