THE DEVELOPMENT OF A CLINICAL PROTOCOL FOR THE RADIOLABELLING OF MIXED LEUKOCYTES WITH TC-99M-HEXAMETHYLPROPYLENEAMINE OXIME

THE DEVELOPMENT OF A CLINICAL PROTOCOL FOR THE RADIOLABELLING OF MIXED LEUKOCYTES WITH TC-99M-HEXAMETHYLPROPYLENEAMINE OXIME
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DOI:
10.1097/00006231-198806000-00010
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发表时间:
1988-06-01
影响因子:
1.5
通讯作者:
CARROLL, MJ
CARROLL, MJ
中科院分区:
医学4区
文献类型:
--
作者:
DANPURE, HJ;OSMAN, S;CARROLL, MJ

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为设计99 Tcm-六甲基丙烯胺肟(99 Tcm-HMPAO)标记混合白细胞的方法,测定了HMPAO浓度、细胞浓度、血浆浓度和抗凝剂对99 Tcm-HMPAO亲脂性复合物摄取的影响,以及99 Tcm在标记细胞上的稳定性。发现细胞摄取迅速,在20-80 μg ml-1范围内与HMPAO浓度无关,但依赖于细胞和血浆浓度。取85 ml全血,加入1 ml ACD-血浆和4 ml含400 MBq 99 Tcm的99 Tcm-HMPAO,室温孵育10 min,效果最佳,用于90例病人。平均标记效率为55%(±13 SD),其中粒细胞占77%,单核细胞占17%,血小板和红细胞占6%。在血浆中孵育时,标记的混合白细胞释放出9%(± 4%SD)的99 Tcm。这主要发生在单核细胞。
To devise a protocol for the radiolabelling of mixed leucocytes with 99 Tc m-hexamethyl-propyleneamine oxime (99 Tc m-HMPAO), the effect of HMPAO concentration, cell concentration, plasma concentration and anticoagulant on the uptake of the lipophilic complex was measured, together with the stability of the 99 Tc m on the labelled cells. It was found that cell uptake was rapid, independent of HMPAO concentration over the range 20–80 μg ml− 1, but dependent on cell and plasma concentration. Incubation of mixed leucocytes from 85 ml blood with 1 ml ACD-plasma and 4 ml 99 Tc m-HMPAO containing 400 MBq 99 Tc m for 10 min at room temperature gave optimum results and was used in 90 patients. The mean labelling efficiency, which was the amount of added 99 Tc m incorporated by the cells, was 55%(±13 SD), of which 77% were incorporated by the granulocytes, 17% by the mononuclear cells and 6% by the platelets and erythrocytes. During alh incubation in plasma 9%(±4% SD) of the 99 Tc m were released from the labelled mixed leucocytes. This occurred predominantly from the mononuclear cells.