M. Cronhjort et al., ACTIVITY IN THE GASTROINTESTINAL-TRACT AFTER ADMINISTRATION OF BONE-SEEKING RADIOPHARMACEUTICALS - EXPERIMENTAL STUDIES IN MICE, Acta radiologica, 37(5), 1996, pp. 785-790
Purpose: To test the possibility that (radio)activity of non-pertechne
tate nature is excreted into the gastrointestinal tract at bone scinti
graphy. Material and Methods: The distribution of a bone-seeking radio
pharmaceutical (Tc-99m-HDP) was studied in an experimental mouse syste
m by dissecting different organs and assessing their activity with a g
amma-counter. Results: A comparison of the activity of the submandibul
ar glands, which are assumed to accumulate only pertechnetate, and the
gastrointestinal tract showed that a significant fraction of the acti
vity excreted into the gastrointestinal tract did not consist of perte
chnetate. Part of the excretion took place in the stomach. It was not
connected to a specific bone-seeking agent or Mo-99/Tc-49m generator,
Nor did it increase with time between make-up and injection. The excre
tion of the non-pertechnetate acitvity was reduced by cimetidine and o
meprazole. These gastric-secretion blocking drugs did not reduce excre
tion of pertechnetate or significantly affect the general distribution
of the radiopharmaceutical. Conclusion: There is a significant excret
ion of non-pertechnetate activity in the gastrointestinal tract. Part
of this may be caused by excretion of the undegraded radiopharmaceutic
al by the stomach mucosa.