PMID- 9884941 OWN - NLM STAT- MEDLINE DCOM- 19990331 LR - 20161124 IS - 0091-4916 (Print) IS - 0091-4916 (Linking) VI - 26 IP - 4 DP - 1998 Dec TI - Modified preparation and rapid quality control test for technetium-99m-tetrofosmin. PG - 269-73 AB - OBJECTIVE: The objectives of this study were to: modify the preparation of 99mTc-tetrofosmin by using twice the amount of 99mTcO4- recommended by the manufacturer; evaluate the use of miniaturized rapid paper chromatography (MRPC) for quality control (QC) testing; and determine the in vitro stability of the modified preparation using MRPC. METHODS: Two preparations of 99mTc-tetrofosmin were made: one with 4.4-8.8 GBq (120-240 mCi) and the other with 13.9-17.6 GBq (380-480 mCi) 99mTcO4-, referred to as regular and modified preparations, respectively. Routine QC tests were performed using MRPC and instant thin-layer chromatography/silica-gel (ITLC/SG) systems. The preparations were injected into 58 patients. Planar and SPECT images of stress and rest studies were obtained. The technical quality of the SPECT images was graded visually by four observers. Heart-to-lung and heart-to-background ratios were calculated from the planar images. RESULTS: The QC testing procedure took 4.18 +/- 0.15 min with MRPC and 54 +/- 5.3 min with ITLC/SG systems. The percent labeling efficiency, as determined by both techniques, ranged from 95.6 +/- 1.6 to 97.2% +/- 0.8%. Both preparations were stable up to 6 hr after reconstitution. There was no difference between the cardiac-to-lung and cardiac-to-background ratios of the two preparations. CONCLUSION: The results indicate that MRPC is a faster and effective chromatographic technique for routine QC testing of 99mTc-tetrofosmin. Doubling the amount of 99mTcO4- used in preparing 99mTc-tetrofosmin did not affect its in vitro stability, its efficacious use in patients or the technical quality of the images. FAU - Patel, M AU - Patel M AD - Department of Nuclear Medicine, Kuwait Cancer Control Center, Kuwait City. FAU - Owunwanne, A AU - Owunwanne A FAU - Tuli, M AU - Tuli M FAU - al-Za'abi, K AU - al-Za'abi K FAU - al-Mohannadi, S AU - al-Mohannadi S FAU - Sa'ad, M AU - Sa'ad M FAU - Jahan, S AU - Jahan S FAU - Jacob, A AU - Jacob A FAU - al-Bunny, A AU - al-Bunny A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Nucl Med Technol JT - Journal of nuclear medicine technology JID - 0430303 RN - 0 (Organophosphorus Compounds) RN - 0 (Organotechnetium Compounds) RN - 0 (Radiopharmaceuticals) RN - 42FOP1YX93 (technetium tc-99m tetrofosmin) SB - IM MH - Chromatography, Paper MH - Chromatography, Thin Layer MH - Drug Stability MH - *Echo-Planar Imaging MH - Heart/*diagnostic imaging MH - Humans MH - Image Processing, Computer-Assisted MH - Lung/*diagnostic imaging MH - Organophosphorus Compounds/chemical synthesis/chemistry/*standards MH - Organotechnetium Compounds/chemical synthesis/chemistry/*standards MH - Quality Control MH - Radiopharmaceuticals/chemical synthesis/chemistry/*standards MH - *Tomography, Emission-Computed, Single-Photon EDAT- 1999/01/13 00:00 MHDA- 1999/01/13 00:01 CRDT- 1999/01/13 00:00 PHST- 1999/01/13 00:00 [pubmed] PHST- 1999/01/13 00:01 [medline] PHST- 1999/01/13 00:00 [entrez] PST - ppublish SO - J Nucl Med Technol. 1998 Dec;26(4):269-73.