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Page 1: Radioisotopes · Radioisotopes 1 1 12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 1 Not for Distribution. 2 NUCLEAR PHARMACY QUICK REFERENCE TABLE 1-1 Radiopharmaceuticals Used in

C H A P T E R

Radioisotopes1

1

12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 1

Not for

Dist

ributi

on

Page 2: Radioisotopes · Radioisotopes 1 1 12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 1 Not for Distribution. 2 NUCLEAR PHARMACY QUICK REFERENCE TABLE 1-1 Radiopharmaceuticals Used in

2 NUCLEAR PHARMACY QUICK REFERENCE

TAB

LE 1

-1R

adio

ph

arm

aceu

tica

ls U

sed

in N

ucl

ear

Med

icin

e

Che

mic

al F

orm

and

Ty

pica

l Dos

age

Rad

ionu

clid

eD

osag

e Fo

rmU

se(A

dult

a )R

oute

b

Car

bon

C 1

1

Car

bon

C 1

1

Car

bon

C 1

1

Car

bon

C 1

1

Car

bon

C 1

1

Car

bon

C 1

4

Chr

omiu

m C

r 51

Cob

alt C

o 57

Fluo

rine

F 1

8

Fluo

rine

F 1

8

Fluo

rine

F 1

8

Gal

lium

Ga

67

Indi

um In

111

Indi

um In

111

Car

bon

mon

oxid

e

Flum

azen

il in

ject

ion

Met

hion

ine

inje

ctio

n

Rac

lopr

ide

inje

ctio

n

Sodi

um a

ceta

te in

ject

ion

Ure

a

Sodi

um c

hrom

ate

inje

ctio

n

Cya

noco

bala

min

cap

sule

s

Flud

eoxy

gluc

ose

inje

ctio

n

Fluo

rodo

pa in

ject

ion

Sodi

um fl

uori

de in

ject

ion

Gal

lium

citr

ate

inje

ctio

n

Cap

rom

ab p

ende

tide

inje

ctio

n

Indi

um c

hlor

ide

ster

ileso

lutio

n

Car

diac

: Blo

od v

olum

e m

easu

rem

ent

Bra

in: B

enzo

diaz

epin

e re

cept

or im

agin

g

Neo

plas

tic d

isea

se e

valu

atio

n in

bra

in

Bra

in: D

opam

ine

D2

rece

ptor

imag

ing

Car

diac

: Mar

ker

of o

xida

tive

met

abol

ism

Dia

gnos

is o

f Hel

icob

acte

r py

lori

infe

ctio

n

Labe

ling

red

bloo

d ce

lls (R

BC

s) fo

r m

ea-

suri

ng R

BC

vol

ume,

sur

viva

l, an

d sp

leni

cse

ques

trat

ion

Dia

gnos

is o

f per

nici

ous

anem

ia a

ndde

fect

s of

inte

stin

al a

bsor

ptio

n

Glu

cose

util

izat

ion

in b

rain

, car

diac

, and

ne

opla

stic

dis

ease

Dop

amin

e ne

uron

al d

ecar

boxy

lase

act

ivity

in b

rain

Bon

e im

agin

g

Hod

gkin

’s d

isea

se, l

ymph

oma

Acu

te in

flam

mat

ory

lesi

ons

Met

asta

tic im

agin

g in

pat

ient

s w

ith b

iops

y-pr

oven

pro

stat

e ca

ncer

Rad

iola

belin

g va

riou

s 11

1 In

radi

opha

r-m

aceu

tical

s

60–1

00 m

Ci

20–3

0 m

Ci

10–2

0 m

Ci

10–1

5 m

Ci

12–4

0 m

Ci

1 µC

i

10–8

0 µC

i

0.5

µCi

10–1

5 m

Ci

4–6

mC

i

10 m

Ci

8–10

mC

i5

mC

i

5 m

Ci

Var

ious

Inha

latio

n

IV IV IV IV PO IV PO IV IV IV IV IV IV

12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 2

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Page 3: Radioisotopes · Radioisotopes 1 1 12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 1 Not for Distribution. 2 NUCLEAR PHARMACY QUICK REFERENCE TABLE 1-1 Radiopharmaceuticals Used in

