Top
20
Doctor insights on: Bone Scan Hot Spots White Or Black

Share

Bone (Definition)

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


2

2
Ca br, infiltr ductal 2b, er-pr+, her2-ve, since 4yr, tamo1yr&exemes3yr, on bone scan hot spots rt femur, left parietal, sacral, L5 but all xray normal-advice?

Ca br, infiltr ductal 2b, er-pr+, her2-ve, since 4yr, tamo1yr&exemes3yr, on bone scan hot spots rt femur, left parietal, sacral, L5 but all xray normal-advice?

Further work up: You need to discuss the results of your bone scan with your doctor and find out what is causing the hot spots. The normal x-rays don't help at all. You may need further imaging or even a biopsy. ...Read more

See 2 more doctor answers
3

3
Malignant melanoma causing hot spots on bone scan?

Malignant melanoma causing hot spots on bone scan?

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 a bone scan. Only a biopsy could tell for certain. ...Read more

See 1 more doctor answer
5

5
Had full body bone scan had mottled white spots on hands wrists and feet legs black on my upper spine and a big black spot on the side of my face?

Had full body bone scan had mottled white spots on hands wrists and feet legs black on my upper spine and a big black spot on the side of my face?

Need more info...: And i advise waiting for the official radiologist or nuclear physician report. What is seen on the technologist screen is not of the same quality as the physician interprets. Also, some physicians read them where lighter means more radioactivity, and others where black does, so your description cannot be accurately commented on. ...Read more

See 1 more doctor answer
6

6
What are the bright white spots on a bone scan?

What are the bright white spots on a bone scan?

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 less bright areas. Some of this is normal, such as in the bladder but some of these areas may be abnormal. ...Read more

7

7
What do dark spots on my MRI bone scan on my spine mean?

What do dark spots on my MRI bone scan on my spine mean?

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 depends on image acquisition and anatomy. ...Read more

See 1 more doctor answer
8

8
What could cause bright white spots near my neck area in a bone scan?

What could cause bright white spots near my neck area in a bone scan?

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. X-rays of the area are frequently obtained for correlation. ...Read more

See 1 more doctor answer
9

9
Will lytic lesions light up on bone scan? Doesn't it just show osteoblastic activity, not -clastic? Or do osteoclastic maybe show up as "cold spots"?

Will lytic lesions light up on bone scan? Doesn't it just show osteoblastic activity, not -clastic? Or do osteoclastic maybe show up as "cold spots"?

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. Some times bone infection will be under pressure and not allow blood to to deliver isotope to area and it will be cold..Osteoblastic or repair activity usually shows as increased uptake.Myeloma can induce osteoclastic activity, cold lesions in bone. ...Read more

See 2 more doctor answers
10

10
Had bone scan today, showed white spots lower back and hips, why is this? Had bc 2005, stress fracture showed on normal xray

Had bone scan today, showed white spots lower back and hips, why is this? Had bc 2005, stress fracture showed on normal xray

Degenerative changes: I assume the image you saw was white on black, which means that the white areas are where there is "uptake" of the radiopharmaceutical. If that is true , based on the locations you mention, most likely white dots are due to spurs ( benign bony overgrowths, facet joint arthritis, etc.). ...Read more

See 2 more doctor answers
11

11
Is dark spot appearing on bones by bone scan cancer?

Is dark spot appearing on bones by bone scan cancer?

Maybe not: Areas if increased uptake can be caused by a number of different things. Fractures can do this as well as arthritis (if near a joint), infection and yes cancer can do this also...But other bone lesions that are not considered malignant can also do this. This is why it is so important to see your doctor, who can put this information together with your history, symptoms and results from other tests. ...Read more

See 3 more doctor answers
12

12
I had chemo for breast cancer and a bone scan indicated a spot on my clavicle. My br cancer is gone but not the spot on the clavicle. What is it?

I had chemo for breast cancer and a bone scan indicated a spot on my clavicle.  My br cancer is gone but not the spot on the clavicle. What is it?

Hard to answer: Without seeing the images its difficult to answer this question. Where in the clavicle (i.E mid vs at sternoclavicular joint), morphology of the lesion and correlation to cross sectional imaging like ct/mri are important in further delineating the possible etiology of the "spot" (increased uptake in radiology lingo). It's also important to mention if you had trauma to the area. Talk to your doc! ...Read more

See 1 more doctor answer
13

13
Can enthesopathy (on bone scan) at the achilles' tendon insertion; indicate both an old allusion injury and "new" rejury in the same spot.

