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The Journal of Nuclear Medicine Vol. 33 No. 5 748-750
© 1992 by Society of Nuclear Medicine
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Skeletal Nonvisualization in a Bone Scan Secondary to Intravenous Etidronate Therapy

Steven H. Hommeyer, Dawn M. Varney and Janet F. Eary

Department of Radiology, University of Washington Medical Center, Seattle, Washington

Correspondence: For reprints contact: Janet F. Eary, MD, Associate Professor, Radiology & Pathology, Division of Nuclear Medicine, RC-70, University of Washington Medical Center, 1959 N.E. Pacific, Seattle, WA 98195.

ABSTRACT

Etidronate disodium (EHDP) therapy is often institutede mergently for treatment of hypercalcemia associated with malignancy, and a staging bone scan is part of the evaluation of the patient with extensive metastatic disease. In these patients in whom high dose EHDP therapy has been instituted, uptake of the bone scan agent is markedly diminished. The case presented illustrates this finding: a breast cancer patient who had received two 500-mg intravenous doses of EHDP prior to bone scan staging. No skeletal visualization was present at 3 hr after 99mTc-MDP injection. Blood-pool activity and uptake in large metastatic sites were observed.




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Copyright © 1992 by the Society of Nuclear Medicine.