68Ga-citrate PET/CT for evaluating patients with infections of the bone: preliminary results

J Nucl Med. 2010 Dec;51(12):1932-6. doi: 10.2967/jnumed.110.080184. Epub 2010 Nov 15.

Abstract

The aim of this work was to preliminarily evaluate the sensitivity, specificity, positive predictive value, negative predictive value, and overall accuracy of (68)Ga-citrate PET/CT in a population of patients with suspected bone infections.

Methods: We enrolled 31 patients with suspected osteomyelitis or diskitis who underwent a total of forty (68)Ga-citrate PET/CT scans. The results were compared with different combinations of diagnostic procedures (MRI, radiography, CT, or white blood cell scintigraphy), biopsy (when diagnostic), and follow-up data (at least 1 y) to determine the performance of (68)Ga-citrate PET/CT.

Results: We found a sensitivity of 100%, a specificity of 76%, a positive predictive value of 85%, a negative predictive value of 100%, and an overall accuracy of 90%.

Conclusion: Although preliminary, these data confirm a possible role for (68)Ga-citrate in the diagnosis of bone infections, especially in consideration of its favorable characteristics.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Biopsy
  • Bone Diseases, Infectious / diagnostic imaging*
  • Bone Diseases, Infectious / drug therapy
  • Bone Diseases, Infectious / surgery
  • Citric Acid* / pharmacokinetics
  • Discitis / diagnostic imaging
  • Discitis / drug therapy
  • Discitis / surgery
  • Female
  • Gallium Radioisotopes
  • Humans
  • Male
  • Middle Aged
  • Osteomyelitis / diagnostic imaging
  • Osteomyelitis / drug therapy
  • Osteomyelitis / surgery
  • Positron-Emission Tomography / methods*
  • Predictive Value of Tests
  • Radiopharmaceuticals* / pharmacokinetics
  • Reproducibility of Results
  • Tissue Distribution
  • Tomography, Emission-Computed / methods*
  • Whole-Body Counting
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Gallium Radioisotopes
  • Radiopharmaceuticals
  • Citric Acid