Gallium (Ga.) scan

How the Test is Performed:
The night before the test, use a laxative to clean out the bowel so that the stool does not interfere with the test results. An enema is given 1 to 2 hours before the test. Remove all jewelry and metal objects.

A rubber strap (tourniquet) is tied around the upper arm to help locate the vein, and the gallium is injected into the vein. The scan is taken with a special camera that detects where the gallium has accumulated in the body. If acute inflammatory disease is suspected, the scan is performed 4 to 6 hours after injection; otherwise the scan is taken 24 to 48 hours (occasionally 72 hours) after the injection. During the scan, which takes 30 to 60 minutes, the patient must remain still. This test usually does not require a stay in the hospital. You return to the hospital for the scan.

How to Prepare:
Besides taking a laxative the night before the injection of gallium, there are no special preparations. Food and liquids are not restricted. You must sign a consent form.

Infants and children:
The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experience, and level of trust. For specific information regarding how you can prepare your child, see the following topics as they correspond to your child's age:



How it Feels:
The enema may be uncomfortable but does not cause pain.
The injection will feel like a sharp prick, and the site may be tender to the touch for a few minutes. The hardest part of the scan is holding still, the scan itself is painless. Before the scan, some adjustments may be made to make the patient more comfortable.

Risks:
There is a minimal risk of radiation exposure (less than with X-rays or CT scans). Radiation exposure of any sort is not usually recommended for pregnant or nursing women or for young children unless the benefits of the test exceed the risk.

Why this Test is Performed:
This test is almost always used to detect the cause of unknown fevers. It may occasionally be recommended to detect other conditions.

Normal Values:
Gallium usually collects in bones, the liver, spleen, the large bowel, and breast tissue. A normal scan shows these areas as highlighted.

Abnormal Results:
Gallium detected outside the normal areas (areas of increased uptake) can indicate infection/inflammation or possibly neoplasm (tumors) including Hodgkin's disease or non-Hodgkin's lymphoma .

Cost:
The estimated cost is $300 to $500.
Actual costs vary; charges may include hospital charges (equipment and procedure) and radiologist's fees.

Special Considerations:
Not all cancers show up on a gallium scan.