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J Nucl Med. 2008; 49 (Supplement 1):433P
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Technologist Student Abstracts

Technologist Student Papers III

Analysis of residual isotope activity in syringes.

Ashley Meschke-Larson1, Erin McAllister1, Beth Tobias1 and Peter Horbenko1

1 Nuclear Medicine, Evanston Northwestern Healthcare, Evanston, Illinois

2229

Objectives: To determine the effectiveness of saline flushing on 99mTc-Tetrofosmin, 99mTc-Sestamibi, and 99mTc-Medronate syringes for maximum dose administration. To compare the extent of 99mTc-Tetrofosmin residual activity in syringes from two leading vendors.

Methods: Percent residual activities were measured from 99 patient doses. Residual activity was measured for: 99mTc-Tetrofosmin no flush of syringe n=26, one flush of syringe n=25; 99mTc-Sestamibi no flush of syringe n=15, one flush of syringe n=7; 99mTc-Medronate no flush of syringe n=7, one flush of syringe n=19. Average residual percent difference was 15.7% no flush vs. 12.6% one flush for 99mTc-Tetrofosmin (t=4.6, p=0.0), 13.6% no flush vs. 5.8% one flush for 99mTc-Sestamibi (t=3.8, p=0.0) and 6.7% no flush vs. 1.9% one flush for 99mTc-Medronate (t=4.7, p=0.0). Residual activities from 99mTc-Tetrofosmin were measured from two separate suppliers, respectfully named vendor A: n=25 and vendor B: n=25. Syringe residual activity was measured following injection without flushing. Average residual activity was 12.6% vendor A and 8.0% vendor B (t=7.3,p=0.0).

Results: There is significant residual activity in syringes that had no flush with mean residual of 12% for the combined 99mTc labeled isotopes. The range of residual was from 4.6% to 17.3% with a mean of 6.8%. It was also discovered that vendor A had a lower binding percentage of 99mTc-tetrofosmin.

Conclusions: Flushing of syringes with saline statistically results in an increased dose administration. Statistical evidence suggests that users practice syringe flushing to ensure maximum dose administration.





This Article
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Google Scholar
Right arrow Articles by Meschke-Larson, A.
Right arrow Articles by Horbenko, P.
PubMed
Right arrow Articles by Meschke-Larson, A.
Right arrow Articles by Horbenko, P.