Clinical Presentation
A 17-year-old male adolescent presents with a history of low back pain of 5 months’ duration. A bone scan is requested (Figs. 31.1, 31.2, and 31.3).
Fig. 31.1
Technique
• A 20 mCi dose of 99mTc-MDP is administered intravenously.
• Whole-body images of the skeleton are obtained 3 hours after tracer administration.
• A 1024 × 256 matrix is used for whole-body images.
• Emphasize the importance of oral hydration to improve soft tissue and bladder clearance.
• SPECT of the lumbar spine is obtained 4 hours after tracer injection: 64 stops, 25 seconds per stop, and a 360-degree rotation.

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