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Infection and Tumor Imaging Summary of Clinical Indications
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Home > For Doctors > Infection and Tumor Imaging Summary of Clinical Indications
Gallium Scintigraphy in Inflammation
- localize source of fever in Fever of Unknown Origin
- detection of pulmonary and mediastinal inflammation/infection, especially in the immunocompromised patient
- evaluation and follow-up of active lymphocytic or granulomatous inflammatory processes such as sarcoidosis or tuberculosis
- diagnosing osteomyelitis and/or disk space infection
- diagnosis and follow-up of retroperitoneal fibrosis
- evaluation and follow-up of drug induced pulmonary toxicity (e.g. Bleomycin, Amiodarone)
Gallium Scintigraphy in Malignant Disease
- Lymphoma
A) Hodgkins Disease
B) Non-Hodgkins Lymphoma
- Additional tumors:
- lung cancer
- melanoma
- hepatocellular carcinoma
- sarcoma
- testicular tumors
- multiple myeloma
- head and neck tumors
- neuroblastoma
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Indium 111 Leukocyte Scintigraphy for Suspected Infection / Inflammation
- to detect site of infection in patients with granulocytosis and fever of unknown origin
- to localize an unkown source of sepsis and to detect additonal sites(s) of infection in patients with persistent or recurrent fever amd a known infeecton site
- to survey for sited of abscess or infection ina febrile post-op patient without localizing signs or symptoms.
- to detect site(s) and extent of inflammatory bowel disease
- to detect and follow-up osteomyelitis primarily when there is existing bone pathology such as infected joint prosthesis, non-united fractures or sites of metallic hardware from prior bone surgery
- to detect osteomyelitis in diabetic patients when degenerative or traumatic changes, neuropathic osteoarthropathy or prior osteomyelitis have caused increased bone remodeling
- to detect osteomyelitis involving the skull in postoperative patients and to follow-up therapy
- to detect mycotic aneurysms, vascular graft and shunt infections
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TC99M HMPAO Labelled Leukocyte Scintigraphy for Suspected Infection / Inflammation
- to detect suspected sites of acute inflammation / infection in the febrile patient with or without localizing signs or symptoms
- to detect and determine the extent of inflammatory or ischemic bowel disease
- to detect and follow-up musculoskeletal infection such as septic arthritis and osteomyelitis
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