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Journal of Nuclear Medicine Technology

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Research ArticlePractical Protocols

Ventilation Lung Imaging: Technegas

Mary Beth Farrell, Kathy S. Thomas, Eleanor S. Mantel and Jessica Settle
Journal of Nuclear Medicine Technology March 2025, 53 (1) 11-13; DOI: https://doi.org/10.2967/jnmt.125.269536
Mary Beth Farrell
CNMT, NCT
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Kathy S. Thomas
CNMT, PET, FSNMMI-TS
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Eleanor S. Mantel
CNMT, NCT, RT(N), FSNMMI-TS
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Jessica Settle
CNMT, RT(N), FSNMMI-TS
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    TABLE 1.

    Radiopharmaceutical Identity, Dose, and Route of Administration

    IdentityDoseRoute of administration
    99mTc-pertechnetate (99mTcO4)200 MBq (5.5 mCi); range, 200–900 MBq (5.5–25 mCi)Inhalation
    • Lung count rate in posterior position should be about 1,000–1,500 counts/s, equating to 20–50 MBq delivered to lungs.

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    TABLE 2.

    Acquisition Parameters: Planar

    ParameterSpecificationStandard/preferred/optional
    Camera typeLarge field of viewStandard
    Energy peak140 keVStandard
    Energy window20%Standard
    CollimatorLow-energy, high-resolutionStandard
    Patient positionSupineStandard
    Camera positionLungs within field of viewStandard
    Inhalation-to-imaging timeAcquisition started on completion of inhalationStandard
    Acquisition typeStaticStandard
    ViewsAnterior, posterior, right anterior oblique, left anterior oblique, right posterior oblique, left posterior oblique, right lateral, and left lateralStandard
    Additional viewsNANA
    Matrix256 × 256Standard
    Number of views8Standard
    Counts/view300,000–500,000 (corresponding perfusion images should acquire 800,000–1,000,000 counts)Standard
    Additional images: time per viewNANA
    • NA = not applicable.

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    TABLE 3.

    Acquisition Parameters: SPECT or SPECT/CT

    ParameterSpecificationStandard/preferred/optional
    Camera typeLarge-field-of-view multidetectorStandard
    Energy peak140 keVStandard
    Energy window20%Standard
    CollimatorLow-energy, high-resolutionStandard
    Patient positionSupineStandard
    Camera positionLungs within field of viewStandard
    Inhalation-to-imaging timeAcquisition started on completion of inhalationStandard
    Acquisition typeStep and shoot or continuousStandard
    Orbit180° or 360°Standard
    Orbit typeNoncircularStandard
    Matrix128 × 128Standard
    Number of projections120Standard
    Time per projection12–15 sStandard
    CT acquisitionPer manufacturer’s recommendations for attenuation correction or diagnostic imagingOptional
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Journal of Nuclear Medicine Technology: 53 (1)
Journal of Nuclear Medicine Technology
Vol. 53, Issue 1
March 1, 2025
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Ventilation Lung Imaging: Technegas
Mary Beth Farrell, Kathy S. Thomas, Eleanor S. Mantel, Jessica Settle
Journal of Nuclear Medicine Technology Mar 2025, 53 (1) 11-13; DOI: 10.2967/jnmt.125.269536

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Ventilation Lung Imaging: Technegas
Mary Beth Farrell, Kathy S. Thomas, Eleanor S. Mantel, Jessica Settle
Journal of Nuclear Medicine Technology Mar 2025, 53 (1) 11-13; DOI: 10.2967/jnmt.125.269536
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  • Article
    • RATIONALE
    • CLINICAL INDICATIONS
    • CONTRAINDICATIONS
    • PATIENT PREPARATION/EDUCATION
    • RADIOPHARMACEUTICAL IDENTITY, DOSE, AND ROUTE OF ADMINISTRATION
    • PROTOCOL/ACQUISITION INSTRUCTIONS
    • IMAGING PROCESSING
    • ADJUNCT IMAGING/INTERVENTIONS
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