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Gallium 67 Scanning for the Diagnosis of Infection in Children

Frederick Cox, MD; Walter T. Hughes, MD
Am J Dis Child. 1979;133(11):1171-1173. doi:10.1001/archpedi.1979.02130110079014.
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• Gallium 67 scintigraphy was studied prospectively in 26 children with clinically suspected abscesses. Scan interpretation agreed with the clinical outcome in 21 patients (81%). The true-negative rate was 71% and the true-positive rate was 92%. False-positive scans were related to bleeding and bone infarcts. False-negative scans were related to neutropenia (<500 neutrophils/cu mm) and to lesions smaller than 1 cm. Gallium scanning is a safe and reliable method of diagnosis of infection in children, except for patients with neutropenia or whose lesions are smaller than 1 cm. Two-hour scans may be useful in some patients, particularly those with osteomyelitis.

(Am J Dis Child 133:1171-1173, 1979)

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