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

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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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ASJC Scopus subject areas

  • Medicine(all)

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