RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

51
RADIONUCLIDE RADIONUCLIDE GENERATORS GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS

Transcript of RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Page 1: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

RADIONUCLIDE RADIONUCLIDE GENERATORSGENERATORS

SMRITI SHARMA

DEPARTMENT OF NUCLEAR MEDICINE, AIIMS

Page 2: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

HistoryHistory

1951 - 132Te/132I – BNL1960 – 113Sn/113mIn – 393Kev-not suitable for

imaging1993 – 99Mo/99mTc, 81Rb/81mKr and 82Sr/82Rb

column generators became commercially available

Page 3: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.
Page 4: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

DefinitionDefinition

A generator is a device containing a long-lived parent and a short-lived daughter in a state of radioactive equilibrium.

It is constructed on the principle of decay growth relationship between the long lived parent radionuclide so that the daughter can be easily separated

Page 5: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

To ´milk´ the´cow´?

Page 6: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Cont...Cont...

Generators thus overcome the problem of supplying short-lived radio-nuclides to distant places

Page 7: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

GENERATORS

• Principle :Types of Equilibrium

•Characteristics of Ideal Generators System

• Principles of Operation of a 99Mo/99mTc Generator

•Other generators

• Quality Control of 99Mo/99mTc Generator

• Regulations and Standards for generator use

Page 8: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Generator PrinciplesGenerator Principles

Page 9: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Mathematical RelationshipsMathematical Relationships

Bateman described mathematically the relationship between parent and daughter activity

The characteristics of any generator system are based on the decay constants of the two isotopes involved

The relationship of these decay constants determines the type of equilibrium that can be attained for a given parent-daughter pair

Page 10: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Successive Decay and Parent/Daughter Equilibrium

Parent--p----> daughter ---d----> daughter decays

Ap(t) = Ap (0) e-pt

• Ad(t)=Ap (0)[d/ d- p ] (e-pt - e-dt) + Ad(0) e-dt

•If p << d (100-1000 times)

Ad(t)=Ap (0) (1 - e-dt) Secular equilibrium

•If p < d (10 to 50 times)

Ad(t)=Ap (0)[d/ d- p ] e-pt Transient equilibrium

Page 11: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Parent activity remains nearly constant

Activity of daughter increases until it becomes equal to that of the parent

Activity and decay rate of daughter and parent are same

Page 12: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Activity of Daughter becomes higher than that of the parent and decay with the same rate.

Page 13: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.
Page 14: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Yield from column generatorYield from column generator

A99mTc = 0.956 (A99Mo)t

(A99Mo)t = (A99Mo)0* e-0.0103t

Page 15: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Desirable CharacteristicsDesirable Characteristics High separation efficiency of daughter radionuclide High selectivity in separation (high radio-nuclide purity) High radiochemical and chemical purity High yield during each elution Simple and rapid operation at user end Radiological safety to operate Continuous availability of parent radionuclide Easily Transportable Daughter with Ideal Half life and Gamma Energy Chemistry of the Daughter Allows Hospital preparation

Page 16: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.
Page 17: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Production of Parent Radionuclide

Primary Source:– * Reactor – * Cyclotron

Page 18: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Nuclear Fission Reactor Fission products are generated from rods of 235U inserted into reactor

core. Chemical separation of 99Mo, 131I, 133Xe is readily possible from rod

material 235U(n,f)99Mo, fission yield 6.1%

Nuclear Reactors

• AX (n, ) A+1X

• 98Mo (n, ) 99Mo------> 99mTc

• Starting Material and Products have the Same Chemical Identity.

