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Direct technetium-99m labeling of anti-hepatoma monoclonal antibody fragment:a radioimmunoconjugate for hepatocellular carcinoma imaging 被引量:13
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作者 Hui Jie Bian Zhi Nan Chen Jing Lan Deng 《World Journal of Gastroenterology》 SCIE CAS CSCD 2000年第3期348-352,共5页
AIM To directly radiolabel an anti-hepatomamAb fragment HAb18 F(ab’)<sub>2</sub> with <sup>99m</sup>Tc bystannous-reduced method,and assess thestability,biodistribution and radioimmun-oimag... AIM To directly radiolabel an anti-hepatomamAb fragment HAb18 F(ab’)<sub>2</sub> with <sup>99m</sup>Tc bystannous-reduced method,and assess thestability,biodistribution and radioimmun-oimaging(RⅡ).METHODS Immunoreactive fraction wasdetermined according to Lindmo’s method.Ellman’s reagent was used to determine thenumber of thiols in the reduced F(ab’)<sub>2</sub>.Labelingefficiency and homogeneity were measured bypaper chromatography,sodium dodecylsulphatepolyacrylamide gel electrophoresis(SDS-PAGE)and autoradiography.Challenge assay involvedthe incubation of aliquots of labeled antibody inethylenediaminetetraacetate( EDTA )and L-cysteine(L-cys)solutions with different molarratio at 37℃ for 1h,respectively.Investigationsin vivo utilized nude mice bearing humanhepatocellular carcinoma(HHCC)xenograftswith gamma camera imaging and tissuebiodistribution studies at regular intervals.RESULTS The labeling procedure was finishedwithin 1.5 h compared with the'pretinning'method which would take at least 21h.In vitrostudies demonstrated that the radiolabeled mAbfragment was homogeneous and retained itsimmunoreactivity.Challenge studies indicatedthat <sup>99m</sup>Tc-labeled HAb18 F(ab’)<sub>2</sub> in EDTA is morestable than in L-cys.Imaging and biodistribution showed a significant tumor uptake at 24 h post-injection of <sup>99m</sup>Tc-labeled HAb18 F(ab’)<sub>2</sub>.Theblood,kidney,liver and tumor uptakes at 24hwere 0.56±0.09,56.45±11.36,1.43±0.27 and6.57±3.01(%ID/g),respectively.CONCLUSION <sup>99m</sup>Tc-HAb18 F(ab’)<sub>2</sub> conjugateprepared by this direct method appears to be aneffective way to detect hepatoma in nude micemodel. 展开更多
关键词 ANTIBODY MONOCLONAL ANTIBODY FRAGMENTS technetium-99m hepatocellular carcinoma liver neoplasms RADIOIMMUNOIMAGING
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Effect of Technetium-99 Conjugated with Methylene Diphosphonate on IgM-RF,IgG-RF and IgA-RF 被引量:9
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作者 黄安斌 余立凯 沈凌汛 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2003年第3期266-268,共3页
To explore the effect of technetium-99 conjugated with methylene diphosphonate ( 99 Tc-MDP) on IgM-RF, IgG-RF and IgA-RF (RFs), 47 cases were selected for study, including 33 patients with rheumatoid arthritis (RA... To explore the effect of technetium-99 conjugated with methylene diphosphonate ( 99 Tc-MDP) on IgM-RF, IgG-RF and IgA-RF (RFs), 47 cases were selected for study, including 33 patients with rheumatoid arthritis (RA) and 15 patients with joint pain/arthritis. After 99 Tc-MDP for drips model being given to the patients by intravenous drip 0.2 g daily for 5 days, the injection A and B models of 99 Tc-MDP were used to the patients by intravenous injection one set daily for 10 days, that was one course of treatment. The next course started after 10 days. Each case used it from 2 to 4 courses of treatment. The RFs in serum were determined by the method of enzyme-linked immunoabsorption assay (ELISA) before and after 2 and 4 courses of treatment. In the patients with RA, the concentrations of IgM-RF were 296.2±108.4 IU/ml, 189.5±92.3 IU/ml and 107.8±72.5 IU/ml; the concentrations of IgG-RF were 325.6±126.2 IU/ml, 209.7±98.2 IU/ml and 160.2±80.8 IU/ml; the concentrations of IgA-RF were 330.4±136.3 IU/ml, 210.7±89.2 IU/ml and 148.8±72.2 IU/ml before and after 2 and 4 courses of treatment, respectively. The concentrations of the above RFs were significantly