BONE SCINTIGRAPHY

INTRODUCTION & INDICATIONSDr. AMIR BAHADURNuclear Medicine Physician

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU

Presentation Outline

• Introduction to bone scan• Indications for bone scan

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU

Introduction to BONE SCAN-1

• BONE SCAN is one of the most commonly performed nuclear medicine procedure world wide.

• Its very feasible and cost effective way of scanning whole of the skeleton with single injection at very low cost financially and lower radiation exposure burden.

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU

Introduction to BONE SCAN-2

• Very important fact while referring for bone scan and interpreting the bone scan is…

HIGH SENSITIVITYLOW SPECIFICITY

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU

Introduction to BONE SCAN-3

• Various chemical agents have been used for bone scan and Technetium 99m labeled MDP is agent of choice these days

• The mechanism of localization of Tc99m-MDP is dependant on blood flow and adsorption of agent on hydroxy-appatite of the bones

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU

Introduction to BONE SCAN-4

• Bone scan may performed in many ways according to indication for it

Whole body bone scan Spot views Three phase bone scan SPECT bone scan

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU

INDICATIONS for BONE SCAN

• Oncology• Orthopedics• Others

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU

INDICATIONS for BONE SCAN/ ONCOLOGY

• Primary bone tumors• Skeletal Metastasis (staging)• Extension of soft tissue

neoplasms to bone• Treatment Response evaluation

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU

INDICATIONS for BONE SCAN/ ORTHOPEDICS

• Trauma• Fractures• Prosthesis evaluation• Infectious bone diseases• Bone viability

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU

INDICATIONS for BONE SCAN/ others

• Metabolic bone disease• Paget’s disease • A-symmetric mandibular

growth• Un-explained bone pain

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU

BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU