@article{3093973,
    title = "Positive Tc-99m-MIBI scan in a patient with confirmed Paget's disease of
bone",
    author = "Zanglis, A and Andreopoulos, D and Zissimopoulos, A and Baziotis, N",
    journal = "Clinical Nuclear Medicine",
    year = "2005",
    volume = "30",
    number = "5",
    pages = "363-364",
    publisher = "Lippincott, Williams & Wilkins",
    issn = "0363-9762, 1536-0229",
    doi = "10.1097/01.rlu.0000159911.89757.a6",
    keywords = "Tc-99m-MIBI; Pagets",
    abstract = "A 46-year-old man was referred to our department for a Tc-99m MDP bone
scan after he was admitted to our hospital with diffuse bone pain and
the subsequent finding of multiple mixed type (lytic-blastic) lesions on
routine x-rays. The Tc-99m MDP scan was highly suspicious for malignancy
and, therefore, a Tc-99m MIBI scan was performed, which also revealed
abnormal uptake in all regions with increased osteoblastic activity.
Clinical chemistry and further workup revealed a highly elevated serum
alkaline phosphatase and increased excretion of hydroxyproline in the
urine. The presumed diagnosis of Paget’s disease of the bone was further
confirmed by biopsy."
}