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Hodgkin disease: gallium imaging

Initial gallium scan is necessary at time of initial staging to see if the lymphoma is gallium-avid; if not, gallium imaging will not be repeated.

Ga-67 imaging defferentiates active (residual or recurrent) disease from bulky nodal fibrosis, particularly in the abdomen and mediastinum after treatment.

Sensitivity:

    (nodular sclerosing > lymph. depleted > lymph. predom. > mixed)
  • retroperitoneal nodes . . . . . . . . . . . . . . . 60%
  • splenic involvement . . . . . . . . . . . . . . . . 40%
  • liver involvement . . . . . . . . . . . . . . . . . . 80%

Specificity . . . . . . . . . . . . . . . . . . . . . . 92-100%

REF:
Anderson KC, et al. Am J Med 75:327, 1983.
Castellino RA. AJR 143:37, 1984.

Charles E. Kahn, Jr., MD  -  2 February 1995
Last updated:  1 October 2013


 

Related CHORUS documents:
gallium: indications
gallium-67 citrate
malignant melanoma: gallium imaging
inflammation: gallium imaging
neoplasm: gallium imaging
malignant melanoma

 

Copyright © 2013, Charles E. Kahn, Jr.