*GALLIUM IMAGING INTERPRETATION*



1. FOCAL UPTAKE
-ABSCESS
-ARTHRITIS
-BRONCHOGENIC CARCINOMA
-CELLULITIS
-INTESTINAL ACTIVITY-NORMAL
-LYMPHOMA-HODGKIN'S AND NON HODGKIN'S
-OSTEOMYELITIS
-OTHER MALIGNANT TUMORS
-PHYSIOLOGIC BREAST ACTIVITY
-PNEUMONIA
-PYELONEPHRITIS
-SARCOIDOSIS
-SURGICAL WOUND OR SCAR
-THYMUS IN CHILDREN
-TUBERCULOSIS

2. SKIN UPTAKE
-INFECTION
-SURGICAL SCAR OR WOUND

3. SALIVARY GLAND UPTAKE
-NODAL UPTAKE IN HODGKIN'S SIMULATING PAROTID UPTAKE
-PREVIOUS HEAD AND NECK IRRADIATION
-SARCOIDOSIS
-SJOGRENS SYNDROME

4.DIFFUSE RENAL UPTAKE (UNILATERAL OR BILATERAL)
-ABSCESS (ESP. PERINEPHRIC)
-NORMAL
-PYELONEPHRITIS
-RECENT TRANSPLANT

5. BILATERAL DIFFUSE RENAL UPTAKE
-ACUTE RENAL FAILURE
-ACUTE TUBULAR NECROSIS
-AMYLOIDOSIS
-ANY CAUSE OF VASCULITIS
-BILATERAL CARCINOMA (PRIMARY OR METASTATIC)
-BILATERAL OBSTRUCTION
-CHEMOTHERAPY
-INTERSTITIAL NEPHRITIS
-LEUKEMIA
-LYMPHOMA
-METASTASES
-NEPHROTIC SYNDROME
-NORMAL
-PYELONEPHRITIS
-SATURATED IRON BINDING
-SEVERE HEPATOCELLULAR DISEASE
-TUBERCULOSIS
-URETEROSIGMOIDOSTOMY
-WEGENER'S GRANULOMATOSIS

6. FOCAL BILATERAL RENAL UPTAKE
-LEUKEMIA
-LYMPHOMA
-METASTASES (MELANOMA)
-NEPHROLITHIASIS
-TUBERCULOSIS

7. FOCAL UNILATERAL RENAL UPTAKE
-ABSCESS (RENAL OR PERINEPHRIC)

8. MYOCARDIAL UPTAKE
-ABSCESS
-AMYLOIDOSIS
-BACTERIAL ENDOCARDITIS
-HYPERSENSITIVITY ANGIITIS
-IDIOPATHIC CONGESTIVE CARDIOMYOPATHY
-KAWASAKI'S DISEASE
-METASTASES (E.G., ANGIOSARCOMA, LUNG LYMPHOMA, MELANOMA)
-MYOCARDIAL INFARCTION
-MYOCARDITIS
-PERICARDITIS (E.G., MIXED BACTERIAL, HISTOPLASMOSIS, RHEUMATOID ARTHRITIS, TUBERCULOSIS)
-POSTPERICARDIOTOMY SYNDROME
-SARCOIDOSIS
-SYPHILIS

9. SYMMETRICAL BREAST UPTAKE
-DRUGS
-HORMONE THERAPY
-MENARCHE
-POSTABORTION
-POSTPARTUM
-PREGNANCY

10. ASYMMETRICAL BREAST UPTAKE
-ABSCESS
-BREASTFEEDING
-CARCINOMA
-CYSTOSARCOMA PHLLOIDES
-FIBROADENOMA
-GRANULOMA
-HEMATOMA

11. FOCAL LIVER UPTAKE
-ABSCESS (PYOGENIC OR AMEBIC)
-HEPATOMA
-METASTASES

12. DIFFUSE INCREASED OSSEOUS UPTAKE
-BLOOD TRANSFUSION (IRON OVERLOAD)
-CHEMOTHERAPY
-CHRONIC ANEMIA-ANY CAUSE
-HYPERPARATHYROIDISM
-LEUKEMIA
-MASTOCYTOSIS
-PEDIATRIC PATIENT
-RADIOPHARMACEUTICAL
-TUMOR (PROSTATE, BREAST)

13. DECREASED HEPATIC UPTAKE
-CHEMOTHERAPY
-BLOOD TRANSFUSIONS (IRON OVERLOAD)

14. DIFFUSE THYROID UPTAKE
-SARCOIDOSIS
-THYROIDITIS-SUBACUTE AND CHRONIC

15. FOCAL THYROID UPTAKE
-LEIOMYOSARCOMA
-LYMPHOMA
-METASTASES
-PARATHYROID ADENOMA
-THYROID CARCINOMA
-THYROIDITIS

16. LIVER RIM SIGN
-ACUTE CHOLECYSTITIS
-AMEBIC ABSCESS
-NECROTIC LIVER CELL METASTASIS
-PRIMARY LIVER CELL CARCINOMA
-PYOGENIC ABSCESS

