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Title:
Process for the production of a radioactive aerosol
United States Patent: 7,722,856
Issued: May 25, 2010
Inventors: Browitt; Rodney
James (Kaleen, AU), Burch; William Martin (Gymea Bay, AU), Senden; Timothy
John (Aranda, AU), Stephens; Ross Wentworth (Stirling, AU), Shaw; David
DeForest (Chandler, AZ)
Assignee: Cyclomedica
Australia Pty Limited (Lucas Heights, AU)
Appl. No.: 11/361,602
Filed: February 24, 2006
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George Washington University's Healthcare MBA
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Abstract
A method for forming an inhalable isotope
compound suitable for use in patient medical diagnosis, the method
comprising the steps of: (a) electrolytic loading of a carbon crucible
with the isotope; (b) sublimating any isotope carrier in the crucible; (c)
ablating the isotope in a carbon crucible, forming an ablation aerosol;
(d) directly delivering the aerosol for immediate use by a patient. The
isotope can comprise technetium.
Description of the
Invention
SUMMARY OF THE INVENTION
It is an object of the present invention to provide an improved method for
creating a radioactive aerosol.
In accordance with a first aspect of the present invention, there is
provided a method for forming an inhalable isotope compound suitable for
use in patient medical diagnosis, the method comprising the steps of: (a)
electrolytic loading of a carbon crucible with the isotope; (b)
sublimating any isotope carrier in the crucible; (c) ablating the isotope
in a carbon crucible, forming an ablation aerosol; (d) directly delivering
the aerosol for immediate use by a patient.
Preferably, the isotope can comprise technetium. Preferably, the
electrolytic flow transitioning the crucible can be between substantially
0.1 to 0.7 mL per minute. The current through the electrolytic cell can be
substantially between 1 and 10 milliamps. The duration of the electrolysis
can be substantially between 10 and 60 minutes.
Preferably, the isotope carrier can comprise a salt, ideally sodium
chloride. The sublimation can occur in an argon atmosphere. The
sublimation occurs in an argon atmosphere purging a chamber for
substantially between 2 and 10 minutes. Preferably, the temperature for
sublimation occurs at substantially 1200 to 1800 degrees Celsius. The
duration of the sublimation can be substantially between 10 and 20
seconds.
Preferably, the ablation occurs in an argon atmosphere. The temperature
rise time for ablation can be substantially 0.3 to 0.7 seconds. The
temperature of the ablation can be substantially between 2740 and 2780
degrees Celsius. The ablation can occur for substantially between 2.5 and
3.5 seconds. The ablated isotope aerosol can be delivered directly to a
patient for medical imaging.
Further, the aerosol can be periodically subjected to capture in water and
analysed to determine the operational efficiency of the method. The
analysis preferably can include analysis of free pertechnetate levels or
excess carbon levels.
In accordance with a further aspect of the present invention, there is
provided a method for forming an inhalable isotope compound suitable for
use in patient medical diagnosis, the method including at least one of the
following steps: (a) electrolytic loading of a carbon crucible with the
isotope; (b) sublimating any isotope carrier in the crucible; and (c)
ablating a previously sublimated isotope in a carbon crucible, forming an
ablation aerosol.
ESCRIPTION OF THE PREFERRED AND OTHER EMBODIMENTS
The preferred embodiments of the present invention provide for a
substantial improvement of radioactive aerosols suitable for use in
imaging patient airways.
The preferred embodiment involves a multistage process for carefully
controlling the production of an optimised lung imaging agent, comprising
an aerosol of stable radioactive nanoparticles that are substantially
water insoluble. The preferred embodiment has been derived in part from
extensive use of vapour phase particle sizing and liquid phase
physicochemical analysis to enable close specification of the precise
conditions enabling commercial production of an aerosol that is
particularly suitable for diagnostic medical imaging and represents a
considerable improvement on the prior art. The preferred embodiment also
preferably includes innovative methods for quality control of the imaging
product.
