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SPECT QC, RP QC (TLC,
HPLC), PS GFR
DAILY SPECT QC
• DONE DAILY
• PHOTOPEAK
• UNIFORMITY
• 57Co or 99mTc may be used
• Extrinsic QC done (Collimator Present)
Radiopharmaceutical QC
• To be done daily, prior to administration of the RP
• Must be > 90%
• Methods
• Paper/Instant Thin Layer Chromatography
• HPLC
Departmental QC
SL.
No.
Code (TCK) Short form Solvent Rf (RP) Rf (Impurity)
Support: Whatman 3
1 NA NaTcO4 Acetone SF PS
2 5 S/C Acetone (Saline) PS (SF) SF (PS)
3 7 DTPA Acetone (Saline) PS (SF) SF (PS)
4 30 MDP Acetone (Saline) PS (SF) SF (PS)
5 33/35 DMSA Acetone (Saline) PS (SF) SF (PS)
6 39 Mebrofeni
n
MEK (Methanol on ITLC-SG) PS (SF) SF (PS)
7 42 ECD Methanol SF PS
8 43 EC Acetone (H2O: Acetonitrile) PS (SF) SF (PS)
9 50 MIBI Methanol SF PS
10 56 MAA Acetone PS SF
SPECT RP QC – 99mTc-DMSA
99mTc-DTPA
99mTc-EC
MEBROFENIN
MAA
MDP
MIBI
PET Radiopharmaceutical QC
• 18F-FDG - 95:5 CH3CN: H2O
• 68Ga-DOTANOC/PSMA/ZOLEDRONATE – Citrate
• ITLC done (Silica Gel)
• QC >90% for administration.
68Ga-DOTANOC 1
68Ga-DOTANOC 2
68Ga-DOTANOC 3
68Ga-DOTANOC 4
68Ga-DOTANOC 5
68Ga-PSMA-11 1
68Ga-PSMA-11 2
68Ga-PSMA-11 3
68Ga-PSMA-11 4
68Ga-PSMA-11 5
68Ga-RGD 1
68Ga-RGD 2
68Ga-RGD 3
68Ga-DOTAZOL 1
68Ga-DOTAZOL 2
68Ga-DOTAZOL 3
68Ga-EDTA
68Ga-MAA
HPLC: High Performance Liquid
Chromatography
• Modification of column chromatography
• Small amount of sample to be tested is added (upto 250 mcg)
• UV Spectrometry done before radio-HPLC (at 240 nm)
• Conventional phase solvent: water with 0.1% Tri-Fluoro-Acetic acid
• Reverse phase solvent: Acetonitrile water (22%) with 0.1% Tri-Fluoro-
Acetic acid
• HPLC water with 0.05% NaN3 (sodium Azide): for UV Spectrometry
• Buffer: Phosphate (0.05M) with 0.05% NaN3 at pH 6.8
HPLC Continued…
• Stationary phase: High performance silica-based plates
• Process can be automated
• More accurate results than conventional TLC
• Tedious preparation
• Expert knowledge to read the result
177Lu-DOTA-TATE
177Lu-DOTA-Trastuzumab
Radiation-based peak UV-based peak
177Lu-DTPA-Trastuzumab
177Lu-Rituximab
GFR by Dual Plasma Sampling Method
• Considered the reference method
• Absolute quantification done
• Gold Standard Agent: 51Cr-EDTA – used in Europe: matches kinetics
of Inulin and has very low protein binding
• Cheaper method: using 99mTc-DTPA 100 microCi/taking 2 samples at
1h and 3 hour post GFR study by Gate’s method, then letting it decay
for 24 hours: India
GFR by Dual Plasma Sampling Method
Continued
• EDTA-added to blood to prevent coagulation Plasma Separated
Counts taken by Spectrometer
• Done when GFR by Gate’s method is low (usually < 30 ml/min) or
when patient is a potential renal donor
Plasma Sampling 1
Std1 Counts:
1: 3795
2: 3993
Std2 Counts:
1: 4113
2: 4079
Sample 1: 119, 129, 120, 106
Sample 2: 97, 83, 85, 89
Gate’s GFR (ml/min): 34.5
PS GFR (ml/min): 49.2
