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-imaging procedures -in vivo function studies -therapeutic procedures |
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-dynamic imaging (kidney function) -static imaging (brain and liver scans) |
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-ability of tissue to do what it does normally -thyroid uptake of iodine -whole blood volume -vitamin B12 absorption from the GI |
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-hyperthyroidism (radioactive iodine) -cancer (antibodies to specific areas) -radioimmunotherapy (tagged antibodies) |
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Definition
-emission and propagation of energy through space -radiation can be particulate (apla and beta particles) or electromagnetic (gamma or x rays) is measures by KeV or MeV (electron volts) -beta particles can be negatrons (B-) or positrons (B+) -they are created by the decay of various unstable elements that have an unstable ratio of neutrons to protons (greater than or less than 1) |
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Definition
-the amount of energy release and type of energy (particulate or electromagnetic) determine the effects of radiation on living organisms -the amount of energy released is proportional to the dose of the radiopharmaceutical (dosimetry) -dose is usually expressed a s the number of decay or disintergrations per minute (DPM) or millcuries (mCi) or microcuries at some standard point in time rather than mg or g -the dose of a radiopharmaceutical depends on the type of energy released and the specific nuclear medicine procedure being used |
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the dose of a radiopharmaceutical (A) can be calculated from |
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Definition
-decay constant of radionuclide (gamma) -half life of the radionuclide -initial amount of radionuclide (Ao) -elapsed time between A and Ao (t) |
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Definition
-relate t to the fraction of activity of a radionuclide remaining, are used to determine the final dose as well as when it should be prepared and the scheduling of its use |
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-process by which an unstable element emits radiation to form a stable element |
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13-purchased in sterile cylinders or "cows" then "milked" each day with sterile saline to obtain solutions of 99% pure 99mTc which can be formulated into a variety of compound salts, colloids. proteins |
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-units for amount of radiation energy that is absorbed by tissue/body |
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-badges, rings, necklaces, bracelets |
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-liquid sintilation counter -detect low energy nuclides (B- emitters like 3H) |
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Gamma cameras, PET/SPECT scanners, Geiger counters |
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Definition
-detect high energy nuclides (B-, B+, gamma like 131I or 99mTc) |
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radiation can be absorbed by |
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Definition
-lead, wood, glass, Lucite |
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do not require protection |
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Definition
-radioligands -receptor binding studies -PK |
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factors for dose/products |
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Definition
-t1/2 -weight age gender -renal function and existing conditions |
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Definition
-board certified nuclear pharmacist -train in dosimetry, radiation safey, dx and tx |
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Definition
-rapid delivery and distribution -rapid preparation time (t1/2 usually hours) -quality control (chemical/isotopic purity) -sterility -selective tissue uptake and accumulation -t1/2 long enough for medical procedure but short enough to decrease exposure risk |
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