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Doctor insights on: Doctors Bone Scan Treatment

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Doctors sometimes request a bone scan, CT or MRI scan before deciding on the best course of treatment. Why is this?

Doctors sometimes request a bone scan, CT or MRI scan before deciding on the best course of treatment. Why is this?

Find/confirm illness: With any imaging method (mri, ultrasound, etc...), the pros/cons must be weighed. What information will the imaging provide to arrive at a diagnosis? Is it cost effective (although patients seldom worry about the cost)? Do i need a live, real-time view (as in ultrasound) or a more detailed view (as in ct/mri)? Is the patient at higher risk of harm from radiation (try to avoid in pregnancy), etc... ...Read more

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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


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No prostate,rising PSA, negative bone scan. What can I expect for treatment steps. Very anxious. 51yr,surg. 1/13 - salvg rad,hormone therapy, .6 PSA?

No prostate,rising PSA, negative bone scan. What can I expect for treatment steps. Very anxious. 51yr,surg. 1/13 - salvg rad,hormone therapy, .6 PSA?

Rising PSA: In order to determine the next steps, it is important to know if your PSA ever dropped to zero. With hormonal therapy, the PSA should be undetectable. What was the pathology from your surgery? IF bone scan is negative, that only rules out metastatic disease to the bony structures. Micrometastatic disease is the most likely with a rising PSA. It is also important to have at least 3 PSA results ...Read more

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Oct 2012-pet scan done with 2 areas of concern after breast cancer dx....Had biopsy and bone scan that were both neg...All cancer treatment done and #2 pet showed same areas-no change..Why bone scan?

Oct 2012-pet scan done with 2 areas of concern after breast cancer dx....Had biopsy and bone scan that were both neg...All cancer treatment done  and #2 pet showed same areas-no change..Why bone scan?

D/w your MD: The best person to answer your question is your doctor. Have a discussion with your doctor and see what the reason is. Most likely is the same reason your doctor did the bone scan last time- to ensure that this is also unchanged on the bone scan. Unlike the bone scan, the pet scan was not done dedicated only to check the bone. What is your cancer marker, alkaline phosphatase level? D/w your md. ...Read more

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I have a history of osteomylitis and it showed up on gallium scan before, why did my doctor order a bone scan?

I have a history of osteomylitis and it showed up on gallium scan before, why did my doctor order a bone scan?

Ask your doctor: Gallium is sometimes used to detect active or chronic infection. Gallium not specific can have uptake in tumors and trauma. It does not tell much about healing of bone. Bone scan is more specific for bone metabolism including infection fracture, repair. The degree of uptake usually determines activity of process. Lot of people use tagged white blood cells for detecting infection, more specific. ...Read more

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What are reasons why would doctors run bone scan for prostate cancer?

What are reasons why would doctors run bone scan for prostate cancer?

Because...: ....Bone is the number one place to where prostate cancer will metastasize. It is not the only place it can go to, though. ...Read more

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I'm wondering why would doctor run bone scan for prostate cancer?

I'm wondering why would doctor run bone scan for prostate cancer?

? spread to bone: It is common for prostate cancer to spread to bones. A bone scan is a very sensitive way to detect spread of prostate cancer to the bone. It's important to know if the bone is involved to "stage" the disease and determine the best treatment. ...Read more

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60 years, she has made hysterectomy 1year agoshe has lumbago, doctor says to do bone scan but also she has to do abdominal scan.Which have to do.

60 years, she has made hysterectomy 1year agoshe has lumbago, doctor says to do bone scan but also she has to do abdominal scan.Which have to do.

You question is?: You have not asked a question. You have just mentioned that you or someone you know has back pain. You are already having it evaluated. I have nothing more to add. ...Read more

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38y female seroneg ra. Plaquenil (hydroxychloroquine) not work. Bone scan show si joints & feet. Start 10mg mtx. Doc said may not be RA since si joints?4 relative w/ra. ?

38y female seroneg ra. Plaquenil (hydroxychloroquine) not work. Bone scan show si joints & feet. Start 10mg mtx. Doc said may not be RA since si joints?4 relative w/ra.  ?

Talk to your doctor: There are other forms of inflammatory arthritis, which include the seronegative spondyloarthropathies. It might be something like ankylosing spondylitis. Additional testing might be necessary, and a rheumatology referral may be necessary. Also keep in mind being seronegative does not mean you absolutely don't have rheumatoid arthritis. ...Read more

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Foot stress fracture 7 months ago had bone scan but my foot still hurts when i walk doc says its tendonitis don't know?

