AI Article Synopsis
- Bone scintigraphy remains a crucial imaging technique in nuclear medicine, particularly effective in detecting stress fractures and bone metastases, especially in cases that are hard to see on standard X-rays.
- It aids in evaluating new symptoms and responses to therapy in cancer patients, and helps identify the age of fractures related to low back pain, assisting in the diagnosis of osteoporosis and other conditions.
- Additionally, it serves as a useful screening tool for Paget's disease and can help localize osteomyelitis, providing insights into whether bone lesions are malignant or benign.
Article Abstract
Despite advances in nuclear medicine, bone scintigraphy remains an important imaging technique. It is sensitive in detecting stress fractures and bone metastases and can assess suspected injury that is difficult to see on plain films (e.g., rib fracture). Scintigraphy is useful in evaluating new symptoms, response to therapy, and prognosis in patients with known malignant tumor. In patients with low back pain, the technique can determine the age of fractures to help identify osteoporosis and can uncover other causes of the pain (e.g., spondylolysis, arthritis). When Paget's disease is suggested by unexplained bone pain or an elevated serum alkaline phosphatase level, bone scintigraphy is a useful screening test. Combined with other appropriate nuclear medicine studies, it helps in early identification and localization of osteomyelitis. Scintigraphic scans can provide a general indicator of malignant versus benign disease (according to the amount of lesion activity seen) and may produce characteristic findings in certain primary tumors (e.g., osteoid osteoma) that are difficult to evaluate with other methods.
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| http://dx.doi.org/10.3810/pgm.1998.11.401 | DOI Listing |
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