Tuesday, December 2, 2014

My Doctor Has Ordered A Nuclear Medicine Bone Scan - Why and What For?

My Doctor Has Ordered A Nuclear Medicine Bone Scan - Why and What For?

From The Desk Of Marcus R Hall

Nuclear Medicine Bone Scans are done to determine bone damage due to physical or pathological trauma.


Nuclear Medicine Bone Scans allow Clinicians to image the actual physiological function of the bone, and document it with images and statistical data stored on a computer or films.

The skeletal system is always in a constant state of repair replacing dead or dying bone cells to maintain the skeleton.  This repair uses crystals on the surface of the bone where normal maintenance is taking place, in areas of bone damage the crystals are more concentrated.

Clinicians can "tag" or attach a radioactive pharmaceutical to these pre-bone crystals. The radioactive isotope in the pharmaceutical releases energy that they can be seen and imaged using a special Nuclear Medicine Camera.

The Nuclear Medicine Bone Scan Begins With A Radioactive Injection.

The procedure begins with the patient reporting to a Nuclear Medicine Department licensed to perform these exams, with specially trained Physician's who interpret the exams.

The patient receives an intravenous injection of a radioactive phosphate that attaches itself to the patients pre-bone repair crystals.  

In order to see the bones approximately three hours later ... it is necessary to flush the remaining injection circulating through the circulatory system, soft tissue, muscles, and skin. 

The patient will be asked to force fluids, utilizing the patent's  kidneys to flush out the excess injection.

Following the flushing out period which can vary between facilities dependent on the exact radiopharmaceutical administered to the patient. The patient will return to the facility for the imaging portion of the study.

Imaging takes place with a Nuclear Medicine Camera, which can see and record the flashes of energy released by the bone scan injection; which is now attached to the crystals that are repairing the bone.
Photo Compliments of Wikipedia


The imaging process may be of an individual area of interest, or may include the entire body.
Don't get too concerned if the Technologist takes images at different angles of positions... it doesn't necessarily mean there is anything wrong.  To do the exam correctly, they just need to be thorough.

A Physician trained in Nuclear Medicine will interpret your exam results, and report them back to your requesting Physician.


The purpose of this blog post is purely informational for patients; it is not meant to serve as medical advice. This is just a short informational blurb to let patients have an understanding as to what they may experience in the performance of their exam. There may be slight variations in the procedure between facilities. These variations don't make one facility right, nor one wrong; just different...yielding the same results.


1 comment:

  1. I have been having a 6/7 level pain in the area of the ITband connection to the bone. This is after the knee replacement 2 yes ago. I had the scan and go to the doc. In a few day to find out if the can see any problem areas. I took a pic of the scans . If I am I looking for trouble areas is it the white spots or dark spots.
    Thanks

    ReplyDelete