Lecture 15: Nuclear Medicine Flashcards

1
Q

Define structural imaging

A

Taking measurements of the internal structure of the body (e.g. x-ray CT).

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2
Q

Define functional imaging

A

Taking measurements of organ function, describing what organs do.

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3
Q

Describe the basic method of functional imaging in nuclear medicine

A

1) Inject a patient with a radioisotope (a gamma or beta emitter).
2) Determine the time course of its distribution through the body.
3) Radioisotopes are incorporated into biologically important molecules e.g. glucose.
4) Measure rates of uptake by, and elimination from organs.

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4
Q

What is a radioisotope?

A

A nuclide that has excess numbers of either neutrons or protons, giving it excess nuclear energy and making it unstable.

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5
Q

Define activity

A

The number of disintegrations per second of a radioactive material, measured in Becquerels (Bq).

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6
Q

What is the equation for activity?

A

A = activity
N = number of decays
t = time
λ = decay constant

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7
Q

Define physical half-life

A

The time at which half the parent nuclei have decayed, denoted by the following symbol:

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8
Q

What are the equations for physical half-life?

A

N = number of nuclei
t = time
λ = decay constant
τ = half life

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9
Q

Define biological half-life

A

The time taken for half of a foreign substance to be eliminated from a biological system. This occurs because foreign substances are eliminated in an (approximately) exponential manner.

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10
Q

What is the equation for effective half-life?

A
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11
Q

What is the most common radioisotope in nuclear medicine?

A

Metastable Technetium: Tc-99m

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12
Q

What is Tc-99m used to treat?

A
  • Heart disease
  • Brain disorders
  • Cancer
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13
Q

How is Tc-99m produced?

A

It is produced from the radioactive decay of Mo-99 (Molybdenum).

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14
Q

What is the half-life of molybdenum?

A

67 hours

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15
Q

How is Mo-99 generated?

A

It is generated from neutron bombardment of U-235, which undergoes fission.

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16
Q

How is Mo-99 transported and stored in hospitals?

A

It is transported as ammonium-molybdenate and stored in a technetium generator known as the ‘Moly-Cow’.

17
Q

How often is the Moly-Cow ‘milked’?

A

After ~23 hours (when the Tc-99m activity reaches a maximum).

18
Q

What is the process of ‘milking’ the Moly-Cow?

A

Sodium chloride is rinsed through the daughter radionuclide. It reacts with Technetium to produce sodium pertechnate.