The preferred embodiment addresses the following issues:
1) Electrolytic Crucible Loading
The level of water-soluble sodium chloride and free non-encapsulated
radionuclide (i.e. pertechnetate) contaminating the aerosol must be
minimised. Surprisingly, it has been found that this can be achieved by
using a novel method of crucible loading, employing electrolytic
concentration of the radionuclide. It has also been found that evaporative
loading of crucibles in standard prior art carbon-encapsulated technetium-labelled
nanoparticle-composite creation devices may produce pertechnetate
contamination levels of over 20% of the total aerosol radioactivity, and
may be as high as 60% of the radioactivity in the aerosol delivered to the
patient. By contrast, it has been found that non-encapsulated
pertechnetate contamination can be reduced to less than 6% by electrolytic
loading of crucibles.
Electrolytic loading also permits the direct use of isotope from weaker
technetium generators as well as the extended use of standard technetium
generators by providing a method for the concentration of radionuclide in
a carbon crucible without increasing sodium chloride loading of the
crucible. Extended use of standard isotope generators in turn provides a
considerable cost savings in the hospital purchasing of radioisotope.
2) Sublimation of Carrier Sodium Chloride
Heating of the crucible in two stages has been found advantageous in
reducing soluble sodium chloride contamination of aerosol; during the
first stage, the crucible is raised to a temperature suitable for
sublimation of carrier sodium chloride (e.g. 1685.degree. C.) and in the
second stage, the crucible is held at a temperature suitable for plasma
ablation of the radionuclide from the crucible (e.g. 2775.degree. C.). The
first stage heating has a relatively slow rise time of approximately 1
second to reach 1685.degree. C. and is held at that temperature for a
period of between 5 and 20 seconds to effect the sodium chloride
sublimation. During this phase, the vapour-phase sodium chloride is
continuously removed by concurrent argon purging to a safety purge filter.
3) Temperature Rise Time Control
The enabling conditions for appropriate crucible ablation are more complex
than merely heating of the crucible to a particular temperature.
Specifically, the time it takes for the crucible to reach the desired
temperature is critical. Furthermore, the conditions within the crucible
chamber must be permissive for the induction and maintenance of an
alternating current (AC) plasma at that temperature. The AC plasma is
necessary to ablate and encapsulate radionuclide particles from the
crucible surface with carbon. Merely heating the radionuclide in a carbon
crucible will not produce a product suitable for imaging. The preferred
embodiment provides for thermionic induction of plasma across the opening
of the crucible, not merely resistive heating of the body of the crucible.
This condition is satisfied through the use of a microprocessor-regulated
AC power supply that produces an extremely rapid rise-time (approximately
0.4 seconds) in the crucible thermoprofile to full ablation temperature.
Induction of plasma is also enhanced by the presence of sodium ions and
the argon purge gas (i.e argon readily ionises at high temperatures).
4) Ablation Temperature Control
The size of carbon-encapsulated nanoparticles in the aerosol produced by
plasma ablation of the graphite crucible--at least over the range of
2600-2900.degree. C.--is a direct function of the ablation temperature.
The optimal crucible ablation temperature range for formation of an
aerosol of carbon-encapsulated technetium particles of less than 100 nm
diameter is in the range of 2760.+-.20.degree. C. This temperature range
produces substantial quantities of water-insoluble carbon-encapsulated
radionuclide nanoparticles with a peak size of approximately 90 nm
diameter, i.e. small enough to favour deep lung penetration after
inhalation. These nanoparticles do not release appreciable soluble
radionuclide on contact with water, even under autoclave conditions. The
purging of the generator with argon is critical for plasma formation of
these small particles as the presence of oxygen is thought to selectively
destroy the smallest particles.
From vapour phase particle analysis it has now been found that the size of
particles produced in the aerosol is a direct function of crucible
ablation temperature, and that carbon-encapsulated particles suitable for
imaging (<150 nm diameter) are produced in a narrow temperature range that
is 500-600.degree. C. higher than previously specified.
5) Ablation Timing Control
To produce sufficient encapsulated particles without production of excess
carbon, the optimal duration of crucible ablation at 2760.+-.20.degree. C.
has been determined. Under the described crucible ablation conditions
above, thermionic plasma ablation of radionuclide occurs very rapidly and
prolonged heating only produces more unwanted carbon in the aerosol. The
optimum duration of plasma ablation at 2760.+-.20.degree. C. is
approximately 2.5 to 3.5 seconds.