3RADIOISOTOPES

Indi

um In

111

Indi

um In

111

Indi

um In

111

Indi

um In

111

Iodi

ne I

123

Iodi

ne I

123

Iodi

ne I

123

Iodi

ne I

125

Iodi

ne I

125

Iodi

ne I

131

Iodi

ne I

131

Iodi

ne I

131

Indi

um o

xine

ste

rile

solu

tion

Pent

etat

e in

ject

ion

Pent

etre

otid

e in

ject

ion

Ibri

tum

omab

tiux

etan

inje

ctio

n

Ioflu

pane

Inje

ctio

n

Sodi

um io

dide

cap

sule

san

d so

lutio

n

Iobe

ngua

ne in

ject

ion

Alb

umin

inje

ctio

n

Ioth

alam

ate

sodi

um

inje

ctio

n

Alb

umin

inje

ctio

n

Iobe

ngua

ne in

ject

ion

Sodi

um io

dide

cap

sule

san

d so

lutio

n

Labe

ling

auto

logo

us le

ukoc

ytes

Cis

tern

ogra

phy

Neu

roen

docr

ine

tum

ors

Bio

dist

ribu

tion

imag

ing

prio

r to

ther

apeu

ticdo

sing

with

90Y

Zev

alin

(Bio

gen

Idec

) in

the

trea

tmen

t of n

on-H

odgk

in’s

lym

phom

a

Stri

atal

dop

amin

e tr

ansp

orte

r vi

sual

izat

ion

(ass

ist i

n th

e ev

alua

tion

of a

dult

patie

nts

with

sus

pect

ed P

arki

nson

ian

synd

rom

e) (P

S)

Thyr

oid

glan

d im

agin

gTh

yroi

d m

etas

tase

s (to

tal b

ody)

Pheo

chro

moc

ytom

a, c

arci

noid

tum

ors,

non

-se

cret

ing

para

gang

liom

as, n

euro

blas

tom

a

Plas

ma

volu

me

dete

rmin

atio

n

Glo

mer

ular

filt

ratio

n ra

te (

GFR

) de

term

inat

ion

Bloo

d vo

lum

e/pl

asm

a vo

lum

e de

term

inat

ion

Pheo

chro

moc

ytom

a, c

arci

noid

tum

ors,

non

-se

cret

ing

para

gang

liom

as, n

euro

blas

tom

a

Thyr

oid

func

tion

Thyr

oid

imag

ing

(nec

k)Th

yroi

d im

agin

g (s

ubst

erna

l)Th

yroi

d m

etas

tase

s (to

tal b

ody)

Hyp

erth

yroi

dism

Car

cino

ma

500

µCi

500

µCi

3 m

Ci (

plan

ar)

6 m

Ci (

SPEC

Tc )

5 m

Ci

3–5

mC

i

400–

600

µCi

2 m

Ci

0.14

mC

i/kg

(chi

ld)

10 m

Ci (

adul

t)

5–10

µC

i

30 µ

Ci

5–50

µC

i

0.5

mC

i/1.7

m2

5–10

µC

i50

–100

µC

i10

0 µC

i2

mC

i5–

33 m

Ci

150–

200

mC

i

IV Intr

athe

cal

IV IV IV PO PO IV IV IV IV IV PO

(con

tinue

d)

12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 3

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Page 4: Radioisotopes · Radioisotopes 1 1 12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 1 Not for Distribution. 2 NUCLEAR PHARMACY QUICK REFERENCE TABLE 1-1 Radiopharmaceuticals Used in

4 NUCLEAR PHARMACY QUICK REFERENCE

TAB

LE 1

-1R

adio

ph

arm

aceu

tica

ls U

sed

in N

ucl

ear

Med

icin

e (C

on

tin

ued

)

