Activity in the Gastrointestinal Tract after Administration of Bone-Seeking Radiopharmaceuticals

Abstract

Purpose:

To test the possibility that (radio)activity of non-pertechnetate nature is excreted into the gastrointestinal tract at bone scintigraphy.

Material and Methods:

The distribution of a bone-seeking radiopharmaceutical (^99mTc-HDP) was studied in an experimental mouse system by dissecting different organs and assessing their activity with a gamma-counter.

Results:

A comparison of the activity of the submandibular glands, which are assumed to accumulate only pertechnetate, and the gastrointestinal tract showed that a significant fraction of the activity excreted into the gastrointestinal tract did not consist of pertechnetate. Part of the excretion took place in the stomach. It was not connected to a specific bone-seeking agent or ⁹⁹Mo/^99mTc generator. Nor did it increase with time between make-up and injection. The excretion of the non-pertechnetate acitvity was reduced by cimetidine and omeprazole. These gastric-secretion blocking drugs did not reduce excretion of pertechnetate or significantly affect the general distribution of the radiopharmaceutical.

Conclusion:

There is a significant excretion of non-pertechnetate activity in the gastrointestinal tract. Part of this may be caused by excretion of the undegraded radiopharmaceutical by the stomach mucosa.

Keywords

Radionuclide studies,bones gastrointestinal tract stomach technetium experimental

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