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What do hot spots on a bone scan mean

A 42-year-old member asked:
Dr. Travis Kidner
Surgical Oncology 17 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
Dr. Eric Whitman
Surgical Oncology 36 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

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A 31-year-old member asked:
Dr. Andrew Turrisi
Radiation Oncology 47 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
Dr. Mazen Ghani
Radiology 24 years experience
No: Hot spots on bone scan may reflect trauma, arthritis, infection, inflammation, post-surgical changes and cancer.
Dr. Thomas Heston
Family Medicine 29 years experience
No: Hot spots indicate increased bone metabolism or artifact or urine pooling. Hot spots in the bone can indicate cancer, trauma, arthritis, infection, or... Read More
A 35-year-old member asked:
Dr. Douglas Linville II
Orthopedic Spine Surgery 30 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
Dr. Steven Chmielewski
Diagnostic Radiology 30 years experience
Need more info.: It could be many things. You could ask to review the study with your doctor or the radiologist.
A 32-year-old female asked:
Dr. Silviu Pasniciuc
Internal Medicine 27 years experience
Early gout?: Early gout, among others, may affect preferentially the big toes.
A 65-year-old male asked:
Dr. Cesar Sturla
Internal Medicine 35 years experience
Biopsy or PEP: It is not unusual to see abnormal bone scan with normal x-rays. If there is a doubt about the abnormality you should have either a percutaneous biopsy... Read More
A 59-year-old female asked:
Dr. Robert Neviaser
Specializes in Orthopedic Surgery
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
A 31-year-old member asked:
Dr. Bruce J. Stringer
Radiology 47 years experience
Elevated activity: Increased uptake on a nuclear medicine bone scan can be secondary to a healing fracture, infection of the bone (osteomyelitis), arthritis, and tumor. ... Read More
A 48-year-old female asked:
Dr. Helmy Guirgis
Hematology and Oncology 46 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
A 36-year-old female asked:
Dr. Gerald Klein
Radiology 50 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
A 50-year-old female asked:
Dr. Gerald Mandell
Nuclear Medicine 52 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

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

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