Doctor insights on:
Bone Scan For Arthritis
My WBC is 3. I have bilater bone pain in almost all my joints. Does that warrant a bone scan. Could arthritis affect all the joints at once?
A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more
Several reasons: Not everything that causes symptoms similar to arthritis is actually arthritis. Most helpful bone scan is two phases, early soft tissue and delayed bone. Soft tissue of joints can show which joints are hyperemic or active. Delayed images may be normal. Multifocal osteomyelitis (crmo), metastatic disease, osteorotic bone with fractures, etc. Are causes. Bone scan can rule out mimicers of arthritis. ...Read more
Increased uptake on bone scan on left humerus, I suffer from psoriatic arthritis as well as ankylosing spondilitis. What does this mean?
In joint or not: If this is in either end of the humerus near or in the joint it could be due to your psoriatic spondyloarthropathy. If in the shaft and there is no injury it requires further investigation. ...Read more
4 steroid injections;arthritis in facet joints by pain dr no relief until today, 2 weeks later. Went to my ortho ysterdy he wants bone scan terrified?
Cause of pain: Bone scan involves intravenous injection of radio tracer usually technetium 99m mdp which accumulates in skeleton. Bone scan very sensitive but not specific. Bone scan can show increased bone metabolism and source of pain. Increased uptake is seen in fractures, tumors, infection, etc. If scan localizes pain area, then correlative imaging with MRI or ct scan will help your doctor in treating pain. ...Read more
Not usually: T scores are for patients over 18 yr and z scores for children under 18 yr. The controls for children are bases on ages, color, and sex. The t scores are compared to other adults. Dexa centers who perform studies on children have software to generate both values. T scores cannot be used accurately for children and z scores not in adults. ...Read more
Tracers..: The tracers are different. Bone scan usually uses TcMDP and PET scan uses F18-FDG (glucose). The bone scan is good for showing osteoblastic bone lesions and shows increased bone activity around a metastasis but not the actual metastasis itself. The PET can show glucose uptake in the actual tumor itself. PET is better for lytic bone lesions. CT part of PET/CT can show lytic and blastic lesions. ...Read more
Increased uptake: Osteoblastic is term for new bone formation usually describing radiographic appearance. Translated to bone scan this means increased uptake which can be bone repair of infection, fracture, or tumor. Bone scans are very sensitive to bone turnover but not specific. Some primary bone tumors are osteoblastic in that they form bone. Nonarticular means focus of uptake away from a joint. ...Read more
Need therapy: Reflex sympathetic dystrophy is characterized by group of symptoms including pain (often "burning" type), tenderness, and swelling of an extremity associated with varying degrees of sweating, warmth and/or coolness, flushing, discoloration, and shiny skin. May be associated with injury to the nerves, trauma, surgery. Some therapy medication NSAIDS or sympathetic blockade. ...Read more
Yes: Bone density tests measure the amount of calcium in the bone to determine a person's risk for fractures. Bone scans use a radioactive tracer to identify areas of abnormally high cellular activity in the bone. Some conditions that may show up on a bone scan include recent fractures, infections of the bone, or some forms of cancer in the bone. ...Read more
Tracer uptake: Read the report. But it sounds like it means that there is increased bone metabolism at that location. The radiopharmaceutical maps calcium activity (osteoblastic) of the bone. Can have increased metabolism in response to mechanical stress, a fracture, cancer, infection, and miscellaneous reasons. ...Read more
It means: There is an area of increased metabolic bone activity in that rib. Unfortunately, it is a very non specific finding and could be due to a variety of traumatic, inflammatory, or neoplastic processes. Talk to your doc about the significance in your case. ...Read more
Dexa: Bone scan involves intravenous injection of radiopharmaceutical and imaging of the skeleton to assess areas of abnormal bone metabolism. Dual-energy x-ray absorptiometry (dxa)measures bone mineralization of hips and spine. Very low radiation form of x-ray, that is used to measure bone loss. Medication can be taken to increase bone mineralization. Dxa should not be repeated for at least 6months. ...Read more
Can I have sexual intercouse after I have a bone scan while the nuclear chemicals are still in my blood?
Once you have taken boniva, (ibandronate) do you take it for life? I have taken it for two years and bone scan has improved.
This is a controversial issue. Boniva (ibandronate) can be taken indefinitely for osteoporosis, however some studies show that after about five years there is no further benefit.
The good news in your case is that your scan has improved. Your doctor will be able to guide your treatment plan based on your history and the results of your scan. This is something you will decide along with the medical guidance from your provider.
Continue to take calcium plus vitamin d daily as prescribed by your doctor, and continue to live a healthy life.
Best of luck. ...Read more
Will a bone scan light up an area where an bone tumor was removed years before or does it mean the tumor has possibly returned?
It depends.: Depends on the pattern and morphology of where the bone scan is hot. If it lights up in a focal fashion, it would be at least possible that a tumor could have returned, or a second new tumor could have formed. Alternatively, if the bone scan lights up along the margin of surgical resection, it could simply represent normal bone healing that is expected after an orthopedic procedure. ...Read more
My dr thinks I am too young to have a bone scan done. What other paths can I take to be checked for osteosporosis, cancer, etc?
Appropriate reason: Dexa scan is used to assess bone mineralization and bone scan is usually for detecting metastatic disease, occult fractures, infection etc. Insurance will not approve unless doctor has appropriate reason for study. For instance postmenopausal woman, frequent fractures, inflammatory bowel disease, certain meds for ge reflux for DEXA scan. ...Read more
Can I have do a bone scan with radiation in the IV if I can't handle IV iodine contrast? I don't want to have the same reaction.
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more