核医学诊断用放射性药物综述

Filipe Boccato Payolla, A. Massabni, C. Orvig
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引用次数: 30

摘要

放射性药物是在其结构中含有结合放射性核素的放射性化合物,其目的是将放射性核素引导到要处理的位置或获得图像。核医学是一门使用放射性药物的医学专业,放射性药物在各种诊断和治疗中,尤其是癌症的诊断和治疗中,已经成为非常有用的医学盟友。这项工作的总体目标是确定目前用作放射性药物的主要放射性核素和金属配合物。作为放射性药物的主要金属配合物是高技术酸钠、二膦酸亚甲基MDP-99mTc等锝(99mTc)化合物和铟(111In)、铊(201Tl)、镓(67Ga、68Ga)、碘(123I、131I)、铬(51Cr)、硫(35S)、磷(32P)、氟(氟脱氧葡萄糖18F-FDG、氟钠Na18F)等化合物,广泛应用于核医学影像诊断。它们对许多疾病的早期诊断非常重要,主要是癌症。目前,锝化合物是所有国家使用的大多数放射性药物。在巴西,能源和核研究所是放射性药物最重要的分销商之一,生产、进口并向全国各地的诊所和医院分发这些药物。
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Radiopharmaceuticals for diagnosis in nuclear medicine: a short review
Radiopharmaceuticals are radioactive compounds which have a bound radionuclide in their structure, whose purpose is directing the radionuclide to a location to be treated or to obtain images. Nuclear medicine is the medical specialty that employs radiopharmaceuticals, which has presented itself as a tremendously useful ally for medicine assisting in various diagnoses and treatments, especially for cancer. The general objective of this work is to identify the main radionuclides and metal complexes currently used as radiopharmaceuticals. The main metal complexes used as radiopharmaceuticals are compounds of technetium (99mTc) like sodium pertechnetate and methylenediphosphonate MDP-99mTc and other compounds of indium (111In), thallium (201Tl), gallium (67Ga, 68Ga), iodine (123I and 131I), chromium (51Cr), sulphur (35S), phosphorus (32P), fluorine (as fluorodeoxyglucose, 18F-FDG and sodium fluorine, Na18F), which are widely used in the nuclear medicine for diagnosis by imaging. They have been of great importance for the early diagnosis of numerous diseases, mainly cancer.Currently, technetium compounds are the majority of radiopharmaceuticals used in all countries. In Brazil, Institute of Energy and Nuclear Research (IPEN) is one of the most important distributors of radiopharmaceuticals, producing, importing and distributing them to clinics and hospitals over the country.
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