4. Introduction to BONE SCAN-1
โข BONE SCAN is one of the most commonly
performed nuclear medicine procedure
world wide.
โข 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
5. Introduction to BONE SCAN-2
โข Very important fact while
referring for bone scan and
interpreting the bone scan isโฆ
HIGH SENSITIVITY
LOW SPECIFICITY
BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY,
BANNU
6. Introduction to BONE SCAN-3
โข Various chemical agents have been used
for bone scan and Technetium 99m
labeled MDP is agent of choice these days
โข 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
7. Introduction to BONE SCAN-4
โข Bone scan may performed in
many ways according to
indication for it
๏ผ Whole body bone scan
๏ผ Spot views
๏ผ Three phase bone scan
๏ผ SPECT bone scan
BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU
9. INDICATIONS for BONE SCAN
โข Oncology
โข Orthopedics
โข Others
BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU
10. INDICATIONS for BONE SCAN/
ONCOLOGY
โข Primary bone tumors
โข Skeletal Metastasis (staging)
โข Extension of soft tissue
neoplasms to bone
โข Treatment Response evaluation
BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU
11. INDICATIONS for BONE SCAN/
ORTHOPEDICS
โข Trauma
โข Fractures
โข Prosthesis evaluation
โข Infectious bone diseases
โข Bone viability
BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU
12. INDICATIONS for BONE SCAN/
others
โข Metabolic bone disease
โข Pagetโs disease
โข A-symmetric mandibular
growth
โข Un-explained bone pain
BANNU INSTITUTE OF NUCLEAR MEDICINE, ONCOLOGY & RADIOTHERAPY, BANNU