Thermionic induction of plasma is required across the opening of the
crucible, which subsequently ablates an aerosol of carbon and radionuclide
particles from the crucible surface. This is evidenced by: a) the marked
increase in carbon particle aerosol output from a sodium chloride treated
crucible compared to an untreated crucible; even trace amounts of sodium
ions are well known to promote thermionic emission, b) the marked increase
in conductivity of a loaded crucible above 1800.degree. C., consistent
with arcing through an ionised gas (argon is easily ionised), c) visible
changes in the crucible surface produced by the arcing. 6) Immediate
Availability for Aggregate Reduction
Surprisingly it has been found that aggregation of encapsulated particles
in the aerosol is very rapid and pronounced. The time scale involved is
seconds rather than minutes. Accordingly, in the preferred embodiments,
the carbon-encapsulated technetium-labelled nanoparticle-composite aerosol
is immediately available to the patient from the crucible's particle
emission in the generator. The duration of crucible heating is kept very
short and ideally the particles emitted from the crucible continuously
collected in flowing argon and delivered to the patient on line, without
any delay in the crucible chamber. Although the crucible temperature is
very high, there are no issues of heat of the aerosol involved for the
patient--the temperature of the output aerosol after passage through the
generator/delivery system is close to room temperature.
A further justification for direct delivery of the aerosol is that vapour
phase aggregation not only rapidly accumulates radioactivity in larger
particles, it also markedly diminishes the fraction of radioactivity
present as smaller particles. It is the smaller aerosol particles that
provide the best imaging of the lung's extremities, not the larger. Larger
particles stay higher in the airways and do not penetrate the furthest
extremities of the lungs. It follows that less radionuclide may be
required for each lung image if a higher proportion of radionuclide can be
delivered to the lungs as smaller insoluble particles. Furthermore, any
reduction in patient exposure to radioactivity resulting from larger
particles is advantageous for the minimisation of complications in the
patient as a result of the imaging procedure.
The size of the aerosol particles increases rapidly due to aggregation,
and large aggregated particles quickly settle out of the aerosol onto the
interior of the chamber. Thus, while a large proportion of radioactivity
is initially present in small aerosol particles well suited for lung
imaging, within 3 minutes this radioactivity is lost to the chamber walls
of the generator device. The aerosol released after retention in the
chamber for more than a few minutes is in fact enriched in water-soluble
sodium chloride and free radionuclide particles.
7) Quality Control
To provide monitoring of the normal functioning of the aerosol generation,
quality control methods have been incorporated into the device. This aids
in maintaining the uniform suitability of the aerosol product for
diagnostic lung imaging. Other systems that do not incorporate these or
similar quality control measures present the risk that patients are not
receiving an optimal imaging dose whilst also minimising post-procedure
systemic exposure.
The preferred embodiment therefore also includes periodic testing of the
aerosol product by capture of the carbon-encapsulated radionuclide
nanoparticles in an aqueous dispersion by the use of an electrostatic
sonicating precipitator (such as that disclosed in U.S. Pat. No.
5,792,241). The captured particles are then available as a stable aqueous
dispersion suitable for analysis of at least free pertechnetate
(thin-layer chromatography method) and excess carbon (light-scattering
method). These simple tests use reference baseline data from a database of
carefully controlled generator runs that the current measurement is
compared against.
Overview Of New Carbon-Encapsulated Technetium-Labelled Nanoparticle-Composite
Creation Process
The aerosol production process of the preferred embodiment consists of the
following three stages: 1) Graphite crucible loading by electrolytic
deposition of radionuclide in a purpose-built concentrator device. 2)
Preheating of the crucible with argon purging in a modified generator to
remove sodium chloride by sublimation at a temperature below the boiling
point of the radionuclide. 3) Plasma ablation of carbon-encapsulated
radionuclide particles from the graphite crucible using a tightly
controlled thermoprofile, and with continuous argon gas flow directed on
line to the patient.
