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There are important indications for performing imaging procedures with cell labeled radiopharmaceuticals. There are special handling and anticoagulation techniques required to achieve optimal labeling.

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There are three methods of labeling Red Blood Cells-RBC with Tc-99m. All are simple, rapid, inexpensive and reliable. It is important to compare the advantages and disadvantages of each, and predict the labeling efficiencies obtained with each method.

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Invivo / Invivo

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Invivo / Invitro

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Invitro / Invitro

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Other labeling protocols involve White Blood Cells, Cromium 51 and platelets.

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Cr-51 RBC's
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It is very easy to label red cells with Cr-51.
 

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Isolation of RBCs is not required.

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Tc-99m WBC's

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In-111 WBC's
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It is easy to label White Blood Cells- WBCs with either Tc-99m or In-111. 

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Both preparations involve isolation of the WBCs and incubation with a lipophilic intermediate to effect labeling.

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In-111 platelets

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There are special cases such as GI Bleeding studies or hemangioma localization. GI Bleeding studies are optimally performed with Tc-99m RBCs prepared using the packed cell technique or the UltraTag kit.

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Most labeling procedures can be performed in any laboratory by a person knowledgeable about aseptic technique.