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Research ArticleQuality & Practice Management

Systematic Assessment of the Adsorption of 99mTc-Radiopharmaceuticals onto Plastic Syringes

Herbert Kvaternik, Jakob Gatterer, Elisabeth Plhak, Julia F. Schwarzgruber and Reingard M. Aigner
Journal of Nuclear Medicine Technology June 2020, 48 (2) 168-173; DOI: https://doi.org/10.2967/jnmt.119.235432
Herbert Kvaternik
Division of Nuclear Medicine, Department of Radiology, Medical University of Graz, Graz, Austria
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Jakob Gatterer
Division of Nuclear Medicine, Department of Radiology, Medical University of Graz, Graz, Austria
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Elisabeth Plhak
Division of Nuclear Medicine, Department of Radiology, Medical University of Graz, Graz, Austria
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Julia F. Schwarzgruber
Division of Nuclear Medicine, Department of Radiology, Medical University of Graz, Graz, Austria
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Reingard M. Aigner
Division of Nuclear Medicine, Department of Radiology, Medical University of Graz, Graz, Austria
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  • FIGURE 1.
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    FIGURE 1.

    Radioactive retention of 99mTc-radiopharmaceuticals, prepared from kits according manufacturer instructions for different brands of syringes after 30 min of incubation time: brand A (A); brand B (B). DPD = butedronate; HDP = oxidronate; MDP = medronate; MIBI = sestamibi.

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    FIGURE 2.

    Radioactive retention: 99mTc-sestamibi in brand B syringes as function of sestamibi concentration.

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    FIGURE 3.

    Radioactive retention of 99mTc-succimer, radiochemically prepared without inositol in different brands of syringes after 30 min of incubation time.

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    FIGURE 4.

    Radioactive retention: 99mTc-succimer in brand B syringes as function of concentration of excipient inositol.

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    TABLE 1

    Formulation of 99mTc-Radiopharmaceutical Kits

    RadiopharmaceuticalKitIngredientsReconstitution
    99mTc-butedronateTeceos (CIS Bio)13 mg of 3,3 diphospho-1,2-propanedicarboxylic acid, tetrasodium salt (butedronate), SnCl2⋅2H2O, N-(4-aminobenzoyl)-l-glutamic acid99mTc-TcO4−2–10 mL, 0.4–11.1 GBq (10–300 mCi), 5 min of shaking, room temperature
    Butedronate1.3–6.5 mg/mL
    99mTc-oxidronateTechnescan oxidronate (Mallinckrodt)3 mg of disodium-oxidronate, SnCl2⋅2H2O, gentisinic acid, sodium chloride99mTc-TcO4−3–10 mL, 1.5–11.1 GBq (40–300 mCi), 0.5 min of shaking, room temperature
    Oxidronate0.3–1.0 mg/mL
    99mTc-medronateMedronate Tc-IK-10 (Izotop)5 mg of medronic acid (medronate), SnCl2⋅2H2O, ascorbic acid, urea99mTc-TcO4−2–5 mL, 3–6 GBq (80–160 mCi), 15 min of incubation, room temperature
    Medronate1–2.5 mg/mL
    99mTc-tetrofosminMyoview (GE Healthcare)0.23 mg of tetrofosmin, SnCl2⋅2H2O, disodium sulphosalicylate, sodium d-gluconate, sodium hydrogen carbonate99mTc-TcO4−4–8 mL, <8.8 GBq (<240 mCi), 15 min of incubation, room temperature
    Tetrofosmin0.03–0.06 mg/mL
    99mTc-sestamibiStamicis (CIS Bio)1 mg of tetrakis (2-methoxyisobutyl isonitrile) copper (I) tetrafluoroborate, SnCl2⋅2H2O, cysteine hydrochloride monohydrate, sodium citrate, mannitol99mTc-TcO4−1–3 mL, 0.2–11 GBq (5–290 mCi), 10 min of incubation, 100°C
    Sestamibi0.33–1 mg/mL
    99mTc-DMSA (99mTc-succimer)Renocis (CIS Bio)1 mg of dimercaptosuccinic acid, SnCl2⋅2H2O, ascorbic acid, inositol99mTc-TcO4−1–6 mL, <3.7 GBq (<100 mCi), 5–10 min of shaking, room temperature
    DMSA0.17–1 mg/mL
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    TABLE 2

    Radioactive Retention of 99mTc-Radiopharmaceuticals in Syringes and Needles after 30 Minutes of Incubation

    Retention in syringe (%)
    RadiopharmaceuticalSyringe brandUndiluted1:3 with saline1:10 with salineRetention in needle (%) (undiluted)
    99mTc-pertechnetateA1.3 ± 1.01.5 ± 0.84.8 ± 1.14.5 ± 1.1
    B1.9 ± 0.31.1 ± 0.11.4 ± 1.02.9 ± 1.6
    99mTc-butedronateA3.6 ± 0.62.1 ± 0.51.6 ± 0.84.3 ± 0.2
    B2.6 ± 0.82.2 ± 0.32.1 ± 0.72.0 ± 0.4
    99mTc-oxidronateA2.1 ± 1.82.8 ± 1.71.6 ± 0.82.9 ± 1.9
    B1.8 ± 1.82.2 ± 0.22.3 ± 0.53.0 ± 1.3
    99mTc-medronateA2.4 ± 0.31.4 ± 1.22.1 ± 2.33.9 ± 0.4
    B1.7 ± 1.11.1 ± 0.61.8 ± 0.72.4 ± 0.5
    99mTc-tetrofosminA6.7 ± 0.85.9 ± 1.84.7 ± 1.86.7 ± 1.0
    B6.0 ± 0.33.5 ± 0.83.8 ± 0.73.1 ± 0.4
    99mTc-sestamibiA6.9 ± 3.67.3 ± 1.613.0 ± 2.55.2 ± 0.2
    B3.3 ± 1.16.3 ± 0.89.0 ± 0.92.5 ± 0.2
    99mTc-succimerA10.7 ± 1.49.8 ± 1.96.9 ± 0.213.9 ± 0.2
    B13.9 ± 2.014.2 ± 1.119.5 ± 4.36.9 ± 0.2
    99mTc-DMSA(V) pentavalentA1.8 ± 0.32.2 ± 0.22.1 ± 1.24.5 ± 0.9
    B2.4 ± 0.32.4 ± 0.62.0 ± 0.51.7 ± 0.5
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Journal of Nuclear Medicine Technology: 48 (2)
Journal of Nuclear Medicine Technology
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June 1, 2020
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Systematic Assessment of the Adsorption of 99mTc-Radiopharmaceuticals onto Plastic Syringes
Herbert Kvaternik, Jakob Gatterer, Elisabeth Plhak, Julia F. Schwarzgruber, Reingard M. Aigner
Journal of Nuclear Medicine Technology Jun 2020, 48 (2) 168-173; DOI: 10.2967/jnmt.119.235432

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Systematic Assessment of the Adsorption of 99mTc-Radiopharmaceuticals onto Plastic Syringes
Herbert Kvaternik, Jakob Gatterer, Elisabeth Plhak, Julia F. Schwarzgruber, Reingard M. Aigner
Journal of Nuclear Medicine Technology Jun 2020, 48 (2) 168-173; DOI: 10.2967/jnmt.119.235432
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Keywords

  • Syringe
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  • radiopharmaceutical
  • 99mTc-succimer
  • 99mTc-sestamibi
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