Can enthesopathy (on bone scan) at  the achilles' tendon insertion; indicate both an old allusion injury and "new" rejury in the same spot.

Yes and no: Bone scintigraphy is a very sensitive way to detect this type of enthesopathy. However, the lesion can be seen for several months and sometimes many years after the initial inflammation. It depends on several factors such as repeated trauma or overuse of the lower limbs. The intensity of radiotracer uptake may also vary. If it is mild, it is likely to be an "old" injury. Good luck. ...Read more

See 1 more doctor answer
14

14
The hospital found a dark spot on my left lung, was too have a biopsy but they changed to a bone scan whitch i will have in a few days. Why .?

Bonds scan?: While i can see reasons were a bone scan might be useful, i would usually order a pet scan in such a situation. If your doctors are concerned for lung cancer, then they are looking for evidence that it has spread. If it has spread, then biopsy of the metastasis is more important than biopsy of the lung nodule. ...Read more

See 2 more doctor answers
15

15
Painful spot on spine @ thoraco-lumbar junction. No radiating or deferred pain, or numbness. MRI & Bone Scan results normal. Myofascial trigger point?

Painful spot on spine @ thoraco-lumbar junction. No radiating or deferred pain, or numbness. MRI & Bone Scan results normal. Myofascial trigger point?

Back pain: Thoraco Lumbar junction is a high stress zone. Has there been any trauma? In the absence of any MRI evidence of disc herniation, there may be a role for chiropractic manipulation. Have you tried anti-inflammatory medication as well? ...Read more

16

16
I have a known bone tumor it was found in a MRI ... I had a bone scan done and the tumor showed up HOT ... does that mean it's malignant? Would a. Benign tumor ever show up hot in bone scan ... everything I read online says benign would show up cold

Possibly: A bone scan is a very sensitive test but it is not very specific. It will simply "light up" anywhere there is increased bone activity. Fractures, infection, cancers, and benign bone processes can light up on a bone scan. Osteoid Osteoma and Paget's disease are just two examples of benign processes that can light up on a bone scan. Discuss with your doctor, if any question, may need biopsy. ...Read more

17

17
What does a healthy bone scan look like?

What does a healthy bone scan look like?

normal uptake: Bone scan involves intravenous injection of radiotracer usually technetium 99m mdp which accumulates in skeleton. Scan may involve early phase(5-10 min) and late phase(2-3 hr) imaging. Increased uptake is seen in fractures, tumors, infection, etc. Decreased uptake is seen in metal artifacts, aggressive tumor/infection, & loss of blood supply to bones.No abnormal uptake in skeleton is normal. ...Read more

See 1 more doctor answer
18

18
Radionucline bone scan process and use?

Radionucline  bone scan process and use?

Bone abnormalities: Bone scan involves intravenous injection of radio tracer usually technetium 99m mdp which accumulates in skeleton. Scan may involve early phase(5-10 min) and late phase(2-3 hr) imaging. Increased uptake is seen in fractures, tumors, infection, etc. Decreased activity is seen in metal artifacts, aggressive tumor/infection, & loss of blood supply to bones. Bone scan very sensitive but not specific. ...Read more

See 2 more doctor answers
19

19
How does nuclear medicine do a bone scan?

How does nuclear medicine do a bone scan?

Tc-99m-MDP Bone Scan: Bone scan often provides an earlier diagnosis and demonstrates more lesions than are found by radiographic procedures.Tc-99m-mdp (methylene diphosphonate) is a bone seeking agent that concentrates in the mineral phase of bone. 2-3 hours after injection, 50%-60% of the activity localizing in bone and the remainder is cleared by the kidneys. F18-naf bone scans are done with pet cameras, r + expensive. ...Read more

See 3 more doctor answers
20

20
What does strong uptake on a bone scan mean?

Increased activity: Strong uptake on bone scan means increased metabolic bone activity. This could indicate inflammation, fracture, infection, and/or bone tumor. These results usually are considered in the face of plain x-rays and exam to determine the diagnosis. Sometimes mri/ct scan are also needed. ...Read more

See 1 more doctor answer
Dr. Thomas Heston
218 doctors shared insights