Indium Dtpa In 111

Indium Dtpa In 111

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Questions & Answers

Side Effects & Adverse Reactions

The contents of the vial are radioactive. Adequate shielding of the preparation must be maintained at all times.

Since the drug is excreted by the kidneys, caution should be exercised in patients with severely impaired renal function.

Legal Issues

There is currently no legal information available for this drug.

FDA Safety Alerts

There are currently no FDA safety alerts available for this drug.

Manufacturer Warnings

There is currently no manufacturer warning information available for this drug.

FDA Labeling Changes

There are currently no FDA labeling changes available for this drug.

Uses

Pentetate Indium Disodium In 111 is recommended for use in radionuclide cisternography.

History

There is currently no drug history available for this drug.

Other Information

GE Healthcare (Medi-Physics, Inc.) Indium DTPA In 111 is a diagnostic drug for intrathecal use. It is available as a sterile, pyrogen-free, isotonic, aqueous solution, buffered to pH 7 to 8. At calibration time, each milliliter contains 37 MBq, 1 mCi of Pentetate Indium Disodium In 111 (no-carrier-added), 20 to 50 µg of pentetic acid, and sodium bicarbonate for pH adjustment. The drug is to be discarded after single use. Radionuclidic purity at calibration time is at least 99.88% with less than 0.06% Indium In 114m and 0.06% Zinc Zn 65. The concentration of each radionuclidic contaminant changes with time. Graph 1 shows maximum concentration of each radionuclidic impurity as a function of time.

Graph 1 - Radionuclidic Impurities

Image from Drug Label Content

The chemical names are 1. Indate(2-)-111In-[N,N-bis[2-[bis-(carboxymethyl)amino]ethyl]glycinato(5-)]-disodium; and 2. Disodium [N,N-bis[2-(carboxymethyl)amino]glycinato(5-)]-indate (2-)111In.

Molecular formula: C14H18O10N3 111In Na2

Molecular weight: 545.29

Structural formula:

Image from Drug Label Content
PHYSICAL CHARACTERISTICS

Indium 111 decays by electron capture with a physical half-life of 67.9 hours.* The energies of the photons that are useful for detection and imaging studies are listed in Table 1.

Table 1. Principal Radiation Emission Data*
Radiation Mean %/Disintegration Mean Energy (keV)
*
Kocher, David C.,"Radioactive Decay Data Tables,"DOE/TIC-11026, 115, (1981).
Gamma-2 90.2 171.3
Gamma-3 94.0 245.4
EXTERNAL RADIATION

The specific gamma ray constant for Indium In 111 is 3.3 R/hr-mCi at 1 cm. The half-value thickness of lead (Pb) for Indium In 111 is 0.021 cm. To facilitate control of the radiation exposure from millicurie amounts of this radionuclide, a range of values for the relative attenuation of the radiation emitted by this radionuclide that results from interposition of various thicknesses of Pb is shown in Table 2. For example, the use of a 0.8 cm thickness of Pb will attenuate the radiation emitted by a factor of about 1,000.

Table 2. Radiation Attenuation by Lead Shielding
Shield Thickness
(Pb) cm
Coefficient of Attenuation
To correct for physical decay of this radionuclide, the fractions that remain at selected time intervals after the time of calibration are shown in Table 3.
0.021 0.5
0.19 10-1
0.49 10-2
0.80 10-3
1.1 10-4
Table 3. Physical Decay Chart: Indium In 111, Half-Life 67.9 Hours
Hours Fraction Remaining Hours Fraction Remaining
*
Calibration Time
0* 1.000 84 0.424
12 0.885 96 0.375
24 0.783 108 0.332
36 0.693 120 0.294
48 0.613 132 0.260
60 0.542 144 0.230
72 0.480 168 0.180

Indium Dtpa In 111 Manufacturers


  • Ge Healthcare, Medi-physics, Inc.
    Indium Dtpa In 111 (Indium In-111 Pentetate Disodium) Solution [Ge Healthcare, Medi-physics, Inc.]

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