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Gallium scan
Liver gallium scan; Bony gallium scan
A gallium scan is a test to look for swelling (inflammation), infection, or cancer in the body. It uses a radioactive material called gallium and is a type of nuclear medicine exam.
Nuclear medicine
A positron emission tomography scan is a type of imaging test. It uses a radioactive substance called a tracer to look for disease in the body. A po...
A related test is gallium scan of the lung .
Gallium scan of the lung
Lung gallium scan is a type of nuclear scan that uses radioactive gallium to identify swelling (inflammation) in the lungs.
How the Test is Performed
You will get gallium injected into your vein. Gallium is a radioactive material. The gallium travels through the bloodstream and collects in the bones and certain organs.
Your health care provider will tell you to return at a later time to be scanned. The scan will take place 6 to 48 hours after the gallium is injected. The test time depends on what condition your doctor is looking for. In some cases, people are scanned more than once.
You will lie on your back on the scanner table. A special camera detects where the gallium has gathered in the body.
You must lie still during the scan, which takes 30 to 60 minutes.
How to Prepare for the Test
Stool in the bowel can interfere with the test. You may need to take a laxative the night before you have the test. Or, you may get an enema 1 to 2 hours before the test. You may eat and drink liquids normally.
You will need to sign a consent form. You will need to take off all jewelry and metal objects before the test.
How the Test will Feel
You will feel a sharp prick when you get the injection. The site may be sore for a few minutes.
The hardest part of the scan is holding still. The scan itself is painless. The technician can help make you comfortable before the scan begins.
Why the Test is Performed
This test may be done to look for the cause of a fever that has lasted a few weeks without an explanation.
Normal Results
Gallium normally collects in bones, the liver, spleen, the large bowel, and breast tissue.
What Abnormal Results Mean
Gallium detected outside normal areas can be a sign of:
- Infection
- Inflammation
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Tumors, including
Hodgkin disease
or
non-Hodgkin lymphoma
Hodgkin disease
Hodgkin lymphoma is a cancer of lymph tissue. Lymph tissue is found in the lymph nodes, spleen, liver, bone marrow, and other sites.
ImageRead Article Now Book Mark ArticleNon-Hodgkin lymphoma
Non-Hodgkin lymphoma (NHL) is cancer of the lymph tissue. Lymph tissue is found in the lymph nodes, spleen, and other organs of the immune system. W...
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The test may be done to look for lung conditions such as:
-
Primary
pulmonary hypertension
Pulmonary hypertension
Pulmonary hypertension is high blood pressure in the arteries of the lungs. It makes the right side of the heart work harder than normal.
ImageRead Article Now Book Mark Article -
Pulmonary embolus
Pulmonary embolus
A pulmonary embolus is a blockage of an artery in the lungs. The most common cause of the blockage is a blood clot.
ImageRead Article Now Book Mark Article - Respiratory infections, most often Pneumocystitis jirovecii pneumonia
-
Sarcoidosis
Sarcoidosis
Sarcoidosis is a disease in which inflammation occurs in the lymph nodes, lungs, liver, eyes, skin, or other tissues.
ImageRead Article Now Book Mark Article -
Scleroderma
of the lung
Scleroderma
Scleroderma is a disease that involves the buildup of scar-like tissue in the skin and elsewhere in the body. It also damages the cells that line th...
ImageRead Article Now Book Mark Article - Tumors in the lung
Risks
There is a small risk for radiation exposure. This risk is less than that with x-rays or CT scans. Pregnant or nursing women and young children should avoid radiation exposure if at all possible.
x-rays
X-rays are a type of electromagnetic radiation, just like visible light. An x-ray machine sends individual x-ray particles through the body. The im...
Considerations
Not all cancers show up on a gallium scan. Areas of inflammation, such as recent surgical scars, may show up on the scan. However, they do not necessarily indicate an infection.
References
Hutton BF, Segerman D, Miles KA. Radionuclide and hybrid imaging. In: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM. eds. Grainger & Allison's Diagnostic Radiology . 6th ed. New York, NY: Elsevier Churchill Livingstone; 2015:chap 6.
Palestro CJ, Brown ML, Forstrom LA, et al. Society of nuclear medicine procedure guideline for gallium scintigraphy in inflammation. The Society of Nuclear Medicine . 2004. snmmi.files.cms-plus.com/docs/Gallium_Scintigraphy_in_Inflammation_v3.pdf . Accessed August 4, 2016.
Vinnicombe SJ, Avril N, Reznek RH. Reticuloendothelial disorders: lymphoma. In: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM. eds. Grainger & Allison's Diagnostic Radiology . 6th ed. New York, NY: Elsevier Churchill Livingstone; 2015:chap 70.
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Gallium injection - illustration
The gallium scan is a type of nuclear scan involving radioactive gallium which helps determine whether a patient has inflammation in the lungs. Gallium is injected in a vein and a series of x-rays are taken to identify where the gallium has accumulated in the lungs. This test is most often performed when there is evidence of inflammation in the lungs (sarcoidosis).
Gallium injection
illustration
-
Gallium injection - illustration
The gallium scan is a type of nuclear scan involving radioactive gallium which helps determine whether a patient has inflammation in the lungs. Gallium is injected in a vein and a series of x-rays are taken to identify where the gallium has accumulated in the lungs. This test is most often performed when there is evidence of inflammation in the lungs (sarcoidosis).
Gallium injection
illustration
Review Date: 7/3/2016
Reviewed By: Jason Levy, MD, Northside Radiology Associates, Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
