WB Bone

Question 1

Dose

Answer 1

25 mCi Tc99m MDP

Image 2.5 hours later (may be as early as 2 hours)

Question 2

Procedure

Answer 2

Ask patient to void bladder, remove objects from person.
Adjust 0-200, place arm boards, knee pillow, and rubber band on toes.
Acquire WB, RLAT LLAT skull and arms.

Question 3

IF… Bladder obscures pelvis/sacrum

Answer 3

Post void static in A/P and/or oblique

Question 4

IF… Renal activity over rib

Answer 4

Upright or oblique statics

Question 5

IF… Scapular tip over rib

Answer 5

A/P static with arms up

Question 6

IF… Hot single rib

Answer 6

Lateral and/or oblique static

Question 7

IF… Widespread bone disease and all bones are visualized

Answer 7

No additional images required

Question 8

IF…Abnormal uptake in spine, without widespread disease

Answer 8

QC with radiologist for potential SPECT

Question 9

IF… Lesion not localizable or not definite

Answer 9

QC with radiologist for potential SPECT

Question 10

IF… Cancer patient with new back pain

Answer 10

QC with radiologist for potential SPECT.

Question 11

Processing

Answer 11

Bring into NM application suite, orientation markers, intensity, LB.

Question 12

QDoc charges: WB bone

Answer 12

1. NM bone imaging whole body

Question 13

QDoc charges: WB bone and SPECT

Answer 13

1. NM bone image whole body

2. NM bone image SPECT

Question 14

QDoc charges: 3 phase

Answer 14

1. NM bone image 3 phase

Question 15

QDoc charges: 3 phase and WB bone

Answer 15

1. NM bone image 3 phase

Question 16

QDoc charges: 3 phase, WB bone and SPECT

Answer 16

1. NM bone image whole body

2. NM bone image SPECT

Question 17

QDoc charges: 3 phase and SPECT

Answer 17

1. NM bone image SPECT