Radiopharmacy Flashcards

1
Q

3 mechanisms to alter nucleus to make it unstable

A
  • Cyclotron:
    • Charged particle bombardment
  • Nuclear Reactor
    • Neutron activiation
    • fission products
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2
Q

Describe how a cyclotron works

A
  • Pair of hollow semi-circular electrodes (DEES) with gap
  • In magnetic field perp to charged particle movement plane
  • charged particle introduced into centre accelerated towards dee by voltage
  • No E-Field inside the D, only accelerated across the gap
  • Electrons follwo curved path due to magnetic field
  • Alternating voltage used to accelerate towards other dee,
  • repeat, outward spiral
  • Electrons hit target with high energy
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3
Q

Cyclotron Products:

What have we added, how do they decay?

examples and use?

A

Added protons, so the products are proton rich, and decay via electron capture of positron emission

Changes the atomic number, so now it’s a different element and can be separated chemically from the target

e. g. F-18 for FDG PET
e. g. I-123 for DaTSCAN (brains)

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4
Q

Describe fission in Nuclear Reactor

A
  • U-235 undergoes fission -
    • neutron hits nucleus and splits it into smaller fragments (daughter nuclei) and releases 2-3 high energy free neutrons
    • 235U + n -> 236U
    • High energy neutrons go on to make more interactions
    • 236U nucleus is highly unstable and fissions into two smaller fragments producing wide range of mass numvbers >200 radionucleuides
  • Products are neutron rich, and decau via beta necay
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5
Q

Name and describe 3 main components of nuclear reactor core

What do you have to do to the neutrons to make them more likely to be fissile?

A
  1. Uranium fuel rods - the source of the reaction
  2. Control Rods - steel enriched with boron, absorb neutrons to reduce number of neutrons available to cause fission
  3. Moderator - water or graphite, slows neutrons down and makes them more likely to cause further fission.
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6
Q

Nuclear fission produces RNs from which 2 processes?

give examples

how can you separate them?

A
  1. Fission fragments - produced directly in reaction and extracted chemically, e.g. Mo-99
  2. Neutron activation - large flux of neutrons used to bombard other targets, e.g. P-32. Here you have added neutrons, so can’t be separated chemically.
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7
Q

RN generator

Why do we need them?

A

Need them to turn long-lived parent RNs into short-lived RNs for diagnostic tests that would otherwise decay away in transport

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8
Q

RN generator

What is generator transient equilibrium?

What do the graphs look like?

A

Parent is constantly decaying, daughter is produced and then also decays. Rates are linked. At equilibrium, the rate of formation = rate of decay, and after that the ratio of activity from parent and daughter is constant.

What actually happens is that we elute the generator and remove the daughter so you get this build up to the parent from 0.

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9
Q

How do you get the Tc-99m out of the generator?

A
  • Elute by washing with saline
    • MoO42- is adsorbed onto aluminium oxide collumn
    • Decays to Pertechnetate (TcO4-) – single charge so less tightly bound
    • Pulling saline through chlorine ions replace the TcO4- ions.
    • Eluate contains Na+ TcO4-
  • Tubing allows the collumn to be washed
  • Filter keeps Aluminium Oxide within column, also removes small particles
  • Lead shielding for operator safety from gammas
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10
Q

Radionucleide Calibrator RNC

Purpose?

Operating pinciples

A

RNC measures radioactivity MBq and GBq range

  • Chamber has pressurised gas, plates at high voltage
  • Radiation causes ionisation in gas, measure current as ions ar pulled to outer walls
  • Current porportional to activity (depends on energy of radiation) hence you need calibration factors. RNCs cannot differentiate between energy of RNCs, need operator to choose the right dial setting (pE/MBq)
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11
Q

Radionucleide Calibrator RNC

What does the current depend on (x6)?

A

–Activity of the radiation source

–Energy of the radiation

–Source container/geometry – vial/syringe etc

–Measurement position

–Composition & Pressure of gas

–Applied Voltage

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12
Q

Describe the 5 points on the voltage response curve

Which does th RNC operate in?

A
  1. Recombinations
  2. Ion saturation
  3. Proportional
  4. Limited proportional
  5. Geiger-Muller

RNC operates in ion saturation region, this is because you do not want the current to be dependent on the voltage that you apply.

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13
Q

RNC QC

Daily and Annual

A

Daily: test with long-lived source (Cs137) and check the response against the baseline values for caibration

Annual - accuracy & linearity, comapring to NPL via reference instrument. Asking is the measured response proprtional to the known tru activity over the entire activity range that it is used?

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14
Q

Can you measure pure beta emitters in a radionuclide calibrator? E.g Y-90

A

Yes, you can measure the bremsstrahlung produced from the wall of the vialsyringe, chamber wall, and within source.

But it heavily depends on the container and the volume of the source

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15
Q

Can you measure I-123 with RNC?

2 ways to fo it?

A

I-123 decasys via EC and emits 159kev gamma-rays and 28kev characteristic x-rays. Ion chamber is very sensitive to low energy x-raysAgain depends heavily on container anad volume

  • Method 1: work out correction vactors for different vials and syringes and volumes, hard to do.
  • Method 2: use copper filter (0.5mm), removes low energy x-rays and only attenuates 159kEv gammas by 14%. Need new CF to account for Cu filter.
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16
Q

How do you prepare a stock vial?

A

You ocmbine the eluate with a number of ‘kits’

  • pre-packd sterile ingredients for RP prep
  • freeze dried in vial under N2 atmospher
17
Q

How do you prepare patient doses?

How would you check them before they leave the pharmacy

A
  • Multiple patients drawn from stock
  • Aseptic technique into sterile syringe
  • Decay calcs for volume (activity and injection time)
  • Diluted to make activity concentration suitable for injection

Before leaving the pharmacy you woud mesure the activity (10% tolerance), check the label is correct, visual insoection for volume and particels.

18
Q

Radiopharmacy QC

RN purity

How do we measure?

3 sources of impurities?

A

Ratio of activity of RN to the total of the source (containing impurities). Do this with the Mo breakthrough test, normally done on first elutionl Mausure activitties in RNC with and without lead pot. Lead pot attenuates the 141 rays from Tc99m, and measures activity of higher energy Mo wihch are only partially attenuated.

impurities:

  • manufacturing process (fission by-products)
  • Daughter RNs (onlyTc99)
  • Parent RNs (Mo99)
19
Q

Radiopharmacy QC

RChemical purity

How do you do it?

What is the main impurity you tets for and why is it bad?

A

Use chromotography (stationary and solvent) phase to separate out impurities, measure ratio of their activity.

Testing for free pertechnetate. If you include it you add radiation dose and interferes with image interpret\tion.

20
Q

Radiopharmacy QC

RN purity

What are you looking for?

Why you doing it?

A
  • Looking for Al ions
  • Detect them with indicator paper which changes colour int their presence.
21
Q

How do you make a pharmacy clean?

What regs are there for this?

A
  1. Environmental monitoring
    • Settle plates for airborn microbes
    • Contact plates for surface microbes
    • Finger touch plate for the operator’s gloves
  2. Air filtration
    • control particles and contaminants with HEPA filter
    • High pressure gradient from clean to dirty
    • Change air often
  3. Workstations
    • Laminar flow cabinets
    • isolator with filtered air

Doing all this to comply with:

  • Human Medicines Regulations 2012
  • Rules and Guidance for Pharmaceutical Manufacturers and Distributers 2017 – “The Orange Guide”