This three stage process above includes several substantial departures
from the prior art technology as follows:
Stage 1
The loading of radionuclide into the graphite crucible is now accomplished
by the use of an electrolytic concentrator. In the standard
carbon-encapsulated technetium-labelled nanoparticle-composite creation
process the crucible is typically loaded by simply evaporating one or more
loadings of a solution of radionuclide in the crucible. Electrolytic
loading of crucibles has surprisingly been found to achieve aerosol
preparations that have a lower contamination of water-soluble sodium
chloride and free (non-encapsulated) radionuclide (as water-soluble
pertechnetate).
Stage 2
The carbon-encapsulated technetium-labelled nanoparticle-composite
generator design has been modified and the graphite crucible heating
conditions changed to provide a pre-heating sub-routine. The pre-heating
removes sodium chloride from the loaded crucible by sublimation at
1685.degree. C. into an argon purge stream. The sublimated sodium chloride
is captured in a purge filter.
Stage 3
The carbon-encapsulated technetium-labelled nanoparticle-composite
generator design has been modified and the crucible ablation conditions
changed to permit: Elimination of air traps in the crucible chamber and
allow stratified argon purging of the crucible chamber so as to
efficiently remove all traces of air prior to crucible heating. Addition
of controls which enable two stage heating as above with continuous argon
gas flow during sodium chloride sublimation and during plasma ablation of
the crucible. A modified thermoprofile for crucible ablation--it is
required in the preferred embodiments that the crucible temperature rises
sharply through the 2000.degree. C. to 2800.degree. C. range, preferably
in approximately 0.4 seconds. Tightly regulated temperature control of
crucible plasma ablation to achieve the optimal ablation temperature range
of 2750.degree. C. to 2780.degree. C. with a stability of .+-.15.degree.
C. Reduced the duration of crucible ablation from 15 seconds to 2.5-3.0
seconds. Process Flowchart
Turning initially to FIG. 1 (see Original Patent) there is illustrated a
flowchart 1 of the steps involved in the preferred embodiment.
The preferred embodiment consists of core steps 10 and 11, each of which
is divided into a series of substeps. The first step 10 deals with
crucible loading, and the second step 11 with preparation of the crucible.
The third step 12 in the process is related to preparation of the patient
for the imaging procedure.
Crucible Loading 10
The crucible loading step 10 consists of three sub steps including the
elution of a technetium generator with saline 15, charging an electrolytic
concentrator with the elute 16 and loading a crucible by electrolysis 17.
The crucible has the following desirable characteristics: The crucible
material is preferably of a high purity graphite, such as that designated
by product number G347S manufactured by the Tokai Carbon Co Ltd of Japan.
The preferred crucible dimension is approximately 32 mm long.times.6.35 mm
wide by 6.35 mm high. A variety of crucible sizes can be used, but it is
limited by the ability of the generator machine to electrically heat the
crucible to the right temperature fast enough and to initiate and sustain
the necessary plasma ablation conditions. The ultimate limiting factor is
the current drawn from the mains power supply by the generator, which
typically must be less than 20 amperes. The crucible volume may extend
over a range of up to 300 microlitres. The small oval crucibles and larger
hexagonal and oval crucibles used to obtain the results described herein
had a volume of between 100 microlitres and to about 140 microlitres. The
crucible volume is limited only by the generator's ability to drive the
higher resistance of the larger volume crucible. The crucible shape is
primarily intended to concentrate heat production (i.e the electrical
resistance) in the central part of the crucible. To achieve this, the
crucible walls are milled thinner than the end contacts and the stems. The
crucibles are ultrasonically cleaned before use to remove adherent
graphite particles formed during the milling process.
Initially, a technetium isotope is obtained in the form of a sodium
pertechnetate eluted with saline from the alumina matrix of a
molybdenum-decay generator, which is the standard commercial method of
obtaining technetium isotope. The technetium is next concentrated in a
carbon crucible by an electrolytic concentrator method. Example carbon
crucibles can be shaped as shown in FIG. 2A and FIG. 2B (see Original Patent).
The electrolytic concentrator method enables the isotope to be sourced
from technetium generators with a low elute activity. The nanoparticles
produced from this method have a level of pertechnetate contamination of
less than 6%, which is lower than evaporative methods of nanoparticle
production.
