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Less May Be as Good as More: Feasible and Effective Method to Differentiate Gastric Uptake Solely on Planar Gallium Scan in the Era of SPECT/CT

Chen, Yu-Ren MD*†; Wu, Yu-Chin MD; Kao, Chia-Hung MD; Hsieh, Te-Chun MD; Sun, Shung-Shung MD

doi: 10.1097/RLU.0b013e318292ee82
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We presented a patient with abnormal focal accumulation of 67Ga in the left upper abdomen. After drinking water, we successfully identified the abnormal radioactivity that was from the stomach. Subsequent endoscopic examination did not reveal gastric pathological condition. Gastric accumulation of 67Ga may relate to pathological conditions or physiological uptake, confounding interpretation of 67Ga scintigraphy. Simple water ingestion method can rapidly identify gastric 67Ga uptake, and the shape of distended stomach can also help to differentiate pathological conditions from physiological uptake, which is especially helpful for a busy nuclear medicine department and for places where the SPECT/CT systems are not available.

From the *Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung City; †China Medical University, Taichung City; ‡Department of Nuclear Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu City; §School of Medicine, China Medical University, Taichung City; and ¶Department of Biomedical Imaging and Radiological Science, China Medical University, Taichung City, Taiwan.

Received for publication September 4, 2012; and revision accepted March 10, 2013.

Conflicts of interest and sources of funding: none declared.

T.-C.H. and S.-S.S. contributed equally to this work.

Reprints: Shung-Shung Sun, MD, Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung City 404, Taiwan. E-mail:

© 2013 by Lippincott Williams & Wilkins