Bone X-ray

Skeletal X-rays (Radiography)

X-rays are passed through the bones or skeletal region being examined, producing images of these structures on a special type of film. When bone radiography is used to examine the spinal column alone, it is termed a spinal x-ray. Examination of the entire skeleton is known as a skeletal survey.

Purpose of Bone X-ray

• To detect bone fractures and other abnormalities after a traumatic injury
• To detect primary bone cancer or cancer that has metastasized (spread) to the bone
• To detect infectious diseases of the bones, including the spinal vertebrae
• To evaluate the intervertebral disc spaces in the lower spine
• To assess abnormal curvature of the spine (scoliosis), degenerative disease of the spinal structures, and other spinal deformities
• To diagnose different types of arthritis
• To detect infections, abnormal bone growths and changes in bone caused by metabolic conditions
• To make sure of proper alignment and bone stabilization following treatment for a fracture
• To guide spine repair/fusion, joint replacement, fracture reductions, and other types of orthopedic surgery
• To detect foreign objects in soft tissues and bones

Who Performs Bone X-rays

• A radiology technician

Special Concerns about Bone X-rays

• Pregnant women should not undergo this test because exposure to ionizing radiation may harm the fetus.

Before the Bone X-rays

• Remove any jewelry or metal objects before the test. If necessary, you will be asked to disrobe and put on a hospital gown.
• If you are having a spinal x-ray and have long hair, clip your hair up beforehand so that it does not hang over your chest or shoulders.
• If you are having a skull x-ray, be sure to remove your glasses, contact lenses, hairpins, and dentures.
• In some cases, a protective lead shield may be placed over parts of the body not being scanned in order to minimize exposure to radiation.
• Tell your doctor if you are pregnant or you may be pregnant.

What You Experience during Bone X-rays

• A technician will position you in front of an x-ray machine—either sitting, standing, or lying down on a table, depending on which bone(s) are being examined.
• You will be asked to remain perfectly still and hold your breath while the x-ray is being taken. Any movement can distort the image.
• You may be instructed to assume different positions as additional x-rays are obtained from different angles or of different bones, depending on the purpose of the test.
• The test usually takes 5 to 10 minutes. A full skeletal survey may take up to 1 hour.

Risks and Complications of Bone X-rays

• X-ray exams involve minimal exposure to radiation.

After Bone X-rays

• If the test is elective, you may return home and resume your normal activities.

Results of Bone X-rays

• A doctor will examine the x-ray films for evidence of any abnormalities.
• If a definitive diagnosis can be made, appropriate treatment will be initiated, depending on the specific problem.
• In many cases, additional tests, such as a skeletal MRI, a CT scan, or a bone scan, may be required for further evaluation.

Source:

The Johns Hopkins Consumer Guide to Medical Tests

Simeon Margolis, M.D., Ph.D., Medical Editor

Updated by Remedy Health Media