17.RING SIGN OUTSIDE OF LIVER
-ABSCESS
-INFECTED PANCREATITIC PSEUDOCYST
-INFLAMMATORY BOWEL DISEASE
-PERINEPHRIC ABSCESS
-RADIATION ENTERITIS
-SPLENIC AND PERISPLENIC ABSCESS

18. DIFFUSE ABDOMINAL UPTAKE
-INFLAMMATORY BOWEL DISEASE
-NORMAL BOWEL UPTAKE
-PERITONITIS (BACTERIAL, STARCH)

19.DIFFUSE GALLIUM UPTAKE
-BACTERIAL PNEUMONIA
-DRUG REACTION (E.G., BUSULFAN, CYCLOPHOSPHAMIDE, AMIODARONE)
-EARLY IMAGING-24 HOURS
-FOLLOWING LYMPHANGIOGRAPHY
-MALIGNANT PROCESS (E.G., LYMPHOMA, LUNG, BREAST, COLON, OTHER CARCINOMAS)
-PNEUMOCONIOSIS (E.G., SILICOSIS, ASBESTOSIS)
-PNEUMOCYSTIS CARINII
-TUBERCULOSIS

22.GALLIUM UPTAKE WITH A NORMAL CHEST RADIOGRAPH
-PNEUMOCYSTIS CARINII INFECTION
-SUBRADIOGRAPHIC INTERSTITIAL INFLAMMATORY REACTION
-SUBRADIOGRAGHIC MALIGNANT PROCESS (E.G., LYMPHOMA, CARCINOMA)

21.DIFFUSE PULMONARY UPTAKE OF GALLIUM IN A PEDIATRIC PATIENT
-BACTERIAL PNEUMONIA (INCLUDING TUBERCULOSIS)
-BRONCHITIS
-DRUG TOXICITY
-LEUKEMIA
-HISTIOCYTOSIS X
-PNEUMOCYSTIS CARINII
-RADIATION

22.POSITIVE CHEST X-RAY WITHOUT GALLIUM UPTAKE
-FIBROSIS
-NON-GA-67-AVID PRIMARY OR METASTATIC TUMOR

23.SYMMETRICAL FOCAL GALLIUM UPTAKE IN CHEST
-ASPIRATION PNEUMONIA
-BREAST (PHYSIOLOGIC)
-BRONCHIECTASIS
-IDIOPATHIC PULMONARY FIBROSIS
-PNEUMOCONIOSIS
-SCLERODERMA

24.SYMMETRICAL FOCAL GALLIUM UPTAKE IN CHEST
-ASPIRATION PNEUMONIA
-BREAST (PHYSIOLOGIC)
-BRONCHIECTASIS
-IDIOPATHIC PULMONARY FIBROSIS
-PNEUMOCONIOSIS
-SCLERODERMA

25.DIFFUSE GALLIUM UPTAKE
-BACTERIAL PNEUMONIA
-DRUG REACTION (E.G., BUSULFAN, CYCLOPHOSPHAMIDE, AMIODARONE)
-EARLY IMAGING-24 HOURS
-FOLLOWING LYMPHANGIOGRAPHY
-MALIGNANT PROCESS (E.G., LYMPHOMA, LUNG, BREAST, COLON, OTHER CARCINOMAS)
-PNEUMOCONIOSIS (E.G., SILICOSIS, ASBESTOSIS)
-PNEUMOCYSTIS CARINII
-TUBERCULOSIS

26.DIFFUSE PULMONARY UPTAKE OF GALLIUM IN A PEDIATRIC PATIENT
-BACTERIAL PNEUMONIA (INCLUDING TUBERCULOSIS)
-BRONCHITIS
-DRUG TOXICITY
-LEUKEMIA
-HISTIOCYTOSIS X
-PNEUMOCYSTIS CARINII
-RADIATION

27.GALLIUM UPTAKE WITH A NORMAL CHEST RADIOGRAPH
-PNEUMOCYSTIS CARINII INFECTION
-SUBRADIOGRAPHIC INTERSTITIAL INFLAMMATORY REACTION
-SUBRADIOGRAGHIC MALIGNANT PROCESS (E.G., LYMPHOMA, CARCINOMA)

28.POSITIVE CHEST X-RAY WITHOUT GALLIUM UPTAKE
-FIBROSIS
-NON-GA-67-AVID PRIMARY OR METASTATIC TUMOR


GALLIUM AND SULFUR COLLOID LIVER IMAGING
1. DISPARATE RESULTS
-ABSCESS-AMEBIC
-ABSCESS-PYOGENIC
-HEPATOMA
-SOME METASTASES (E.G., HODGKIN'S MELANOMA)

2. MATCHED RESULTS
-CYSTS
-FIBROSIS
-MOST BENIGN TUMORS
-OCCASIONAL METASTASES



*TUMOR-USEFUL TIPS*
*INDIUM LEUKOCYTE-USEFUL TIPS*
*MIBG-USEFUL TIPS*
*INDIUM LEUKOCYTE IMAGING INTERPRETATION*
* TUMOR (TUMOR . INFECTION ) SCANS*