The effectiveness of gallium citrate Ga 67 radionuclide imaging in vertebral osteomyelitis revisited.

A. G. Hadjipavlou, F. Cesani-Vazquez, J. Villaneuva-Meyer, J. T. Mader, J. T. Necessary, W. Crow, R. E. Jensen, G. Chaljub

Research output: Contribution to journalArticle

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Abstract

We investigated the role of gallium citrate Ga 67 scanning in diagnosing spondylodiscitis. Scans of 41 patients with suspected spondylodiscitis showed increased radionuclide uptake in 39 patients; these findings correlated with those of magnetic resonance imaging and were proved by biopsy. Two patients with negative findings on gallium scans had been strongly suspected of having spondylodiscitis; biopsy findings in these patients showed degenerative changes. Thirteen patients had negative cultures, while 22 had polygenic infections and 4 had granulomatous infections. Gallium scanning proved to be 100% sensitive, specific, and accurate. The interrater accuracy was excellent. Follow-up scans were used to track therapeutic progress. We recommend complementary bone and gallium scans in cases of suspected spinal infections. If the scan is positive, a biopsy should be done. If the scans are negative, no further investigation is needed.

Original languageEnglish (US)
Pages (from-to)179-183
Number of pages5
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume27
Issue number3
StatePublished - Mar 1998

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Osteomyelitis
Radionuclide Imaging
Discitis
Gallium
Biopsy
Infection
Radioisotopes
Magnetic Resonance Imaging
gallium citrate
Bone and Bones

ASJC Scopus subject areas

  • Surgery

Cite this

Hadjipavlou, A. G., Cesani-Vazquez, F., Villaneuva-Meyer, J., Mader, J. T., Necessary, J. T., Crow, W., ... Chaljub, G. (1998). The effectiveness of gallium citrate Ga 67 radionuclide imaging in vertebral osteomyelitis revisited. American journal of orthopedics (Belle Mead, N.J.), 27(3), 179-183.

The effectiveness of gallium citrate Ga 67 radionuclide imaging in vertebral osteomyelitis revisited. / Hadjipavlou, A. G.; Cesani-Vazquez, F.; Villaneuva-Meyer, J.; Mader, J. T.; Necessary, J. T.; Crow, W.; Jensen, R. E.; Chaljub, G.

In: American journal of orthopedics (Belle Mead, N.J.), Vol. 27, No. 3, 03.1998, p. 179-183.

Research output: Contribution to journalArticle

Hadjipavlou, AG, Cesani-Vazquez, F, Villaneuva-Meyer, J, Mader, JT, Necessary, JT, Crow, W, Jensen, RE & Chaljub, G 1998, 'The effectiveness of gallium citrate Ga 67 radionuclide imaging in vertebral osteomyelitis revisited.', American journal of orthopedics (Belle Mead, N.J.), vol. 27, no. 3, pp. 179-183.
Hadjipavlou AG, Cesani-Vazquez F, Villaneuva-Meyer J, Mader JT, Necessary JT, Crow W et al. The effectiveness of gallium citrate Ga 67 radionuclide imaging in vertebral osteomyelitis revisited. American journal of orthopedics (Belle Mead, N.J.). 1998 Mar;27(3):179-183.
Hadjipavlou, A. G. ; Cesani-Vazquez, F. ; Villaneuva-Meyer, J. ; Mader, J. T. ; Necessary, J. T. ; Crow, W. ; Jensen, R. E. ; Chaljub, G. / The effectiveness of gallium citrate Ga 67 radionuclide imaging in vertebral osteomyelitis revisited. In: American journal of orthopedics (Belle Mead, N.J.). 1998 ; Vol. 27, No. 3. pp. 179-183.
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