Diagnosis of Acute Bacterial Prostatitis by Ga-67 Scintigraphy and SPECT-CT

Abstract

Gallium-67 (Ga-67) is effective in imaging neoplasms and infection; however, its potential role in diagnosis of acute prostatitis is not well reported. We report a 66-year-old male patient who presented with back pain, fever, chills, and elevated white blood count. Plain x-ray of the lumbosacral spine showed degenerative changes in the L4 to L5 intervertebral disc space. The patient subsequently underwent Ga-67 scintigraphy and SPECT-CT for evaluation of diskitis, which showed diffuse intense uptake of Ga-67 within the prostate, suggesting acute prostatitis. There was complete resolution of symptoms after a course of antibiotics.