SODIUM fLUORIDE (F18-NAF) pet (Fusion) CT BONE SCAN

 

Recent clinical studies have shown that Sodium Fluoride (F18-NaF) has proven to be a superior imaging agent in the diagnosis of bone metastasis.  NaF bone scanning detects 45% more metastases in the spine as compared to standard bone scans.  A fusion CT allows immediate comparisons without the inconvenience of additional imaging.

 

What is a Sodium Fluoride PET Bone Scan used for?
This PET scan is used specifically to confirm the presence of bone metastasis in a patient with diagnosed cancer.   This exam also provides a full body scan in a shorter time compared to standard bone scans.

What happens when I arrive for my scan?
When you arrive for your PET scan, you will be registered by our office personnel and taken to the PET area. There, a technologist will ask you a series of questions regarding your medical history. Next, a small blood sample will be taken to check your blood sugar (glucose) level. The technologist will inject a small amount of radioactive glucose into your bloodstream. This glucose is called a "tracer" and will be distributed throughout your body. There is no danger to you from this injection. Radioactive glucose must pass multiple quality control measures before it is used for any patient injection. In fact, the radiation exposure associated with PET is similar to that of a conventional CT scan.

How does the PET procedure work?
After your injection, you will be asked to relax and remain relatively still for about an hour. Then, you will be asked to lie on a table called a scanning bed. The bed will move slowly through the scanner while it detects the injected tracer. Some people fall asleep during the scan. When the imaging procedure is complete, the scanner sends the resulting information to a computer. The computer generates numerous images that will be reviewed by a specially trained physician. Your doctor will receive a report and picture detailing the findings of your exam.

How long does the procedure take?
You can expect to be in the PET center for two to three hours. The actual scan itself takes far less time and depends on the purpose and type of the study.

How accurate is a Sodium Fluoride PET Bone Scan?
Recent clinical studies have shown that Sodium Fluoride Bone Scanning detects 45% more metastases in the spine as compared to standard bone scans.  It’s fusion with CT provides such better specificity in the detection of bone metastasis in the bone vs. degenerative disease, such as arthritis.

How will I feel afterwards?
You should feel fine after the scan. There are no side effects from the injected tracer. If you have a heart scan, you may feel flushed afterwards.

Oncology patients undergoing regular PET scans should be scheduled for a Sodium Fluoride Bone Scan on a separate day.

What should I do to prepare?

  • Do not eat anything after midnight the night prior to your scan.
     
  • Tell your doctor if you are pregnant, might be pregnant or are a nursing mother.
     
  • Tell your doctor if you are a diabetic.
     
  • Wear comfortable clothing.
     
  • Take prescribed medications on the day of your test unless instructed not to do so.
     
  • Wear your hearing aid, glasses or dentures to the PET center. However, leave valuables at home or in your patient room.
     
  • Avoid all beverages with caffeine and sugar.
  • If you are diabetic and take oral medications or injections, preparation may be different.  The PET HOTLINE will furnish you with further instructions.

When will I know the results of my scan?
The results of your PET scan are read within 24 hours after the scan is completed. You can expect a verbal report to be available to your physician within a day of the scan.

What else should I do?
It is important that your other recent x-ray studies (such as CT or MRI scans) be available for the PET imaging doctor to compare them directly to your PET scan. Your doctor or hospital may send the films and reports from these studies to the PET center or you may be asked to bring them with you to prevent delay in reading your PET scan.

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Ask your doctor or call us for more information on any procedure or exam.
To schedule an exam please call our scheduling line at 732-968-5160