INFECTION / INFLAMMATORY DISEASE IMAGING


This volume is dear to my heart because I’m a “gallium guy”. I’ve used gallium for 40 years to great effect (and on a very cost efficient basis). Other modalities are covered, particularly labeled WBCs and FDG as an inflammatory agent, but again, I’m a gallium guy. A very large number of images are provided, if only to provide a record of the ability of this modality (which just doesn’t get any respect). Much of this information falls under “tribal knowledge”… You won’t find this in other books or from other authors. A step by step comparison between WBC imaging and gallium imaging is made, and I fail to see how anyone cannot then see the advantage of gallium imaging. Despite my obvious bias, I try to adequately review the expected answers on the core exam. I consider infection imaging to be a highly controversial topic. In this volume and the bone volume, I emphasize the fact that the bone scan is highly valuable in the workup of osteomyelitis in infants and adolescents, yet my own society (ACR) doesn’t even include skeletal scintigraphy (or gallium) on the recommended choices of imaging modalities (WTF!). I’d love for you to read this volume and decide for yourself.


REPRESENTATIVE IMAGES:


GALLIUM UPTAKE IN ABSCESS SUPERIMPOSED ON ACUTE PANCREATITIS:

Gallium Pancreatitis with abscess comp




WBCs in an infected total hip arthroplasty with required concomitant marrow scan:

In wBC THA



MULTI-FOCAL INFECTION WITH EPIDURAL ABSCESS AND MULTIPLE SITES OF SEPTIC ARTHRITIS IN MRSA PATIENT:

Multifocal Infection epidural abscess GA WB




OSTEOMYELITIS OF THE TEMPORAL BONE (FROM EXTERNAL OTITIS) ON GALLIUM SPECT:

Osteomyel temp tx ect ga




ILIACUS ABSCESS WITH SEPTIC SI JOINT ON BONE / GALLIUM IMAGING

Iliacus Abscess WBBS GA
Nuclear Medicine of North Florida, LLC. 2013