lower after 2 and 4 courses than those before treatment ( P <0.05 and P <0.01). There was no significant difference in RFs concentrations in the patients with joint pain/arthritis before and after use of 99 Tc-MDP. In the patients with positive RFs before treatment, the RFs concentrations were decreased significantly after 2 and 4 courses of treatment ( P <0.05 and P <0.01). There was no obvious change of RFs concentrations in the patients with negative RFs after treatment of 99 Tc-MDP. It was concluded that 99 Tc-MDP could obviously reduce the abnormally high concentrations of RFs, but not influence the normal RFs, which indicated that 99 Tc-MDP has an important effect on controlling the activities of RA. 展开更多
关键词 technetium-99 conjugated with methylene diphosphonate IgM-RF IgG-RF IgA-RF
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Technetium-99m-labeled macroaggregated albumin lung perfusion scan for diagnosis of hepatopulmonary syndrome: A prospective study comparing brain uptake and whole-body uptake 被引量:3
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作者 He Zhao Jiaywei Tsauo +4 位作者 Xiao-Wu Zhang Huai-Yuan Ma Ning-Na Weng Gong-Shun Tang Xiao Li 《World Journal of Gastroenterology》 SCIE CAS 2020年第10期1088-1097,共10页
BACKGROUND Hepatopulmonary syndrome (HPS) is an arterial oxygenation defect induced by intrapulmonary vascular dilatation (IPVD) in the setting of liver disease and/or portal hypertension.This syndrome occurs most oft... BACKGROUND Hepatopulmonary syndrome (HPS) is an arterial oxygenation defect induced by intrapulmonary vascular dilatation (IPVD) in the setting of liver disease and/or portal hypertension.This syndrome occurs most often in cirrhotic patients(4%-32%) and has been shown to be detrimental to functional status,quality of life,and survival.The diagnosis of HPS in the setting of liver disease and/or portal hypertension requires the demonstration of IPVD (i.e.,diffuse or localized abnormally dilated pulmonary capillaries and pulmonary and pleural arteriovenous communications) and arterial oxygenation defects,preferably by contrast-enhanced echocardiography and measurement of the alveolar-arterial oxygen gradient,respectively.AIM To compare brain and whole-body uptake of technetium for diagnosing HPS.METHODS Sixty-nine patients with chronic liver disease and/or portal hypertension were prospectively included.Brain uptake and whole-body uptake were calculated using the geometric mean of technetium counts in the brain and lungs and in the entire body and lungs,respectively.RESULTS Thirty-two (46%) patients had IPVD as detected by contrast-enhancedechocardiography.The demographics and clinical characteristics of the patients with and without IPVD were not significantly different with the exception of the creatinine level (0.71±0.18 mg/dL vs 0.83±0.23 mg/dL;P=0.041),alveolararterial oxygen gradient (23.2±13.3 mmHg vs 16.4±14.1 mmHg;P=0.043),and arterial partial pressure of oxygen (81.0±12.1 mmHg vs 90.1±12.8 mmHg;P=0.004).Whole-body uptake was significantly higher in patients with IPVD than in patients without IPVD (48.0%±6.1%vs 40.1%±8.1%;P=0.001).The area under the curve of whole-body uptake for detecting IPVD was significantly higher than that of brain uptake (0.75 vs 0.54;P=0.025).The optimal cut-off values of brain uptake and whole-body uptake for detecting IPVD were 5.7%and 42.5%,respectively,based on Youden’s index.The sensitivity,specificity,and accuracy of brain uptake> 5.7%and whole-body uptake> 42.5%for detecting IPVD were23%,89%,and 59%and 100%,52%,and 74%,respectively.CONCLUSION Whole-body uptake is superior to brain uptake for diagnosing HPS. 展开更多
关键词 Portal hypertension Intrapulmonary vascular dilations Radionuclide imaging technetium-99m-labeled macroaggregated albumin lung perfusion scan Diagnostic tests Sensitivity and specificity
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Leukocyte-technetium-99m uptake in Crohn's disease:Does it show subclinical disease? 被引量:1
