Nováková K, Láznícek M
Katedra farmakologie a toxikologie-oddĕlení radiofarmak Farmaceutické fakulty Univerzity Karlovy, Hradec Králové.
Ceska Slov Farm. 2001 Jan;50(1):21-7.
Inflammation is a complex reaction of the organism which develops as a response to invasion of an infectious subject or as a response to injury to cells or tissues. Correct and early localization of infection or an inflammatory lesion allows removing the inflammatory cause quickly. Over the recent thirty years, a wide range of radiopharmaceuticals, more or less applicable in scintigraphic imaging of inflammatory and infectious diseases, have been developed. The aim has been to develop new substances that are non-toxic, do not provoke immune reactions, and produce a minimal absorbed radioactive dose. Furthermore, these substances should accumulate significantly in the target tissue (i.e. in inflammation), while the accumulation in non-target tissues should be minimal or the elimination of radiopharmaceuticals from non-target tissues must be quick. The goal is that these substances may also be easily available and inexpensive. Another purpose is to develop such substances that could possess not only sufficient sensitivity but also specificity in relation to certain types of inflammation and infection. The main indications for radionuclide imaging are as follows: inflammatory bowel disease, soft tissue sepsis, predominantly abdominal sepsis, musculoskeletal infection, and fever of unknown origin.
炎症是机体的一种复杂反应,它可作为对感染源入侵的反应或对细胞或组织损伤的反应而发生。准确且早期定位感染或炎性病变能够迅速消除炎症病因。在过去三十年里,已研发出了各种各样的放射性药物,它们或多或少适用于炎症和感染性疾病的闪烁显像。目标是研发出无毒、不引发免疫反应且产生最低吸收辐射剂量的新物质。此外,这些物质应在靶组织(即炎症部位)中显著蓄积,而在非靶组织中的蓄积应最少,或者放射性药物必须能迅速从非靶组织中清除。目标还在于这些物质应易于获取且价格低廉。另一个目的是研发出不仅对某些类型的炎症和感染具有足够敏感性而且具有特异性的物质。放射性核素显像的主要适应证如下:炎症性肠病、软组织脓毒症、主要为腹部脓毒症、肌肉骨骼感染以及不明原因发热。