Plasma Sampling 2 Std1Counts:
1: 8967
2: 7959
Std2Counts:
1: 9021
2: 9044
Sample 1: 293, 280, 265, 239
Sample 2: 183, 196, 207, 208
Gate’s GFR (ml/min): 33.6
PS GFR (ml/min): 47.5
Plasma Sampling 3
Std1 Counts:
1: 13081
2: 13068
Std2 Counts:
1: 13676
2: 12790
Sample 1: 972, 1045, 958, 1063
Sample 2: 824, 802, 824, 883
Gate’s GFR (ml/min): 37.34
PS GFR (ml/min): 34.14
Plasma Sampling 4
Std1 Counts:
1: 11767
2: 11690
Std2 Counts:
1: 12019
2: 11747
Sample 1: 1048, 982, 1047, 1002
Sample 2: 865, 741, 853, 765
Gate’s GFR (ml/min): 37.9
PS GFR (ml/min): 31.3
Plasma Sampling 5
Std1 Counts:
1: 15289
2: 14993
Std2 Counts:
1: 14170
2: 15080
Sample 1: 1590, 1554, 1544, 1561
Sample 2: 1188, 1013, 1126, 1143
Gate’s GFR (ml/min): 24.3
PS GFR (ml/min): 31.3
Plasma Sampling 6
Std1 Counts:
1: 15289
2: 14993
Std2 Counts:
1: 14170
2: 15080
Sample 1: 1625, 1620, 1661, 1543
Sample 2: 588, 604, 595, 577
Gate’s GFR (ml/min): 25.02
PS GFR (ml/min): 54.75
Plasma Sampling 7
Std1Counts:
1: 37456
2: 38524
Std2Counts:
1: 38199
2: 37562
Sample 1: 3074, 3056, 3074, 3033
Sample 2: 2117, 2094, 2119, 2055
Gate’s GFR (ml/min): 24.43
PS GFR (ml/min): 48.04
Plasma Sampling 8
Std1Counts:
1: 7915
2: 8137
Std2Counts:
1: 7843
2: 7748
Sample 1: 1611, 1489, 1369, 1481
Sample 2: 1238, 1105, 1085, 1190
Gate’s GFR (ml/min): 7.1
PS GFR (ml/min): 24.1
Plasma Sampling 9
Std1Counts:
1: 50533
2: 50076
Std2Counts:
1: 50708
2: 50426
Sample 1: 2948, 2988, 3133, 3219
Sample 2: 1424, 1418, 1469, 1420
Gate’s GFR (ml/min): 65.6
PS GFR (ml/min): 73.34
RENAL DONOR
Plasma Sampling 10
Std1Counts:
1: 18461
2: 18215
Std2Counts:
1: 17998
2: 18305
Sample 1: 1567, 1591, 1564, 1589
Sample 2: 704, 682, 666, 755
Gate’s GFR (ml/min): 81.95
PS GFR (ml/min): 77

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Spect qc, rp qc, tlc, hplc, ps gfr

  • 1. SPECT QC, RP QC (TLC, HPLC), PS GFR
  • 2. DAILY SPECT QC • DONE DAILY • PHOTOPEAK • UNIFORMITY • 57Co or 99mTc may be used • Extrinsic QC done (Collimator Present)
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  • 13. Radiopharmaceutical QC • To be done daily, prior to administration of the RP • Must be > 90% • Methods • Paper/Instant Thin Layer Chromatography • HPLC
  • 14. Departmental QC SL. No. Code (TCK) Short form Solvent Rf (RP) Rf (Impurity) Support: Whatman 3 1 NA NaTcO4 Acetone SF PS 2 5 S/C Acetone (Saline) PS (SF) SF (PS) 3 7 DTPA Acetone (Saline) PS (SF) SF (PS) 4 30 MDP Acetone (Saline) PS (SF) SF (PS) 5 33/35 DMSA Acetone (Saline) PS (SF) SF (PS) 6 39 Mebrofeni n MEK (Methanol on ITLC-SG) PS (SF) SF (PS) 7 42 ECD Methanol SF PS 8 43 EC Acetone (H2O: Acetonitrile) PS (SF) SF (PS) 9 50 MIBI Methanol SF PS 10 56 MAA Acetone PS SF
  • 15. SPECT RP QC – 99mTc-DMSA
  • 19. MAA
  • 20. MDP
  • 21. MIBI
  • 22. PET Radiopharmaceutical QC • 18F-FDG - 95:5 CH3CN: H2O • 68Ga-DOTANOC/PSMA/ZOLEDRONATE – Citrate • ITLC done (Silica Gel) • QC >90% for administration.
