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RADIOPHARMACEUTICALS
Prepared by:
Ms. Dhruvi A. Prajapati
Assistant Professor
Babaria Institute of Pharmacy
BITS Edu campus
RADIOACTIVE SUBSTANCES
 Radioactive substances are having a common property of emitting rays
or particles which affect photographic plates even when they are
protected from visible direct light and also bring about discharge of
electrified bodies.
 About 40 radioactive elements are known which are arranged into
families such as uranium series, thorium series and actinium series.
 The elements are termed as radioactive because they are unstable and
undergo spontaneous decomposition accompanied by emission of
radiation or rays.
 The emission of radiations by radioactive substances is not influenced by
temperature, pressure, concentration or catalyst.DHRUVI PRAJAPATI
2
RADIOACTIVE DECAY
 An unstable atomic nucleus spontaneously loses energy by emitting
ionizing particles and radiation.
Radioactive isotope Parent Nuclide Daughter Nuclide
When an unstable nucleus decays, it may give:
1) Alpha or helium Radiation.
2) Beta or Electron Radiation.
3) Gamma Radiation.
DHRUVI PRAJAPATI 3
ALPHA RAYS
 Alpha particles are made up of 2 protons and 2 neutrons.
 Are same as helium nucleus.
 When a nucleus emits alpha particle, its atomic number decreases by 2 and
its atomic mass decreases by 4.
 These particles are relatively slow and heavy.
 Low penetrating power.
 As they have large charge, alpha particles ionize other atoms strongly.
 Alpha decay occurs in very heavy elements like Uranium and Radium.
DHRUVI PRAJAPATI
4
 All alpha particles are having the same energy.
 The penetrating power of alpha rays is less as compared to other emissions.
 It can penetrate to the tissues about 0.01 cm.
 Because of low penetrating power of alpha particles, elements which
alpha rays do not find use in biological applications because they cannot
penetrate tissue.
DHRUVI PRAJAPATI 5
BETA RAYS
 These have 2 types:
1. Electrically positively charged particles which are called ‘positrons’
2. Electrically negatively charged particles which are called ‘Negatrons’
 They have greater penetrating power than that of alpha rays.
 Beta particles have negligible mass.
 These particles are usually accompanied by gamma radiation. Beta
particles have less ionizing power than alpha particles.
DHRUVI PRAJAPATI 6
GAMMA RAYS
 Gamma rays are Waves not Particles.
 These have been more penetrating than alpha and beta
rays.
 They are having the same character as that of very short
electromagnetic waves called X-rays.
 They have no mass or charge.
 Gamma rays are produced during disintegration of
radioactive substances along with beta radiation and
during nuclear fission.
DHRUVI PRAJAPATI 7
DHRUVI PRAJAPATI 8
PENETRATING DISTANCE
DHRUVI PRAJAPATI 9
Properties Alpha Beta Gamma
Charge +2 -1 0
Mass 2 0 0
Ionization Power High Medium Low
Penetration Low Medium High
Stopped by Paper Aluminium Lead
Speed Slow Fast Very fast
PROPERTIES OF RADIATION
UNITS OF RADIOACTIVITY
1) Curie (c): Defined as quantity of any radioactive substance which undergoes
the same number of disintegrations in unit time as of 1 g of radium and is
equal to 3.7 × 1010 disintegrations per second.
2) Roentgen: It is the unit of exposure. 1R = 2.58 x 10-4 coulomb kg-1
3) RAD (Radiations Absorbed Dose): Measures the radiation absorbed by the
tissues of the body. Pharmaceutical dosage forms are described in RAD units.
1 rad = 10-2 J kg-1
DHRUVI PRAJAPATI 10
DHRUVI PRAJAPATI 11
4) REM (Radiation Equivalent Mass): Measures the biological damage
caused by different types of radiation.
5) Exposure rate constant: It refers to the dose rate in roentgens per hour
at 1 m distance from 1 curie. It is about one tenth of the dose at a
distance of foot from curie.
6) RBE (Relative Biological Effectiveness): shows effect of radiation,
alpha, beta and gamma on the biological system.
HALF LIFE
 The time in which a given quantity of a radionuclide decays to half its initial
value is termed as half-life (T1/2).
Half life, T
1
2
=
0.693
λ
 Where, λ is disintegration constant in unit sec -1.
 T1/2 of a nuclide will decide its utility in medicine.
 Too short T1/2 will be inconvenient for setting up satisfactory experiments.
 Too long T1/2 is an absolute property of nuclide and is unaffected by chemical
and biological conditions.
DHRUVI PRAJAPATI 12
MEASUREMENT OF RADIOACTIVITY
 To measure the radiations of alpha, beta and gamma particles, many
techniques involving detection and counting of individual particles or photons
are used.
 The method selected for the measurement of radioactivity depends upon the
extent of energy dissipation and penetrability of radiation.
 The gas ionisation devices include pulse ionisation chamber, Proportional
Counter & Geiger- Muller Counter.
 Scintillation methods are especially employed for counting gamma radiations
DHRUVI PRAJAPATI 13
IONISATION CHAMBER
 These are available in various shapes and sizes.
 An ionisation chamber consists of chambers
filled with gas & fitted with two electrodes kept
at different electrical potentials & measuring
device to indicate the flow of electric current.
 Radiation brings about ionisation of gas
molecules or ions which cause emission of
electrons, which in turn reveals the changes in
electrical current.
DHRUVI PRAJAPATI 14
PROPORTIONAL COUNTERS
 These are the modified ionisation chambers in which an applied potential
ionisation of primary electrons causes thunderous bursting or production of
more free electrons which get carried to the anode.
 As for each primary electron liberated, much more additional electrons get
liberated, the current pulse through the electrical circuit is amplified.
 The voltage range over which the gas amplification (ionisation) occurs is
called proportional region, the counters working in this region are called
Proportional Counters.
DHRUVI PRAJAPATI 15
GEIGER MULLER COUNTER
 These are most popular radiation detectors.
 They do not need the use of high gain amplifier.
 They can detect alpha, beta and gamma radiations.
 Geiger-Muller counter is having ionizing gas and is also having a quenching
vapour whose function sare:
I. To prevent the spurious pulses that may get produced due to the positive
ions (cations) reaching the cathode (-electrode).
II. To absorb the photons emitted by excited atoms and molecules returning
to their ground state.
DHRUVI PRAJAPATI 16
GM COUNTER
 Chlorine and bromine are generally used as quenching agent.
 Ethyl alcohol and ethyl formate are used as organic quenching agents.
 The filling gas pressure has been much below the atmospheric pressure to
avoid use of high operating voltages.
DHRUVI PRAJAPATI 17
DHRUVI PRAJAPATI
18
Construction:
A GM Counter possesses a cylindrical cathode, which is usually1-2 cm in
diameter, along the centre of which is a wire anode.
The space is filled with a special gas mixture which gets readily ionized
together, with a small proportion of quenching vapour.
For solid radioactive sources:
For solid radioactive sources, the end window type GM counter has been the
most popular.
The window has been made of an aluminium alloy, mica or a thin glass bubble.
In order to count the medium and high energy beta particles and for gamma
counting, thin glass walled counters may be used.
They are normally 1 cm in diameter & having a glass wall of 20 - 40 mg cm-2
thickness.
The tube is coated on the inside to form the cathode.
DHRUVI PRAJAPATI 19
DHRUVI PRAJAPATI 20
For radioactive liquid sources:
It is having a capacity of 10 cm3 in annular space. In such a counter 10 cm3 of 3%
solution of Uranium salt gives nearly 10,000 counts per minute.
DHRUVI PRAJAPATI 21
Operation:
 When ionizing radiation such as alpha, beta or gamma particle enters the tube, it can
ionize some of the gas molecules in the tube.
 From these ionized atoms, an electron is knocked out of the atom and so the
remaining atom is positively charged.
 The high voltage in the tube produces an electric field inside the tube.
 The electrons that were knocked out of the atom are attracted to the positive
electrode (anode) and the positively charged ions are attracted to the negative
electrode (cathode).
 This produces a pulse of current in the wires connecting the electrodes and this pulse
is counted.