Che

mic

al F

orm

and

Ty

pica

l Dos

age

Rad

ionu

clid

eD

osag

e Fo

rmU

se(A

dult

a )R

oute

b

Iodi

ne I

131

Iodi

ne I

131

Nitr

ogen

N 1

3

Oxy

gen

O 1

5

Phos

phor

us P

32

Phos

phor

us P

32

Rub

idiu

m R

b 82

Sam

ariu

m S

m 1

53

Stro

ntiu

m S

r 89

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Iodo

hipp

urat

e so

dium

inje

ctio

n

Tosi

tum

omab

Am

mon

ia in

ject

ion

Wat

er in

ject

ion

Chr

omic

pho

spha

te

susp

ensi

on

Sodi

um p

hosp

hate

inje

ctio

n

Rubi

dium

chl

orid

e in

ject

ion

Lexi

dron

am in

ject

ion

Stro

ntiu

m c

hlor

ide

inje

ctio

n

Alb

umin

inje

ctio

n

Alb

umin

agg

rega

ted

inje

ctio

n

Rec

over

able

ren

al fu

nctio

n

Trea

tmen

t of r

efra

ctor

y lo

w-g

rade

non

-H

odgk

in’s

lym

phom

a

Myo

card

ial p

erfu

sion

stu

dies

Car

diac

per

fusi

on

Peri

tone

al a

nd p

leur

al e

ffusi

ons

Poly

cyth

emia

Myo

card

ial p

erfu

sion

stu

dies

Bon

e pa

in p

allia

tion

in c

onfir

med

oste

obla

stic

met

asta

tic b

one

lesi

ons

Bon

e pa

in p

allia

tion

in c

onfir

med

oste

obla

stic

met

asta

tic b

one

lesi

ons

Hea

rt b

lood

poo

l im

agin

g

Perf

usio

n lu

ng im

agin

g

200

µCi (

2 ki

dney

s)75

µC

i (1

kidn

ey)

Patie

nt-s

peci

fic d

osin

g;no

t >75

cG

y w

hole

body

10–2

0 m

Ci

30–1

00 m

Ci

10–2

0 m

Ci

1–8

mC

i

30–6

0 m

Ci

1.0

mC

i/kg

4 m

Ci

20 m

Ci

3 m

Ci

IV IV IV IV Intr

aper

i-to

neal

or

intr

aple

ural

(Not

for

IV

use

)

IV IV IV IV IV IV

12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 4

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Page 5: Radioisotopes · Radioisotopes 1 1 12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 1 Not for Distribution. 2 NUCLEAR PHARMACY QUICK REFERENCE TABLE 1-1 Radiopharmaceuticals Used in

5RADIOISOTOPES

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Arc

itum

omab

Bic

isat

e in

ject

ion

Dis

ofen

in in

ject

ion

Exam

etaz

ime

inje

ctio

n

Glu

cept

ate

inje

ctio

n

Meb

rofe

nin

inje

ctio

n

Med

rona

te in

ject

ion

Mer

tiatid

e in

ject

ion

Oxi

dron

ate

inje

ctio

n

Pent

etat

e in

ject

ion

Pyro

phos

phat

e in

ject

ion

Red

blo

od c

ells

inje

ctio

n

Sest

amib

i inj

ectio

n

Recu

rren

t or m

etas

tatic

col

orec

tal c

arci

nom

a

Adj

unct

to

CT/

MR

Idin

pat

ient

s w

ith

conf

irm

ed s

trok

e

Hep

atob

iliar

y im

agin

g

With

or

with

out m

ethy

lene

blu

e fo

rre

gion

al c

ereb

ral p

erfu

sion

in s

trok

e

With

out m

ethy

lene

blu

e fo

r le

ukoc

yte

labe

ling

Bra

in im

agin

gR

enal

per

fusi

on im

agin

g

Hep

atob

iliar

y im

agin

g

Bon

e im

agin

g

Kid

ney

imag

ing

Ren

ogra

m—

rena

l tra

nspl

ant

Ren

ogra

m—

capt

opri

l

Bon

e im

agin

g

GFR

(qua

ntita

tive)

