Bone Scan
Conditions
Keywords
Positron Emission Tomography, Sodium 18F-Fluoride, 99mTc-MDP, Bone Scan
Brief summary
This study is being done to provide an alternative to bone scanning with technetium-99m (99mTc) labelled diphosphonates, and to document the safety of {18F}-Sodium Fluoride (Na18F) as a Positron Emission Tomography (PET) imaging radiopharmaceutical. Since the current availability of 99mTc was severely reduced because of the Chalk River shut down, alternative approaches to done scanning are needed. PET imaging with Na18F is one alternative approach to providing this critical clinical service.
Detailed description
18F-Sodium Fluoride (Na18F) PET imaging is a nuclear medicine procedure, and its principal radiopharmaceutical, Na18F, has been used for scanning the skeleton for the spread of cancer for more that 30 years, but has not been approved by Health Canada because less expensive alternate drugs have been available (99mTc diphosphonates). Given the sudden and drastic change in the availability of 99mTc, an acceptable alternative for 99mTc-diphosphonates is needed as soon as possible.
Interventions
200-400 MBq/injection, up to 6 doses of Na18F will be permitted per patient as part of acceptable disease assessment.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female patient for whom 99mTc-MDP bone scans would normally be indicated * If female of child-bearing potential and outside the window of 10 days since the last menstrual period, a negative serum or urine pregnancy test is required. * Age greater than or equal to 15 years * Able and willing to follow instructions and comply with the protocol * Provide written informed consent prior to participation in the study * If an oncology patient, the patient should have a Karnofsky Performance Scale Score greater than or equal to 50
Exclusion criteria
* Nursing or pregnant females * Ages less than 15 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Establish the feasibility of using locally produced 18F-Sodium Fluoride for PET bone scans as a substitute for 99mTc MPD | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Demonstrate the safety of 18F-Sodium Fluoride by documentation of adverse events. | 1 year |
Countries
Canada