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How to Order and Interpret Radiology Studies

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Bone Scan (Scintigraphy(<br />

Scintigraphy)<br />

Limitations<br />

– Lacks significant detail<br />

– Poor spatial resolution<br />

– Poor specificity<br />

– Displays activity of osteoblasts<br />

Old fractures (eg(<br />

eg. . pars defects) may not show up<br />

Certain tumors with little osteoblastic activity (eg(<br />

eg.<br />

multiple myeloma <strong>and</strong> lytic mets) ) not reliably seen<br />

Contraindications<br />

– Exposes patient <strong>to</strong> ionizing radiation<br />

– Children & pregnant women should be carefully<br />

shielded<br />

Magnetic Resonance<br />

Imaging (MRI)<br />

Majority of clinical MRI utilizes the magnetic<br />

moment of hydrogen nuclei (pro<strong>to</strong>ns)<br />

Magnetic Resonance Imaging<br />

Magnetic field pro<strong>to</strong>ns excited alignment<br />

Pro<strong>to</strong>ns snap back in<strong>to</strong> original alignment <br />

detectable rotating magnetic field<br />

Pro<strong>to</strong>ns in different tissues realign at different<br />

speeds detected as differing signal intensities<br />

333

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