Gallium uptake in complicated pancreatitis: a predictor of infection

AJR. American Journal of Roentgenology
Jeffrey H WestWalter E Drane

Abstract

A retrospective evaluation was performed of the use of gallium imaging in patients with known severe pancreatitis to detect infection in pancreatic and peripancreatic fluid collections. Gallium-67 single-photon emission computed tomography (SPECT) studies were retrospectively reviewed in patients with complicated pancreatitis. Only patients who had undergone interventional procedures within 10 days of the scanning were included in our analysis. A total of 23 scans from 20 patients were reviewed. SPECT imaging was typically performed 48-72 hr after injection of the gallium. All studies were correlated with conventional CT findings. Findings from subsequent interventions (results of aspiration, Gram stains, or cultures) were used as evidence of infection. Twenty patients underwent either percutaneous or surgical drainage within 10 days of their gallium scanning. One patient underwent gallium scanning on three different occasions and underwent three different interventional procedures after each of the gallium scans, bringing the total number of cases in our study to 23. Of these 23 cases, 18 patients (78%) with gallium scans showing positive findings for infection had infected fluid; five patients (22%) with negative findings for...Continue Reading

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Citations

Mar 21, 2003·AJR. American Journal of Roentgenology·Michael E Spieth, Bobbi S Gauger
Aug 16, 2013·World Journal of Gastroenterology : WJG·Jian-Hua WangXiao-Yuan Feng
Jul 6, 2014·Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine·Anish BhattacharyaBhagwant R Mittal

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