Detection of Excess Presence of 99m Tc-MDP Near Injection Site-A Case Report

James R Crowley; Iryna Barvi; Debbie Greulich; Jackson W Kiser

doi:10.3389/fmed.2021.728542

Detection of Excess Presence of ^99m Tc-MDP Near Injection Site-A Case Report

Front Med (Lausanne). 2021 Sep 17:8:728542. doi: 10.3389/fmed.2021.728542. eCollection 2021.

Authors

James R Crowley¹, Iryna Barvi², Debbie Greulich², Jackson W Kiser¹

Affiliations

¹ Department of Molecular Imaging, Carilion Clinic, Roanoke, VA, United States.
² Lucerno Dynamics LLC, Cary, NC, United States.

Abstract

Nuclear medicine extravasations and prolonged venous stasis may cause poor quality and quantification errors that can affect image interpretation and patient management. Radiopharmaceutical remaining near the administration site means that some portion of the radioactivity is not circulating as required for the prescribed uptake period. This case describes how detection of excess presence of ^99mTc-MDP near the injection site enabled the technologist to apply mitigation tactics early in the uptake process. It also suggests that detecting an extravasation or stasis early in the injection process can be important for image interpretation and minimizing radiation dose to tissue.

Keywords: 99mTc-MDP; bone scans; extravasation; infiltration; injection quality.

Publication types

Case Reports