Abstract: Objective：To analysis the results of dual energy computed tomography (DE-CT) and renal ultrasound in patients with gout, in order to investigate the correlation between the urate crystal depositions around the joints and renal calculus formation in patients with gouty arthritis. Methods： Results of DE-CT and renal ultrasound from gouty outpatients (n=190) in Fudan University Zhongshan Hospital were retrospectively analyzed. Chi-square test and Spearman correlation analysis were performed to define the relationships between the features of joints urate crystal depositions, depositions parts, size of the urate crystal on DE-CT and renal calculus formation on ultrasound. Results： Renal ultrasound showed 139 patients (73.2%) without renal calculus and 51 patients (26.8%) with renal calculus. DE-CT examined feet, ankle joint in 152 cases, knee-joints in 24 cases, both hands and wrist joints in 14 cases. DE-CT showed 155 patients with urate crystal depositions and 35 patients without urate crystal depositions around the joints. Gouty patients with renal calculus showed no difference in urate crystal depositons around the joints with patients without renal calculus. Renal calculus showed no significant correlation with the joints urate crystal depositions. Conclusions： No difference in joints urate crystal depositions is found between gouty patients with and without renal calculus. No significant correlation is detected between urate crystal depositions around the joints and renal calculus formation.