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[注射器中锝标记大颗粒聚合人血清白蛋白(MAA)残留放射性率及给药途径的影响,重点关注儿科核医学检查]

[Impact of Residual Radioactivity Rate of Tc-macro Aggregated Albumin (MAA) in Syringes and Administration Routes with a Focus on Pediatric Nuclear Medicine Examinations].

作者信息

Nakamura Yuto, Kangai Yoshiharu, Sato Shun, Shibata Shigeru, Abe Toshinori, Mimura Hiroaki, Inubushi Masayuki

机构信息

Department of Radiological Technology, Yamaguchi University Hospital.

Department of Radiological Technology, Kawasaki Medical School Hospital.

出版信息

Nihon Hoshasen Gijutsu Gakkai Zasshi. 2023 Aug 20;79(8):802-809. doi: 10.6009/jjrt.2023-1352. Epub 2023 Jun 26.

DOI:10.6009/jjrt.2023-1352
PMID:37357400
Abstract

PURPOSE

The purpose of this study was to evaluate the residual radioactivity in the syringe and route of administration of a low fluid volume Tc-macro aggregated albumin (MAA) intended for pediatric nuclear medicine examinations.

METHOD

We evaluated the residual characteristics, as the effect of elapsed time from drawing up of radiopharmaceuticals to plastic syringe to administration, and the effect of volume of TcO solution to be labeled, the effect of rinsed times of plastic syringe, effect of dose of calculated by consensus guidelines for pediatric nuclear medicine and residual location in injection sets with Tc-MAA. Residual radioactivity was measured using planar images obtained by the gamma camera.

RESULTS

Residual radioactivity rate of Tc-MAA, Tc-MAG, I-IMP showed 41.3±1.6%, 14.4±0.6%, 14.6±2.0%, respectively. Tc-MAA clearly showed a higher residual rate. Residual radioactivity rate increased with the extension of the elapsed time, and reached a high value of 41.3% in 30 minutes. Residual radioactivity rate was dependent on the different volume of TcO to be labeled (4.0 ml and 8.0 ml). Residual radioactivity rate did not change when the number of rinsed was more than one. Residual rate was around 40% at all doses of calculated by consensus guidelines for pediatric nuclear medicine.

CONCLUSION

Tc-MAA showed the highest residual radioactivity rate among radiopharmaceuticals used in pediatric nuclear medicine examinations. The factor that most affected the residual radioactivity rate of Tc-MAA was the elapsed time from draw up to the plastic syringe to administration.

摘要

目的

本研究旨在评估用于儿科核医学检查的低液量锝标记大颗粒白蛋白(MAA)在注射器中的残留放射性及给药途径。

方法

我们评估了残留特性,包括从将放射性药物吸入塑料注射器到给药的时间间隔的影响、待标记的高锝酸盐溶液体积的影响、塑料注射器冲洗次数的影响、根据儿科核医学共识指南计算的剂量的影响以及注射装置中锝标记MAA的残留位置。使用伽马相机获得的平面图像测量残留放射性。

结果

锝标记MAA、锝标记亚甲基二膦酸盐(MAG)、碘代异丁基胍(I-IMP)的残留放射性率分别为41.3±1.6%、14.4±0.6%、14.6±2.0%。锝标记MAA的残留率明显更高。残留放射性率随时间间隔的延长而增加,30分钟时达到41.3%的高值。残留放射性率取决于待标记的高锝酸盐的不同体积(4.0毫升和8.0毫升)。冲洗次数超过一次时,残留放射性率不变。根据儿科核医学共识指南计算的所有剂量下,残留率均约为40%。

结论

在儿科核医学检查中使用的放射性药物中,锝标记MAA的残留放射性率最高。影响锝标记MAA残留放射性率的最主要因素是从吸入塑料注射器到给药的时间间隔。

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