bone scintrigraphy showed increased uptake and blood pooling

[Dr N]

Sorry you guyz, I guess this relative of mine gave me the wrong information!! So I went there and checked it myself,
The bone scintrigraphy revealed a mild increased uptake in the right foot vascular and blood pool phase and few specks of localized uptake around the calcaneum in the bone scan phase.....
So what could be causing this?

[qais]

ur the doc

[Neena]

i have never heard of this type before.... Fahad thug .. doc's u might know this answer!

[FaHaD]

well dr_N can u please give us more information about that, for example some of ur relatie symtoms and which part of body is affected to have an idea about which direction to go.
because this is my first time hearingabout this term or may be it is called something else..and this is a lay language name for it.

there is a diseases caused by some parasites specially nematodes family which enter the body and suck blood like escharasia ( not sure of teh spelling) , and there is a parasite called Barber's pole worm which does simillar thing but this causes a disease in animals specially sheeps..

another thing it might be something deals with the kidney poles.. actually not sure

soo if u give us some more informations , we can specify about the disease then give some information about it.

[Neena]

Fahad, that what i thought as well, to be honest she did not give us much infrmation, i was looking for ti and it gaved me pretty much different infromation.. so maybe a lil info from ehr would give us a broad idea on where excatly to look for or at!

[DeSerTDesTroYeR]

hmm..would it be postive and negative blood poles?...:confused:

[floret]

the first time I hear about this.. and about the disease the doc mentioned.. will be waiting for more info from Dr N..........

[Dr N]

I'm sure all of you esp you neena and fahad, wanna kill me at this moment! looool, this tells you never to trust any info given to you unless you make sure of it first!
so here goes, any suggestions?

[floret]

suggestions about what, Dr N?

[DeSerTDesTroYeR]

Dr N...well..i stick with my sugguestion as could it be "positive or negative blood pole" ??:lost:

[Dr N]

he he, well DD, as I said earlier, I made a mistake, so it has nothing to do with -ve or +ve poles!:rolleyes:

[FaHaD]

this tells you never to trust any info given to you unless you make sure of it first!
thanx doctor N for the comment

[Dr N]

so isn't anyone going to answer my question?
I edited my first post, so you guyz should go and read it from the beginning!!!

[Neena]

Originally posted by Dr N
Sorry you guyz, I guess this relative of mine gave me the wrong information!! So I went there and checked it myself,
The bone scintrigraphy revealed a mild increased uptake in the right foot vascular and blood pool phase and few specks of localized uptake around the calcaneum in the bone scan phase.....
So what could be causing this?

Well before anything ... to know what is a Bon Scintringraphy is the key to the whole thing so Bone scintrigraphy has traditionally been a "hot" spot imaging method. Improvements in equipment design have allowed detection of focal "cold" defects that may not have been appreciated in the past. Photopenic lesions are, however, difficult to recognize consistently; they may be obscured by overlying normal bone, or adjacent areas of increased uptake. Axial lesions, as in this case, tend to be easier to identify, because the higher count density in adjacent normal bone provides better contrast with the photopenic region.
Numerous reports of "cold" lesions on bone scintigraphy appear in the literature; most are caused by artifacts, loss of blood supply or loss of bone.


Got that from :

1) Spencer RP, Sziklas JJ, Rosenberg RJ, Yoo JH and Weidner FA. Hemivertebral "disappearance" on a bone scan. J Nucl Med 1981; 22:454-456.
2) Goergen TE, Alazraki NP, Halpern SH, Heath V and Ashburn WL. "Cold" bone lesions: a newly recognized phenomenon of bone imaging. J Nucl Med 1974; 15:1120-1124.

[Thug4Life]

Bone Scintigraphy is an imaging technique were a radiopharmaceutical agent is injected and the scan is taken to detect any increase in the uptake of bone in any part of the Body...(Osteoblastic activity!)
Now the thing which is important here....to diagnose any disease...we shouldnt relay on Just an Investigation!....
for me to be able to comment on the above I need a Full Medical history and a full detailed examination results!....
Cause increase in uptake in a bone scan can due to many reasons...Some of which r:
Infection...(eg: Osteomyelitis!)
Tumer...(Primary or metastatic)
Metabolic disease

Hope i was helpfull enough!
Neena...Great work!

[FaHaD]

a localised incresae uptake of bone scan is called BONE island
which can be diagnosed also by other techniques the simplest plain x-ray..
http://www.emedicine.com/radio/images/1372BoneIslandTibXR.jpg

this bone island are a mild condition of nearly no effect, but it may mimic other seriuos diseases like what thug has mentioned regarding incresaing bone formation activity ( i,e osteosclerotic activity)

but always rely on history more than investigations..
finding a bone island does not tell u the cause, but it can give u some differntial diagnosis..

[DeSerTDesTroYeR]

well...ok then now its clearily known whats the topic...then its way out of my lead...

neena. thug, fahad.....quite some info you got there...hmmm ...

..and how about a rename of the topic to Blood pool???

[Dr N]

So what are the symptoms that a patient might show? Or does it have like different symptoms according to the cause of the disease?

[FaHaD]

yeap dr-N it all depend on the cause . this is why going through hsitory u will get the patient symptoms and the order of occurrance.. and by that only u get 85?% of teh diagnosis, and rest is left or investigations.