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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