Bonescan
Radiopharmacuetical
- Tc-99m MDP (Methylene Diphosphonate) or
- Tc-99m HDP (Hydroxymethylene Diphosphonate)
Indications:
- Screening of high-risk patients with tumors (e.g., breast, lung, prostate or kidney cancer) known to metastisize
- Detection of early osteomyelitis
- Detection of stress fractures and other occult skeletal trauma
- Detection and evaluation of Paget's disease
Patient Preparation
- Inject 20-25 mCi of Tc-99m MDP or HDP intraveneously 2-3 hours before imaging
- Instruct patient to drink as much water or fluid as possible and void frequently
- Have the patient void immediately before imaging
Imaging Techniques
- Whole body imaging acquired with a dual head gamma camera for anterior and posterior images
- Camera is peaked at 140 keV with a 15% window for Technetium-99m
- Images acquired with a 1024 x 256 matrix
- Total counts should exceed 2.0 million