 After the pulse is counted, the charged ions become neutralized and the Geiger
counter is ready to record another pulse.
 In order for the Geiger tube to restore itself quickly to its original state after radiation
has entered, a gas is added to the tube.
DHRUVI PRAJAPATI
22
 For proper use of the Geiger counter, one must have appropriate voltage across the
electrodes.
 If the voltage is too low, the electricfield in the tube is too weak to cause a current pulse.
If the voltage is too high, the tube will undergo continuous discharge and it will be
damaged.
 For low voltages, no counts are recorded. This is because the electricfield is too weak for
even one pulse to be recorded. As the voltage is increased, one obtains a counting rate.
 The voltage at which the GM tube just begins to count is called the stating potential. The
counting rate quickly rises as the voltage is increased.
 The rise is so fast that the graph looks like a step potential.
 After the quick rise, the counting rate levels 0. This range of voltages is termed as
pleateau region.
 Eventually the voltage becomes too high and we have continuous discharge.
 The threshold voltage is the voltage where the plateau region begins. Proper operation is
when the voltage is in the plateau region of the curve.
 For best operation, voltage should be selected fairly close to the threshold voltage.
HANDLING AND STORAGE OF RADIOPHARMACEUTICALS
 Great care needs to be taken in handling and storage of radioactive materials for
protecting people and personnel who handle it, from the harmful radiation they emit.
 Certain precautions have to be taken while working with detectors, tracer equipment,
radioassay manufacturing or handling of radioactivematerials.
 In order to have protection from hazards of radiation, radioactive materials must be
stored in an area not frequently visited by people.
 Shielding may be required.
 Thick glass or Perspex containers provide sufficient shielding.
 To protect from gamma rays (high penetration power), lead shielding has to be used.
 The storage are a must be regularly checked for radioactivity.
DHRUVI PRAJAPATI
23
DHRUVI PRAJAPATI 24
RADIOACTIVELIQUIDS
 Working area should not get contaminated with radioactive material.
 If radioactive liquid is to be handled, it must be carried in trays with absorbent
tissue paper, so that any spillage will get absorbed by the paper.
 Rubber gloves have to be used when working with radioactive liquids.
 Pipettes operated by mouth should never be used.
 Waste of radioactive material has to be stored till its activity become slow and
then only it should be disposed.
DHRUVI PRAJAPATI 25
PRECAUTIONS While handling and storage of radioactive substances:
1. One should not touch the radioactive emitter with hand but it should be handled by
means of forceps.
2. Smoking, eating and drinking activities should not be handled in laboratory where
radioactive material is handled.
3. Sufficient protective clothing and shielding have to be used while handling of
materials.
4. Radioactive materials have to be stored in suitable labelled containers, covered
(shielded by lead bricks) and preferably in a remote corner.
5. Areas where radioactive materials are stored should be monitored and tested for
radioactivity regularly.
6. Disposal of radioactive materials should be carried out with great care.
Strict requirements are prescribed by the department of Atomicenergy (DAE) for the
establishment of a radioactive facility in the hospital or pharmacy.
These include specifications for premises, storage space, working area, disposal protocol,
training of personnel, periodic check on contamination or leakage.
DHRUVI PRAJAPATI 26
APPLICATIONS OF RADIOISOTOPES
They find use in medicine in 4 different ways:
1. Radioisotopes in Therapy (Emitted radiations used to destroy cells in
condition like cancer)
2. Radioisotopes in Diagnosis (Radioactive tracers)
3. Research (Biological and medicinal studies by use of radioactive
isotopes as tracers)
4. Sterilization (For sterilization of pharmaceuticals and surgical
instruments)
DHRUVI PRAJAPATI 27
DHRUVI PRAJAPATI 28
RADIOACTIVE TRACERS
DHRUVI PRAJAPATI
29
1) In therapeutics:
 The therapeutically used radioisotopes have been found to depend mainly on
their ability to ionize atoms.
 The energy measurement involved in radiation and resulting in ionization may
be expressed in millions of electron volts called MeV.
 The strength of alpha, beta and gamma rays in expressed in MeV.
 All radiations bring about ionization of atoms in their paths.
