Skip to main content
Log in

Negative scintigraphy with positive magnetic resonance imaging in bone metastases

  • Articles
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

We report three patients with known primary tumor in whom radionuclide skeletal imaging for metastatic disease was normal with or without clinical symptomatology referable to this area. Magnetic resonance imaging (MRI) of the spine demonstrated focal areas of abnormal signal intensity in the vertebral bodies of these patients. In all three patients, biopsy confirmed metastatic disease. All the patients received radiation or chemotherapy depending upon the etiology. These preliminary data suggest that MR imaging may be useful in evaluating patients with known primary tumor in whom clinical suspicion persists despite a negative radionuclide bone scan.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Aisen AM, Martel W, Braunstein EM, McMillin KI, Phillips WA, Kling TF (1986) MRI and CT evaluation of primary bone and soft tissue tumors. AJR 146:748

    Google Scholar 

  2. Daffner RH, Lupetin AR, Dash N, Deeb ZL, Sefczek RJ, Schapiro RL (1986) MRI in the detection of malignant infiltration of bone marrow. AJR 146:353

    Google Scholar 

  3. Delbeke D, Powers TA, Partain CL, Sandler MP (1988) Comparison of MRI and bone scintigraphy in the evaluation of osseous metastases. J Nucl Med 29:763

    Google Scholar 

  4. de Santos LA, Libshitz HI (1979) Adult bone. In: Libshitz HI (ed) Diagnostic roentgenology of radiotherapy change. Baltimore, Williams and Wilkins, p 137

    Google Scholar 

  5. Dooms GC, Fisher MR, Hricak H, Richardson M, Crooks LE, Genant HK (1985) Bone marrow imaging: Magnetic resonance imaging related to age and sex. Radiology 155:429

    Google Scholar 

  6. Goris ML, Basso LV, Etcubanas E (1980) Photopenic lesions in bone scintigraphy. Clin Nucl Med 5:299

    Google Scholar 

  7. Hajek PC, Baker LL, Goobar JE, Sartoris DJ, Hesselink JR, Haghighi P, Resnick D (1987) Focal fat deposition in axial bone marrow: MR characteristics. Radiology 162:245

    Google Scholar 

  8. Hudson TM, Hamlin DJ, Enneking WF, Petterson H (1985) Magnetic resonance imaging of bone and soft tissue tumors: Early experience in 31 patients compared with computed tomography. Skeletal Radiol 13:134

    Google Scholar 

  9. Kricun ME (1985) Red-yellow marrow conversion: Its effect on the location of some solitary bone lesions. Skeletal Radiol 14:10

    CAS  PubMed  Google Scholar 

  10. Ludwig H, Fruhwald F, Tscholakoff D, Rasoul S, Neuhold A, Fritz E (1987) Magnetic resonance imaging of the spine in multiple myeloma. Lancet II:364

    Google Scholar 

  11. McKinstry CS, Steiner RE, Young AT, Jones L, Swirsky D, Aber V (1987) Bone marrow in leukemia and aplastic anemia: MR imaging before, during, and after treatment. Radiology 162:701

    Google Scholar 

  12. Modic MT, Steinberg PM, Ross JS, Masaryk TJ, Carter JR (1988) Degenerative disk disease: Assessment of changes in vertebral body marrow with MR imaging. Radiology 166:193

    CAS  PubMed  Google Scholar 

  13. Pagani JJ, Libshitz HI (1982) Imaging bone metastasis. Symposium on metastatic disease. Radiol Clin North Am 20:545

    Google Scholar 

  14. Porter BA, Shields AF, Olson DO (1986) Magnetic resonance imaging of bone marrow disorders. Radiol Clin North Am 24:269

    Google Scholar 

  15. Powers JA (1986) Magnetic resonance imaging in marrow diseases. Clin Orthop 206:80

    Google Scholar 

  16. Sartoris DJ, Resnick D (1987) MR imaging of the musculoskeletal system: Current and future status. AJR 149:457

    Google Scholar 

  17. Stafford SA, Rosenthal DI, Gebhardt MC, Brady TJ, Scott JA (1987) MRI in stress fractures. AJR 147:553

    Google Scholar 

  18. Zimmer WD, Berquist TH, McLeod RA, Sim FH, Pritchard DJ, Shivers TC, Wold LE, May GE (1985) Bone tumors: Magnetic resonance imaging versus computed tomography. Radiology 155:709

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kattapuram, S.V., Khurana, J.S., Scott, J.A. et al. Negative scintigraphy with positive magnetic resonance imaging in bone metastases. Skeletal Radiol. 19, 113–116 (1990). https://doi.org/10.1007/BF00197616

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00197616

Key words

Navigation