Characteristics of Radioisotope Generators and Mo-99/Tc-99m Generator
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Review
P: 58-64
March 2023

Characteristics of Radioisotope Generators and Mo-99/Tc-99m Generator

Nucl Med Semin 2023;9(1):58-64
1. Ege Üniversitesi Nükleer Bilimler Enstitüsü, Nükleer Uygulamalar Anabilim Dalı, İzmir, Türkiye
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Publish Date: 17.04.2023
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ABSTRACT

Technetium-99m (Tc-99m) is a widely used radioisotope for imaging in nuclear medicine. Annual use of Tc-99m is approximately 85% of all nuclear medicine applications due to its 140 electronvolt pure gamma energy and short half-life of 6 hours. Tc-99m is usually provided to hospitals through a [Molybdenum (Mo-99)/Tc-99m] radionuclide generator system. In this review, the working principle of the Mo-99/Tc-99m generator, the quality control of the generator and the features that an ideal generator system should have are explained. Also, recently, alternative production routes were mentioned for Tc-99m being explored due to interruption of the global supply chain of Mo-99 produced in the reactor.

References

1Sakr TM, Nawar MF, Fasih TW, El-Bayoumy S, Abd El-Rehim HA. Nano-technology contributions towards the development of high performance radioisotope generators: The future promise to meet the continuing clinical demand. Appl Radiat Isot 2017;129:67-75.
2Budinger TF, Jones T. History of Nuclear Medicine and Molecular Imaging. In book: Comprehensive Biomedical Physics 2014;1-37.
3IAEA. Technetium-99m Radiopharmaceuticals: Manufacture of Kits. Technetium-99m Radiopharm Manuf Kits; 2008.
4Nawar MF, Türler A. New strategies for a sustainable 99mTc supply to meet increasing medical demands: Promising solutions for current problems. Front Chem 2022;10:926258.
5Rovais MR, Aardaneh K, Aslani G, Rahiminejad A, Yousefi K, Boulouri F. Assessment of the direct cyclotron production of (99m)Tc: An approach to crisis management of (99m)Tc shortage. Appl Radiat Isot 2016;112:55-61.
6NAP. Molybdenum-99 for Medical Imaging. Washington D.C., U.S.A.: National Academies of Sciences, Engineering, and Medicine; 2016.
7Lebowitz E, Richards P. Radionuclide generator systems. Semin Nucl Med 1974;4:257-268.
8IAEA. Radiotracer generators for industrial applications: IAEA Radiation Technology Series No. 5. Vienna, Austria: International Atomic Energy Agency; 2013. Available at: https://www-pub.iaea.org/MTCD/Publications/PDF/Pub1579_web.pdf.
9Uzunov N, Yordanova G, Salim S, et al. Quality assurance of Mo-99/Tc-99m radionuclide generators. Acta Sci Nat 2018;5:40-47.
10NAP. Medical Isotope Production without Highly Enriched Uranium. Washington D.C., U.S.A.: National Academies of Sciences, Engineering, and Medicine; 2009.
11İçhedef Ç, Ertay T. Radyonüklid Jeneratörleri. Uygulamalı Temel Radyofarmasi, Bölüm 6 p. 101-116, (Ed. Perihan Ünak, Gülay Durmuş Altun, Serap Teksöz, F. Zumrut Biber Müftüler, Ed., Nobel Tıp Kitapevleri, İstanbul, 2017, ISBN: 9786053353522.
12IAEA Human Health Campus. Elution of the 99Mo 99mTc generator. https://humanhealth.iaea.org/HHW/Radiopharmacy/VirRad/Eluting_the_Generator/Generator_Module Elution_of_the_99Mo99mTc_generator/index.html
13Hasan S, Prelas MA. Molybdenum-99 production pathways and the sorbents for 99Mo/99mTc generator systems using (n, γ) 99Mo: a review. SN Appl Sci 2020;2:1-28.
14NEA. The supply of medical radioisotopes: review of potential molybdenum-99/technetium-99m production technologies. Nuclear Development NEA/SEN/HLGMR. Paris, France: Nuclear Energy Agency. 2010.
15Martini P, Boschi A, Cicoria G, et al. In-house cyclotron production of high-purity Tc-99m and Tc-99m radiopharmaceuticals. Appl Radiat Isot 2018;139:325-331.
16Gumiela M. Cyclotron production of 99mTc: Comparison of known separation technologies for isolation of 99mTc from molybdenum targets. Nucl Med Biol 2018;58:33-41.
17Ruth TJ. The shortage of technetium-99m and possible solutions. Annu Rev Nucl Part Sci 2020;70:77-94.
18Uzunov NM, Melendez-Alafort L, Bello M, et al. Radioisotopic purity and imaging properties of cyclotron-produced 99mTc using direct 100Mo(p,2n) reaction. Phys Med Biol 2018;63:185021.
19IAEA. Cyclotron Based Production of Technetium-99m. 2017:76.
20Boschi A, Martini P, Pasquali M, Uccelli L. Recent achievements in Tc-99m radiopharmaceutical direct production by medical cyclotrons. Drug Dev Ind Pharm 2017;43:1402-1412.
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