A member asked:

If diag for probable hemangioma at vertebral l1 and md stated you might want to have a bone scan so that you can be sure that it is a hemangioma l?

8 doctors weighed in across 5 answers
Dr. Bruce J. Stringer answered

Specializes in Radiology

Why?: How was the diagnosis of probable hemangioma made? Appearance of bone hemangioma on bone scanning is variable so you still wouldn't necessarily know for sure. Mri would be more specific. Unless you have any history of of malignancy and resultant concern of bony metastases i wonder why further investigation is being suggested.

Answered 12/12/2012

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Not necessarily: A gamma camera ( nuclear medicine mdp) bone scan will not answer ? Need to actually see the bone anatomy in addition to lack of metabolic activity to determinre hemangioma. A naf18/ct pet bone sacn could or an mri.

Answered 10/4/2016

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Dr. Gerald Mandell answered

Specializes in Nuclear Medicine

MRI is more specific: Bone scan shows metabolic activity but is not specific for diagnosis. Mri with different sequences is much more specific.

Answered 10/24/2017

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Dr. Aron Rovner answered

Specializes in Orthopedic Surgery

MRI: An MRI would be the test of choice.

Answered 6/10/2014

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RBC SPECT or MRI: A red blood cell (rbc) labeled spect with nuclear medicine, or an MRI would be the best test. A bone scan (whether traditional or with naf18 pet) would not be helpful.

Answered 4/12/2018

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