FIG. 3 (see Original Patent) is a sectional view of one form of suitable
electrolytic concentrator 33 for use with the elution. A crucible 34 forms
the cathode of the concentrator and is placed on a silicone rubber gasket
35 inside a chamber 36 formed from two mating parts 37, 38. The crucible
is held in place by means of a stopper 39 and a pressure adjusting screw
40. The anode of the cell consists of a fine platinum wire 41 which runs
up the centre of the fluid delivery tube. The tube is in communication
with a Luer tapered liquid input tube 43 via a polycarbonate insert 44.
The saline isotope solution is pumped into the chamber 36 and exits via
Luer output taper 45 to a reservoir where it is recirculated. The outer
shell 37, 38 can be formed from Teflon or Teflon coated materials.
FIG. 4 and FIG. 5 (see Original Patent) illustrate the formation of the
crucible cathode in more detail with FIG. 4 illustrating a side view and
FIG. 5 illustrating a top view. The crucible 34 is interconnected to a
platinum wire contact 47 which is held in place against the crucible by
silicone rubber 49. The wire is attached to contact screw 48 which forms
the negative power supply input.
Typical operating parameters are shown in Table 1 (see Original Patent).
The saline eluate from a technetium generator is circulated continuously
through the walls of a porous graphite crucible under the pressure of a
peristaltic pump. The crucible 34 forms the cathode of an electrolytic
cell and the anode consists of the fine platinum wire 44 placed in the
opening of the crucible. Radionuclide is deposited on the graphite surface
inside the crucible opening. The accumulation of radionuclide in the
crucible may be conveniently monitored by the loss of radioactivity from
the circulating liquid, e.g. with a Geiger counter placed over a few loops
of the tubing circuit 46.
Utilising the disclosed arrangement as an electrolytic concentrator, the
technetium is concentrated onto the inner surface of the graphite crucible
by the combined action of the electrolysis and the continuous pumping of
the saline isotope solution.
Crucible Preparation 11
Returning to FIG. 1 (see Original Patent), the crucible preparation step
11 include the sub-steps of placing the crucible in the generator 18,
purging the heating chamber with argon 19 and removing sodium chloride by
sublimation.
It has surprisingly been found that a carefully controlled preheating step
after crucible loading and prior to particle generation has a marked
effect on the nature of the nanoparticles subsequently plasma ablated from
the crucible at a higher temperature. During the preheating step, a
carrier, typically sodium chloride is removed, preferably by evaporation
into a flow of inert gas such as argon that is held at a suitable
temperature and for a predetermined time. The conditions outlined in Table
2 (see Original Patent) have been found to be suitable for efficient
sodium chloride sublimation. For other carriers the protocol can be
followed with suitable variation of the rise time and the temperature. The
boiling point of the carrier must be lower than the temperature range that
leads to loss of isotope from the crucible.
The preferred operating conditions given in Table 2, namely 1685.degree.
C. for 10 seconds provide for the sodium chloride evaporation by crucible
heating and inert gas purging. The process is preferably carried out in a
suitably modified device of the type such as that disclosed in U.S. Pat.
No. 5,064,634. It has not previously been appreciated that the duration of
the preheating step effects such parameters as: 1. Carbon emission from
the crucible during plasma ablation. Preheating the crucible for at least
5 seconds at a temperature above the boiling point of sodium chloride
(e.g. 1685.degree. C.) but below the temperature used to induce thermionic
plasma (e.g. 2750.degree. C.) was found to markedly reduce the amount of
free carbon subsequently ablated from the crucible. 2. Pertechnetate
contamination levels of the nanoparticle dispersion. Preheating of the
crucible for at least 5 seconds produces a significant reduction in the
level of water-soluble pertechnetate label contaminating the nanoparticle
dispersion. Nanoparticles produced after sufficient preheating of the
crucible have greater stability in the presence of heat, that is, less
free pertechnetate label is released into solution from these nanoparticle
suspensions during autoclaving. Plasma Ablation
The pretreated crucible from step 11 is flash-heated in accordance with
the heating profile set out in FIG. 6 (see Original Patent). to a
temperature of 2740-2780.degree. C. (71) for 3 seconds by means of an
electronic servo device, which produces a tightly-regulated crucible
heating profile featuring a rapid rise time 72 (e.g. 0.3 seconds) followed
by a flat plateau 71 maintaining a temperature of approximately
2760.degree. C..+-.20.degree. C. over the predetermined heating period.