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作者 Luciene G Mota Luiz GV Coelho +5 位作者 Carlos JR Simal Maria LA Ferrari Clodomiro Toledo Josep Martin-Comin Simone OF Diniz Valbert N Cardoso 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第3期365-371,共7页
AIM:To evaluate inflammatory activity in patients with Crohn's disease (CD) using technetium-99m-hexamethylpropyleneamine oxime (99mTc-HMPAO) granulocyte scintigraphy.METHODS: Twenty patients (7 male and 13 female... AIM:To evaluate inflammatory activity in patients with Crohn's disease (CD) using technetium-99m-hexamethylpropyleneamine oxime (99mTc-HMPAO) granulocyte scintigraphy.METHODS: Twenty patients (7 male and 13 female) with CD and five healthy volunteers were selected for 99mTc-HMPAO granulocyte scintigraphy. The Crohn's Disease Activity Index (CDAI), blood tests and C-reactive protein (CRP) of each patient were performed 7 d before the scintigraphic images. The leukocytes were labeled according to the International Society of Radiolabeled Blood Elements (ISORBE) consensus protocol and the scintigraphic images, including single photon emission computed tomography, were obtained 30 min and 2 h after injection of the radiolabeled leukocytes.RESULTS:The labeling yield of the leukocytes with the lipophilic complex 99mTc-HMPAO was 55.0%±10%. Six of the 20 patients (30%) presented congruent results for the three parameters investigated (CDAI, Scintigraphic Index and CRP). On the other hand, 14 patients (70%) did not show congruent results. There was no significant correlation between the indices analyzed according to the Spearman test (P>0.05,n=20).CONCLUSION: The results suggest that 99mTc-HMPAO-labeled leukocyte scintigraphy could be important for determining inflammatory activity in CD even in the absence of clinical symptoms. 展开更多
关键词 technetium-99m Hexamethylpropyleneamine oxime Leukocytes Inflammatory bowel disease SCINTIGRAPHY
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Technetium-99m-labeled annexin V imaging for detecting prosthetic joint infection in a rabbit model 被引量:1
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作者 Cheng Tang Feng Wang +5 位作者 Yanjie Hou Shanshan Lu Wei Tian Yan Xu Chengzhe Jin Liming Wang 《The Journal of Biomedical Research》 CAS CSCD 2015年第3期224-231,共8页
Accurate and timely diagnosis of prosthetic joint infection is essential to initiate early treatment and achieve a favorable outcome. In this study, we used a rabbit model to assess the feasibility of technetium-99m-l... Accurate and timely diagnosis of prosthetic joint infection is essential to initiate early treatment and achieve a favorable outcome. In this study, we used a rabbit model to assess the feasibility of technetium-99m-labeled annexin V for detecting prosthetic joint infection. Right knee arthroplasty was performed on 24 New Zealand rabbits. After surgery, methicillin-susceptible Staphylococcus aureus was intra-articularly injected to create a model of prosthetic joint infection (the infected group, n = 12). Rabbits in the control group were injected with sterile saline (n= 12). Seven and 21 days after surgery, technetium-99m-labeled annexin V imaging was per- formed in 6 rabbits of each group. Images were acquired 1 and 4 hours after injection of technetium-99m- labeled annexin V (150 MBq). The operated-to-normal-knee activity ratios were calculated for quantitative ana- lysis. Seven days after surgery, increased technetium-99m-labeled annexin V uptake was observed in all cases. However, at 21 days a notable decrease was found in the control group, but not in the infected group. The operated-to-normal-knee activity ratios of the infected group were 1.84 ±0.29 in the early phase and 2.19 ±0.34 in the delay phase, both of which were significantly higher than those of the control group (P=0.03 and P=0.02). The receiver operator characteristic curve analysis showed that the operated-to-normal-knee activity ratios of the delay phase at 21 days was the best indicator, with an accuracy of 80%. In conclusion, technetium- 99m-labeled annexin V imaging could effectively distinguish an infected prosthetic joint from an uninfected prosthetic joint in a rabbit model. 展开更多