Ren

ogra

m (d

iure

tic)

Ren

al p

erfu

sion

imag

ing

Infa

rct-

avid

sca

n

GI b

leed

(int

erm

itten

t)

Myo

card

ial p

erfu

sion

and

func

tion,

para

thyr

oid

imag

ing

20 m

Ci

20 m

Ci

5 m

Ci

20 m

Ci

10 m

Ci

20 m

Ci

10 m

Ci

5 m

Ci

20–3

0 m

Ci

5 m

Ci

1–3

mC

i1–

3 m

Ci

20–3

0 m

Ci

3 m

Ci

3 m

Ci

10 m

Ci

15 m

Ci

15 m

Ci

8–40

mC

i

IV IV IV IV IV IV IV IV IV IV IV IV IV IV IV IV IV IV IV

(con

tinue

d)

12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 5

Not for

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ributi

on

Page 6: Radioisotopes · Radioisotopes 1 1 12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 1 Not for Distribution. 2 NUCLEAR PHARMACY QUICK REFERENCE TABLE 1-1 Radiopharmaceuticals Used in

6 NUCLEAR PHARMACY QUICK REFERENCE

TAB

LE 1

-1R

adio

ph

arm

aceu

tica

ls U

sed

in N

ucl

ear

Med

icin

e (C

on

tin

ued

)

Che

mic

al F

orm

and

Ty

pica

l Dos

age

Rad

ionu

clid

eD

osag

e Fo

rmU

se(A

dult

a )R

oute

b

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Tech

netiu

m T

c 99

m

Thal

lium

Tl 2

01

Xen

on X

e 13

3

Yttr

ium

Y 9

0

aEx

cept

whe

re o

ther

wis

e no

ted.

bIV

=in

trav

enou

s; P

O =

oral

.cSP

ECT

=si

ngle

-pho

ton

emis

sion

com

pute

d to

mog

raph

y.dC

T =

com

pute

d to

mog

raph

y; M

RI =

mag

netic

res

onan

ce im

agin

g.

Sodi

um p

erte

chne

tate

inje

ctio

n

Succ

imer

inje

ctio

n

Sulfu

r co

lloid

inje

ctio

n

Tetro

fosm

in in

ject

ion

Thal

lous

chl

orid

e in

ject

ion

Xen

on

Ibri

tum

omab

tiux

etan

Bra

in im

agin

gTh

yroi

d im

agin

gR

adio

nucl

ide

vent

ricu

logr

amR

adio

nucl

ide

cyst

ogra

phy

Dac

ryoc

ysto

grap

hyM

ecke

l’s d

iver

ticul

um

Rena

l sca

n—di

ffere

ntia

l ren

al fu

nctio

nR

enal

sca

n—co

rtic

al a

nato

my

Live

r–sp

leen

sca

nLy

mph

osci

ntig

raph

y (b

reas

t)Ly

mph

osci

ntig

raph

y (m

elan

oma)

Gas

tric

em

ptyi

ng (s

cram

bled

egg

)G

I ble

ed (a

cute

)Lu

ng a

spir

atio

nG

astr

oeso

phag

eal r

eflu

x

Myo

card

ial p

erfu

sion

and

func

tion

Myo

card

ial p

erfu

sion

imag

ing

Para

thyr

oid

imag

ing

Lung

ven

tilat

ion

imag

ing

Trea

tmen

t of r

efra

ctor

y lo

w-g

rade

non

-H

odgk

in’s

lym

phom

a

20 m

Ci

10 m

Ci

20 m

Ci

1 m

Ci

0.1

mC

i5

mC

i

5 m

Ci

5 m

Ci

5 m

Ci

0.4–

0.6

mC

i0.

5–0.

