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Doctor insights on: Nuclear Bone Scan

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Nature of bone pain with Vit D insufficiency or fibromyalgia - is it diffuse/general or can it be localized? Nuclear bone scan negative 4 osteo issues

Nature of bone pain with Vit D insufficiency or fibromyalgia - is it diffuse/general or can it be localized? Nuclear bone scan negative 4 osteo issues

Proximal vs general: Fibromyalgia pain is usually a generalized and diffuse muscular distress. Typically in low vitamin D (if severe) you will encounter a condition called osteomalacia which is associated with more localized proximal shoulder/hip girdle muscle achiness. ...Read more

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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Present nuclear bone scan: more uptake than previously at L3L4, L5S1.Also the prev. Titanium screws for a fusion done for L4L5 displaced. What to do?

Present nuclear bone scan: more uptake than previously at L3L4, L5S1.Also the prev. Titanium screws for a fusion done for L4L5 displaced. What to do?

Go. Back to surgeon: You need to go back to the surgeon whom I shall assume ordered the test. You need to talk to him about your options ...Read more

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What can a nuclear bone scan show (about my hip bones) that cannot be seen by x-ray?

What can a nuclear bone scan show (about my hip bones) that cannot be seen by x-ray?

Bone scan: A nuclear bone scan may show hairline fractures, bone loss, infection or small tumors not visible on xray. It may also confirm the presence of arthritis that may be suspected on xray. ...Read more

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CTU and nuclear bone scan report a moderately functionally active right proximal femoral lesion. Associated pain, nausea etc. Should I be worried?

CTU and nuclear bone scan report a moderately functionally active right proximal femoral lesion. Associated pain, nausea etc. Should I be worried?

Difficult to know: Needs further detail such as when you have the pain, other associated features etc. I would recommend discussing with the doctor who ordered the test or failing that the GP as if it remains unclear they can examine you to interpret the result and if still not clear they'll be able to refer you to orthopaedics or rheumatology who will give you straight answers on this. All the best. ...Read more

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Is it odd that a nuclear bone scan would not detect 2 rib fractures?

Is it odd that a nuclear bone scan would not detect 2 rib fractures?

No: Bone scan is a very sensitive way to detect recent bone fractures. However many factors will affect this ability to detect them such as the time interval between the fracture and the scan, the age of the patient, and the location of the fractures. In a young patient, bone metabolism can return to a normal status very quickly. Spect study (tomography) is also very helpful to detect some lesions. ...Read more

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Nuclear bone scan: can pepto bismol (bismuth subsalicylate) cause false positive results? False negative results? How likely @ just normal dose pepto (~1000 mg over 2 hours)?

Yes: Pepto bismol (bismuth subsalicylate) contains bismuth which can block the gamma ray photons which form the bone scan image. As a result bones of the lumbar spine or pelvis can show areas of diminished activity (cold spots) on images acquired from the front (anterior) due to bismuth in the bowel. Routine instructions advise against taking pepto bismol (bismuth subsalicylate) for a week before the bone scan. ...Read more

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If impacted wisdom tooth is infected, and sends infection + pain to other parts of body, wud this show on nuclear bone scan + wud pain be severe?

If impacted wisdom tooth is infected, and sends infection + pain to other parts of body, wud this show on nuclear bone scan + wud pain be severe?

Not normally: An infection usually tries to get out by way of the path with least resistance. Expansion in the area is definitely possible but movement more rare that it would spread. Make sure to see a dentist or Oral surgeon soon to evaluate the extent of the infection and the appropriate treatment. ...Read more

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Pain on activities all over body Ana pro ra factor tsh nuclear bone scan normal rheumo thinks its due to past chronic vit d def. Normal now vitd wt?

Autoimmune disease: Despite negative labs, you may still have some type of autoimmune disease. Chronic pain throughout the body is usually due to autoimmune disease. If there is no anatomic distribution of the pain, and it's not related to disease such as infection, cancer, endocrine disease, then it must be autoimmune. ...Read more

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I had an X-ray of my chest under my left breast and radiologist said There was a dense area and would like a nuclear bone scan. What does this mean?

I had an X-ray of my chest under my left breast and radiologist said There was a dense area and would like a nuclear bone scan. What does this mean?