关键词 prosthetic joint infection annexin V technetium-99m DIAGNOSIS
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First-principles calculations of lattice stability of technetium and rhenium
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作者 陶辉锦 陈伟民 +1 位作者 周文 王赫男 《中国有色金属学会会刊:英文版》 CSCD 2009年第S3期780-784,共5页
Lattice constants, total energies and densities of state of technetium(Tc) and rhenium(Re) with different crystalline structures were calculated with the GGA+PBE function, ultra-soft pseudo-potential and plane wave me... Lattice constants, total energies and densities of state of technetium(Tc) and rhenium(Re) with different crystalline structures were calculated with the GGA+PBE function, ultra-soft pseudo-potential and plane wave method in first-principles. The results were compared with those of projector augmented wave(PAW) method in first-principles and experimental data. The lattice stability results prove that HCP phase is the most stable phase, which agrees well with those of PAW method in first-principles and CALPHAD method. Further analyses of densities of state also give the same result of lattice stability for HCP-, FCC-, BCC-Tc and Re. Analyses of atomic populations show that the lattice stability of technetium and rhenium is probably related to the electrons in p and d state. 展开更多
关键词 technetium RHENIUM LATTICE stability FIRST PRINCIPLES
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Quantitative Analysis of the Tomographic Technetium-99m MIBI (^(99m)Tc-MIBI) Myocardial Bullseye Display: Application to Diagnosis of Coronary Artery Disease
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作者 高再荣 张永学 +1 位作者 胡佳 徐文代 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 1995年第2期65-67,共3页
In this study, the 99mTc-MIBI myocardial bullseye display of 31 healthy persons and 34 patients with myocardial ischemia and 17 patients with myocardial infarction were analyzed quantitatively, and compared with the r... In this study, the 99mTc-MIBI myocardial bullseye display of 31 healthy persons and 34 patients with myocardial ischemia and 17 patients with myocardial infarction were analyzed quantitatively, and compared with the results of myocardial tomography analysis and qualitative bullseye analysis. The sensitivities of the three methods were 88.2%, 91.2 % and 94.1 % respectively (P>0.05),and the specificities were 93. 5%, 83, 9% and 83. 9% respectively (P<0.05).On the other hand, the quantitative analysis obviously outperformed the other two methods in the detection of ischemic segments of myocardium near infarction zone (P<0. 01). The quantitative analysis of 99mTc-MIBI myocardial bullseye (quantitative bullseye) was an objective, specific and sensitive method for diagnosis of coronary artery disease. 展开更多
关键词 technetium-99m MIBI myocardial imaging SPECT bullseye quantitative analysis coronary artery disease
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2-41 Gas-phase Chemistry of Technetium Carbonyl Complexes
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作者 Wang Yang Fan Fangli Qin Zhi 《IMP & HIRFL Annual Report》 2014年第1期82-82,共1页
Gas-phase chemical behaviors of short-lived technetium carbonyls were studied by using low temperature isothermalchromatograph (IC) coupled with a 252Cf spontaneous fission (SF) source. Fission products recoiled from ... Gas-phase chemical behaviors of short-lived technetium carbonyls were studied by using low temperature isothermalchromatograph (IC) coupled with a 252Cf spontaneous fission (SF) source. Fission products recoiled from the252Cf SF source were thermalized in a CO contained mixed gas, and then technetium carbonyls were formed inreactions of CO gas and various technetium isotopes. A gas-jet system was employed to transport the volatilecarbonyls from a recoil chamber to the IC. Short IC columns made of Fluorinated Ethylene Propylene (FEP) Teflonand quartz were used to obtain the chemical information of technetium carbonyls. The results of 104Tc -106Tc car-bonyls were found to be strongly influenced by theirprecursors, showing the chemical behaviors of 104Mo-106Mo carbonyls, respectively. However, 107Tc and108Tc could represent the chemical information of elementtechnetium, due to their high independent yieldsand very short half-lives of their precursors 107Mo and108Mo. 展开更多