 The radiation of short wavelength (gamma rays) is having high penetrating
power than long wavelength (beta rays).
 The greater the MeV of the rays, the more destructive it becomes to the
surrounding tissues.
RADIOPHARMACEUTICALS CAN DESTROY MALFUNCTIONING CELLS
This method of therapy is called radiotherapy. It can be used for both benign
and malignant cancers.
DHRUVI PRAJAPATI 30
Examples:
 Gold (198Au) is used in treatment of abdominal and pleural effusions associated
with malignant tumours. It is given in the form of colloidal gold suspension.
 Gold (198Au) also used in treatment of carcinoma of uterus and urinary bladder.
 Cobalt labelled cyanocobalamine (vitamin B12) is used in diagnosis of pernicious
anaemia.
 Sodium iodide preparation finds use in treatment of thyroid disorders.
 Calcium is used to study bone structure and in carcinoma of bone.
 Strontium 90 is used in diagnosis of superficial carcinomas.
DHRUVI PRAJAPATI 31
 Radioisotopes may be used internally or externally.
 If the radioisotope are used externally or used as implants in sealed capsule in
a tissue, the dose could be terminated by removal or sources.
 If they are given internally, as unsealed sources, the dose cannot be stopped
by the removal of the source.
 The total dose in therapeutic applications may be calculated on the basis of
effective half life of the isotope, concentration of the isotope and the type
and energy of the radiation emitted.
DHRUVI PRAJAPATI 32
II) In diagnosis:
Radioactive tracers find use in medicine for diagnostic purposes.
1. Labelled cyanocobalamine finds use for measuring the glomerular filtration
rate.
2. Ferric citrate injection finds use for the diagnosis of haematological
disorders.
3. Colloidal gold injection is used diagnostically to study blood circulation in
liver.
4. Sodium iodide injection finds use in diagnosis of proper functioning of
thyroid gland.
5. Sodium iodohippurate injection finds use in the study of renal function.
DHRUVI PRAJAPATI 33
III) In research:
Excellent biological and medicinal studies have been carried out with radioactive
isotopes as tracers.
IV) Sterilization:
 Excellent use is being made of the radiation constantly available from some
strong radiation source for sterilizing pharmaceuticals in their final packed
containers and surgical instruments in hospitals.
 No heat or chemical gets involved.
 Thermolabile substances like vitamins, hormones antibiotics can be safely
sterilized.
 Finds use in sterilization of pharmaceuticals.
DHRUVI PRAJAPATI 34
Calcium (Ca - 44 and Ca -
45)
The radioactive calcium has been used to study
bone structure and in treatment of carcinoma of
bone.
Strontium - 90 Used in the radiotherapy of superficial
carcinomas.
Cyanocobalamine (Co - 57) Used in the diagnosis of pernicious anaemia
Calcium – 47 It is having half life of 4.7 days. It is used in
calcium absorption studies.
Cyanocobalamine (Co – 60
Solution USP)
Used to study absorption and deposition of
vitamin B12 in normal individuals.
Gold (Au - 198) solution Finds use in estimation of reticuloendothelial
activity.
Iron (Fe - 59) Finds use in research studies about utilization and
absorption of Iron salts.
USES OF SODIUM IODIDE I-131
 Used as a diagnostic aid for studying the
functioning of the thyroid gland.
 Used in scanning the thyroid for determining
the size, position and possible tumour location.
 Used in the treatment of severe cardiac disease
(Sodium iodide I-131), which reduces work load
on heart.
 Radioactive iodine in thyroid carcinoma (cancer):
The isotope is used most frequently after the
surgical removal of cancer to treat any residual
tumour tissues.
DHRUVI PRAJAPATI 35
GTU QUESTIONS
1. What are radiopharmaceuticals? Enumerate the various units of radioactivity. What
precautions are to be taken in handling and storage of radioactive materials?
2. Write a note on behavioural properties of different radiations. OR Write a note on
radioactive rays.
3. How the radioactivity measured? Write a note on GM counter. Explain its working.
OR Enumerate different methods of measurement of radioactivity and explain any 2 in
detail.