Ask: It is important that you understand why you are having a test done. Nuclear scans are most often done to look at bones for infection or other illnesses. But do ask your doctor what he/she is looking for. All the best. ...Read more

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My Mom has pain under left breast by her ribs. She had an X-ray, dr said there was a dense area, wants to do a nuclear bone scan. Costochondritis?

My Mom has pain under left breast by her ribs. She had an X-ray, dr said there was a dense area, wants to do a nuclear bone scan. Costochondritis?

No: Costochondritis does not show up on x-ray. The density is concerning for cancer, and that is what the follow up studies are looking for. Good luck I hope it turns out to be something benign. ...Read more

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How can you have chronic joint pain. Stiffness, achey, puffy hands& ankles but have a normal nuclear bone scan of entire body? Also have neuropathy.

How can you have chronic joint pain. Stiffness, achey, puffy hands& ankles but have a normal nuclear bone scan of entire body? Also have neuropathy.

A bone scan: Will light up in regions of increased bone turnover like in a fracture or infection. Just because there is inflammation in a joint or pain does not mean the scan would light up. Neuropathy, like wise, would not cause a bone scan to light up. ...Read more

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I have had burning chest pain for 8 months. I had MRI, CT nuclear bone scan and intercostal nerve block and GI workup. What should I do now?

I have had burning chest pain for 8 months. I had MRI, CT nuclear bone scan and intercostal nerve block and GI workup. What should I do now?

May be refrred pIN: It may be myofascial pain such as a Janet travel local myofascial pain site ans thus referred pain. Ask your physicians to check for this. ...Read more

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If Ana is negative do I need Ana profile hve joint pain on weight bearing rheumatologist hve noanswer tsh nuclear bone scan normal no swelling in join?

If Ana is negative do I need Ana profile hve joint pain on weight bearing rheumatologist hve noanswer tsh nuclear bone scan normal no swelling in join?

Use of test: The ANA has very limited use as a screening test. Nuclear scans are helpful in distinguishing inflammatory conditions (lupus, rheumatoid arthritis, myositis, etc.) versus non-inflammatory conditions. Pain with weight bearing and the lack of swelling suggest a mechanical cause. X-rays, MRI, and other tests may be more helpful than blood tests. ...Read more

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Dull pain on weigh bearing rheumatologist think it's due to chronic vit d deficiency now vit d normal nuclear bone scan ra factor blood test normal can it be osteomalacia my alkaline phosphate normal?

Be patient: Rheumatologist are very knowledgeable, and evaluate this kind of condition several times daily. If your Vit D has been low for several months or years, then thinning of the bones is likely to have taken place. Normalizing the deficient level will not immediately bring about bone density improvement - it will take 1 to 2 years. Hopefully, your symptoms will start to improve within 6 months. ...Read more

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My dad had a nuclear bone scan. Nuclear bone scan findings: there are several focal areas of isotope accumulation in the region of the sacroiliac joints bilaterally which correspond to lesions noted on the CT pelvis consistent with bony me

My dad had a nuclear bone scan. Nuclear bone scan findings: there are several focal areas of isotope accumulation in the region of the sacroiliac joints bilaterally which correspond to lesions noted on the CT pelvis consistent with bony me

Possibly metastases: Nuclear bone scans usually demonstrate areas of increased bone metabolism, the bone reacting to a stimulus, such as tumor, fracture, infection, etc.Bone scan is very sensitive but not specific. Ct and MRI are cross sectional imaging that can more specifically identify the pathology and characterize the abnormalities on bone scan. ...Read more

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What is cost of nuclear bone scans?

What is cost of nuclear bone scans?

Depends: Varies by hospital, are you insured? If not then hospital will try to charge you their rack rate. This rate is often heavily discounted after negotiations with insurance companies. Ask the hospital billing dept. ...Read more

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Do non cancerous tumors show up in Nuclear bone scans?

Do non cancerous tumors show up in Nuclear bone scans?

Yes, there: Is a lot of benign pathology that can show up on bone scans, including some benign tumors, inflammatory and infectious processes, and fractures. ...Read more

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Can nuclear bone scans distinguish between joint inflammation caused by rheumatoid arthritis and inflammation caused by lupus? If so, how?

It can't: Unfortunately the bone scans cannot differentiate between cancer, inflammation or infection.
Those conditions both would/could cause a lot swelling of the synovium which would just show up as a flaring on the bone scan, not different from each other. ...Read more

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Hi, I had a question. I recently had a whole body Nuclear Medicine bone scan done and the report says "Unremarkable tracer localization is seen in the osseous structures, what does this mean?