8 m

Ci

1 m

Ci

10 m

Ci

5 m

Ci

0.2

mC

i

8–40

mC

i

3–4

mC

i2

mC

i

10–2

0 m

Ci

0.3–

0.4

mC

i/kg

IV IV IV Ure

thra

lEy

e dr

ops

IV IV IV IV Inte

rstit

ial

Intra

derm

alPO IV PO PO IV IV IV In

hala

tion

IV

12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 6

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Page 7: Radioisotopes · Radioisotopes 1 1 12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 1 Not for Distribution. 2 NUCLEAR PHARMACY QUICK REFERENCE TABLE 1-1 Radiopharmaceuticals Used in

7RADIOISOTOPES

TAB

LE 1

-2R

adio

nu

clid

es in

Nu

clea

r M

edic

ine

Phot

on M

eV

Hal

f-V

alue

Gam

ma

Ray

D

ecay

max

in M

eV

(�an

d x-

rays

) La

yer

Dos

e C

onst

ant

Nuc

lide

Mod

eaH

alf-

lifeb

(% I

nten

sity

)b,c

�m

ean

(MeV

)b(%

Int

ensi

ty)b

(mm

Pb)

(R/m

Ci-

hr/c

m)e

11C

β+20

.3 m

in0.

960

(100

)0.

386

0.51

1 (2

00)

4.0

5.91

13N

β+9.

97 m

in1.

198

(100

)0.

492

0.51

1 (2

00)

4.0

5.91

14C

β−57

00 y

r0.

156

(100

)0.

049

Non

eN

one

Non

e15

Oβ+

122

sec

1.73

2 (1

00)

0.73

50.

511

(200

)4.

05.

9118

Fβ+

109.

8 m

in0.

633

(97)

0.25

00.

511

(193

)4.

05.

7332

Pβ−

14.2

6 da

ys1.

710

(100

)0.

695

Non

eN

one

Non

e51

Cr

EC27

.7 d

ays

Non

eN

one

0.32

0 (1

0)1.

70.

1857

Co

EC27

1.7

days

Non

eN

one

0.12

2 (8

6)0.

21.

00.

136

(11)

58C

oEC

, β+

70.9

day

s0.

475

(15)

0.20

10.

811

(99)

9.0

5.5

64C

uEC

, β+ ,

β−

12.7

hr

β+0.

653

(17.

6)β+

0.27

80.

511

(35.

2)0.

41.

16β−

0.57

9 (3

8.5)

β−0.

191

67C

uβ−

61.8

hr

0.16

8 (1

)0.

141

0.09

1 (7

)7.

00.

520.

377

(57)

0.09

3 (1

6)0.

468

(22)

0.18

5 (4

9)0.

562

(20)

67G

aEC

3.26

day

sN

one

Non

e0.

093

(39)

0.66

0.8

0.18

5 (2

1)0.

300

(17)

0.39

4 (5

)68

Ga

β+67

.7 m

in0.

822

(1)

0.83

00.

511

(178

)4.

05.

371.

899

(88)

(con

tinue

d)

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Page 8: Radioisotopes · Radioisotopes 1 1 12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 1 Not for Distribution. 2 NUCLEAR PHARMACY QUICK REFERENCE TABLE 1-1 Radiopharmaceuticals Used in

8 NUCLEAR PHARMACY QUICK REFERENCE

TAB

LE 1

-2R

adio

nu

clid

es in

Nu

clea

r M

edic

ine

(Co

nti

nu

ed)

Phot

on M

eV

Hal

f-V

alue

Gam

ma

Ray

D

ecay

max

in M

eV

(�an

d x-

rays

) La

yer

Dos

e C

onst

ant

Nuc

lide

Mod

eaH

alf-

lifeb

(% I

nten

sity

)b,c

�m

ean

(MeV

)b(%

Int

ensi

ty)b

(mm

Pb)

(R/m

Ci-

hr/c

m)e

82R

bβ+

76.4

sec

2.60

(13)

1.48

0.51

1 (1

91)

7.0

6.1

3.38

(82)

0.77

7 (1

5)81

mK

rIT

13.1

sec

Non

eN

one

0.19

0 (6

8)0.