4. What are radiopharmaceuticals? Give uses of Na 131 I.
5. Give a brief account on therapeutic and diagnostic applications of inorganic
radiopharmaceuticals. OR Write down various clinical applications of
radiopharmaceuticals. OR Discuss applications of radiopharmaceuticals in medicine.
DHRUVI PRAJAPATI 36

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Radiopharmaceuticals

  • 1. RADIOPHARMACEUTICALS Prepared by: Ms. Dhruvi A. Prajapati Assistant Professor Babaria Institute of Pharmacy BITS Edu campus
  • 2. RADIOACTIVE SUBSTANCES  Radioactive substances are having a common property of emitting rays or particles which affect photographic plates even when they are protected from visible direct light and also bring about discharge of electrified bodies.  About 40 radioactive elements are known which are arranged into families such as uranium series, thorium series and actinium series.  The elements are termed as radioactive because they are unstable and undergo spontaneous decomposition accompanied by emission of radiation or rays.  The emission of radiations by radioactive substances is not influenced by temperature, pressure, concentration or catalyst.DHRUVI PRAJAPATI 2
  • 3. RADIOACTIVE DECAY  An unstable atomic nucleus spontaneously loses energy by emitting ionizing particles and radiation. Radioactive isotope Parent Nuclide Daughter Nuclide When an unstable nucleus decays, it may give: 1) Alpha or helium Radiation. 2) Beta or Electron Radiation. 3) Gamma Radiation. DHRUVI PRAJAPATI 3
  • 4. ALPHA RAYS  Alpha particles are made up of 2 protons and 2 neutrons.  Are same as helium nucleus.  When a nucleus emits alpha particle, its atomic number decreases by 2 and its atomic mass decreases by 4.  These particles are relatively slow and heavy.  Low penetrating power.  As they have large charge, alpha particles ionize other atoms strongly.  Alpha decay occurs in very heavy elements like Uranium and Radium. DHRUVI PRAJAPATI 4
  • 5.  All alpha particles are having the same energy.  The penetrating power of alpha rays is less as compared to other emissions.  It can penetrate to the tissues about 0.01 cm.  Because of low penetrating power of alpha particles, elements which alpha rays do not find use in biological applications because they cannot penetrate tissue. DHRUVI PRAJAPATI 5
  • 6. BETA RAYS  These have 2 types: 1. Electrically positively charged particles which are called ‘positrons’ 2. Electrically negatively charged particles which are called ‘Negatrons’  They have greater penetrating power than that of alpha rays.  Beta particles have negligible mass.  These particles are usually accompanied by gamma radiation. Beta particles have less ionizing power than alpha particles. DHRUVI PRAJAPATI 6
  • 7. GAMMA RAYS  Gamma rays are Waves not Particles.  These have been more penetrating than alpha and beta rays.  They are having the same character as that of very short electromagnetic waves called X-rays.  They have no mass or charge.  Gamma rays are produced during disintegration of radioactive substances along with beta radiation and during nuclear fission. DHRUVI PRAJAPATI 7
  • 9. DHRUVI PRAJAPATI 9 Properties Alpha Beta Gamma Charge +2 -1 0 Mass 2 0 0 Ionization Power High Medium Low Penetration Low Medium High Stopped by Paper Aluminium Lead Speed Slow Fast Very fast PROPERTIES OF RADIATION
  • 10. UNITS OF RADIOACTIVITY 1) Curie (c): Defined as quantity of any radioactive substance which undergoes the same number of disintegrations in unit time as of 1 g of radium and is equal to 3.7 × 1010 disintegrations per second. 2) Roentgen: It is the unit of exposure. 1R = 2.58 x 10-4 coulomb kg-1 3) RAD (Radiations Absorbed Dose): Measures the radiation absorbed by the tissues of the body. Pharmaceutical dosage forms are described in RAD units. 1 rad = 10-2 J kg-1 DHRUVI PRAJAPATI 10
  • 11. DHRUVI PRAJAPATI 11 4) REM (Radiation Equivalent Mass): Measures the biological damage caused by different types of radiation. 5) Exposure rate constant: It refers to the dose rate in roentgens per hour at 1 m distance from 1 curie. It is about one tenth of the dose at a distance of foot from curie. 6) RBE (Relative Biological Effectiveness): shows effect of radiation, alpha, beta and gamma on the biological system.
