A bone survey (also called bone survey ) is a series of X-rays from all bones in the body, or at least axial skeletons and large cortical bones. A very common use is the diagnosis of multiple myeloma, where tumor deposits appear as "hollow" lesions. The standard X-ray series for skeletal surveys includes X-ray skulls, entire spine, pelvis, ribs, both humeral and femora (proximal long bones). This is more effective than isotope scan in detecting bone involvement in multiple myeloma. Although significantly less sensitive than MRI, it is easier to include more bones. A study found that MRI only the spine and pelvis would detect 9% fewer cases of bone involvement than the broader skeletal survey which therefore remained the standard method.
Skeletal surveys are also used with suspected unintentional injuries in children (CE guidelines state that 19 child images are taken.) These are reported by pediatric radiologist consultants and often copies are made. Unintentional injury is suspected if a child has an injury where the clinical findings are inconsistent with the explanation given for injury, such as a spiral fracture in an unelected child.
CT skull is also performed in conjunction with radiography if the child is under one year old or, if the child is older, where there is a clinical requirement (perioribtal eckhosis, for example) to get rid of head trauma.
Skeletal survey results may be used in court as evidence of child abuse.
Video Skeletal survey
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Source of the article : Wikipedia
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