Case Author(s): Randal Anderson, MD and Keith Fischer, MD , 2/9/2004 . Rating: #D2, #Q4

Diagnosis: Intra-arterial injection

Brief history:

82 year-old being evaluated for hip pain, with non-specific hip findings on bone scintigraphy and leukocyte scintigraphy, but with another finding in the right hand on bone scintigraphy.


Delayed bone scintigraphy images of both hands

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Full history/Diagnosis is available below

Diagnosis: Intra-arterial injection


Intra-arterial injection results in more uptake in those bones distal to the site of injection because of the avidity and rapid uptake of the Tc-99m MDP by the bones.


There are no medical consequences to an intra-arterial injection unless adequate aterial stasis is not acheived. Diagnostic quality of the study is not compromised.

ACR Codes and Keywords:

References and General Discussion of Bone Scintigraphy (Anatomic field:Skeletal System, Category:Normal, Technique, Congenital Anomaly)

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Case number: bs143

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