  • 12. HALF LIFE  The time in which a given quantity of a radionuclide decays to half its initial value is termed as half-life (T1/2). Half life, T 1 2 = 0.693 λ  Where, λ is disintegration constant in unit sec -1.  T1/2 of a nuclide will decide its utility in medicine.  Too short T1/2 will be inconvenient for setting up satisfactory experiments.  Too long T1/2 is an absolute property of nuclide and is unaffected by chemical and biological conditions. DHRUVI PRAJAPATI 12
  • 13. MEASUREMENT OF RADIOACTIVITY  To measure the radiations of alpha, beta and gamma particles, many techniques involving detection and counting of individual particles or photons are used.  The method selected for the measurement of radioactivity depends upon the extent of energy dissipation and penetrability of radiation.  The gas ionisation devices include pulse ionisation chamber, Proportional Counter & Geiger- Muller Counter.  Scintillation methods are especially employed for counting gamma radiations DHRUVI PRAJAPATI 13
  • 14. IONISATION CHAMBER  These are available in various shapes and sizes.  An ionisation chamber consists of chambers filled with gas & fitted with two electrodes kept at different electrical potentials & measuring device to indicate the flow of electric current.  Radiation brings about ionisation of gas molecules or ions which cause emission of electrons, which in turn reveals the changes in electrical current. DHRUVI PRAJAPATI 14
  • 15. PROPORTIONAL COUNTERS  These are the modified ionisation chambers in which an applied potential ionisation of primary electrons causes thunderous bursting or production of more free electrons which get carried to the anode.  As for each primary electron liberated, much more additional electrons get liberated, the current pulse through the electrical circuit is amplified.  The voltage range over which the gas amplification (ionisation) occurs is called proportional region, the counters working in this region are called Proportional Counters. DHRUVI PRAJAPATI 15
  • 16. GEIGER MULLER COUNTER  These are most popular radiation detectors.  They do not need the use of high gain amplifier.  They can detect alpha, beta and gamma radiations.  Geiger-Muller counter is having ionizing gas and is also having a quenching vapour whose function sare: I. To prevent the spurious pulses that may get produced due to the positive ions (cations) reaching the cathode (-electrode). II. To absorb the photons emitted by excited atoms and molecules returning to their ground state. DHRUVI PRAJAPATI 16
  • 17. GM COUNTER  Chlorine and bromine are generally used as quenching agent.  Ethyl alcohol and ethyl formate are used as organic quenching agents.  The filling gas pressure has been much below the atmospheric pressure to avoid use of high operating voltages. DHRUVI PRAJAPATI 17
  • 18. DHRUVI PRAJAPATI 18 Construction: A GM Counter possesses a cylindrical cathode, which is usually1-2 cm in diameter, along the centre of which is a wire anode. The space is filled with a special gas mixture which gets readily ionized together, with a small proportion of quenching vapour. For solid radioactive sources: For solid radioactive sources, the end window type GM counter has been the most popular. The window has been made of an aluminium alloy, mica or a thin glass bubble. In order to count the medium and high energy beta particles and for gamma counting, thin glass walled counters may be used. They are normally 1 cm in diameter & having a glass wall of 20 - 40 mg cm-2 thickness. The tube is coated on the inside to form the cathode.
  • 20. DHRUVI PRAJAPATI 20 For radioactive liquid sources: It is having a capacity of 10 cm3 in annular space. In such a counter 10 cm3 of 3% solution of Uranium salt gives nearly 10,000 counts per minute.
  • 21. DHRUVI PRAJAPATI 21 Operation:  When ionizing radiation such as alpha, beta or gamma particle enters the tube, it can ionize some of the gas molecules in the tube.  From these ionized atoms, an electron is knocked out of the atom and so the remaining atom is positively charged.  The high voltage in the tube produces an electric field inside the tube.  The electrons that were knocked out of the atom are attracted to the positive electrode (anode) and the positively charged ions are attracted to the negative electrode (cathode).  This produces a pulse of current in the wires connecting the electrodes and this pulse is counted.  After the pulse is counted, the charged ions become neutralized and the Geiger counter is ready to record another pulse.  In order for the Geiger tube to restore itself quickly to its original state after radiation has entered, a gas is added to the tube.