Hi, I had a question. I recently had a whole body Nuclear Medicine bone scan done and the report says "Unremarkable tracer localization is seen in the osseous structures, what does this mean?

Bone scan: The fact that the interpreting md. Stated it appears unremarkable is an indication that your scan is normal. The description about the distribution is the regular venacular describing the normal uptake by the bone (osseous means our bony skeleton) of the material that has been injected. ...Read more

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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

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Can I have sexual intercouse after I have a bone scan while the nuclear chemicals are still in my blood?

Yes.: A woman who is pregnant or breastfeeding should notify the clinic before receiving the radiotracer injection, but there are no restrictions for sexual intercourse. ...Read more

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Tkr, feb.2012. Pain, bone scan, sept 2013, possible infection, loosening, trauma. Nuclear med. Test oct 2013, no infection. No loosening. What now?

Tkr, feb.2012. Pain, bone scan, sept 2013, possible infection, loosening, trauma. Nuclear med. Test oct 2013, no infection. No loosening. What now?

TKR: Infection of an indwelling prosthesis will often require removal of the prosthetic knee, placement of a spacer, long term antibiotic therapy, followed by replacement of the prosthesis after assessment of efficacy of treatment, and then continued long term antibiotics. See an infectious diseases expert. ...Read more

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What's a bone scan for?

What's a bone scan for?

Bone metabolism: 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

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What is a bone scan for?

What is a bone scan for?

Cancer or pain: Usually in adults it is used to detect metastatic cancer. It also is frequently used to evaluate for possible stress fractures and other bone problems. ...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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What do bone scan results tell you?

What do bone scan results tell you?

Hot spot, cold spots: The radiologist looks for evidence of abnormal bone metabolism on the scans. These show up as darker "hot spots" and lighter "cold spots" where the tracers have or haven't accumulated.

Although a bone scan is very sensitive to abnormalities in bone metabolism, it's less helpful in determining the exact cause of the abnormality. ...Read more

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What lights up in a normal bone scan?

New bone matrix: The injection is something that your body uses like a phosphate (methylene diphosphonate). In general when your body makes new bone, it will "grab" some of this. In young people we see more uptake near the ends of bones where they are growing. All bones will pick a little up since we are always making new and loosing some of the old. Kidneys filter out the rest. ...Read more

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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

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Can you please tell me about a bone scan?

Can you please tell me about a bone scan?

Bone function: Bone scan involves intravenous injection of radio tracer usually technetium 99m mdp which accumulates in skeleton. Scan with camera: 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

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How can I convert bone scan t-scores to z-scores?

How can I convert bone scan t-scores to z-scores?

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

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What are the processes involved during a bone scan?

What are the processes involved during a bone scan?

Bone metabolism: 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

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What is the average time to have a bone scan completed?

About 3 1/2 hours: From the start and taking of initial pictures to the delayed uptake pictures. ...Read more

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Please tell me what happens during a bone scan procedure?

Please tell me what happens during a bone scan procedure?

Imaging of skeleton: Bone scans differ at different institutions. All involve IV injection of radiopharmaceutical usually tc99m mdp, related to phosphorous, deposited in skeleton. Scan one or more phases. Immediate imaging after injection (angiographic phase) for minute, then soft tissue imaging 5 to 15 min after injection. All involve delayed imaging at 2-3 hours after injection. Part or whole body imaged with camera. ...Read more

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I'm having a "bone scan" tomorrow. What does a bone scan detect?

I'm having a "bone scan" tomorrow. What does a bone scan detect?

Areas of: Abnormal bone turnover or metabolic activity, etiologies of which include trauma, infection, inflammation, and cancers. ...Read more

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I had a bone scan today and I saw white shots, what does that mean?

Depends: That is really hard to say without seeing the study. Uptake of the material indicates bone metabolism....We often see more metabolism near joints. If there is a focal area of intense metabolism (in an area that doesn't usually look that way), it could be due to trauma (fracture), infection or even tumor. These things must be assessed together with history and other lab data. And physical exam. ...Read more

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I am getting a "bone scan" tomorrow. What, exactly does a bone scan detect?

I am getting a "bone scan" tomorrow. What, exactly does a bone scan detect?

Bone metabolism: 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

Dr. Thomas Heston
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