PET tracers Flashcards

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1
Q

What does PET imaging rely on?

A

Nature of the positron & positron decay

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2
Q

What is a positron?

A

Antimatter counterpart to the electron (same mass, opposite charge)

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3
Q

What happens as positrons pass through matter?

A

Lose energy through ionization & excitation of nearby atoms & molecules
Positrons will then annihilate with an electron
and emit 2 511keV gamma rays

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4
Q

What are the 4 most common labels for PET tracers?

A

O15
N13
C11
F18

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5
Q

What is the clinical use for oxygen-15?

A

oxygen metabolism
cerebral blood flow

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6
Q

What is the clinical use for carbon-11?

A

dopamine uptake studies
amino acid metabolism

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7
Q

What is the clinical use for fluorine-18?

A

Glucose metabolism
Dopamine storage

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8
Q

What is the clinical use for nitrogen-13?

A

Blood flow
myocardial perfusion

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9
Q

What are the 5 basic operating principle of a cyclotron?

A

Source of ions
Accelerate particles to high energies
bombard target
nuclear reaction within target
radioisotope produced

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10
Q

How many dee electrodes does a typical cyclotron consist of?

A

2 dee electrodes - -ve ions produced from ion source at centre of dees

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11
Q

Why is an alternating voltage applied?

A

So the ions move back and forth between the dees

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12
Q

What does the strong magnetic field perpendicular to the plane do?

A

Constraints the path of ions to a circular orbit which increases in diameter as ions pick up energy from the electric field

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13
Q

What does the thin carbon stripping foil do?

A

Strips 2 electrons from each H- leaving an H+ ions which curves away from the dees under the influence of the magnetic field

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14
Q

What is the proton beam directed onto and why?

A

Onto a target where protons undergo a nuclear reaction with the target material

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15
Q

What is FDG?

A

Form of glucose which is normally absorbed by the body but not metabolized or excreted therefore it accumulates where glucose is intensely utilized

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16
Q

What can be used to produce FDG?

A

The F- produced from the O,F reaction on O water via nucleophilic substitution

17
Q

What are 5 other PET tracers?

A

NaF for bone imaging
F-Flobetaben for amyloid plaque imaging
F-PSMA for prostrate imaging
Gallium-PSMA for prostrate imaging
Gallium dotatate for imaging neuroendocrine tumours

18
Q

What are 3 characetristics of Ga-Dota toc/tate/noc for NET imaging?

A

disposable cassettes with pre-configured tubing, filters and other necessary components
work with different radionuclides without cross contamination
adhering to GMP production standards

19
Q

What are 3 advantages of Ga-Dota toc/tate/noc for NET imaging?

A

Much higher sensitivity & specificity
superior spatial resolution
faster uptake and clearance

20
Q

What are 3 components of the Ga-dota radiopharmaceutical kit?

A

Generator
Kit vial
QC sample

21
Q

What are 4 QA tests on licenced products?

A

Appearance - clear solutions
pH - 3.2 - 3.8
Labellling efficiency collodial gallium-68 species - <3%
Labelling efficiency % free gallium - <2%

22
Q

What are 3 components of a Ga-PSMA radiopharmaceutical kit?

A

Elute Generator
Kit vial
QC sample