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Bone scan when you have lung cancer

A bone scan shows up changes or abnormalities in the bones. It is also called:

  • a radionuclide scan
  • bone scintigraphy
  • nuclear medicine bone scan

A bone scan can look at a particular joint or bone. In cancer it is more usual to scan the whole body.

A large camera (called a gamma camera) scans you and picks up radioactivity. 

Photograph of a man having a bone scan

You have the scan in either the medical physics, nuclear medicine or x-ray department at the hospital. The scan can take between 30 to 60 minutes, but you'll be at the hospital for several hours. 

If there are changes on the scan they may be called hot spots. These are not always cancer. Bone changes can happen for other reasons like arthritis. You might need to have a CT scan to know exactly where these abnormal areas are. 

Why you might have it

Your specialist might ask you to have a bone scan to help work out whether your lung cancer has spread. 

Preparing for your bone scan

You can eat and drink normally before your scan. Take your medicines as normal unless your doctor tells you otherwise.

You have to arrive about 4 hours before your scan. You will get a clinic appointment letter that tells you exactly when you need to arrive.

A radiographer explains what happens and asks you to sign a consent form. You can ask them any questions that you have.

What happens

At the hospital

When you arrive at the department the radiographer explains what will happen and asks you to sign a consent form. You can ask them questions if anything is unclear.

They give you an injection of a radioactive liquid called a radionuclide or radioactive tracer. They inject it through a small tube (cannula) in a vein in your arm or back of your hand. It’s a small amount of radiation. 

You might have a test scan immediately after the injection, but normally you wait 2 to 3 hours while the radioactive tracer travels through the blood and collects in your bones.

The radioactive tracer tends to collect more in areas where the bone is breaking down and repairing itself. These areas of activity (called hot spots) show up on the scan. They look darker than other areas of bone.

Diagram showing bone scan hot spots

Waiting for the scan

Your radiographer asks you to drink plenty while you wait for your scan. This flushes the radioactive tracer around your body. If you have problems with passing urine you might get different instructions. 

You might be able to have a walk in the hospital grounds while you are waiting. Or you may need to wait in a separate area with other people having nuclear medicine tests. Because of the small amount of radiation from the radioactive tracer you might need to use separate labelled toilets.

Take a look at this short video about having a bone scan. 

Having the bone scan

You usually wear your own clothes for the scan but some hospitals may ask you to change into a hospital gown. Your radiographer will ask you to empty your pockets and remove any metal objects such as keys, coins, belts, braces and jewellery.

You lie down on a couch and have to keep very still while you go through the scanner. The camera takes pictures of the bones in your whole body.

Let your radiographer know beforehand if you think this will be a problem for you. Tell them if you start to feel closed in or claustrophobic. They can help to reassure you.

The scan can take between 30 minutes to an hour.

After your bone scan

You should be able to go home soon after the scan. You need to drink plenty for the rest of the day to help flush the radioactive tracer out of your body. Your body gets rid of it through the urine, usually within 24 hours.

A very small amount of radioactive tracer is left in your body for a short time after your scan. So for the rest of the day keep any time you spend within arm's length of pregnant women, babies or young children as short as possible. 

Getting your results

You should get your results within 1 or 2 weeks. 

Waiting for results can make you anxious. Ask your doctor or nurse how long it will take to get them. Contact the doctor who arranged the test if you haven’t heard anything after a couple of weeks.

You might have contact details for a specialist nurse who you can contact for information if you need to. It may help to talk to a close friend or relative about how you feel.

For information and support, you can call the Cancer Research UK nurses on freephone 0808 800 4040. The lines are open from 9am to 5pm, Monday to Friday.

Possible risks

A bone scan is a safe test for most people but like all medical tests there are possible risks. Your doctor and radiographer make sure the benefits of having the test outweigh these risks.

Bruising and swelling

You might get a small bruise around the area where they put the needle in.

There is a risk that the radioactive tracer will leak outside the vein. This can cause swelling and pain in your arm, but it's rare and gets better quickly. 

Pregnancy

Contact the department if you are due to have a bone scan and you are pregnant or breastfeeding. The staff will tell you if you need to stop breastfeeding for a time after having the radioactive tracer. 

You might not be able to have a bone scan if there is a possibility that you might be pregnant. This is because the radioactive tracer could affect the developing baby.

Radiation

Exposure to radiation during a bone scan can slightly increase your risk of developing cancer in the future. Talk to your doctor or radiographer if this worries you.

Last reviewed: 
11 Aug 2017
  • Lung cancer: diagnosis and management
    National Institute for Health and Care Excellence, 2011

  • Management of lung cancer
    Scottish Intercollegiate Guideline Network, 2014

  • Information for patients having a bone scan
    Royal College of Radiologists, December 2010

  • Guidelines on the Radical Management of Patients with lung cancer
    British Thoracic Society guidelines
    Thorax, October 2010 Vol 65 Supplement 3 October 2010