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2011/11/10

Dr. Marika Bajc

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General Technegas FAQs

What is Technegas?

Technegas is a suspension of structured graphite ellipsoids with diameter around 100nm and labelled with 99mTc in a carrier gas of Argon.

How is Technegas produced?

Technegas is formed by the initiation evaporation of 99mTc

How long does it take to produce a dose of Technegas?

Accounting for tracer preparation and loading, Technegas preparation time would be around 12 minutes, essentially unattended.

Where is Technegas trapped in the lung?

On inhalation, the structured ultra-fine dispersion of labelled carbon adheres to the walls of the alveoli. Penetration characteristics within the lung are gaslike and the radioactive concentration per litre of carrier argon allows single breath inhalation of diagnostic value.

What is effective half-life of Technegas?

The biological clearance of Technegas is effected by macrophage activity within the body immune system. This clearance is slow when compared with the physical half-life of the radioactive tracer. There is negligible difference between the physical half-life (6 hours) and the effective half-life of Technegas in the lungs.

What are the contra-indications for Technegas?

No contra-indications exist for the use of Technegas.

 

Is there any adverse reactions to Technegas?

No adverse reactions to Technegas have been reported since its introduction for medical use in June 1986.

How much carbon is inhaled?

The mass of carbon inhaled per study has been calculated as approximately 50µg.

Can Technegas be used on children?

In children and young persons of reproductive age, the perfusion study may be performed first, and if the study shows abnormality, then proceed to the ventilation study. The quality of Technegas images enables this protocol to be followed.

What radioactivity is required for Technegas dose?

A radioactive dose between 400-800 MBq is recommended in a volume of 0.14ml. A radioactive concentration of at least 4000 MBq/ml is required.

What if the radioactive concentration of the department stock is too low?

The Technegas system allows for multiple simmer cycles to be performed.
Following the completion of each simmer cycle, 0.14 ml of tracer may be added
until desired radioactivity has been introduced into the system.

How much Technegas is administered to a patient?

It is dependent upon individual department protocols. Normally a count rate between 1000 cps and 2500 cps is required. It has been estimated that a count rate of 2500 cps, in posterior view, is equivalent to a retained activity of 37 MBq.

Can the Patient Administration Set (PAS) be re-used?

This is primary a basic infection and contamination control manoeuvre designed to assist in good work practice. Attempts to cleanse the PAS will result in damage to the valves, failure of the filter medium and faulty delivery
of Technegas.

How is the exhaled Technegas contained?

Technegas exhaled through the mouthpiece / valve assembly is trapped on a filter.

How is the unused Technegas contained within the generator?

All residual, unused Technegas is trapped onto a replaceable exhaust filter before access to the chamber is possible.

What is the estimated radiation dose to the patient?

Based on an infinite residence time for Technegas particles in the lung, parenchyma radiation exposure has been calculated to 4.5 mGy for 37 MBq inhaled activity.

What is the estimated radiation dose to the operator?

Radiation surveys indicate the maximum radiation dose rate detected in the operator position as 10 µSv/h per 100 MBq of 99mTc injected into the system.

What regular maintenance is required?

In addition to regular cleaning of the unit, the crucible contact and purge filter (not for TechnegasPlus) must be changed after every 50 burns. This is simple procedure to implement.

Are there any other service requirements?

Apart from routine maintenance, programmed servicing of the Technegas system is required at six monthly intervals. Full-trained engineers are available for prompt attention should service be required.

Does the Technegas generator have failsafe systems?

The Technegas generator incorporates 15 feedback systems, which constantly monitor critical functions. These failsafe systems do not have manual override devices ensuring the safe generation of Technegas.

Does the Technegas generator provide radiation protection to the user?

The Technegas generator has lead lining incorporated in various areas of the machine as well as acrylic viewing screen lead shielding in the drawer to protect the user when adding the 99mTc Pertechnetate to the generator.