Review Article

Radiotracers Used for the Scintigraphic Detection of Infection and Inflammation

Table 2

Commercial radiopharmaceuticals currently used in clinical nuclear medicine.

Product trade Name/code Manufacturer/sponsorFinal dose preparationa,bMode of
administration
Indicationsc
OriginDescription

CERETECUKKit for the preparation of technetium [99mTc] exametazime injection SimpleIntravenousScintigraphic localization of seizure foci in patients with temporal lobe epilepsy

LEUCOCYTE Labelling Kit [LLK]AustraliaKit for the preparation of technetium [99mTc] labelled leucocytes (99mTc-Sn(O)F2)ComplexIntravenous Image acute inflammation or infection

MDPManyKit for the preparation of technetium [99mTc]
medronate injection
SimpleIntravenousSkeletal imaging pharmaceutical

Indium [111In] oxineUK, NetherlandsA diagnostic radiopharmaceutical intended for radiolabellingSimpleIntravenousIn vitro radiolabeling of separated leukocytes and platelets which are subsequently reinjected intravenously for investigative purposes

Gallium [67Ga] citrate injectionManyAn injection containing radioactive gallium [67Ga]SimpleIntravenous It may be useful in demonstrating the presence and extent of Hodgkin’s disease, lymphomas, and bronchogenic carcinoma and may also be useful as an aid in detecting some acute inflammatory lesions

Fluorodeoxyglucose [18F] injectionManyA positron emitting radiopharmaceutical containing no-carrier added radioactive 2-deoxy-2-[18F]fluoro-D-glucoseSimpleIntravenousIdentification of regions of abnormal glucose metabolism associated with foci of epileptic seizures, in the evaluation of malignancy in patients and identification of left ventricular myocardium with residual glucose metabolism and reversible loss of systolic function

LeukoScanUSA, GermanyKit for the preparation of 99mTc-labeled LeukoScan SimpleIntravenousFor determining the location and extent of infection/inflammation in bone in patients with suspected osteomyelitis, including patients with diabetic foot ulcers

ScintimunFranceScintimun 1 mg kit for radiopharmaceutical preparation ComplexIntravenous For determining the location of inflammation/infection in peripheral bone in adults with suspected osteomyelitis

NanocollItalyKit for radiopharmaceutical preparation (99mTc-HAA)SimpleIntravenous Bone marrow scanning (excluding hematopoietic activity) and inflammation scanning (excluding the abdomen)

Simple operations involving one radioisotope reconstitution step/withdrawal of final patient dose(s); bcomplex operations involving multisteps of reconstitution/heating/other manipulations/purification/withdrawal of final patient dose(s); cfrom the Product Information Sheet.