关键词 technetium CARBONYL COMPLEXES
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Removal of Technetium (<sup>99</sup>Tc) from Aqueous Waste by Manganese Oxide Nanoparticles Loaded into Activated Carbon
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作者 W. M. Abdellah H. I. El-Ahwany R. El-Sheikh 《Journal of Analytical Sciences, Methods and Instrumentation》 2020年第1期12-35,共24页
Technetium-99 is a radioactive isotope with a half-life of 2.13 × 105 year. 99Tc is a significant contaminant of concern to the world. For this reason, a detailed understanding of technetium chemistry is essentia... Technetium-99 is a radioactive isotope with a half-life of 2.13 × 105 year. 99Tc is a significant contaminant of concern to the world. For this reason, a detailed understanding of technetium chemistry is essential for the protecting the public and the environment especially after increasing the various applications and uses of isotopes in the medical practices. Therefore, treatment of waste increases prior to the safe discharge to the environment or the storage. The sorption of technetium in the form of pertechnetate on a nano manganese oxide loaded into activated carbon has been investigated. Nano manganese oxide (NMO) was synthesized from manganese chloride and potassium permanganate by co-precipitation and forming a new composite by loading a nanoparticle into a modified activated carbon by different ratios. Modifications of activated carbons using different concentrations of HNO3 (4 M, 6 M and 8 M) are used in prepared composites. Fourier transform infrared spectroscopy (FT-IR), X-Ray Diffraction (XRD) and Scanning Electron Microscope (SEM) were used to characterize the prepared composites. The adsorption of anions from low level radioactive aqueous waste was examined using batch technique. Different parameters affecting on the adsorption process were studied for the removal of . The results revealed that NMO/AC (4 M, 6 M and 8 M) has a high adsorption efficiency (93.57%, 90.3% and 90.3%) respectively compared to NMO and AC which have a lower adsorption efficiency (41% and 38.9%) respectively. Moreover, the adsorption isotherm belonged to Freundlich model, the adsorption data followed pseudo-second order model and the thermodynamic study indicated that the adsorption of on Nano-composites was an exothermic and spontaneous process. 展开更多
关键词 Nano MANGANESE Oxide (NMO) Activated Carbon (AC) technetium-99 CO-PRECIPITATION Adsorption
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基于NTAamide(C8)萃取剂的酸性废液中锝分离工艺初步研究
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作者 刘占元 王均利 +4 位作者 申震 罗方祥 晏太红 郑卫芳 王辉 《核技术》 北大核心 2025年第2期100-106,共7页
在核燃料循环后段中,锝对高放废液的玻璃固化以及深地质处置有较大的影响,因此,有必要在乏燃料后处理过程中将锝提取出来,以减轻其不利影响。本文研究以NTAamide(C8)作为萃取剂从后处理硝酸介质中提取锝的优化工艺流程优化过程。基于NTA... 在核燃料循环后段中,锝对高放废液的玻璃固化以及深地质处置有较大的影响,因此,有必要在乏燃料后处理过程中将锝提取出来,以减轻其不利影响。本文研究以NTAamide(C8)作为萃取剂从后处理硝酸介质中提取锝的优化工艺流程优化过程。基于NTAamide(C8)萃取锝、草酸洗涤杂质离子以及碳酸铵反萃锝的原理,设计了从后处理尾液中提取、纯化锝的工艺流程,并通过串级萃取工艺实验进行了初步验证。数据显示:草酸和硝酸浓度均为0.10 mol·L^(-1)时对各个杂质离子都有很好的洗涤效果,经8级萃取和8级洗涤,锝的萃取率为99.9%,而锶、铯、锆、钌的净化系数分别达到6.9×10^(3)、7.9×10^(4)、4.3×10^(2)、45,表明了该工艺在放射性废液中具有良好的锝分离与杂质离子净化性能。 展开更多
关键词 后处理 NTAamide(C8)
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An aqueous extract of Liu Wei Di Huang Wan alters the labeling of blood constituents with Technetium-99m
