TABLE 1

Agents Used in a Typical Health System Nuclear Medicine Department

AgentIndication
Radiopharmaceutical
 99mTc-pentetateRenal imaging, lung ventilation imaging
 99mTc-gluceptateRenal imaging
 99mTc-mertiatideRenal imaging
 99mTc-dimercaptosuccinic acidRenal imaging
 99mTc-medronateBone imaging
 99mTc-oxidronateBone imaging
 99mTc-pertechnetateKit reconstitution, Meckel diverticulum, thyroid scan, first-pass scan, voiding cystourethrogram, testicular scan
 99mTc-exametazimeWhite blood cell scan, brain perfusion imaging
 99mTc-choletecHepatobiliary imaging
 99mTc-macroaggregated albuminLung scan, LeVeen shunt patency
 133XeVentilation lung scan
 99mTc-sestamibiMyocardial perfusion imaging, parathyroid scan, breast scan
 201Tl-chlorideMyocardial perfusion imaging, brain scan
 99mTc-ethylene cysteinate dimerBrain imaging
 67GaGallium scan
 99mTc-sulfur colloid (unfiltered/filtered)Liver–spleen scan, gastric-emptying scan, bone marrow scan, sentinel node or lymphatic imaging
 111In-pentetateCisternogram, ventriculoperitoneal shunting
 32P-sodium phosphateTherapy for hematologic conditions
 131I-human serum albuminBlood volume measurement
 131I-sodium iodide (capsule and liquid)Thyroid uptake and treatment, metastatic survey scan
 123I-sodium iodideThyroid uptake and scan, whole-body iodine scan
 123I-metaiodobenzylguanidineAdrenal, cardiac imaging
 89Sr-chlorideBone pain palliation treatment
 153Sm-lexidronamBone pain palliation treatment
 111In-pentetreotideSomatostatin receptor imaging
 111In- and 90Y-ibritumomab tiuxetanLymphoma treatment
 131I-tositumomabLymphoma treatment
 18F-FDGPET metabolic imaging
 18F-sodium fluoridePET bone imaging
 82Rb-rubidium chloridePET myocardial perfusion imaging
Nonradioactive agent
 AdenosinePharmacologic stress agent
 AminophyllineReversal of pharmacologic stress
 AtropineAugmentation for dobutamine stress
 DobutaminePharmacologic stress agent
 DipyridamolePharmacologic stress agent
 SincalideCholecystokinin analog for hepatobiliary studies
 CaptoprilAngiotensin-converting enzyme inhibitor for renal studies
 FurosemideDiuretic for renal studies
 UltraTag RBC (Mallinckrodt Inc.)Red blood cell labeling (with 99mTc) for gastrointestinal bleeding, equilibrium radionuclide angiography, hemangioma
 Potassium iodideThyroid-blocking agent for metaiodobenzylguanidine, etc.
 Ioversol injectionRadiologic contrast agent, PET/CT
 Iopamidol injectionRadiologic contrast agent, PET/CT
 Diatrizoate meglumine/sodiumRadiologic contrast agent, PET/CT

  • Agents used will vary depending on the procedure protocols for each institution. Cataloging all agents used is an important early step toward medication management compliance, since all agents must be covered under a comprehensive system.