Bone scan

Bone scans are a nuclear medicine (scintigraphic) study that makes use of Technetium 99m (commonly Tc99m-methylene diphosphonate (MDP)) as the active agent.

The study has three phases which follow intravenous injection of the tracer. Sometimes a fourth (delayed/delayed) phase is performed. 

  • hydration
  • remove metal objects
  • void immediately before study

Tc99m diphosphonate is administered intravenously, at a dose of 20 mCi.

  • 2-to-5 second images are obtained for 60 seconds after injection
  • demonstrates perfusion
  • characterizes blood flow to a particular area
  • obtained 5 minutes after injection
  • demonstrates the blood pool, not the blood flow
  • inflammation causes capillary dilatation and increased blood flow

If the study is going to be a triphasic bone scan, a third phase is added.

  • obtained 2-4 hours later
  • urinary excretion has decreased the amount of the radionuclide in soft tissue
  • mechanism of uptake is not known with certainty
  • degree of uptake depends on blood flow and rate of new bone formation
  • obtained 24 hours after injection as a static image
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Article information

rID: 8888
Tag: nucmed, refs
Synonyms or Alternate Spellings:
  • Triphasic bone scan
  • Bone scintigraphy
  • Radionuclide bone scan
  • Isotope bone scan

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