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作者 MATOS Vernica Soares de CARMO Fernanda Santos do +6 位作者 DINIZ Claudia Leite NASCIMENTO Ana Lucia Rosa PEREIRA Márcia Oliveira FERNANDES Joelma Fonseca de Oliveira SANTOS-FILHO Sebastiao David MORENO Silvana Ramos Farias BERNARDO-FILHO Mario 《Chinese Science Bulletin》 SCIE EI CAS 2013年第18期2061-2065,共5页
The Liu Wei Di Huang Wan is a formula of a traditional Chinese medicine that is used to treat asthma patients and has been shown to have several important properties,such as antioxidant and free radical scavenging act... The Liu Wei Di Huang Wan is a formula of a traditional Chinese medicine that is used to treat asthma patients and has been shown to have several important properties,such as antioxidant and free radical scavenging activities.The influence of an extract of Liu Wei Di Huang Wan on the labeling of blood constituents with technetium-99m was investigated.Anticoagulated blood(Wistar rats) was incubated with the extract,stannous chloride and technetium-99m,as sodium pertechnetate.Samples were centrifuged and aliquots of plasma and blood cells were separated and precipitated with trichloroacetic acid,to obtain soluble and insoluble fractions of the blood constituents.The percentage of radioactivity(%ATI) in all the fractions was determined.The analysis of the results shows that the extract at the highest concentration used(70 mg/mL) decreased significantly(P<0.05) the %ATI(from 96.48 ± 1.19 to 54.46 ± 7.38) on blood cells compartment,(from 81.11 ± 4.15 to 61.33 ± 4.74) on insoluble fractions of blood cells and(from 65.91 ± 2.44 to 13.15 ± 3.62) on insoluble fractions of plasma.In conclusion,the results suggest that the substances present on this extract can alter this labeling process,probably due to(i) redox properties(antioxidant and chelator activities) and/or(ii) specific actions in the binding sites where the 99mTc would be bound on the blood constituents.As a consequence,precaution is suggested on the interpretation of the nuclear medicine results from performed with blood constituents labeled with 99m Tc in patients that have undertaken LWDHW,although the current findings were obtained in experimental animal models. 展开更多
关键词 六味地黄丸 血液成分 标签 水提物 Wistar大鼠 氧化还原性能 实验动物模型
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甲状旁腺腺瘤相关原发性甲状旁腺功能亢进症定量^(99)Tc^(m)-MIBI SPECT/CT显像参数与功能标志物及疾病严重程度的相关性
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作者 李树恒 栾九松 +2 位作者 董曦 苏剑 李晓东 《中国介入影像与治疗学》 北大核心 2024年第12期756-761,共6页
目的观察伴甲状旁腺功能亢进症(PHPT)甲状旁腺腺瘤定量^(99)Tc^(m)-甲氧基异丁基异腈(^(99)Tc^(m)-MIBI)SPECT/CT显像参数与其功能标志物及疾病严重程度的相关性。方法回顾性纳入58例单发甲状旁腺腺瘤PHPT患者,记录血甲状旁腺激素(PTH)... 目的观察伴甲状旁腺功能亢进症(PHPT)甲状旁腺腺瘤定量^(99)Tc^(m)-甲氧基异丁基异腈(^(99)Tc^(m)-MIBI)SPECT/CT显像参数与其功能标志物及疾病严重程度的相关性。方法回顾性纳入58例单发甲状旁腺腺瘤PHPT患者,记录血甲状旁腺激素(PTH)等临床资料,获取定量^(99)Tc^(m)-MIBI SPECT/CT显像参数,并根据血钙水平评估疾病严重程度(2.55~2.80 mmol/L及>2.80 mmol/L),将患者分为Ⅰ型组(n=25)与Ⅱ型组(n=33)。经重建图像获得病灶定量代谢参数,包括病灶标准摄取值(SUV)最大值(SUV_(max))、平均值(SUV_(mean))及峰值(SUV_(peak)),瘦体标准化SUV(SUL)最大值(SUL_(max))、平均值(SUL_(mean))及峰值(SUL_(peak)),病灶摄取总体积(TLV)、摄取总量(TLU),以及衍生参数病灶与同侧三角肌摄取比值(LBR)和病灶密度(LD)并进行组间比较;以受试者工作特征(ROC)曲线下面积(AUC)评估各指标及多指标联合logistic回归模型鉴别PHPT严重程度的效能。结果Ⅰ型组血PTH及血钙水平均低于Ⅱ型组(P均<0.05)。^(99)Tc^(m)-MIBI SPECT/CT断层显像与平面显像对伴PHPT甲状旁腺腺瘤的检出率差异无统计学意义(96.56%vs.91.38%,P=0.063)。TLV、TLU均与血PTH(r_(s)=0.416、0.422)及血钙水平(r_(s)=0.391、0.349)呈弱相关(P均<0.05)。Ⅰ型组TLV、TLU明显低于Ⅱ型组(P均<0.05)。以PTH、TLV及TLU鉴别Ⅰ、Ⅱ型伴PHPT甲状旁腺腺瘤的AUC分别为0.770、0.741及0.716,三者联合的AUC为0.790,均未见统计学差异(Z=0.361~1.454,P均>0.05)。结论根据甲状旁腺^(99)Tc^(m)-MIBI SPECT/CT定量代谢参数TLV、TLU可用于评估伴PHPT甲状旁腺腺瘤患者甲状旁腺功能状态及疾病严重程度。 展开更多
关键词 甲状旁腺功能亢进 原发性 甲状旁腺肿瘤 体层摄影术 发射型计算机 单光子 99M锝甲氧基异丁基异腈
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甲状旁腺功能亢进症高频超声联合^(99m)Tc-MIBI显像与血清甲状旁腺激素相关性研究
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作者 樊宁 邓伟 张英霞 《中国临床医学影像杂志》 CAS CSCD 北大核心 2024年第11期766-770,776,共6页