019

1.6

89Sr

β−50

.5 d

ays

1.49

26 (1

00)

0.58

5N

one

Non

eN

one

90Y

β−64

hr

2.28

(100

)0.

934

Non

eN

one

Non

e99

Mo

β−65

.94

hr0.

437

(16)

0.38

90.

740

(12)

6.5

0.18

1.21

5 (8

2)0.

778

(4)

99mTc

IT6.

02 h

rN

one

Non

e0.

1405

(89)

0.17

0.78

99Tc

β−2.

11E+

5 yr

0.29

4 (1

00)

0.08

5N

one

Non

eN

one

111 I

nEC

2.8

days

Non

eN

one

0.02

3 (6

9), x

-ray

s0.

233.

210.

026

(13)

, x-r

ays

0.17

1 (9

1)0.

245

(94)

123 I

EC13

.22

hrN

one

Non

e0.

027

(70)

, x-r

ays

0.05

1.6

0.03

0–0.

032

(15)

, x-r

ays

0.15

9 (8

3)12

4 IEC

, β+

4.18

day

s1.

534

(12)

0.82

00.

027

(47)

, x-r

ays

8.0d

7.6d

2.13

7 (1

1)0.

511

(46)

0.60

3 (6

3)0.

723

(10)

1.69

1 (1

1)

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Page 9: Radioisotopes · Radioisotopes 1 1 12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 1 Not for Distribution. 2 NUCLEAR PHARMACY QUICK REFERENCE TABLE 1-1 Radiopharmaceuticals Used in

9RADIOISOTOPES

125 I

EC59

.4 d

ays

Non

eN

one

0.02

7 (1

14),

x-ra

ys0.

017

1.43

0.03

1–0.

032

(24)

, x-r

ays

0.03

5 (7

)13

1 Iβ−

8.02

day

s0.

248

(2)

0.18

20.

030

(5),

x-ra

ys2.

42.

270.

339

(7)

0.08

0 (3

)0.

606

(90)

0.36

4 (8

2)0.

637

(7)

133 X

eβ−

5.24

day

s0.

346

0.10

00.

031–

0.03

6 (4

9), x

-ray

s0.

035

0.51

0.08

1 (3

8)13

7 Cs

β−30

.08

yr0.

514

(95)

0.18

70.

032

(6),

x-ra

ys6.

03.

321.

175

(5)

0.66

2 (8

5)15

3 Sm

β−46

.5 h

r0.

635

(31)

0.22

40.

041

(48)

, x-r

ays

0.1

0.46

0.70

4 (4

9)0.

047

(9),

x-ra

ys0.

808

(18)

0.10

3 (2

9)18

6 Re

β−3.

72 d

ays

0.93

2 (2

2)0.

347

0.13

7 (9

)2.

50.

21.

070

(71)

201 T

lEC

3.04

day

sN

one

Non

e0.

069–

0.08

2 (7

5), x

-ray

s0.

006

4.7

0.13

5 (2

.6)

0.16

7 (1

0)

aEC

=el

ectr

on c

aptu

re, I

T =

isom

eric

tran

sitio

n.bV

alue

s ob

tain

ed fr

om N

atio

nal N

ucle

ar D

ata

Cen

ter,

Bro

okha

ven

Nat

iona

l Lab

orat

ory

(ww

w.n

ndc.

bnl.g

ov/c

hart

/reC

ente

r.js

p?z=

39&

n=51

).cβ m

axis

the

endp

oint

ene

rgy

for

the

deca

y.dSo

urce

: http

://hp

scha

pter

s.or

g/no

rthc

arol

ina/

NSD

S/12

4IPD

F.pd

f.eR

=ro

entg

en.