Stress Fracture?: Stress fracture can present as you described. Discuss the results of the scan with your doctor and don't be afraid to look for a second opinion, it always helps. ...Read more

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Is an emg test necessary if the MRI shows c4, C5 and C6 nerves pinched. Have c4, C5 and C6 ruptured disc in neck with C4 C5 and C6 pinched nerves on right side and C6 nerve pinched on left side. Have had bone scan, and CT and now doctor is wanting emg.

Is an emg test necessary if the MRI shows c4, C5 and C6 nerves pinched. Have c4, C5 and C6 ruptured disc in neck with C4 C5 and C6 pinched nerves on right side and C6 nerve pinched on left side.  Have had bone scan, and CT and now doctor is wanting emg.

Not : Not all disk herniations cause pain. Emg is helpful to determine which disks and nerves are symptomatic. This information may help determine the disks operated on. Therefore, EMG is often necessary because it may give important information. Good luck! ...Read more

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Doctors say that I should get injection in my back bone, iz this a right way for treatment? I cannot sit and bend ..? Plz tell me solution ..?

Doctors say that I should get injection in my back bone, iz this a right way for treatment? I cannot sit and bend ..? Plz tell me solution ..?

Many Possibilities: Depending on how long it's been going on, i would consider an evaluation by a spine specialist. Sometimes it could be a muscle imbalance, early onset arthritis or scoliosis. Also could be a pinched nerve/herniated disc. Either way it might be good to figure it out and get appropriate treatment. Depending on why your back hurts can determine which injection maybe helpful. ...Read more

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Hi doctors, was just wondering what is a sesamoid bone of the hand and when does it require treatment?

Hi doctors, was just wondering what is a sesamoid bone of the hand and when does it require treatment?

Accessory bones: Some have extra small sesamoid bones which only need treatment if there is something wrong with them or if they are causing a problem. ...Read more

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What ligament is at or along the round inner ankle bone? Pain there can be felt n walk n doc said it's ligament problem. Any treatment to resolve?

What ligament is at or along the round inner ankle bone? Pain there can be felt n walk n doc said it's ligament problem. Any treatment to resolve?

There are 4 : Ligaments that comprise this region. There are other anatomical structures in this region that may be causing your pain. Tarsal tunnel syndrome, posterr tibial tendonitis, sinus tarsi syndrome to name a few. What treatments have been given to date? What are your exact symptoms, when does it hurt etc. Did you have an mri? ...Read more

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My father was diagnosed with essential thrombositosis his platlets are 1.2 million. He had bone marrow biopsie and doc said he needs no treatment.Tru?

My father was diagnosed with essential thrombositosis his platlets are 1.2 million. He had bone marrow biopsie and doc said he needs no treatment.Tru?

Consider aspirin: Even if you are not recommended to take medication to decrease the platelet count, it may be advisable to talk to your doctor about using aspirin. Aspirin inhibits the clotting potential of platelets and can reduce the risk of abnormal blood clots. Certain patients should avoid Aspirin if they have stomach ulcer problems. ...Read more

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Is there any exercise or self treatment for a bone spur / bruised heel ? I usually like to do all I can before going to doc !!

Is there any exercise or self treatment for a bone spur / bruised heel ? I usually like to do all I can before going to doc !!

Yes: Ice your heels, stretch your Achilles tendon as much as possible. If you still have pain see a podiatrist for further stretching exercises. By the way a bruised heel is not really a bone spur. You have to see why you heel is bruised. ...Read more

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Can any doc tell me what's the best treatment for aplastic anemia without bone marrow transplant?

Can any doc tell me what's the best treatment for aplastic anemia without bone marrow transplant?

Aplastic anemia: For severe aplastic anemia the main therapies are bone marrow/stem cell transplants or immunosuppressive medications along with transfusion support as needed. Typically medications such as cyclosporine and anti-thymocyte globulin are used to treat this disorder. Stem cell transplants are also used and can cure the aplastic anemia. The choice of therapy is based on many factors. ...Read more

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How does a bone scan work?

How does a bone scan work?

Images calcium metab: Usually in adults the bone scan is used to detect metastatic cancer. It also is frequently used to evaluate for possible stress fractures in people with bone pain. There are many additional uses. It works by injecting a tracer that is taken up in bone similar to calcium. The small amount of radioactivity is then imaged with a camera (gamma or pet) utilizing fluorescence from the crystal. ...Read more

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Dr. Thomas Heston
218 doctors shared insights