Skeletal System Imaging with F-18 NaF And Tc-99m Phosphates

This tutorial provides 2 CEUs and is ideal for:

  1. Radiation Physicists. All 53.0 CEUs have been approved by CAMPEP for Medical Physics Continuing Education Credits.
  2. Nuclear Medicine and Radiology Technologists. The VOICE program of the Society of Nuclear Medicine and Molecular Imaging (SNMMI) has reviewed this program and approved it for a maximum of 53 continuing education hours. Because these tutorials have been approved by the VOICE Program, they are accepted for CE credit in all 50 states and by ARRT and NMTCB, even if you are not a VOICE/SNMMI member.
  3. Physicians requiring CME Credits to maintain IAC Accreditation. All 53.0 CME Credits have been approved by the IAC and are listed on the resources page of their website.

Proceed to the Tutorial: Skeletal Imaging with Tc-99m Phosphates and F-18 Sodium Fluoride

Proceed to the Quiz: Skeletal Imaging with Tc-99m Phosphates and F-18 Sodium Fluoride Quiz

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Skeletal Imaging with Tc-99m Phosphates and F-18 Sodium Fluoride    :  2 CEU  

This tutorial gives an overview on skeletal imaging

Objectives: Skeletal Imaging with Tc-99m Phosphates and F-18 Sodium Fluoride   

Topics to be Covered:

  1. Overview of topic
  2. Indications for which study is performed
  3. Radiopharmaceuticals, method of preparation, radionuclide used, quality control procedures, prescribed dose, route of administration, and clinical pharmacology
  4. Normal distribution of the drug
  5. Patient preparation
  6. Imaging protocols and parameters, instrumentation used
  7. Adverse reactions of the drug
  8. Internal radiation dosimetry

After completion of this tutorial, one should be able to:

  1. List several indications for performing a skeletal scan
  2. Identify the radiopharmaceutical used, the route of administration, the typical prescribed dose, and the clinical pharmacology
  3. Describe the Tc-99m radiolabeling procedure and the method of assessing radiochemical purity.
  4. Describe imaging protocols and acquisition parameters for whole body bone scans as well as spot views for both Tc-99m compounds and F-18 NaF
  5. Identify normal and abnormal images; compare clinical utility of F-18 NaF & Tc-MDP
  6. Give a brief summary of internal radiation dosimetry following administration of Tc-MDP and F-18 NaF.

If you have taken one of the tutorials, received a score of 80% or above, and wish to receive CE credit: Make sure you submit all of the requested information when taking the test. It’s not necessary to send us the score sheets since we receive them electronically when you submit your answers for scoring.

Within 24 hours of receipt of your submitted score sheets and payment for the tutorial(s), we will do all of the following:

1. Send a certificate to you via e-mail
2. Send a certificate to you via US Mail
3. All members of the SNMMI will have to self-report their CE Credits on the SNMMI Website ( We will automatically send detailed self-reporting instructions to you along with your CE Credit Certificate.
If you have any problems with the self-reporting system, please contact the VOICE Coordinator directly at 703 708-9000. ).

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If a tutorial awards 1 CEU, the cost is $20.00
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All of our tutorials are available for your use in reviewing for your Board Certification Examination.   There is no charge to use these tutorials unless you wish to obtain CE Credit.

Please feel free to review the tutorials as often as you wish; the test may be taken once.  If a score <80% is obtained, then the test may be retaken once.
If the score is still <80%, please contact Dr. Karesh, Tutorials Coordinator, by e-mail at for further instructions.