Evaluation of the visualized left atrium by 201Tl myocardial scintigraphy

201Tl myocardial scintigraphy was evaluated in patients with 18 mitral stenosis cases. Left atrium was to be seen in ANT (16.7%), LAO (16.7%), MLAO (16.7%) and L-LAT (11.1%), respectively. Furthermore, 201Tl uptake ratio of left atrium, right ventricle, pulmonary area tended significantly to increase in visible group compared with invisible group. PCW pressure was correlated with left atrial Tl uptake (r = 0.51, p less than 0.005), and it indicated some correlation between left atrial pressure and 201Tl uptake.     

Gamma-ray spectra of 201Tl-radiopharmaceuticals with a scintillation camera--crosstalk of contaminating nuclides of 200Tl and/or 202Tl onto 201Tl-photopeaks

In cardiac imaging with 201Tl, the collimator for low energy high resolution is generally used, and also the energy window, which is set on the spectral display of a pulse height analyzer of a scintillation camera, is chosen 70 +/- 12.5 keV. The purpose of this study is to discuss those conditions in 201Tl imaging with the scintillation camera. Two types of collimators for HR (high resolution) and ME (medium energy) were used in this experiment, and we measured the pulse height spectra of 201TlCl radiopharmaceuticals in air and in a cuboid phantom, connecting a multi-channel pulse height analyzer to the scintillation camera. As a result of measuring of the pulse height spectra, two different energies of gamma rays which are not supposed to emit from 201Tl nuclide were observed, and we also identified the presence of a small amount of 202Tl (with 439 keV) and/or 200Tl (with 368 keV) from their half-life measurements. Thus, the use of the HR-collimator with 201Tl imaging is not suitable, because the shielding effects of its septa is poor to 439 keV gamma-rays, and the scattered radiation produced by the Compton interaction contributes to the principal photopeak on the pulse height spectrum. Here, we recommend the use ME-collimator instead of the HR-one, and of the window width of 76 +/- 25 keV for increasing the count rate.     

Whole body autoradiography with 201Tl and clinical results

Thallium-201 has been suggested as a useful diagnostic agent for myocardial scanning. We report herewith the clinical usefulness of Tl-201 as a result of our animal studies with rats as well as clinical trial for human being. After intravenous injection, we killed rats at regular intervals, then measured the activity in each anatomized organ by gamma-well counter and observed the internal distribution and examined autoradiograms with the naked eye. As a result, the accumulation of Tl=201 in the myocardium observed in 5 min after injection, reaching the maximum level in 30 min and gradually decreased hereafter. We performed 22 myocardial clinical scans. In adults we could clearly detect the lesion of myocardial infarction, but in children found it difficult to obtain full sufficient information due to small heart size and high pulse rate. Judging from the foregoing we think it possible to obtain much clearer images by using a data analyzer.     

Sequential changes of the cardiomyopathy in Duchenne muscular dystrophy by 201Tl myocardial SPECT

201Tl myocardial SPECT was performed to evaluate cardiomyopathy in Duchenne type of progressive muscular dystrophy (DMD). Follow up SPECT images of the same patients were also obtained about 1 year after the first scan. Cases subjected to study were 10 DMD. At the first study the hypoperfusion area of the left ventricular muscle was observed in 6 cases (60%) out of 10. At the second study the hypoperfusion areas became wider and lower in 4 out of 6 cases (66.7%). The new hypoperfusion area which was not demonstrated at the first study was observed at the second study in one case of these cases. These results suggested that the positive rate of cardiomyopathy in DMD by 201Tl myocardial SPECT was high, and 201Tl myocardial SPECT is a useful examination to detect the change of myocardial damage in DMD.     

201Tl production through light charged-particle induced reactions on Tl and Hg isotopes: theoretical and simulation approaches

Investigation of the significant ²⁰¹Tl diagnostic radionuclide production via protons and deuterons induced reactions by using the ²⁰³Tl, ²⁰¹Hg and ²⁰²Hg isotope targets is the main goal of this study. The effect of three phenomenological and microscopic level density models utilizing the TALYS-1.8 code along with TENDL-2017 data were applied to excitation functions evaluations. Furthermore, simulation code was used for the above production processes. Subsequently the prediction of the production yield in each reaction was done. Finally, the comparison between EXFOR database experimental data and the theoretical and simulation-based calculations was implemented.

     

Separation of Tl(I)-Pb(II) by liquid-liquid extraction with diethyldithiocarbamic acid isolation of201Tl

The production of²⁰¹ Tl is described. Natural thallium is irradiated with protons and the induced²⁰¹Pb is separated from the target by liquid-liquid extraction with diethyldithiocarbamic acid in chloroform.²⁰¹Tl is separated from the mother activity (²⁰¹Pb) by liquid-liquid extraction with the same reagent. The decontamination of the final product (carrier free²⁰¹TlCl) is ≥5·10⁶ from the thallium of the target and>5×10⁴ from lead isotopes.     

Separation of thallium-201 from Tl,Pb and Bi cyclotron target materials

Radiochemical methods of thallium-201 separation from proton-irradiated thallium, lead and bismuth targets have been developed. The procedures are based on the processes of coprecipitation, ion-exchange chromatography and high temperature gas chemistry. The purity of thallium samples complies with requirements of nuclear medicine for thallium-201 product.     

