Bone scanning continues to be one of the most sensitive techniques for detecting bone pathology and often augments other modalities such as MRI in arriving at a definite diagnosis. Hybrid nuclear imaging (SPECT-CT) is increasingly recognised as a useful tool in the imaging of musculoskeletal disorders, particularly in the subspecialist fields of Orthopaedic and Sports Medicine. We have the most advanced SPECT-CT scanners in New Zealand and are able to offer this modality 5 days a week. Musculoskeletal SPECT-CT is also fully funded by ACC. Our images are also available to view online


Clinical uses of Bone Scintigraphy include:​

  • Detecting occult fractures, in particular
    ◦ Tibial stress fractures vs shin splints
    ◦ Scaphoid fractures
    ◦ Tarsal / metatarsal stress fractures
  • Determining a cause for undiagnosed bone pain.
  • Evaluation of back pain
    ◦ Pars fractures
    ◦ Determination of active facet arthropathy
    ◦ Determination of active disc related arthrosis
    ◦ Investigation of potential instability
    ◦ Evaluation of post operative fusion.
  • Determination of active arthroapthy related to lumbosacral pseudoarthrosis.
  • Detection of active entheseopathy, in particular
    ◦ Hamstring origins
    ◦ Quadriceps / Patellar tendon insertions
    ◦ Calcaneal
    ◦ Plantar
  • Evaluation of joint prostheses – Hip, knee and shoulder
  • Detection of systemic musculoskeletal disease eg metabolic and metastatic
  • Evaluation of Paget’s disease (active vs inactive)
  • Detection of early AVN
  • Early detection of osteomyelitis (vs soft tissue cellulitis)