目的:探讨甲状旁腺功能亢进患者血清甲状旁腺激素与高频超声特征及^(99m)Tc-MIBI SPECT/CT显像半定量参数T/NT的相关性,提示多种影像学联合对甲状旁腺功能亢进程度的预测价值。方法:回顾性分析70例依据手术病理或指南定性诊断为甲状旁... 目的:探讨甲状旁腺功能亢进患者血清甲状旁腺激素与高频超声特征及^(99m)Tc-MIBI SPECT/CT显像半定量参数T/NT的相关性,提示多种影像学联合对甲状旁腺功能亢进程度的预测价值。方法:回顾性分析70例依据手术病理或指南定性诊断为甲状旁腺功能亢进症并均行高频超声及^(99m)Tc-MIBI SPECT/CT显像检查的患者,评价甲状旁腺功能亢进患者高频超声特征、^(99m)Tc-MIBI SPECT/CT显像半定量参数T/NT与血清甲状旁腺激素的相关性,并探讨二者对甲状旁腺功能亢进程度的预测价值。结果:70例研究对象中,原发性甲状旁腺功能亢进症(PHPT)和继发性甲状旁腺功能亢进症(SHPT)患者两组间T/NT值、血流半定量评分差异无统计学意义(P均>0.05)。高频超声检出病变甲状旁腺腺体个数与血清甲状旁腺激素(PTH)的一致性较差,血清PTH与病变腺体总体积、高频超声血流半定量评分、T/NT值相关性系数分别为0.289、0.460、0.453,相关性具有统计学意义(P均<0.05);T/NT值与病变腺体总体积、高频超声血流半定量评分无相关性(P均>0.05)。以血清PTH=300 pg/mL作为判断亢进程度为重度和非重度的截断值,绘制腺体体积、血流评分及T/NT值的ROC曲线:腺体体积、血流评分、^(99m)Tc-MIBI SPECT/CT显像T/NT值曲线下面积分别为0.824、0.831、0.702,敏感度分别为92.3%、80.8%、60.1%,特异度分别为65.9%、68.2%、88.9%;三种指标联合诊断曲线下面积0.865,敏感度72.0%,特异度91.1%(P均<0.05)。结论:病变甲状旁腺体积、血流半定量评分、^(99m)Tc-MIBI SPECT/CT显像半定量参数T/NT值对血清PTH水平升高程度均有较好的预测价值,多指标联合更准确地反映了病变甲状旁腺功能亢进程度,可为治疗方式的选择提供有益补充。 展开更多
关键词 甲状旁腺功能亢进症 99M锝甲氧基异丁基异腈 甲状旁腺素 超声检查 单光子发射计算机体层摄影术
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靶向PD-L1的锝-99m标记放射性探针的研究进展
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作者 许想 茅译尹 +1 位作者 陆春雄 谢敏浩 《分子影像学杂志》 2024年第12期1399-1404,共6页
程序性死亡受体和程序性死亡配体(PD-1/PD-L1)通路免疫检查点抑制剂是肿瘤治疗的新方法,而且肿瘤PD-L1表达水平与这种免疫治疗的疗效密切相关。临床上以免疫组化法检测PD-L1的表达水平,但该方法是有创的,且PD-L1在肿瘤部位的表达具有时... 程序性死亡受体和程序性死亡配体(PD-1/PD-L1)通路免疫检查点抑制剂是肿瘤治疗的新方法,而且肿瘤PD-L1表达水平与这种免疫治疗的疗效密切相关。临床上以免疫组化法检测PD-L1的表达水平,但该方法是有创的,且PD-L1在肿瘤部位的表达具有时空异质性,该方法不能全面的反映肿瘤PD-L1的表达情况。核医学分子影像技术可以无创、实时、动态、可视化监测机体内PD-L1的表达情况。锝-99m是单光子发射计算机断层扫描(SPECT)成像最常用的核素,具有价廉易得,能量和半衰期适中等特点,而SPECT是核医学最常用的影像设备,在全球范围内应用广泛。因此,靶向PD-L1的锝-99m标记分子探针有着广阔的应用前景。本文主要针对靶向PD-L1的锝-99m标记分子探针的研究进行综述,为寻找新型靶向PD-L1的SPECT显像探针提供指导。 展开更多
关键词 锝-99m PD-L1 单克隆抗体 小分子 SPECT
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探讨锝[^(99)Tc]亚甲基二膦酸盐注射液治疗2型糖尿病合并骨质疏松症的效果及对患者心功能的影响
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作者 宾小昌 莫子韶 黄鑫 《中国实用医药》 2024年第23期35-39,共5页
目的探讨锝[^(99)Tc]亚甲基二膦酸盐注射液(商品名:云克)治疗2型糖尿病合并骨质疏松症的效果及对患者心功能的影响。方法选取80例2型糖尿病合并骨质疏松症患者作为研究对象,用随机数字表法将其分为对照组和观察组,各40例。对照组接受二... 目的探讨锝[^(99)Tc]亚甲基二膦酸盐注射液(商品名:云克)治疗2型糖尿病合并骨质疏松症的效果及对患者心功能的影响。方法选取80例2型糖尿病合并骨质疏松症患者作为研究对象,用随机数字表法将其分为对照组和观察组,各40例。对照组接受二甲双胍联合阿法骨化醇片治疗,观察组接受二甲双胍联合云克治疗。比较两组治疗效果、症状改善效果、骨密度、心功能指标、不良反应发生情况。结果观察组治疗总有效率95.00%高于对照组的75.00%(P<0.05)。治疗后,两组晨僵时间短于治疗前,关节肿胀、关节压痛评分低于治疗前,且观察组晨僵时间(22.15±0.16)min短于对照组的(26.69±0.19)min,关节肿胀评分(1.21±0.22)分、关节压痛评分(1.21±0.21)分低于对照组的(1.59±0.26)、(2.34±0.25)分(P<0.05)。治疗后,两组髋部Ward三角区、L2~4的骨密度高于治疗前,且观察组髋部Ward三角区骨密度(0.69±0.11)g/cm^(2)、L2~42骨密度(0.76±0.11)g/cm高于对照组的(0.62±0.13)、(0.70±0.13)g/cm^(2)(P<0.05)。治疗后,两组天冬氨酸氨基转移酶(AST)、乳酸脱氢酶(LDH)、B型钠尿肽(BNP)低于治疗前,且观察组AST(39.05±1.65)U/L、LDH(354.54±10.21)U/L、BNP(100.65±8.65)pg/ml低于对照组的(41.05±1.06)U/L、(379.48±10.16)U/L、(104.58±8.49)pg/ml(P<0.05)。观察组不良反应发生率5.00%与对照组的10.00%比较,无统计学差异(P>0.05)。结论云克治疗2型糖尿病合并骨质疏松症,能更好的调控机体骨代谢状态,改善骨密度,并对心功能有保护作用,疗效理想。 展开更多
关键词 2型糖尿病 骨质疏松症 心功能 锝[^(99)Tc]亚甲基二膦酸盐注射液 骨密度 骨代谢 疗效
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锝[^(99)Tc]亚甲基二膦酸盐注射液联合甲氨蝶呤及硫酸羟氯喹治疗对类风湿性关节炎患者红细胞沉降率及类风湿因子的影响 被引量:1
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作者 周洋来 《中国医学创新》 CAS 2024年第8期20-24,共5页
目的:探究锝[^(99)Tc]亚甲基二膦酸盐注射液联合甲氨蝶呤及硫酸羟氯喹治疗对类风湿性关节炎(RA)患者红细胞沉降率(ESR)及类风湿因子(RF)的影响。方法:选取2021年4月—2022年5月抚州市立医院收治的RA患者66例,选用随机数字表法分为两组,... 目的:探究锝[^(99)Tc]亚甲基二膦酸盐注射液联合甲氨蝶呤及硫酸羟氯喹治疗对类风湿性关节炎(RA)患者红细胞沉降率(ESR)及类风湿因子(RF)的影响。方法:选取2021年4月—2022年5月抚州市立医院收治的RA患者66例,选用随机数字表法分为两组,各33例。对照组接受甲氨蝶呤及硫酸羟氯喹治疗,观察组接受锝[^(99)Tc]亚甲基二膦酸盐注射液联合甲氨蝶呤及硫酸羟氯喹治疗,两组均持续治疗3个月。对比两组临床疗效、炎症因子水平、ESR及RF、类风湿关节炎活动度(DAS28)评分、症状改善情况、视觉模拟评分法(VAS)评分、不良反应。结果:观察组临床总有效率为96.97%(32/33),高于对照组的75.76%(25/33),差异有统计学意义(P<0.05);治疗后,观察组白介素-6(IL-6)(3.52±0.47)pg/mL,肿瘤坏死因子-α(TNF-α)(3.91±1.02)pg/mL,C蛋白反应(CRP)(12.33±5.15)mg/L,RF(31.62±15.16)IU/mL,ESR(25.89±10.69)mm/h,均低于对照组的(8.03±1.02)pg/mL、(7.94±2.54)pg/mL、(16.38±6.41)mg/L、(42.98±16.87)IU/mL、(35.92±11.84)mm/h,关节肿胀数目(2.01±0.45)个,关节压痛数目(4.15±1.31)个,均少于对照组的(4.05±1.56)、(6.14±2.02)个,僵硬时间(25.56±9.13)min,短于对照组的(32.85±11.85)min,双手平均握力(12.03±2.91)kPa,高于对照组的(9.51±1.05)kPa,DAS28评分(2.02±0.74)分,VAS评分(2.12±0.29)分,均低于对照组的(4.38±1.29)、(4.15±0.57)分,差异均有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:锝[^(99)Tc]亚甲基二膦酸盐注射液联合甲氨蝶呤及硫酸羟氯喹在RA患者中应用效果较佳,能够减轻炎症反应,改善临床症状及关节活动度,减轻疼痛,且未增加不良反应。 展开更多
关键词 类风湿性关节炎 锝[^(99)Tc]亚甲基二膦酸盐注射液 甲氨蝶呤 硫酸羟氯喹 红细胞沉降 类风湿因子
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锝[^(99m)Tc]放射性药品注射用配套药盒中Sn(II)含量测定方法概述
