MI: Radiopharmacy Flashcards

1
Q

Which method of radionuclide production happens in a cyclotron?

A

Charged particle bombardment.

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2
Q

What methods of radionuclide production happen in a reactor?

A

Neutron bombardment

Fission products.

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3
Q

Explain how a cyclotron produces radionuclides by charged particle bombardment.

A

Pair of hollow Ds separated by a gap are placed in a magnetic field.
Charged particle introduced in the centre - accelerated towards a D by applied voltage.
No electric field inside D so particle takes curved path because of the magnetic field.
Particle continually accelerates across gap and spirals out though Ds.
Fired with high energy at target.

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4
Q

By what process do cyclotron products decay?

A

Electron capture or positron emission - as they are proton-rich.

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5
Q

How is Tc-99m eluated from a Mo Generator?

A

Mo in form of [MoO4]2- is absorbed onto Al2O3 column.
[MoO4]2- decays to pertechnetate ([TcO4]-). The single charge means that it is more loosely bound to the column.
As saline is pulled through the column, the chloride ions are replaced by [TcO4]- ions.
Eluate contains Na+[TcO4]-.

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6
Q

Explain the function of the tubing, filter, and lead shielding in a Mo/Tc generator.

A

Tubing - allows the column to be washed, eluting the Tc-99m.
Filter - keeps any Aluminium Oxide particles in the column and out of the tube.
Lead Shielding - Operator safety. Stops gamma photons from leaving the generator from both parent and daughter nuclides.

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7
Q

How does a radionuclide calibrator measure the activity of a sample?

A

Radionuclide calibrator contains, ion chamber, high voltage supply, and electrometer.
The ion chamber contains a pressurised gas surrounded by high voltage plates.
When radiation is emitted it causes an ionisation in the gas, the ions travel to the oppositely charged plate, and a current is measured.
The current is proportional to the activity but depends on several other factors.

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8
Q

What will the current in a radionuclide calibrator depend on?

A
Activity of the radiation source.
Source-container geometry (vial or syringe).
Measurement position.
Composition of gas.
Energy of radiation.
Applied voltage.
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9
Q

What region of the current/voltage graph does a dose calibrator operate?

A

Ion saturation region - not dependent on voltage fluctuations.

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10
Q

How are different radionuclides differentiated in a radionuclide calibrator?

A

Each calibrator will have a button for the specific nuclide being tested that applies a specific conversion factor for that nuclide.

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11
Q

What QC is performed on a radionuclide calibrator?

A

Relative Response (Daily):
Longlived source (Cs-137) measured and response checked against baseline values for different calibration settings.
Also, it can be used to detect leaks in the chamber or faulty electronics.
Accuracy (NPL Traceable - Annually):
Source activity measured on Departmental secondary standard - traceable to NPL, then measured on the calibrator.
Linearity (Annually):
The measured response over ~10 half-lives compared to expected activity. Tolerance of 0.1% for decay constant value calculated.

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12
Q

Define radionuclide purity.

A

The ratio of the radioactivity of the radionuclide concerned to the total radioactivity of the source.

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13
Q

What are three sources of radionuclide impurity?

A

Manufacturing processes - fission by-products.
Daughter radionuclides.
Parent radionuclides.

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14
Q

What problems are associated with radionuclide impurity?

A

Radionuclide impurity could increase the patient dose, and affect the image quality.

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15
Q

Describe how a Molybdenum Breakthrough test assesses the radiopurity of a sample.

A
  • Mo Breakthrough test should be performed on the first elution of a new generator, or if the generator is moved.
  • It calculates the fraction of activity of Mo99/Tc99m.
  • The calibrator cannot distinguish between the two nuclides, so the first elution is placed in a lead pot.
  • The 141keV Gammas from Tc-99m will be attenuated by the pot, but Mo99 has higher energy decays which can penetrate the pot.
  • The limit of activity is 1MBq/GBq.
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16
Q

Define radiochemical purity.

A

The fraction of the activity in the declared chemical form (Free Pertechnetate ions for Tc-99m).

17
Q

What problems are associated with Radiochemical impurity?

A

Distorts the image and can cause unnecessary organ irradiation.

18
Q

How is Radiochemical purity tested?

A

Chromatography tests.

19
Q

What ions are the source of chemical impurity in radionuclides?

A

Al ions.

20
Q

What are the tree types of plates used for environmental monitoring in a radiopharmacy?

A

Settle plates - collect airborne microbial contamination.
Contact plates - Assess surface microbial contamination.
Finger touch plates - Assess contamination on operators gloves.

21
Q

What are three properties necessary for a clean room?

A

Air Change Rate - High air flow to dilute the concentration of contaminants produced in the room.
Terminal HEPA filters - High-Efficiency Particulate Air filters incoming air.
Room Pressurisation - Positive pressure to ensure air does no pass from dirty to clean areas. Grills restrict outflowing air.