Cs10Tl6SiO4, Cs10Tl6GeO4, and Cs10Tl6SnO3 – First Oxotetrelate Thallides,Double Salts Containing “Hypoelectronic” [Tl6]6– Clusters

Cs₁₀Tl₆TtO₄ (Tt = Si, Ge) and Cs₁₀Tl₆SnO₃ were synthesized by the reaction of appropriate starting materials at 623–673 K, followed by fast cooling or quenching to room temperature, in arc‐welded tantalum ampoules. According to single‐crystal X‐ray analyses, the compounds crystallize in new structure types (Cs₁₀Tl₆TtO₄ (Tt = Si, Ge), P2₁/c and Cs₁₀Tl₆SnO₃, Pnma), consisting of [Tl₆]^6– clusters, which can be characterized as distorted octahedra compressed along one of the fourfold axes of an originally unperturbed octahedron, and [SiO₄]^4–, [GeO₄]^4– or [SnO₃]^4– anions. The oxotetrelate thallides can be regarded as “double salts”, which consist of Cs₆Tl₆ on one side and respective oxosilicates, ‐germanates and ‐stannates on the other, showing almost not any direct interaction between the two anionic moieties, as might be expressed e.g. by the formula [Cs₆Tl₆][Cs₄SiO₄]. In contrast to the silicon and germanium compounds, where the oxidation state of the tetrel atom is unambiguously 4+, for the threefold coordinated tin atom in Cs₁₀Tl₆SnO₃ an oxidation state of 2+ has to be assumed. Thus, the latter reveal further evidence that the so called “hypoelectronic” [Tl₆]^6– cluster does not require additional electrons and is intrinsically stable. The distortion of [Tl₆]^6– can be understood in terms of the Jahn–Teller theorem. According to magnetic measurements all title compounds are diamagnetic.     

A new production method for carrier-free201Tl using IEN'S cyclotron in Rio De Janeiro

A new and simplified method was developed for the separation of thallium 201 which will allow the shipment of a “one shot generator” to distant places and easy elution at the destination. Thallium is produced as usually, through the reaction $${}^{nat}Tl/p,xn/^{201} pb\xrightarrow{{\beta ^ + }}{}^{201}Tl$$ with 24-MeV protons from IEN'S CV-28 cyclotron. The separation is based on the properties of a chelating carboxylic acid cation exchange resin column which at pH 4.5 retains lead while thallim is easily eluted. This column can also be used as a regular generator to produced greater quantities of²⁰¹Tl but at the expense of more elutions.     

A case of parathyroid carcinoma visualized by 67Ga citrate and 201Tl chloride scintigraphy

Both 67Ga citrate and 201Tl chloride accumulated in a parathyroid tumor of a 62 year-old woman with primary hyperparathyroidism. Histological studies disclosed that the tumor was a parathyroid carcinoma. The use of both tumor scanning agents, 67Ga citrate and 201Tl chloride to visualize parathyroid carcinoma in a patient with primary hyperparathyroidism has not been reported as far as we could determine.     

Evaluation of prognosis in patients with old myocardial infarction--using 201Tl myocardial scintigraphy and 99mTc cardiac scintigraphy

To evaluate the prognosis in 57 patients with old myocardial infarctions, 201Tl myocardial scintigraphy and 99mTc-HSA gated blood pool scan had been done as a 5-year follow up study. We subdivided into two groups; group I (over 60 years) and group II (under 60 years). Cardiac index (CI) and right ventricular ejection fraction (RVEF) did not change significantly, however left ventricular ejection fraction (LVEF) changed significantly (p less than 0.05). Correlationship between CAG score and delta LVEF by handgrip exercise test was y = -1.34 x +3.61 (n = 44, r = -0.400, p less than 0.01). Otherwise, Tl defect ratio between first and final examination did not show the significant change in two groups. In conclusion, nuclear examination (cardiac function and myocardial blood flow) is significant to evaluate the prognosis in patients with myocardial infarction.     

Distribution of pirarubicin in human blood.

We investigated the distribution and stability of pirarubicin in human blood obtained from 12 healthy volunteers. The distribution of pirarubicin into blood cells showed marked temperature- and concentration-dependencies and the Arrhenius plot for pirarubicin uptake in blood was biphasic. Therefore, pirarubicin appears to be taken up into blood cells by a carrier-mediated system. Pirarubicin was mainly enzymatically metabolized to pirarubicinol in blood cells, but pirarubicin was not metabolized into doxorubicin in either blood or plasma. On the other hand, in plasma, pirarubicin was degraded to unknown inactive compounds instead of pirarubicinol. It is therefore suggested that blood cells serve to protect against the degradation of pirarubicin into inactive compounds in blood. Accordingly, when the monitoring of pirarubicin and its active metabolites is carried out in patients, both blood and plasma must be frozen immediately after blood collection.     

Separation of Tl/III/ from Tl/I/

A method for the separation of Tl/III/from Tl/I/ is reported employing 1-/2-pyridylazo/-2-naphthol /PAN/ and Rhodamine-B as extracting agents.     

Interaction in the Tl2S-SnS-PbS quasi-ternary system

Phase equilibria in the Tl₂S-SnS-PbS quasi-ternary system were studied by differential thermal, X-ray powder diffraction, and microstructural analyses. The following schemes were constructed: the state diagrams of the partially quasi-binary sections Tl₄SnS₃-Tl₄PbS₃, PbS-Tl₄SnS₃, and PbS-Tl₂Sn₂S₃, the isothermal section at 520 K, and the projection of the liquidus surface to the concentration triangle of the Tl₂S-SnS-PbS system. The coordinates of invariant points and the boundaries of solid solutions were determined.