Radionuclide Imaging of Musculoskeletal Disorders in Children

  • Ariane Boubaker


Bone scintigraphy (BS) with 99mTc-labeled diphosphonates (99mTc-DPD) is the second most common nuclear medicine procedure performed in children and adolescents after renography. Common indications are suspicion of infections/inflammations, trauma, and tumors. BS is a simple and non-invasive procedure and does not need special preparation [1, 2, 3]. Cooperation of the child and parents can be easily obtained by a trained staff. A dedicated examination room and the use of distraction techniques (videos, music, and books) will work efficiently for patient immobilization during the acquisition. A proper time schedule with late acquisition performed after feeding and during the normal daytime sleeping period will allow infants and children to be examined without sedation. Local anesthetic cream should be applied at least 45 min before injection and the child should be encouraged to drink, especially between contrast injection and late imaging, to increase spontaneous voiding and lower radiation burden. A high-quality examination is mandatory and can be obtained by having the child lie directly on the collimator of the camera.


Single Photon Emission Compute Tomography Bone Metastasis Fibrous Dysplasia Reflex Sympathetic Dystrophy Primary Bone Tumor 


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Copyright information

© Springer-Verlag Italia 2009

Authors and Affiliations

  • Ariane Boubaker
    • 1
  1. 1.Service de Medicine NucléaireCentre Hospitalier Universitaire VaudoisLausanneSwitzerland

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