TABLE 3.

Parmacokinetics of Technetium Radiopharmaceuticals for Brain Perfusion SPECT

Parameter99mTc-HMPAO99mTc-ECD
Peak brain activity2 min2 min
Brain uptake (% injected dose)2%–3%4%–7%
Brain washout12%–15% over 15 min12%–14% the first hour; then 6%/h
Excretion (% at 48 h pi)50% liver–gut15% liver–gut
40% kidneys75% kidneys
Target organsLachrymal glandsUrinary bladder
Gallbladder wallGallbladder wall
Gray-matter–to–white- matter ratio2–3:14:1
Imaging timeUp to 4 h piUp to 2 h pi
  • pi = postinjection.