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IMAGE INTERPRETATION · INFECTION AND INFLAMMATION

Ga-67 Citrate Whole-Body Scan: Agent and Timing

Ga-67 citrate whole-body scan: posterior and anterior views
Ga-67 citrate whole-body scan: posterior and anterior views

Provided clinical image

Question

This whole-body scan shows posterior and anterior views at two window settings. Based on the imaging appearance and normal biodistribution seen in the liver, spleen, and bone marrow, which radiopharmaceutical was most likely used and what is its standard imaging schedule?

  1. ATc-99m sulfur colloid; whole-body images are acquired 30–60 minutes after IV injection to assess liver, spleen, and bone marrow distribution
  2. BIn-111 pentetreotide; whole-body images are acquired at 4 hours and 24 hours post-injection to detect neuroendocrine tumor sites
  3. CGa-67 citrate; whole-body images are typically acquired at 24, 48, and 72 hours after injection to allow blood-pool clearance and adequate lesion uptake
  4. DTc-99m MDP; whole-body bone scan images are acquired 2–4 hours after injection once soft tissue background has cleared
Show the answer and explanation

C. Ga-67 citrate; whole-body images are typically acquired at 24, 48, and 72 hours after injection to allow blood-pool clearance and adequate lesion uptake

Ga-67 citrate is used for this whole-body gallium scan. Because Ga-67 has a physical half-life of 78 hours and clears slowly from the blood pool, imaging is routinely performed at 24, 48, and 72 hours post-injection. Early images (24h) provide a baseline, while delayed images (48–72h) give better target-to-background ratio as normal blood-pool activity decreases.

More infection and inflammation images

Ga-67 citrate whole-body scan: posterior and anterior viewsAbnormal Bilateral Lung Uptake on Gallium Scan In-111 oxine WBC scan: whole-body anterior and posterior views with abdominal spot imagesIn-111 Oxine WBC Scan: Agent and Timing In-111 oxine WBC scan: whole-body anterior and posterior views with abdominal spot imagesAbnormal Lung Uptake on In-111 WBC Scan FDG PET/CT — whole body for unknown source of infectionFDG PET/CT for Fever of Unknown Origin Ga-67 whole-body scan (anterior and posterior) showing bilateral symmetric hilar and mediastinal uptake — positive study for sarcoidosisSarcoidosis on Gallium Scan: Panda and Lambda Signs Ga-67 citrate whole-body scan performed for evaluation of sarcoidosis — anterior and posterior projectionsGallium-67 Imaging Times for Sarcoidosis
← Gallium-67 Imaging Times for SarcoidosisAbnormal Bilateral Lung Uptake on Gallium Scan →

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