• Low Specific Activity Radionuclides

Page 19: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Cyclotrons

• Example : 68Zn (p,2n) 67Ga

• Starting Material & Product Have Different Chemical Identity

• Radionuclides with High Specific Activity

• Expensive

• Radionuclides Decay by + or EC

Page 20: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

N. ReactorN. Reactor CyclotronCyclotronn bombardment charged particle(n,g), (n,f) (p,n), (d,n)n excess p excessB- decay B+, ECLong T1/2 daughter short T1/2(n,g) low specific activity high (n,f) high specific activityeconomical Expensive

Page 21: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Radionuclide Separation techniquesRadionuclide Separation techniques

Differences in physical stateDifferences in chemical properties

Solvent extraction (based on different solubilities)

– Chromatography(based on differing affinities for an ion-exchange resin) Gel generator Sublimation (based on differing volatilities)

Page 22: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Solvent extraction generatorSolvent extraction generator

Parent 99MoParent radiochemical 99MoO4-

Daughter 99mTcO4-

Organic solvent MEKAqueous solvent KOH

Page 23: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

The separation is based on selective extraction of Tco4 into methyethyl ketone from aqueous alkaline solution of sodium molybdate.

Mixing of aqueous and organic phase. Purification of organic medium by passing through

alumina column. Evaporation of organic phase. Residue is reconstituted with physiological saline

and sterilized to obtain Tc in the form of Tco4- suitable for I.V use.

Page 24: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Advantage Advantage

Ability to utilize relatively inexpensive low specific activity 99Mo.

High extraction efficiency.

High radionuclide purity.

Page 25: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Drawback Drawback

It is a time consuming separation procedure.

It introduce operator dependent error in the form of reduced radiochemical purity.

Hazard of handling inflammable solvent

Page 26: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Column generatorColumn generator

99Mo/99mTc Generator • Parent: 99Mo as molybdate (99MoO4-2) • Daughter:99mTc as pertechnetate(99mTcO4-1) • Adsorbent Material: Alumina (aluminum oxide,

Al2O3) • Eluent: saline (0.9% NaCl) • Eluate: 99mTcO4-1 99Mo Half-life: 67 hr. • Decays by b decay 1.2 Mev(82%) and g - emission,

gamma: 740, 780 keV. • High affinity to alumina compared to 99mTc.

Page 27: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

SetupSetup

Page 28: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.
Page 29: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

AdvantageAdvantage

Ease of operation.High elution efficiency.High purity.High radioactive concentration.

Page 30: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

DisadvantageDisadvantage

Cost of these generator are relatively high mainly due to the need for fission produced 99Mo.

Difficult to manage the toxic fission product waste generated.

Page 31: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Column Gel GeneratorColumn Gel Generator

Parent 99MoParent radiochemical ZrMo gelDaughter 99mTcAdsorbent material Gel + Alumina

Eluate 99mTcO4-

Technical challenges

Page 32: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Gel formationGel formation

Moly trioxide is irradiated and then dissolved in basic ammonia.

The resultant solution is then added to an aqueous zirconium to obtain zirconium moly precipitate in the form of gel like matrix.the matrix is then separated from the solution by filtration ,evaporation ,air dried and sized for use in the generator.

It provides more 99Mo medium then prior alumina adsorption.

Page 33: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

DisadvantageDisadvantage

This systems require significant handling and processing of irradiated materials, including dissolution, precipitation, filtration, drying, gel fragmentation and column packing steps, all occurring after irradiation of the molybdenum trioxide.

These processing steps necessitate the use of cumbersome shielded processing equipment, result in relatively high manufacturing costs and pose significant potential safety risks

Page 34: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

In order to overcome some of the problems in connection with the production of 99m Tc, all the steps are avoided by directly irradiating zirconium molybdate instead of molybdenum trioxide

The direct irradiation of zirconium molybdate resulted in the production of radioactive contaminants unacceptable for clinical therapeutic or diagnostic applications, including 97 Zr, 95 Zr, 175 Hf, 181 Hf, and 24 Na.

