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Technetium Tc-99m pertechnetate

Generic Name
Technetium Tc-99m pertechnetate
Drug Type
Small Molecule
Chemical Formula
H8O4Tc
CAS Number
23288-61-1
Unique Ingredient Identifier
PPP8783IQ1

Overview

Technetium Tc-99m pertechnetate is a radiopharmaceutical diagnostic agent composed of an oxoanion with the chemical formula TcO4-. Pertechnetate has a wide variety of uses within nuclear medicine as it distributes within the body to a similar extent as iodine. It also concentrates in the thyroid gland, salivary glands, gastric mucosa, and choroid plexus. However, in contrast to the iodide ion, the pertechnetate ion is released unchanged from the thyroid gland. Currently marketed as the product Drytec, technetium-99m pertechnetate is indicated for imaging of the following tissues: thyroid, salivary gland, urinary bladder (for detection of vesico-ureteral reflux), and the nasolacrimal drainage system. Technetium-99m's short half life (6 hours) makes storage impossible, therefore it is supplied as its parent nuclide molybdenum-99, which spontaneously decays to technetium-99 through beta decay. This is normally supplied in a hospital setting through the use of a technetium-99m generator, whereby technetium exits the generator in the form of the pertechnetate ion, TcO4−, which can be extracted and promptly used for clinical diagnostics. Following intravenous injection, single photon emission computed tomography (SPECT) is performed to detect the gamma ray emmitted by the decay of Technetium-99m to Technetium-99.

Background

Technetium Tc-99m pertechnetate is a radiopharmaceutical diagnostic agent composed of an oxoanion with the chemical formula TcO4-. Pertechnetate has a wide variety of uses within nuclear medicine as it distributes within the body to a similar extent as iodine. It also concentrates in the thyroid gland, salivary glands, gastric mucosa, and choroid plexus. However, in contrast to the iodide ion, the pertechnetate ion is released unchanged from the thyroid gland. Currently marketed as the product Drytec, technetium-99m pertechnetate is indicated for imaging of the following tissues: thyroid, salivary gland, urinary bladder (for detection of vesico-ureteral reflux), and the nasolacrimal drainage system. Technetium-99m's short half life (6 hours) makes storage impossible, therefore it is supplied as its parent nuclide molybdenum-99, which spontaneously decays to technetium-99 through beta decay. This is normally supplied in a hospital setting through the use of a technetium-99m generator, whereby technetium exits the generator in the form of the pertechnetate ion, TcO4−, which can be extracted and promptly used for clinical diagnostics. Following intravenous injection, single photon emission computed tomography (SPECT) is performed to detect the gamma ray emmitted by the decay of Technetium-99m to Technetium-99.

Indication

Sodium Pertechnetate Tc99m Injection is indicated for use in adults for imaging in the following tissues: thyroid, salivary gland, urinary bladder (for detection of vesico-ureteral reflux), and nasolacrimal drainage system (dacryoscintigraphy). It is indicated for use in children for imaging the following tissues: thyroid and urinary bladder.

Associated Conditions

  • Vesicoureteral Reflux (VUR)

FDA Approved Products

Ultra-Technekow V4
Manufacturer:Curium US LLC
Route:INTRAVENOUS
Strength:7.5 Ci in 1 1
Approved: 2022/06/09
NDC:69945-075
Ultra-Technekow V4
Manufacturer:Curium US LLC
Route:INTRAVENOUS
Strength:14 Ci in 1 1
Approved: 2022/06/09
NDC:69945-140
TechneLite
Manufacturer:Lantheus Medical Imaging, Inc.
Route:INTRAVENOUS
Strength:250 mCi in 1 mL
Approved: 2023/01/31
NDC:11994-090
TechneLite
Manufacturer:Lantheus Medical Imaging, Inc.
Route:INTRAVENOUS
Strength:250 mCi in 1 mL
Approved: 2023/01/31
NDC:11994-091
Ultra-Technekow V4
Manufacturer:Curium US LLC
Route:INTRAVENOUS
Strength:2 Ci in 1 1
Approved: 2022/06/09
NDC:69945-020

Singapore Approved Products

GENTECH MOLYBDENUM (99Mo) / TECHNETIUM (99mTc) STERILE GENERATOR
Manufacturer:ANSTO
Form:INJECTION, SOLUTION (RADIOPHARMACEUTICAL)
Strength:15.92/ 23.88/31.84/39.80/47.76/63.68/79.61/95.53 GBq
Online:Yes
Approved: 2021/02/24
Approval:SIN16108P
TEKCIS RADIONUCLIDE GENERATOR 2-50 GBQ
Manufacturer:CIS bio International, Laboratoires Chaix Et Du Marais (Flushing Solution), Laboratoire Bioluz (Elution Solution)
Form:GENERATOR
Strength:2/4/6/8/10/12/16/20/25/50 GBq
Online:Yes
Approved: 2019/07/10
Approval:SIN15741P
UltraTechneKow FM Generator
Manufacturer:Curium Netherlands B.V., Fresenius Kabi Austria GmbH (Eluent - NaCl 0.9%)
Form:SOLUTION
Strength:2.08,4.16,6.24,8.32,10.4,12.47,16.63,20.79,24.95,29.11,33.26,41.58 (Gbq)
Online:Yes
Approved: 2012/01/19
Approval:SIN14082P

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