Aim: The uptake of Tc-99m-MDP in the lower spine was quantified in con
nection with ordinary bone scintigraphy. Methods: Fifty-seven women an
d seventy-two men (aged 20-69 y), with no signs of metabolic or malign
ant disease and no history of back pain or atraumatic fractures, were
included in the study. Results: The women showed an increase in Tc-99m
-MDP uptake from the age of 20 y to about 45 y with a decrease from th
e time of menopause. In contrast: to women, the uptake in men showed a
slight decrease from the age of 20 y to about 50 y and thereafter a m
ore marked decrease was seen. The major difference between men and wom
en is the high premenopausal uptake in the female skeleton. Conclusion
: An understanding of age-related changes in Tc-99m-MDP uptake, which
are indices of the skeletal metabolism, is of importance especially in
prevention and treatment of osteoporosis, a common disorder in postme
nopausal women.