Page 35: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.
Page 36: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Sublimation generatorSublimation generator

Parent 99MoParent radiochemical 99MoO3

Daughter 99mTc2O7

Boiling point 99mTc 310.60CMelting point 99Mo 7950CBoiling point 99Mo 11500C

Page 37: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.
Page 38: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Brief introduction about other radionuclide generators

Page 39: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

8181Rb/Rb/8181Kr GeneratorKr Generator

113 sn half life=117d,EC 113In half life=100 min,IT,393KEV Adsorbed on zirconium oxide column Eluted with 0.05N HCl. Elution efficiency 80%.

81 Rb half life=4.6hr,Ec 81 kr half life=13s,IT,190KEV Adsorbed on AG 50 resin. Eluted with air.• Used for lung ventilation. • Elution efficiency 70-80%

113113Sn/Sn/113113In GeneratorIn Generator

Page 40: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

6868Ge/Ge/6868Ga GeneratorGa Generator 68 Ge half life=271 days 68 Ga half life=68min, Adsorbed on tin dioxide/alumina Eluent 1N HCl Nowadays we use Tio2,eluted with 0.1N

Hcl Yield of gallium-75-80% Shelf life 1 year

Page 41: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

82Sr/82Rb Generator

82Srhalf life=25dys,Ec 82 Rb half life=75s,B+ Adsorbed in sno2 column. Eluted with 0.9%Nacl solution. Positron generator Used for cardiac studies. Sodium nonatitanate.Eluted with 1M

Nacl. Life span 3-4 months.alumina column

requires periodical checking of sterility , apyrogenicity and breakthrough levels.

Elution efficiency 85-95%

Page 42: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

188W half life=69.4 days,B-,349kev

188Re half life=16.9 hr,B-,155 kev gamma photon(15%)

Adsorbed on alumina or zirconium oxide.

eluted with NaCl solution.

Used to label several tumor-specific antibodies.

The parent radionuclide 188W, formed by the double neutron capture on 186W, by β-decay produces 188Re:

186W(n,)187W(n,) → 188Re

188Tungsten/188Rhenium generator

Page 43: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Potential problem and trouble shootingPotential problem and trouble shooting

problem Possible cause Trouble shooting

Absent or reduced elute volume

Vial lost partial or complete vacuum

Fluid line blocked.

Eluting needle don’t pierce septum.

Elution needle blocked.

Use fresh evacuated vial.

Try larger evacuated vial.

Try another needle if feasible.

Replace needle if possible.

Lower than expected activity

May occur in 1st day of elution. long time gaps in between elution.

Elute repeatedly

99Mobreak through close to specified limit

Faulty generator/column damaged

Elute column for 5-6 times, record 99Mo activity for ach elution if it drops to within acceptable limit ,column is ok if not contact manufacturer.

Page 44: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

REGULATIONS AND REGULATIONS AND STANDARDS FOR STANDARDS FOR GENERATOR USEGENERATOR USE

Page 45: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

pH 4.5-7.5

Sterility and Apyrogenicity

Page 46: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.
Page 47: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.
Page 48: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Radiation Safety concernsRadiation Safety concerns

– Possession and use of radionuclide generators are restricted to licensed persons from AERB

– A number of regulations dealing with receipt, storage and disposal of generators have been developed by AERB

Page 49: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Radiation Safety concernsRadiation Safety concerns– Receipt

Use gloves to prevent hand contamination Inspect package for any damage Monitor external exposures rates at 1m distance Check for surface contamination

– Operation Wear TLD badges and gloves Use syringe shields while handling high activities Perform wipe testing regularly Work behind L-bench

Page 50: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.

Radiation Safety concernsRadiation Safety concerns– Storage

HVL for 99Mo (7 mm) Below 200mCi generator self shielding is adequate Keep behind lead bricks/shielded

– Disposal Decay in storage

– Dismantle the oldest generator first

– Log the generator date and disposal date

– Remove or deface the radiation labels on generator shield

Return to manufacturer

Page 51: RADIONUCLIDE GENERATORS SMRITI SHARMA DEPARTMENT OF NUCLEAR MEDICINE, AIIMS.