926 Chapter 21 Nuclear Chemistry
Why does nuclear medicine employ such
exotic nuclei as technetium and palla-
dium yet seemingly ignore the elements that make up
most of our body, including hydrogen, oxygen, carbon,
nitrogen, sulfur, and potassium? All of these elements
play biochemical roles in the development of cells and
tissues, yet none has been mentioned as a diagnostic or
therapeutic tool. Why the omission?
Think back on what is needed to do imaging. First is
a source of radiation that penetrates well enough to be
detected outside the body. Gamma emitters usually are
the nuclides of choice. Second, you need availability of
the nuclide in sufficient quantity to do a study. Third,
you need a half-life that is reasonably short, and if it is
very short, the nuclide must be generated on site. Finally,
you need to create a chemical form of the nuclide that
will give either a “hot spot” or a “cold spot” in the area of
medical interest.
Carbon-14, though biologically active, has too long
a half-life and is a pure beta-minus emitter (see Fig-
ure 21.15). However,
11
C, with a n/p that is lower than
those of the stable isotopes, is a positron emitter. Other
How do we know?
Imaging with Positron Emission Tomography (PET)
These thyroid scans were taken using
radioactive iodine (I-123). The normal
scan on the left shows uniform iodine
uptake; the two thyroid lobes are simi-
lar in size. The lobe marked with an
arrow in the photo on the right is not
functioning properly, as is typical in thy-
roid cancer. A biopsy would follow to
confirm the presence of cancer.
positron emitters include
15
O,
13
N, and
30
S. Positrons
themselves do not penetrate very far. But when a positron
encounters an electron, which happens almost imme-
diately, an annihilation occurs whereby the particle
(positron) and antiparticle (electron) are converted into
energy:
0
+
1
+ e
−
n 2
0
0
The photons from the two gamma rays are emitted in
exactly opposite directions. When a gamma detector is
positioned both above and below the patient, if each one
simultaneously records an event, then a positron was
annihilated. By feeding the data from the detectors into a
computer, it is possible to reconstruct an image of where
the positron emission took place.
Positron emission imaging is better known as a PET
scan, short for positron emission tomography. It is a
Today such processes are automated. The half-life of
99
Mo is a brief 67 hours, so
it is shipped to medical suppliers for immediate distribution to hospitals.
One of the more widely used technetium compounds is sodium pertechne-
tate, NaTcO
4
. The pertechnetate ion, TcO
4
–
, has properties similar to those of the
chloride ion, Cl
–
, and concentrates in brain tumors, in the thyroid and salivary
glands, and in areas of the body where blood is pooling (as happens in internal
bleeding). Similarly, technetium pyrophosphate, TcP
2
O
7
, can be used to image
the heart to see the extent of damage to heart muscle after a heart attack.
Although it is well developed, nuclear medicine is still a relatively young
field; radioisotope tracers were developed in the 1930s and put into widespread
Tc image of heart muscle.
e
–
e
+
A burst of energy is
released as a
positron and an
electron collide.