Nucs Mechanism of Localization Flashcards
Passive Diffusion
- Tc-Sestamibi - Cross the cell membrane via lipophilic diffusion
- Tc-Tetrofosmin - Cross the cell membrain via lipophillic diffusion
- Tc-HMPAO - Delivery is flow related - then diffuse into the brain
- Tc-ECD - Delivery is flow related - then diffuse to brain
Filtration
DTPA
Facilitated Diffusion
F18 - FDG
Active Transport
- I-123/I-131 (use ATP to move AGAINST concentration gradient)
- Thallium (Na/K Pump)
- Rubidium (Na/K Pump)
- MIBG (Na facilitated NE uptake system)
- DMSA
Secretion
- Pertechnetate (active transport out of gland or tissue)
- MAG-3 (gets “threecreated” by peritubular capillaries)
- Tc-99m IDA (secreted by hepatocytes)
Phagocytosis
Sulfur colloid (RES ears colloid particles)
Sequestration
Head Treated RBCs
Capillary Blockade
MAA (lung perfusion)
Chemisorption
- MDP (Chemical covalent + H-bonding)
- SM-153
Cellular Migration
In-WBC
Receptor Binding
- Octreotide
- Ga-68 DOTATATE
- DAT Scan (I-123 Isoflupane)
Tc-99m Medronate (MDP)
Phosphate analogue
“Chemisorption” - binds with hydroxyappetitie on the boner surface
F-18
Glucose analogue
Facilitated diffusion and secondary active transport
trapped in cell via phosphorylation till F18 decays
I123 and I131
Iodine analogue
Actively transported into the cell by the Na/I symporter (NIS)
Incorporated into the Thyroid Hormone
Absorbed via GI
“NIS is located at the basolateral membrane of the thyroid follicular cells”
Tc-99m Pertechnetate
Iodine analoge (for thyroid scans anyways)
Actively transported by the NIS
NOT incorporated into thyroid hormone