
1.
If
intended for clinical use, output of the generator must be sterile and
pyrogen-free. There is no compromise on either of these requirements.
2.
The
chemical properties of the daughter must be different than those of the
parent to permit separation of daughter from parent. Separations are usually
performed by affinity or ion exchange chromatography.
3.
Generator
should be eluted with 0.9% saline solution and should involve no violent
chemical reactions. Human intervention should be minimal to minimize radiation
dose. Eluents other than 0.9% NaCl may require tedious pH adjustment, associated
with a significant radiation dose, and are therefore undesirable.
4.
Daughter
isotope for diagnostic studies should be short-lived gamma-emitting
nuclide (tphys =
hrs-days). Beta particles are undesirable as they confer a high
radiation dose and are not imageable.
5.
Physical
half-life of parent should be short enough so daughter in-growth after
elution is rapid, but long enough for practicality. The Mo/Tc generator is a
perfect example- in-growth of Tc-99m is very rapid, but the shelf-life of the
generator is two weeks.
6.
Daughter
chemistry should be amenable to the preparation of a wide variety of
compounds, especially those in kit form. In the case of the Mo/Tc generator,
there are cold kits for imaging essentially any organ or system in the human
body.
7.
Very
long-lived or stable granddaughter so no radiation dose is conferred to patient
by decay of subsequent generations. In the case of Tc-99 ground state, the
granddaughter of Mo-99, the half-life of 220,000 yr guarantees a minimal
radiation dose to the patient, regardless of the effective half-life.
8.
Inexpensive,
effective shielding of generator, minimizing radiation dose to those using it.
This is easy to accomplish since lead is very dense and therefore a good
attenuator of radiation. In addition, it is a very inexpensive metal and can be
easily molded into almost any shape desired.
9.
Generator
is easily recharged (we do NOT recharge Mo/Tc generators- radiation dose
associated with this procedure would be excessive). After their useful life is
over, we store them in a decay area until a background reading is obtained at
the surface of the generator.