  • 22. DHRUVI PRAJAPATI 22  For proper use of the Geiger counter, one must have appropriate voltage across the electrodes.  If the voltage is too low, the electricfield in the tube is too weak to cause a current pulse. If the voltage is too high, the tube will undergo continuous discharge and it will be damaged.  For low voltages, no counts are recorded. This is because the electricfield is too weak for even one pulse to be recorded. As the voltage is increased, one obtains a counting rate.  The voltage at which the GM tube just begins to count is called the stating potential. The counting rate quickly rises as the voltage is increased.  The rise is so fast that the graph looks like a step potential.  After the quick rise, the counting rate levels 0. This range of voltages is termed as pleateau region.  Eventually the voltage becomes too high and we have continuous discharge.  The threshold voltage is the voltage where the plateau region begins. Proper operation is when the voltage is in the plateau region of the curve.  For best operation, voltage should be selected fairly close to the threshold voltage.
  • 23. HANDLING AND STORAGE OF RADIOPHARMACEUTICALS  Great care needs to be taken in handling and storage of radioactive materials for protecting people and personnel who handle it, from the harmful radiation they emit.  Certain precautions have to be taken while working with detectors, tracer equipment, radioassay manufacturing or handling of radioactivematerials.  In order to have protection from hazards of radiation, radioactive materials must be stored in an area not frequently visited by people.  Shielding may be required.  Thick glass or Perspex containers provide sufficient shielding.  To protect from gamma rays (high penetration power), lead shielding has to be used.  The storage are a must be regularly checked for radioactivity. DHRUVI PRAJAPATI 23
  • 24. DHRUVI PRAJAPATI 24 RADIOACTIVELIQUIDS  Working area should not get contaminated with radioactive material.  If radioactive liquid is to be handled, it must be carried in trays with absorbent tissue paper, so that any spillage will get absorbed by the paper.  Rubber gloves have to be used when working with radioactive liquids.  Pipettes operated by mouth should never be used.  Waste of radioactive material has to be stored till its activity become slow and then only it should be disposed.
  • 25. DHRUVI PRAJAPATI 25 PRECAUTIONS While handling and storage of radioactive substances: 1. One should not touch the radioactive emitter with hand but it should be handled by means of forceps. 2. Smoking, eating and drinking activities should not be handled in laboratory where radioactive material is handled. 3. Sufficient protective clothing and shielding have to be used while handling of materials. 4. Radioactive materials have to be stored in suitable labelled containers, covered (shielded by lead bricks) and preferably in a remote corner. 5. Areas where radioactive materials are stored should be monitored and tested for radioactivity regularly. 6. Disposal of radioactive materials should be carried out with great care. Strict requirements are prescribed by the department of Atomicenergy (DAE) for the establishment of a radioactive facility in the hospital or pharmacy. These include specifications for premises, storage space, working area, disposal protocol, training of personnel, periodic check on contamination or leakage.
  • 27. APPLICATIONS OF RADIOISOTOPES They find use in medicine in 4 different ways: 1. Radioisotopes in Therapy (Emitted radiations used to destroy cells in condition like cancer) 2. Radioisotopes in Diagnosis (Radioactive tracers) 3. Research (Biological and medicinal studies by use of radioactive isotopes as tracers) 4. Sterilization (For sterilization of pharmaceuticals and surgical instruments) DHRUVI PRAJAPATI 27
  • 29. DHRUVI PRAJAPATI 29 1) In therapeutics:  The therapeutically used radioisotopes have been found to depend mainly on their ability to ionize atoms.  The energy measurement involved in radiation and resulting in ionization may be expressed in millions of electron volts called MeV.  The strength of alpha, beta and gamma rays in expressed in MeV.  All radiations bring about ionization of atoms in their paths.  The radiation of short wavelength (gamma rays) is having high penetrating power than long wavelength (beta rays).  The greater the MeV of the rays, the more destructive it becomes to the surrounding tissues. RADIOPHARMACEUTICALS CAN DESTROY MALFUNCTIONING CELLS This method of therapy is called radiotherapy. It can be used for both benign and malignant cancers.