These conditions are produced by modifying the electronic controller of
the device disclosed in U.S. Pat. No. 5,064,634. The heating regime of the
preferred embodiment differs from that of U.S. Pat. No. 5,064,634 in that
U.S. Pat. No. 5,064,634 mentions briefly only resistive heating to
2200.degree. C. of a carbon crucible containing a solid radionuclide. In
contrast the preferred embodiment process includes preheating of the
crucible and carrier removal prior to nanoparticle emission and tight
maintenance of the temperature during thermionic plasma induction and
particle ablation. The desired operating conditions of the preferred
embodiment are shown in Table 3 (see Original Patent).
FIG. 6 (see Original Patent) shows an actual thermoprofile for regulated
AC plasma ablation of a graphite crucible that is held at 2800.degree. C.
for 2.5 seconds and shows the rapid rise-time 72 of approximately 0.3
seconds to the full ablation temperature.
The peak current that is required in the present embodiment to achieve the
rapid rise to the maximum ablation temperature is 572 amperes, which is
reduced to a current of 508 amperes to maintain the temperature during the
plateau 71 although it will be appreciated that the actual value of the
current will vary from device to device. The temperature is monitored
using a calibrated Luxtron optical pyrometer at a wavelength of 950 nm.
FIG. 7 and FIG. 8 (see Original Patent) illustrate a comparison of the
resultant vapour phase particle characteristics of aerosols from the prior
art and the present process, with FIG. 7 illustrating the results
associated with the prior art and FIG. 8 with the present process. The
typical values were derived using an electrostatic classifier, particle
counter and sizer (TSI Incorporated), to characterise the vapour phase
particles in aerosols produced using the prior art technique (FIG. 7) and
the technique of the preferred embodiment (FIG. 8). Results are shown for
5 successive scans made on each aerosol preparation; the interval between
scans was 40 seconds.
As a first observation, it is found that aerosol from the prior art
process produces a visible deposit of white sodium chloride on the 1
micron impact filter placed in the transport line to the instrument,
whereas aerosol from the new process did not. The prior art procedure
normally retains aerosol in the generator for 3 minutes after crucible
ablation, and when the aerosol was released into the particle sizer after
this time 50% of the scanned particles were less than 185 nm diameter, and
50% of the scanned mass occurred in particles of less than 311 nm diameter
(FIG. 7, scan #1). By contrast, in the preferred embodiment process,
aerosol was released from the generator as it was produced and 50% of the
emerging particles were less than 92 nm diameter, while 50% of the mass
occurred in particles with a diameter of less than 235 nm (FIG. 8, scan
#1).
In both cases, the first scan contained the largest number of particles
and greatest mass of particulate material; this decayed with successive
scans as the gas flow depleted the particles from the chamber. However,
there were only 0.55.times.109 particles per litre (mass 8.5 .mu.g per
litre) in the first scan (scan #1 of FIG. 7), compared to 5.8.times.109
per litre (mass 22 .mu.g per litre) in the first scan of the preferred
embodiment (scan #1 of FIG. 8). The 10-fold reduction in the number of
particles (and a 2.6-fold reduction in the median particle mass) in the
prior art aerosol was due to considerable losses in the chamber where the
product was retained for 3 minutes prior to particle sizing.
With successive scans, the tendency was for the size and mass of scanned
aerosol particles to rise. This was particularly noticeable in the results
from the preferred embodiment process, while for the prior art process the
particles had already been retained in the generator chamber for three
minutes and thus the increase in size that occurred over successive scans
is less evident. The change in the particle size is attributable to
aggregation of the smaller particles.
