A Study on Analysis of Labeling Efficiency Depending on Mixing Time in Asan Medical Center Red Blood Cell Labeling Method

The aim of this study was to overcome the shortcomings of technetium-99m red blood cell labeling, such as the requirement of additional time, and to maintain a stable labeling efficiency by reducing the mixing time for technetium-99m red blood cell labeling in the Asan Medical Center red blood cell labeling method developed by this hospital. Thirty patients, who underwent an examination using technetium-99m red blood cell labeling in the nuclear medicine department from April to September 2012, were selected randomly. Blood samples (5 mL per patient) were mixed with acid citrate dextrose, and 1-mL aliquots were taken to make four blood samples. The Asan Medical Center red blood cell labeling method was used for labeling. In this case, the mixing time was set to 5, 10, 15, and 20 min before calculating the efficiency of each labeling. The difference depending on the mixing time was compared. According to the technetium-99m red blood cell labeling efficiency depending on the mixing time in the Asan Medical Center red blood cell labeling method, the efficiency of each labeling was 92 ± 5%, 96 ± 5%, 97 ± 5%, and 98 ± 5% for 5, 10, 15, and 20 min, respectively. Overall, the labeling efficiency was relatively low when the mixing time was 5 min, whereas there was no significant difference in labeling efficiency when the mixing time was longer than 5 min. In conclusion, the Asan Medical Center red blood cell labeling method can provide an environment that is more conducive to the combination of red blood cell with technetium-99m pertechnetate than the previous modified labeling method because the Asan Medical Center red blood cell labeling method removes blood plasma in an additional centrifugation process.