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
Thallium 201
K analogue
Na/K ATP pimp
Active transport
Indium 111
WBC analogue (when tagged to PMNs)
localized via the WBC chemotaxis, the uptake occurs via phagocytosis
Indium oxine is lypophillic so it will passively cross cell membrane
Tc-99m HMPOA
Crosses the BBB first pase cuz it begins its journey as liphophillic and then can’t diffuse out
Tc-99m ECD
Same as HMPOA but has more rapid clearance from the blood pool
Tc-99m-Sestamibi
Has fetish for Mitochondrial Membranes
Lipophillic cationic molecule that passively diffuses into cell then lathces onto the negatively charged meti membranes
MIBG
NE analogue
Active uptake via NE transporter and passive diffusion
Stored in neurosecretory granules
Indium-111 pentotreotide
Somatostatin analogue
Recepter binding
type 2,3,5
Galium 67
Iron analogue
Trensferrin and lactoferrin receptor binding
acute phase reactant