Scintigraphy of bones and joints, or osteoscintigraphy (sectional scanning of the skeleton; three-phase dynamic examination)
Osteoscintigraphy (skeletal bone scanning) High diagnostic accuracy of the method is due to the ability to visualize as little as 30% changes caused by bone calcium loss (X-ray imaging allows for the detection of at least 50% calcium loss).
INDICATIONS FOR THE EXAMINATION
- Assessment of destructive/reparative processes associated with rheumatoid arthritis, rheumatic arthritis, arthrosis, osteochondrosis and spondilodiscitis;
- generation of post-injury images of the skeleton, bone pain of unidentified nature, hidden traumas;
- ongoing evaluation of specific characteristics of inflammatory processes associated with a fracture (it is possible to generate images under a plaster cast);
- studying the activity of inflammatory processes in bones to identify an aggravation of chronic osteomyelitis and evaluate the effectiveness of therapy;
- analysis of the intensiveness of mineral metabolism in cases of systemic bone and joint diseases;
- studying postoperative osteogenesis, determining functional suitability of transplants, endoprostheses etc.;
- identification of secondary changes of bone structures associated with mammal and prostate gland tumors, bronchial carcinoma etc.;
- staging of the process and assessment of treatment response, observation of primary bone tumors (Ewings sarcoma etc.) and Paget’s disease;
- diagnosis of benign tumors of the bone system (osteoid osteomas);
- monitoring the distribution of the osteoblastic activity under radionuclide metabolic therapy (89Sr, 153Sm-EDTMP, 186Re-HEDP);
- diagnostics of soft tissue disorders (myositis etc.).
THE PROCEDURE OF RADIOISOTOPIC SKELETON EXAMINATION
Before the procedure, a radiopharmaceutical agent is administered to the patient. The substance accumulates in the skeletal system for certain tine. Some time after that, radioisotopic examination (scintigraphy or SPECT-CT) results are recorded and analyzed.
- Absolute contraindications: pregnancy; hypersensitivity to the active substance or excipients; febrile conditions;
- Relative contraindications: breast feeding.
PREPARING FOR THE TEST
No special preparation is required. We recommend:
- Wear clothes that do not have any large decorations (buttons, stones, buckles, zip fasteners, etc.);
- if the patient is unable to maintain a stationary position for a long time (up to 25 minutes) due to a painful condition, they may be administered an anesthetic pharmaceutical (based on a consultation with physician);
- we recommend you to bring along and drink about 1 to 1.5 liters of any drinking liquid following the injection and before scanning (if there are no contraindications to increased liquid intake);
- patients undergoing chemotherapy, radiotherapy or taking pharmaceuticals that contain zoledronic, ibandronic or alendronic acid or other bisphosphonates should undergo the examination no sooner than three weeks since the last administration/session/therapy program completion.
HOW CAN I HAVE A RADIOISOTOPIC SKELETON EXAMINATION AT THE CENTER?
To be eligible for the examination, you will need a referral from your physician.
- Call the Contact Center or the Isotope Laboratory at the numbers (8 (017) 543-42-23 and 8 (017) 543-42-19, from 8:00 till 14:00 during the weekdays to make a reservation.
- Be at the Center at the appointed time.
- Fill in and sign a paid service contract at the Reception.
- Pay the bill at the RCMC pay office, or through the ERIP electronic payment system.
- Collect the examination report and the Isotope Laboratory report.