Parathyroid Scintigraphy - European Association of Nuclear Medicine

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Chapter 2: Radiopharmaceuticals
Table 2
Adverse reactions to radiopharmaceuticals used for parathyroid scintigraphy (as printed in J
Nucl Med 1996;37:185–192, 1064–1067)
Radiopharmaceutical Side-effects, reactions
201 TI-chloride Fever, erythema, flushing, diffuse rash,
pruritis, hypotension
99m Tc-pertechnetate Chills, nausea, vomiting, diffuse rash,
pruritis, hives/urticaria, chest pain,
tightness or heaviness, hypertension,
dizziness, vertigo, headache, diaphoresis,
anaphylaxis
99m Tc-sestamibi Nausea, erythema, flushing, diffuse rash,
pruritis, seizures, headache, metallic taste,
tingling
123 I-Sodium iodide Nausea, vomiting, diffuse rash,
pruritus, hives/urticaria, chest pain, tightness
or heaviness, respiratory reaction,
tachycardia, syncope or faintness and
headache, tachypnea, parosmia
99m Tc-tetrofosmin Angina, hypertension, torsades de
pointes (these three probably occurred
because of underlying heart disease);
vomiting, abdominal discomfort,
cutaneous allergy, hypotension,
dyspnoea, metallic taste, burning of
mouth, unusual odour, mild leucocytosis
18 F-FDG None
EANM