What is the most common indication for bone scan?
What are the generally accepted indications for a bone scan?
- occult fractures, stress fracture, shin splints;
- osteomyelitis, cellulitis or assessing response to treatment (e.g. antibiotics);
- arthritis, Paget’s disease, fractures from osteoporosis;
What is not an indication for a bone scan?
According to SNMMI guidelines, bone scintigraphy is usually not appropriate for initial staging in patients with low-risk breast cancer (clinical stage 0 or I) and no other clinical signs or symptoms of disease or for initial staging in patients with a low risk of metastatic prostate disease (PSA level < 10 ng/mL.
What is blood pool on bone scan?
Blood pool (BP) images are acquired within 10 minutes of tracer injection and reflect the alterations in the bone extracellular fluid from changes in capillary permeability and indicates an inflammatory component to the lesion (1).
What is used for bone scan?
A bone scan is a nuclear medicine test. This means that the procedure uses a very small amount of a radioactive substance, called a tracer. The tracer is injected into a vein. The tracer is absorbed in different amounts and those areas are highlighted on the scan.
What is CPT code for bone scan?
CPT code 78300, 78306, 78305, 78315 and 78320 in detail. Bone scan cpt codes in Nuclear medicine exam, are given on the basis of areas examined or the use of SPECT imaging.
What is CECT abdomen?
CECT abdomen is CT scan of the abdomen with contrast material. The CECT abdomen full form is contrast-enhanced computed tomography of the abdomen. CE in the name implies the use of contrast material during the CT scan. CECT abdomen cost tends to be on higher side due to the use of contrast dye.
What are the indications for bone scintigraphy?
The indications for bone scintigraphy are numerous and can generallybeclassifiedintothreedistinctclinicalscenarios:(1) when a specific bone disease is present or suspected, (2) to explore unexplained symptoms, and (3) for the metabolic as- sessment prior to the start of therapy.
When is bone scintigraphy indicated in the workup of leukocytoclastic leukemia (LCL)?
Bone scintigraphy is usually appropriate for the following indications [ 16] : Initial staging in patients with intermediate-risk disease (stage T2, PSA level >10 ng/mL, or Gleason score ≥ 7). Initial evaluation of patients with high-risk disease (stage T3, PSA level >20 ng/mL, or Gleason score >8).
When are bone scans indicated in the evaluation of systemic diseases?
Bone scans can also be useful in the evaluation of systemic diseases such as cancer or nonspecific widespread bone pain. The Society of Nuclear Medicine & Molecular Imaging (SNMMI) has released appropriate use criteria for bone scintigrapahy in patients with breast and prostate cancer. [ 16] Initial staging in patients with node-positive disease.
What are the limitations of a bone scan in breast cancer?
Bone scans are not generally performed in patients with stage I or II disease. Although skeletal scintigraphy has a high sensitivity for breast carcinoma, it may not detect all lesions, such as those contained in the marrow or more lytic lesions.