  • 41. HPLC: High Performance Liquid Chromatography • Modification of column chromatography • Small amount of sample to be tested is added (upto 250 mcg) • UV Spectrometry done before radio-HPLC (at 240 nm) • Conventional phase solvent: water with 0.1% Tri-Fluoro-Acetic acid • Reverse phase solvent: Acetonitrile water (22%) with 0.1% Tri-Fluoro- Acetic acid • HPLC water with 0.05% NaN3 (sodium Azide): for UV Spectrometry • Buffer: Phosphate (0.05M) with 0.05% NaN3 at pH 6.8
  • 42. HPLC Continued… • Stationary phase: High performance silica-based plates • Process can be automated • More accurate results than conventional TLC • Tedious preparation • Expert knowledge to read the result
  • 47. GFR by Dual Plasma Sampling Method • Considered the reference method • Absolute quantification done • Gold Standard Agent: 51Cr-EDTA – used in Europe: matches kinetics of Inulin and has very low protein binding • Cheaper method: using 99mTc-DTPA 100 microCi/taking 2 samples at 1h and 3 hour post GFR study by Gate’s method, then letting it decay for 24 hours: India
  • 48. GFR by Dual Plasma Sampling Method Continued • EDTA-added to blood to prevent coagulation Plasma Separated Counts taken by Spectrometer • Done when GFR by Gate’s method is low (usually < 30 ml/min) or when patient is a potential renal donor
  • 49. Plasma Sampling 1 Std1 Counts: 1: 3795 2: 3993 Std2 Counts: 1: 4113 2: 4079 Sample 1: 119, 129, 120, 106 Sample 2: 97, 83, 85, 89 Gate’s GFR (ml/min): 34.5 PS GFR (ml/min): 49.2
  • 50. Plasma Sampling 2 Std1Counts: 1: 8967 2: 7959 Std2Counts: 1: 9021 2: 9044 Sample 1: 293, 280, 265, 239 Sample 2: 183, 196, 207, 208 Gate’s GFR (ml/min): 33.6 PS GFR (ml/min): 47.5
  • 51. Plasma Sampling 3 Std1 Counts: 1: 13081 2: 13068 Std2 Counts: 1: 13676 2: 12790 Sample 1: 972, 1045, 958, 1063 Sample 2: 824, 802, 824, 883 Gate’s GFR (ml/min): 37.34 PS GFR (ml/min): 34.14
  • 52. Plasma Sampling 4 Std1 Counts: 1: 11767 2: 11690 Std2 Counts: 1: 12019 2: 11747 Sample 1: 1048, 982, 1047, 1002 Sample 2: 865, 741, 853, 765 Gate’s GFR (ml/min): 37.9 PS GFR (ml/min): 31.3
  • 53. Plasma Sampling 5 Std1 Counts: 1: 15289 2: 14993 Std2 Counts: 1: 14170 2: 15080 Sample 1: 1590, 1554, 1544, 1561 Sample 2: 1188, 1013, 1126, 1143 Gate’s GFR (ml/min): 24.3 PS GFR (ml/min): 31.3
  • 54. Plasma Sampling 6 Std1 Counts: 1: 15289 2: 14993 Std2 Counts: 1: 14170 2: 15080 Sample 1: 1625, 1620, 1661, 1543 Sample 2: 588, 604, 595, 577 Gate’s GFR (ml/min): 25.02 PS GFR (ml/min): 54.75
  • 55. Plasma Sampling 7 Std1Counts: 1: 37456 2: 38524 Std2Counts: 1: 38199 2: 37562 Sample 1: 3074, 3056, 3074, 3033 Sample 2: 2117, 2094, 2119, 2055 Gate’s GFR (ml/min): 24.43 PS GFR (ml/min): 48.04
  • 56. Plasma Sampling 8 Std1Counts: 1: 7915 2: 8137 Std2Counts: 1: 7843 2: 7748 Sample 1: 1611, 1489, 1369, 1481 Sample 2: 1238, 1105, 1085, 1190 Gate’s GFR (ml/min): 7.1 PS GFR (ml/min): 24.1
  • 57. Plasma Sampling 9 Std1Counts: 1: 50533 2: 50076 Std2Counts: 1: 50708 2: 50426 Sample 1: 2948, 2988, 3133, 3219 Sample 2: 1424, 1418, 1469, 1420 Gate’s GFR (ml/min): 65.6 PS GFR (ml/min): 73.34 RENAL DONOR
  • 58. Plasma Sampling 10 Std1Counts: 1: 18461 2: 18215 Std2Counts: 1: 17998 2: 18305 Sample 1: 1567, 1591, 1564, 1589 Sample 2: 704, 682, 666, 755 Gate’s GFR (ml/min): 81.95 PS GFR (ml/min): 77