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作者 杨佳宁 崔晓艳 +3 位作者 王玉玺 王勇 李岩 杨柳 《同位素》 CAS 2024年第4期399-405,共7页
氯化亚锡的含量是锝[^(99m)Tc]放射性药品注射用配套药盒质量控制的重要指标之一,直接影响锝[^(99m)Tc]放射性药品的临床使用效果,选择合适的分析方法对其进行准确测定至关重要。通过对比《中国药典》2020年版收录的放射性药品质量标准... 氯化亚锡的含量是锝[^(99m)Tc]放射性药品注射用配套药盒质量控制的重要指标之一,直接影响锝[^(99m)Tc]放射性药品的临床使用效果,选择合适的分析方法对其进行准确测定至关重要。通过对比《中国药典》2020年版收录的放射性药品质量标准以及相关文献资料,对常用的氯化亚锡含量测定方法包括电位分析法、分光光度法、高效液相色谱法等的特点、测定原理以及应用进行分析总结,可为建立更科学、合理的锝[^(99m)Tc]放射性药品注射用配套药盒质量标准提供技术参考。 展开更多
关键词 锝[^(99m)Tc]放射性药品注射用配套药盒 氯化亚锡含量测定 电位分析法 分光光度法 高效液相色谱法
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不同标记时间的锝[^(99)Tc^(m)]植酸盐注射液在靶器官中放射性摄取量的显著性差异分析
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作者 胡海龙 金光明 +3 位作者 张健 王东山 孔浩 张燕悦 《标记免疫分析与临床》 CAS 2024年第8期1518-1521,共4页
目的判断在标记后第0小时和标记后第6小时锝[^(99)Tc^(m)]植酸盐注射液在小鼠肝脏和甲状腺中的放射性摄取率是否存在显著差异,为产品有效期的制定提供依据。方法以3批锝[^(99)Tc^(m)]植酸盐注射液和9只小鼠为实验对象,将小鼠分为3组,每... 目的判断在标记后第0小时和标记后第6小时锝[^(99)Tc^(m)]植酸盐注射液在小鼠肝脏和甲状腺中的放射性摄取率是否存在显著差异,为产品有效期的制定提供依据。方法以3批锝[^(99)Tc^(m)]植酸盐注射液和9只小鼠为实验对象,将小鼠分为3组,每组3只。通过尾静脉注射的方式向第1~3组小鼠体内注射第1~3批标记后第0小时的锝[^(99)Tc^(m)]植酸盐注射液604~734kBq,通过单因素方差分析(One-Way ANOVA)对实验数据进行统计分析,先行判断批间显著性差异;以3批锝[^(99)Tc^(m)]植酸盐注射液和18只小鼠为实验对象,将小鼠分为6组,每组3只。其中,通过尾静脉注射的方式向第1~3组小鼠体内注射第1~3批标记后第0小时的锝[^(99)Tc^(m)]植酸盐注射液440~584kBq,同法向第4~6组小鼠体内注射第1~3批标记后第6小时的锝[^(99)Tc^(m)]植酸盐注射液440~584kBq,通过单因素方差分析对实验数据进行统计分析。结果第1~3组小鼠肝脏和甲状腺摄取率的假设检验F值分别为0.307和0.800,均小于F-crit值5.143,即3批锝[^(99)Tc^(m)]植酸盐注射液的肝与甲状腺放射性摄取率差异没有统计学意义;第1~3组、4~6组小鼠肝脏和甲状腺摄取率的假设检验F值分别为0.084和0.941,均小于F-cirt值4.494,即标记后0h和标记后6h的锝[^(99)Tc^(m)]植酸盐注射液在小鼠体内的分布差异无统计学意义。结论标记6h后的锝[^(99)Tc^(m)]植酸盐注射液在小鼠肝脏和甲状腺的放射性摄取率均满足药典要求,且药物仍然可以保持良好的生物分布特性,锝[^(99)Tc^(m)]植酸盐注射液的有效期制定为不大于6h。 展开更多
关键词 锝[^(99)Tc^(m)]植酸盐注射液 生物分布 单因素方差分析
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^(99)Tc-MDP对骨重建的影响 被引量:7
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作者 张萌萌 《中国骨质疏松杂志》 CAS CSCD 北大核心 2014年第6期680-682,共3页
双膦酸盐主要用于治疗以破骨细胞活性增加为病理特征的代谢性骨病,包括Paget's骨病(派杰氏病),肿瘤骨转移,恶性肿瘤引起的高钙血症和骨质疏松。从P-O-P结构的焦磷酸盐到P-C-P结构的第三代双膦酸盐,其抗骨吸收的作用随碳链接侧链的... 双膦酸盐主要用于治疗以破骨细胞活性增加为病理特征的代谢性骨病,包括Paget's骨病(派杰氏病),肿瘤骨转移,恶性肿瘤引起的高钙血症和骨质疏松。从P-O-P结构的焦磷酸盐到P-C-P结构的第三代双膦酸盐,其抗骨吸收的作用随碳链接侧链的延长而增强。锝[99Tc]亚甲基二膦酸盐(99Tc-MDP)是双膦酸盐的一种,其主要成分是锝[99Tc]经氯化亚锡还原后与亚甲基二膦酸盐形成的螯合物,具有稳定的P-C-P键,被骨生成区和带有炎症的骨与软骨组织摄取,不仅有效降低血中免疫调节因子、抑制病理复合物产生;而且多项国内外研究发现,99Tc-MDP免疫调节同时具有抑制破骨细胞活性及修复破骨的作用,引起骨质疏松研究者的关注。本文综述了99Tc-MDP对骨重建影响的研究进展。 展开更多
关键词 锝[99Tc]亚甲基二膦酸盐(99Tc-MDP) 骨重建 细胞因子 骨吸收 骨形成 technetium [99 Tc] methylene DIPHOSPHONATE (99 Tc-MDP)
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Incidental Diagnosis of a Brown Tumor Mimicking Bone and Lung Metastasis during a Parathyroid Scintigraphy
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作者 Fabrice Fokoué Sanae El Mselmi +1 位作者 Nadia Abaouz Nadia Ismaili Alaoui 《Advances in Molecular Imaging》 2020年第2期7-13,共7页
We report herein a case of a 40-year-old male patient with chronic renal failure presenting a severe hyperparathyroidism with an elevation of parathormone level evaluated in nuclear medicine department for MIBI-Techne... We report herein a case of a 40-year-old male patient with chronic renal failure presenting a severe hyperparathyroidism with an elevation of parathormone level evaluated in nuclear medicine department for MIBI-Technetium-99m parathyroid scintigraphy. The parathyroid scintigraphy revealed the appearance of a preferential fixation of the MIBI-99mTc opposite the lower left pole of the thyroid and opposite the upper part of the right hemi thorax. A subsequent single-photon emission computed tomography-computed tomography focused on the cervico-thoracic region was performed and showed an ectopic parathyroid adenoma associated with an incidental brown tumor mimicking bone and lung metastases. Our case report confirms the usefulness of additional hybrid SPECT-CT imaging in the management of hyperparathyroidism. 展开更多
关键词 HYPERPARATHYROIDISM Thyroid SCINTIGRAPHY PARATHYROID SCINTIGRAPHY technetium-99m MIBI-technetium-99m SPECT/CT ECTOPIC PARATHYROID Adenoma Brown Tumor
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