77074 Radiologic examination, osseous survey; limited (eg, for metastases)

Name of the Procedure:

Radiologic Examination, Osseous Survey; Limited (e.g., for Metastases)

Summary

A limited osseous survey is an imaging procedure using X-rays to examine specific bones and detect abnormalities, such as cancer metastases. This focused assessment targets particular areas of concern rather than a full-body scan.

Purpose

The primary purpose of this procedure is to identify and assess the spread of metastatic cancer to the bones. It helps in diagnosing the extent of the disease and planning effective treatment strategies.

Indications

• Presence of known malignancies with potential bone metastasis.
• Symptoms like unexplained bone pain or fractures.
• Elevated levels of calcium in the blood.
• Previous abnormal imaging findings that need further scrutiny.

Preparation

• No specific fasting or medication adjustments are usually required.
• Inform the healthcare provider if you are pregnant or may be pregnant.
• Remove any metallic objects or jewelry that could interfere with the imaging.

Procedure Description

1. The patient is positioned on an X-ray table.
2. The area of interest is carefully positioned to obtain clear images.
3. A series of X-rays are taken, focusing on the specific bones in question.
4. The technologist may reposition the patient to capture different angles.
5. The images are reviewed by a radiologist for any abnormalities.

Tools and Equipment:

• X-ray machine
• Lead aprons for radiation protection

Sedation:

• Generally, no anesthesia or sedation is needed.

Duration

The procedure typically takes about 30 minutes to 1 hour.

Setting

Performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologic technologist to operate the equipment and position the patient.
• Radiologist to interpret the images.

Risks and Complications

• Exposure to a small amount of radiation.
• Very rare possibility of an allergic reaction to contrast materials, if used.
• No significant complications are expected from the procedure itself.

Benefits

• Accurate detection of bone metastases.
• Critical information for staging cancer and planning treatment.
• Results are usually available within a few days.

Recovery

• No significant recovery time; patients can resume normal activities immediately.
• Follow-up with your healthcare provider for results and further action.

Alternatives

• Full-body bone scan: More comprehensive but involves higher radiation exposure.
• MRI or CT scan: Offers detailed images and may include soft tissue assessment but is more expensive.
• PET scan: Provides metabolic information and may be combined with CT for detailed imaging but involves radioactive tracers.

Patient Experience

• The procedure is generally painless.
• Some discomfort from lying still or positioning during the X-rays.
• Pain management is not typically required, and comfort measures are minimal.