Korean Journal of Nuclear Medicine Technology (Korean J Nucl Med Technol)

Open access, Peer Reviewed

Indexed in KCI, DOAJ

pISSN 1229-9901
eISSN 2982-8406

Original article

Comparison and Evaluation of Bone and Soft Tissue Contrast According to Image Acquisition Time after Injection in WholeBody Bone Scintigraphy

Department of Nuclear medicine, Asan medical Center, Seoul, Korea

Correspondence to Tae Hoon Oh. Department of Nuclear Medicine, Asan Medical Center, Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea. Tel: +82-2-3010-2101, E-mail: othoon0922@naver.com

Volume 29, Number 1, Article 6, May 2025. Korean J Nucl Med Technol 2025;29(1):6. https://doi.org/10.12972/kjnmt.2025.29.1.6
Received on November 28, 2024, Revised on April 22, 2025, Accepted on April 28, 2025, Published on May 31, 2025.
Copyright © 2025 Author(s). This is an Open Access article distributed under the terms of the Creative Commons CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose This study evaluates the effect of uptake times (2.5 hours vs. 3.5 hours post-injection) on the diagnostic quality of wholebody bone scans using 99mTc -DPD, focusing on contrast between bone and soft tissue. The aim is to determine whether shorter uptake times can ensure sufficient diagnostic quality while enhancing patient convenience and clinical workflow efficiency, particularly during periods of radiopharmaceutical shortages. Materials and Methods A total of 60 patients, divided into a normal group (n=30) and a lesion group (n=30), were included in this study. All scans were performed using Siemens gamma cameras equipped with LEHR collimators. Scans were conducted at 2.5- and 3.5-hours post-injection. Regions of interest (ROIs) were defined for femoral bone and adjacent soft tissue to calculate uptake ratios. Statistical analysis was performed using paired t-test to compare uptake ratios. Imaging conditions and radiopharmaceutical doses were carefully standardized across all patients to minimize variability. Results In the normal group, the mean uptake ratio increased from 70.1% ± 4.7% at 2.5 hours to 72.6% ± 4.3% at 3.5 hours, showing a statistically significant difference (p < 0.05). Similarly, in the lesion group, uptake ratios improved from 90.7% ± 4.3% to 92.7% ± 3.9%, also demonstrating statistical significance (p < 0.05). While the 3.5-hour uptake time produced slightly better lesion contrast and improved diagnostic utility, the 2.5-hour scans provided comparable results in visual quality and diagnostic accuracy, making them a viable option in resource-constrained environments. Conclusion The findings suggest that while a 3.5-hour uptake time yields optimal diagnostic quality and superior lesion contrast, the 2.5-hour time point remains a practical alternative, especially in high-demand clinical settings or during radiopharmaceutical supply constraints. This study supports the development of flexible, optimized bone scan protocols that maintain high diagnostic standards without compromising operational efficiency.
Keywords

Whole body bone scan, Uptake time, Contrast evaluation, Signal count, Image analysis

Section