What is the optimal mode of imaging in the diagnosis of spine infections? If magnetic resonance imaging (MRI) is contraindicated, what imaging modality should be used?

What is the optimal mode of imaging in the diagnosis of spine infections? If magnetic resonance imaging (MRI) is contraindicated, what imaging modality should be used?

Authors: Chad Craig, Brandon Carlson

RECOMMENDATION: MRI remains the gold standard for the diagnosis of spinal infection, with sensitivity and specificity above 90%. In the presence of MRI contraindications, consider a combination of modalities, such as computed tomography (CT), positron emission tomography-CT (PET-CT), and single photon emission CT (SPECT)+67Gallium or Gallium-67.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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