Technetium-99m chelators in nuclear medicine. A review. 1995

O K Hjelstuen
Isotope Laboratories, Institutt for Energiteknikk, Kjeller, Norway.

Nuclear medicine is a branch of medical imaging that uses radioactive tracers to examine the function of body systems. The radionuclide used in about 90% of all examinations is 99Tcm, which is available from 99Mo/99Tcm generators at most nuclear medicine departments. In aqueous medium, technetium is chemically stable as pertechnetate, 99TcmO4-. Injected into the human body, pertechnetate will be absorbed by the thyroid gland because of the similarity to iodide in its radius and charge. To reach targets in the human body other than glandula thyreoidea, 99Tcm needs a carrier molecule, usually a chelating agent. Many chelators that form stable complexes with 99Tcm have affinities for certain tissues in the human body. Other chelators can be manipulated by pharmaceutical formation to be retained in certain body systems. In order to form bonds with technetium, the chelator must contain electron donors like nitrogen, oxygen and sulfur. Space between multiple electron donor atoms is required to allow several bonds to form with the central metal. The stability of the complex increases with increasing number of bonds. Today, chelators for the use with 99Tcm exist for a number of highly sensitive scintigraphic studies of the brain, heart, skeleton, kidneys, hepatobiliary system and lungs. This includes chelators such as dimercaptosuccinic acid, 1,2-ethylenediylbis-L-cysteine diethyl ester, methylenediphosphonate, hexamethylpropyleneamineoxime and hexakis(methoxy isobutyl isonitrile).

UI MeSH Term Description Entries
D009683 Nuclear Medicine A specialty field of radiology concerned with diagnostic, therapeutic, and investigative use of radioactive compounds. Atomic Medicine,Nuclear Radiology,Medicine, Atomic,Medicine, Nuclear,Radiology, Nuclear
D002614 Chelating Agents Chemicals that bind to and remove ions from solutions. Many chelating agents function through the formation of COORDINATION COMPLEXES with METALS. Chelating Agent,Chelator,Complexons,Metal Antagonists,Chelators,Metal Chelating Agents,Agent, Chelating,Agents, Chelating,Agents, Metal Chelating,Antagonists, Metal,Chelating Agents, Metal
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

Related Publications

O K Hjelstuen
January 1969, Annual review of medicine,
O K Hjelstuen
July 1970, South Dakota journal of medicine,
O K Hjelstuen
January 2000, Medicinski pregled,
O K Hjelstuen
March 2014, Revue medicale suisse,
O K Hjelstuen
April 1999, Seminars in nuclear medicine,
O K Hjelstuen
August 1973, Schweizerische medizinische Wochenschrift,
Copied contents to your clipboard!