Pertechnetate
The pertechnetate ion is an oxoanion with the chemical formula TcO−
4. It is often used as a convenient water-soluble source of isotopes of the radioactive element technetium (Tc). In particular it is used to carry the 99mTc isotope (half-life 6 hours) which is commonly used in nuclear medicine in several nuclear scanning procedures.
A technetate(VII) salt is a compound containing this ion. Pertechnetate compounds are salts of technetic(VII) acid. Pertechnetate is analogous to permanganate but it has little oxidizing power. Pertechnetate has higher oxidation power than perrhenate.
Understanding pertechnate is important in understanding technetium contamination in the environment and in nuclear waste management.
A technetium-99m generator provides the pertechnetate containing the short-lived isotope 99mTc for medical uses. This compound is generated directly from molybdate held on alumina within the generator (see this topic for detail).
Pertechnetate has a wide variety of uses in diagnostic nuclear medicine. Since technetate(VII) can substitute for iodine in the Na/I symporter (NIS) channel in follicular cells of the thyroid gland, inhibiting uptake of iodine into the follicular cells, 99mTc-pertechnetate can be used as an alternative to 123I in imaging of the thyroid, although it specifically measures uptake and not organification. It has also been used historically to evaluate for testicular torsion, although ultrasound is more commonly used in current practice, as it does not deliver a radiation dose to the testes. It is also used in labeling of autologus red blood cells for MUGA scans to evaluate left ventricular cardiac function, localization of gastrointestinal bleeding prior to embolization or surgical management, and in damaged red blood cells to detect ectopic splenic tissue.
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