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Page 10: Radioisotopes · Radioisotopes 1 1 12614-01_CH01-rev3.qxd 10/25/11 10:56 AM Page 1 Not for Distribution. 2 NUCLEAR PHARMACY QUICK REFERENCE TABLE 1-1 Radiopharmaceuticals Used in

10 NUCLEAR PHARMACY QUICK REFERENCE

TAB

LE 1

-3R

adio

nu

clid

e G

ener

ato

r Sy

stem

s

Pare

nt (

half-

life)

Pare

nt D

ecay

Mod

eD

augh

ter

Prod

uct

(hal

f-lif

e)C

olum

n Ty

peEl

uant

99M

o (6

5.94

hr)

82Sr

(25.

55 d

ays)

68G

e (2

71 d

ays)

81R

b (4

.57

hr)

90Sr

(28.

9 yr

)11

3 Sn

(115

.09

days

)

Bet

a m

inus

Elec

tron

cap

ture

Elec

tron

cap

ture

Elec

tron

cap

ture

Bet

a m

inus

Elec

tron

cap

ture

Alu

min

um o

xide

Stan

nic

oxid

e

Stan

nic

oxid

e

Cat

ion

exch

ange

res

in

90Sr

sol

utio

n

Zir

coni

um o

xide

0.9%

NaC

l

0.9%

NaC

l

0.1

M H

Cl

Wat

er

Air

/oxy

gen

Solv

ent e

xtra

ctio

n

0.05

M H

Cl

Na99

mTc

O4

(6.0

1 hr

)82

RbC

l (76

.4 s

ec)

68G

aCl 3

(67.

7 m

in)

81mK

r ga

s (1

3.1

sec)

90Y

Cl 3

(64

hr)

113m

InC

l 3(1

.7 h

r)

12614-01_CH01-rev3.qxd 10/25/11 10:57 AM Page 10

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11RADIOISOTOPES

99Mo

99mTc

99Tc

β– (14%)

β– (86%)

γ 0.140 MeV (88%)

(T½ 66 hours)

(T½ 6 hours)

Emax

1.357 MeV

(T½ 2.1 × 105 yr)

F I G U R E 1 - 1 Simplified decay scheme for99Mo.

1.0

0.5

0.2

0.110 20 30 40 50 60 70

Hours

Act

ivity

99Mo Decay

99mTc Ingrowth

99mTc Elution

F I G U R E 1 - 2 Decay of 99Mo and ingrowth and elution of 99mTcactivity over time in a 99mTc generator.

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12 NUCLEAR PHARMACY QUICK REFERENCE

TABLE 1-4 Expiration Times for 99mTc-Sodium Pertechnetate afterGenerator Elution

Initial Ratio Initial Ratio (microcuries of Expiration (microcuries of Expiration 99Mo/millicurie Time 99Mo/millicurie Time of 99mTc) (hr) of 99mTc) (hr)

0.135 1 0.072 7

0.122 2 0.065 8

0.109 3 0.058 9

0.098 4 0.052 10

0.089 5 0.047 11

0.080 6 0.042 12

Source: Ponto JA. Expiration times for Tc-99m. J Nucl Med Technol. 1981;9:40.

.

TABLE 1-5 Relationship between 99mTc and 99Mo in the Generator atVarious Times after Elution

Time Curies 99Mo × Ratio = Curies 99mTca

(hr) 99mTc:99Mo

0 1.000 — 0

1 0.990 0.094 0.093

2 0.979 0.179 0.175

3 0.969 0.255 0.247

4 0.959 0.324 0.311

5 0.949 0.386 0.366

6 0.940 0.441 0.414

12 0.883 0.677 0.598

18 0.829 0.803 0.666

24 0.779 0.870 0.678

36 0.688 0.924 0.636

48 0.607 0.940 0.571

60 0.533 0.944 0.506

72 0.473 0.946 0.448

78 0.445 0.946 0.421

a Actual 99mTc present based on 86.05% 99Mo decay to 99mTc.

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