In summary, vapour phase analyses found the following significant
differences from the prior art: 1) Heavy contamination of large sodium
chloride particles was found with the prior art. 2) Approximately 10 times
the number of imaging particles can be produced without sodium chloride
contamination in the preferred embodiment compared to the prior art
process. 3) On average, the particles produced by the preferred embodiment
process are of half the diameter of those produced by the prior art
process, and provided they are delivered to the patient immediately after
production (i.e. with minimal storage time in the generator), the smaller
sized particles are better suited to lung imaging techniques. Methods of
Testing the Quality of the End Product
The preferred embodiment provides for quality control of the aerosol
product through the following steps introduced at regular intervals to
test the equipment: 1) Capture of the resultant carbon-encapsulated
radionuclide nanoparticles in an aqueous dispersion by the use of an
electrostatic sonicating precipitator (such as that disclosed in U.S. Pat.
No. 5,792,241). 2) Testing of the resultant aqueous dispersion for soluble
free pertechnetate by thin-layer chromatography (TLC method). 3) Testing
of the dispersion for excess carbon by measurement of light scattering
(light scattering method). 4) Testing of the dispersion for particle size
distribution of radioactivity, using syringe filters with hydrophilic
membranes of known pore size (filtration method).
The sonicating precipitator can be operated with the parameters shown in
Table 4 (see Original Patent).
Using this precipitator, the components of an aerosol output from a
generator can be captured in a stable aqueous dispersion that is then
suitable for analyses of: a) soluble free pertechnetate (TLC method), b)
excess carbon (light scattering method), and c) insoluble particle size
(filtration method).
Further, the repeated TLC measurement of soluble pertechnetate after
standing some hours at ambient temperature, or after autoclaving at
121.degree. C. for 20 minutes also gives a measure of particle stability,
which in turn reflects the integrity of the carbon encapsulation of the
radionuclide.
The resultant liquid phase properties of aerosol components produced by
the prior art process and the preferred embodiment process, analysed after
capture in water in an electrostatic precipitator are summarized in Tables
5 and 6 (see Original Patent).
In the above measurements, the aerosol from the prior art process was
purged from the generator after 3 minutes retention, using 6 minutes of
argon flow into the precipitator, maintained at 4 litres per minute. The
aerosol from the preferred embodiment was purged from the generator as it
was produced, with argon flow into the precipitator also for 6 minutes at
4 litres per minute.
Soluble pertechnetate was determined by a TLC separation of the aqueous
particle dispersion, using a stationary phase of silica gel impregnated
glass fibre (Gelman) and methyl-ethyl-ketone as the mobile phase.
Pertechnetate was measured again with TLC after autoclaving the dispersion
for 20 minutes at 121.degree. C. in a sealed vial.
Filtration was performed using syringe filters with hydrophilic mixed
cellulose ester (MCE) membranes (Millipore).
Summary of liquid phase properties determined for aerosol preparations: 1)
The aerosol produced by the prior art process is heavily contaminated with
water-soluble pertechnetate. 2) A significant proportion of the
radioactive particles produced by the prior art process has low integrity
(less carbon encapsulation), producing significantly more water-soluble
pertechnetate after autoclaving. 3) The preferred embodiment process can
reduce the soluble pertechnetate contamination of the aerosol by at least
a factor of 10. 4) Aerosol particles produced by the new process have
greater integrity and release minor amounts of water-soluble pertechnetate
on autoclaving. Overall Conclusion
The preferred embodiment produces a radionuclide aerosol optimised for
diagnostic lung imaging. The new process enables very significant and
substantial improvements in the quality of the imaging agent including: 1)
90% reduction in the level of contaminating soluble radionuclide. 2) 50%
reduction in the peak particle size delivered to the lungs. 3) At least
50% reduction in hospital costs for isotope production.
The preferred embodiment also identifies novel methods for quality control
of the imaging agent.
Applying this process to patient diagnostics lowers the radioactive dose
needed for each imaging investigation, and reduces the patients' systemic
exposure to radioisotope following the procedure.
Claim 1 of 21 Claims
1. A method for forming an inhalable
isotope compound suitable for use in patient medical diagnosis, the method
comprising the steps of: (a) electrolytically loading a carbon crucible
with the isotope via electrolysis from a solvent including the isotope and
other contaminants in solution; (b) sublimating remaining solvent in the
crucible following step (a); (c) subsequently ablating the isotope in said
carbon crucible, forming an ablation aerosol; (d) directly delivering the
aerosol for immediate use by a patient. ____________________________________________
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