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Comparative studies between routine roentgenograms and scintiphotographs using 99mTc-pyrophosphate, of the hands and feet are documented in three cases of bone sarcoidosis. All the abnormal roentgenographic findings were also detected by 99mTc-pyrophosphate bone imaging. However, several areas of increased radiopharmaceutical uptake were found in areas with normal roentgenographic studies. These results suggest that the 99mTc-pyrophosphate bone scintiphotographs might be more sensitive than radiographs in the localization of the bone involvement in sarcoidosis.
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