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Cold spots on bone scan

A 48-year-old female asked:
Dr. Helmy Guirgis
Hematology and Oncology 48 years experience
Smart question: I wondered about that myself. It could be the balance between blastic (forming) and clastic (dissolving) bone which determines the lighting process. U... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Brian Wosnitzer
Nuclear Medicine 20 years experience
It's complicated...: Purely lytic lesions which can be seen in diseases such as multiple myeloma may not show up on tc bone scan and these lesions may be cold on bone scan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Gerald Mandell
Nuclear Medicine 54 years experience
osteoclastic - cold: Lytic lesions can be cold(photogenic) on bone scan if host bone does not react or tumor growing too fast to allow host response with reparative bone... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Travis Kidner
Surgical Oncology 19 years experience
Possible: Melanoma does have the ability to travel to bone and would show up on a bone scan. However other processes (non-malignant) can also also light up on ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Eric Whitman
Surgical Oncology 38 years experience
Unclear: It is possible although not common for high risk melanoma to spread to bones. If there is a suspiciion based on bone scan, it can be clarified by exam... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. Robert Neviaser
A US doctor answeredLearn more
Isotope deposits: A bone scan invovles injecting a radioisotope into the body. The brighter white areas are where the body has deposited more of the isotope than the l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Andrew Turrisi
Radiation Oncology 49 years experience
No -Nonspecific: Called "false positives" when this is the case. Can be in joints (common); prior fractures; benign bony abnormalities. Next step may be mri, plain x-... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Douglas Linville II
Orthopedic Spine Surgery 32 years experience
Unable to answer: T1 images will show water, air, and cortical bone as dark. T2 images will show air, cortical bone, and other hydrophobic substances as dark. So depend... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Gerald Klein
Radiology 52 years experience
Yes: Bone scan radioisotope excreted by kidneys. Photopenic areas (white spots) in kidneys suggest a space occupying lesion which is blocking normal excret... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Silviu Pasniciuc
Internal Medicine 29 years experience
Early gout?: Early gout, among others, may affect preferentially the big toes.
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Gerald Mandell
Nuclear Medicine 54 years experience
Decreased uptake: Photopenia or decreased uptake can mean further compression and loss of normal activity, ischemia or decrxeased perfusion, or sometimes result from in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Paxton Daniel
Radiology 34 years experience
Bone scans: Require some experience to interpret. I advise you wait for the radiologist's report which is usually available within 24 hours.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Could be...: ...But bone scans can be non specific and other events happening in the bone (even arthritis or old fractures) can show up too. Needs to be put in co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
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