  • 30. DHRUVI PRAJAPATI 30 Examples:  Gold (198Au) is used in treatment of abdominal and pleural effusions associated with malignant tumours. It is given in the form of colloidal gold suspension.  Gold (198Au) also used in treatment of carcinoma of uterus and urinary bladder.  Cobalt labelled cyanocobalamine (vitamin B12) is used in diagnosis of pernicious anaemia.  Sodium iodide preparation finds use in treatment of thyroid disorders.  Calcium is used to study bone structure and in carcinoma of bone.  Strontium 90 is used in diagnosis of superficial carcinomas.
  • 31. DHRUVI PRAJAPATI 31  Radioisotopes may be used internally or externally.  If the radioisotope are used externally or used as implants in sealed capsule in a tissue, the dose could be terminated by removal or sources.  If they are given internally, as unsealed sources, the dose cannot be stopped by the removal of the source.  The total dose in therapeutic applications may be calculated on the basis of effective half life of the isotope, concentration of the isotope and the type and energy of the radiation emitted.
  • 32. DHRUVI PRAJAPATI 32 II) In diagnosis: Radioactive tracers find use in medicine for diagnostic purposes. 1. Labelled cyanocobalamine finds use for measuring the glomerular filtration rate. 2. Ferric citrate injection finds use for the diagnosis of haematological disorders. 3. Colloidal gold injection is used diagnostically to study blood circulation in liver. 4. Sodium iodide injection finds use in diagnosis of proper functioning of thyroid gland. 5. Sodium iodohippurate injection finds use in the study of renal function.
  • 33. DHRUVI PRAJAPATI 33 III) In research: Excellent biological and medicinal studies have been carried out with radioactive isotopes as tracers. IV) Sterilization:  Excellent use is being made of the radiation constantly available from some strong radiation source for sterilizing pharmaceuticals in their final packed containers and surgical instruments in hospitals.  No heat or chemical gets involved.  Thermolabile substances like vitamins, hormones antibiotics can be safely sterilized.  Finds use in sterilization of pharmaceuticals.
  • 34. DHRUVI PRAJAPATI 34 Calcium (Ca - 44 and Ca - 45) The radioactive calcium has been used to study bone structure and in treatment of carcinoma of bone. Strontium - 90 Used in the radiotherapy of superficial carcinomas. Cyanocobalamine (Co - 57) Used in the diagnosis of pernicious anaemia Calcium – 47 It is having half life of 4.7 days. It is used in calcium absorption studies. Cyanocobalamine (Co – 60 Solution USP) Used to study absorption and deposition of vitamin B12 in normal individuals. Gold (Au - 198) solution Finds use in estimation of reticuloendothelial activity. Iron (Fe - 59) Finds use in research studies about utilization and absorption of Iron salts.
  • 35. USES OF SODIUM IODIDE I-131  Used as a diagnostic aid for studying the functioning of the thyroid gland.  Used in scanning the thyroid for determining the size, position and possible tumour location.  Used in the treatment of severe cardiac disease (Sodium iodide I-131), which reduces work load on heart.  Radioactive iodine in thyroid carcinoma (cancer): The isotope is used most frequently after the surgical removal of cancer to treat any residual tumour tissues. DHRUVI PRAJAPATI 35
  • 36. GTU QUESTIONS 1. What are radiopharmaceuticals? Enumerate the various units of radioactivity. What precautions are to be taken in handling and storage of radioactive materials? 2. Write a note on behavioural properties of different radiations. OR Write a note on radioactive rays. 3. How the radioactivity measured? Write a note on GM counter. Explain its working. OR Enumerate different methods of measurement of radioactivity and explain any 2 in detail. 4. What are radiopharmaceuticals? Give uses of Na 131 I. 5. Give a brief account on therapeutic and diagnostic applications of inorganic radiopharmaceuticals. OR Write down various clinical applications of radiopharmaceuticals. OR Discuss applications of radiopharmaceuticals in medicine. DHRUVI PRAJAPATI 36