(Radionuclide Bone Scan; Bone Scintigraphy)
A bone scan is a test that detects areas of increased or decreased bone activity. These may indicate bone injury or disease. Radioactive isotopes and tracer chemicals are used to highlight problem areas.
Reasons for test
The test is done to detect an abnormal process involving your bone, including the following:
- Stress injuries (eg, stress fracture]]>, ]]>shin splints]]>)
- Infection (]]>osteomyelitis]]>)
- Bone tumors
- Metabolic disorders (eg, ]]>Paget’s Disease]]>)
- Nutritional disorders that can affect bones, like low vitamin D levels (eg, ]]>rickets]]>)
- Death of an area of bone tissues due to blocked circulation (]]>avascular necrosis]]>)
Complications are rare, but no procedure is completely free of risk. If you are planning to have a bone scan, your doctor will review a list of possible complications, which may include:
- Allergic reaction to the injected material
Some people worry about the use of slightly radioactive material. The amount of radioactivity is very small. It is eliminated from the body within 2-3 days.
Be sure to discuss these risks with your doctor before the test.
What to Expect
Prior to Test
Tell your doctor if you are pregnant.
Three hours before the scan, you will receive an injection of radioactive tracer chemicals. You should drink plenty of fluids between the time of the injection and the scan. You will also be asked to empty your bladder before the scan.
Description of the Test
You will lie on your back on an imaging table. A camera above and below the table will slowly scan you. You may be asked to move into various positions as the scan is done. It is important to lie still when not told to move. The camera will be able to detect small amounts of radioactivity in the injected material. This will allow the doctor to see areas where there may be bone injury or disease.
The injection site will be checked for redness and swelling.
How Long Will It Take?
About 20-60 minutes
Will It Hurt?
No, the test is painless, except for the mild discomfort of the injection.
If your bone tissue is healthy, your scan will show that the chemical has spread evenly to all of your bones. If there is an area of disease, darker or lighter areas (hot or cold spots) will be evident on the scan. These will show the areas with abnormally active bone breakdown or repair.
Depending on your results, you may need further tests, such as:
Call Your Doctor
Call your doctor if you have questions about the test, your condition, or your test results.
In case of emergency, call 911.
American Academy of Orthopaedic Surgeons
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Canadian Orthopaedic Association
Bone scan. Harvard Family Health Guide website. Available at: http://www.health.harvard.edu/fhg/. Accessed June 9, 2008.
Snderlin BR, Raspa R. Common stress fractures. American Academy of Family Physicians website. Available at: http://www.aafp.org/afp/100196/abs_10.html. Accessed June 9, 2008.
Last reviewed November 2009 by ]]>John C. Keel, MD]]>
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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