Question

E PRACTICAL APPLICATION: Review the following scenario and answer the questions that follow. The patient underwent a bone scan, which revealed irregular foci of tracer in lower T spine (T11-T12) consistent with compression fracture. There was also increased tracer in the posterior/lateral right ribs. On physical exam she was diffusely tender and in pain throughout her chest/ribs and spine. The patient also underwent chest CT, which demonstrated extensive parenchymal and pleural disease encasing the entire chest and involving vessels and bronchi. Her adrenals and liver, vertebral bodies, and R scapula were also involved with metastatic disease. 1. What type of test is a bone scan? a. Chest x-ray of ribs and bones of back b. MRI of skeleton c. Dye is injected and traced in blood vessels d. Radioisotope is injected and traced in bones 2. What type of doctor administers this test? a. Diagnostic radiologist b. Nuclear medicine specialist c. Radiation oncologist d. Medical oncologist 3. Extensive parenchymal and pleural disease means? a. Tumor is in the spinal cord b. Tumor is in the backbones c. Tumor is in the lungs and membranes around the lungs d. Tumor is in the abdominal, pelvic, and chest regions The hone scan revealed:

Answer 1

Ans 1: d. Radioisotope is injected and traced in bones.

The bone scan is a diagnostic technique used to check the status of bone metabolism by injecting radioactive material into bones. The radioactive material is not a dye. The bone scan method is utilized to detect the spread of cancer in bones from other body parts.

Ans 2: b. a nuclear medicine specialist

The nuclear medicine specialist performs the bone scan procedure. First, the nurse or specialist inserts the IV catheter in the patient's vein of hands or legs. Then, a specialist injects radioisotope in a vein of a patient. the radioactive material requires few hours to distribute throughout the body and bind to the bones.

Ans 3: c. a tumor is in the lungs and membranes around the lungs