Radiation-dose calculation for five Tc-99m IDA hepatobiliary agents. 1982

P H Brown, and G T Krishnamurthy, and V R Bobba, and E Kingston, and F E Turner

The radiation absorbed doses from five commercially available hepatobiliary agents--Tc-99m-tagged analogs of IDA (EIDA, PIPIDA, HIDA, PBIDA, DISIDA) have been calculated from biokinetic data in 41 normal subjects. Serial gamma images, with blood and urine samples, were obtained to calculate cumulated radioactivity in the source organs: blood, kidney, bladder, liver, gallbladder, and intestines. The critical organ was the gallbladder, with an absorbed-dose range of 690 to 780 mrad/mCl. Absorbed doses for other target organs were: upper large intestine 320 to 370 mrad/mCi, lower large intestine 210 to 240, small intestine 170 to 200, liver 65 (DISIDA) to 130 (PBIDA), ovaries 63 to 72, and urinary bladder wall 23 (PBIDA) to 36 (EIDA). The radiation absorbed dose was largely independent of changes in chemical structure except in (a) the liver, where absorbed dose varied by a factor of two in proportion to the rate of excretion of the IDA agent from the liver, and (b) the urinary bladder, where absorbed dose varied by a factor of 1.6 because of differences in rate of excretion. When the stimulus for gallbladder emptying is changed from whole-meal ingestion to cholecystokinin injection, the absorbed dose to the gallbladder increases to approximately 1 rad/mCi; if no gallbladder emptying is assumed, its absorbed dose increases to approximately 1.9 rad/mCi. In the absence of contraindication, the gallbladder absorbed dose may thus be decreased by inducing gallbladder emptying at the end of the imaging study.

UI MeSH Term Description Entries
D007098 Imino Acids Carboxylic acids that contain an imino group (C Amino Acids, Secondary,Acids, Secondary Amino,Secondary Amino Acids,Acids, Imino
D011829 Radiation Dosage The amount of radiation energy that is deposited in a unit mass of material, such as tissues of plants or animal. In RADIOTHERAPY, radiation dosage is expressed in gray units (Gy). In RADIOLOGIC HEALTH, the dosage is expressed by the product of absorbed dose (Gy) and quality factor (a function of linear energy transfer), and is called radiation dose equivalent in sievert units (Sv). Sievert Units,Dosage, Radiation,Gray Units,Gy Radiation,Sv Radiation Dose Equivalent,Dosages, Radiation,Radiation Dosages,Units, Gray,Units, Sievert
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013667 Technetium The first artificially produced element and a radioactive fission product of URANIUM. Technetium has the atomic symbol Tc, and atomic number 43. All technetium isotopes are radioactive. Technetium 99m (m Technetium 99m,99m, Technetium
D015609 Organotechnetium Compounds Organic compounds that contain technetium as an integral part of the molecule. These compounds are often used as radionuclide imaging agents. Compounds, Organotechnetium
D019780 Technetium Tc 99m Lidofenin A nontoxic radiopharmaceutical that is used in RADIONUCLIDE IMAGING for the clinical evaluation of hepatobiliary disorders in humans. 99mTc-Lidofenin,99m-Tc-Lidofenin,99mTc-HIDA,Tc-99m Lidofenin,Technetium Tc 99m 2,6-Dimethyl Iminodiacetic Acid,Technetium-99m-Lidofenin,99m Tc Lidofenin,99mTc HIDA,99mTc Lidofenin,Lidofenin, Tc-99m,Tc 99m Lidofenin,Technetium 99m Lidofenin,Technetium Tc 99m 2,6 Dimethyl Iminodiacetic Acid
D019784 Technetium Tc 99m Diethyl-iminodiacetic Acid A nontoxic radiopharmaceutical that is used in the clinical evaluation of hepatobiliary disorders in humans. 99mTc-Diethyl IDA,Technetium Tc 99m Diethyl IDA,99m-Tc-Diethyl IDA,99mTc-Diethyliminodiacetic Acid,99mTc-EHIDA,Tc-99m-Diethyl IDA,Technetium Tc 99m Diethylacetanitanildo-IDA,Technetium-99m-Diethyl IDA,99m Tc Diethyl IDA,99mTc Diethyl IDA,99mTc Diethyliminodiacetic Acid,99mTc EHIDA,Acid, 99mTc-Diethyliminodiacetic,IDA, 99m-Tc-Diethyl,IDA, 99mTc-Diethyl,IDA, Tc-99m-Diethyl,IDA, Technetium-99m-Diethyl,Tc 99m Diethyl IDA,Technetium 99m Diethyl IDA,Technetium Tc 99m Diethyl iminodiacetic Acid,Technetium Tc 99m Diethylacetanitanildo IDA
D019785 Technetium Tc 99m Disofenin A radiopharmaceutical used extensively in cholescintigraphy for the evaluation of hepatobiliary diseases. (From Int Jrnl Rad Appl Inst 1992;43(9):1061-4) 99m-Tc-Disofenin,99mTc-DISIDA,99mTc-Disofenin,Hepatolite,Tc-99m Disofenin,Technetium-99m-Diisopropyliminodiacetic Acid,Technetium-99m-Disofenin,99m Tc Disofenin,99mTc DISIDA,99mTc Disofenin,Acid, Technetium-99m-Diisopropyliminodiacetic,Disofenin, Tc-99m,Tc 99m Disofenin,Technetium 99m Diisopropyliminodiacetic Acid,Technetium 99m Disofenin

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