Radionuclide & Radiopharmaceuticals

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Radionuclide & Radiopharmaceuticals 1. Generator & Reactors 2. Cyclotrons & PET tracer 3. Quality control 4. Renal 5. GIT 6. CNS & Psychiatrics 7. Tumor Diagnosis & Treatment 8. Bones & joints 9. Thyroid Disorder 10. Lung disorder 11. Cardiology 12. RIA & Other assay 13. Infection 14. Miscellaneous 1

Generator Long question 1. Describe the Mo-99mTc generators available. What are the merits and demerits associated with them? Describe the principle on which daughter nuclides are separated from the parents.( 25-1993) 2. Give an account four PET RN produced by parents-daughter generator system. Describe their physical characteristics, half life, Average energy of the daughter per disintegration & their potential in clinical applications. (25-1991) 1. Adv n Dis-adv of 99mTc generator systems( 10-12/06) 2. Rhenium Generator( 10-2005) 3. Transient equilibrium (15-1994) 4. Secular equilibrium ( 10-1995) 5. What is transient equilibrium & secular equilibrium? Give examples. (10- May 2005) 6. Rhenium Generator. (10- May 2005) 7. Principle of Radionuclide generators. Describe transient & secular equilibrium(10- Dec 2005) 8. Describe procedure of extraction of 99mTc from 99Mo generator supplied by BARC. Describe briefly the QC on 99mTc. (10-1989) 9. Basic principle & essential features of a Nuclear generator(10-1989) 10. Generator produced RN. (10-2007) 11. Working of Nuclear reactor. (10-2007) 12. Generators for producing RN. (15-1991) 2

Cyclotron Long question 1. Discuss the cyclotron & cyclotron produced radio-isotopes used for imaging- its merits and demerits.( 25-1993) 2. Discuss the recent development in PET in particular reference to RPs.( 25-1994) 3. Give an account four PET RN produced by parents-daughter generator system. Describe their physical characteristics, half life, Average energy of the daughter per disintegration & their potential in clinical applications. (25-1991) 1. Generator produced PET tracer & their application. Briefly mention about the basic principle of concentration of Radiotracer ( 10-12/06) 2. Gives an account for non fluoridal PET RPs( 10-12/06) 3. SPECT analogues of PET RPs( 10-2005) 4. Discuss the role of 18F-FDG PET imaging in oncology. ( 15-1994) 5. Principle of Medical Cyclotron. ( 10-1995) 6. Positron emitter. (15-1996) 7. Clinical uses of positron emitters. (15-1996) 8. Cyclotron- produced generator systems. ( 10-1996) 9. Cyclotron(10-1997) 10. Radiotracer for PET (10- Dec 2005) 11. 18F-FDG (15-2004) 12. Cyclotron produced RPs. (15-2004) 13. Monitoring and preventive practices in a PET-cyclotron facility for radiation exposure. (10-2007) 14. Production of 18FDG. (10-2007) 15. Principle of PET imaging with FDG. (10-2007) 16. Cyclotron produced RN. (15-1990) 17. Cyclotrons (10-1992) 18. 3

Quality control 1. QC of RPs ( 10-12/06) 2. QC of RPs. (15-1995) 3. QC programme for RPcal lab. (15-1996) 4. Quality factors. (15-1997) 5. What are the QC parameters for any counting study with isotopes (10- May 2005) 6. Quality assurance of PET RPs (10- Dec 2005) 7. QC programme of RP lab (10-2002) 8. General considerations in quality assurance of RPs. (10-1989) 9. QC of RPs. (10-2007) 10. QC programme foe RPs lab. (15-1990) Renal 1. RPs in Kidney transplants( 10-2005) 2. Discuss the utility of Tc-99m in Glucoheptonate in NM ( 15-1994) GIT, Liver & GB disorder 1. RPs for liver imaging ( 10-12/06) 2. Pharmacodynamics of Hepato-biliary RPs. (15-1995) 3. Compare properties of phytate & sulphur colloid. (10- Dec 2005) 4. Radio-labelled colloid & its uses. (15-2004) 5. RN investigations of GI bleeding (15-1992) 4

CNS & Psychiatrics 1. RPs for SPECT brain imaging( 10-12/06) 2. RPs for regional cerebral blood flow studies( 15-1994) 3. Enumerate various RPs for SPECT brain studies indicating their clinical utility. (15-1994) 4. Newer brain scanning agents.. (15-1996) Tumor Diagnosis & Treatment 1. Role of radio labelled peptides in diagnosis & therapy( 10-12/06) 2. RPs in diagnosis & FU of neuro-endocrine disorders. ( 10-12/06) 3. Tumour imaging agants( 10-2005) 4. RPs used for localization Tumors. ( 10-1994) 5. Tumor seeking RPs. (15-1996) 6. Tumor seeking RPs. (15-1997) 7. Evaluate the uses of 67Ga in clinical medicine. Give a brief account of its production in India. (25-1997) 8. Tumor imaging agents (10- May 2005) 9. RPs for infection/inflammation imaging (10- Dec 2005) 10. Tumor seeking RPs in routine Gamma camera imaging (10- Dec 2005) 11. RN used in therapy of tumor. (10-2007) Bones & joints 1. characteristics of radionuclides for bone palliation( 10-12/06) 2. Value of 32-P in NM. (15-1996) 3. P-32 in NM(10- Dec 2005) 5

Thyroid disorder 1. Work-up, treatment of thyrotoxicosis pregnant lady. ( 10-12/06) 2. Precaution drug radioiodination. ( 10-1995) 3. Methods of radio-iodination merits & dis adv of each methods(10-1997) 4. Thyroid uptake study with reference to hyperthyroidism (10- Dec 2005) 5. Iodine 123(15-1991) 6. 1. Lung Disorder 1. Discuss the Adv & limitations of various RPs used in Lung ventilation imaging (15-1994) 2. The technique of aerosol ventilation technique (15-1992) 3. Radio-respirometer (15-1993) 2. Heart Disorder 13. Methods & usefulness of in-vivo labeling of RBCs( 10-12/06) 14. Tracer in use for MPI( 10-12/06) 15. RPs for Cardiac metabolism assessment( 10-2005) 16. Newer RPs in Nuclear cardiology work-up. (15-1995) 17. RPs in myocardial imaging. (15-1996) 18. Myocardial imaging agents. (15-1997) 19. RPs for cardiac metabolism assessment (10- May 2005) 20. Preparation of 99mTc-Sestamibi. (10-2007) 6

RIA & Other assay 3. Non isotopic assay labels( 10-2005) 4. QC in Radio-immunoassay. ( 10-1994) 5. QC of radio-immunoassay ( 10-1995) 6. TSH estimation by IRMA(15-1995) 7. TSH( IRMA) ( 10-1995) 8. ELISA. (15-1996) 9. Principles of RIA & IRMA. ( 10-1996) 10. Two sites IRMA. (15-1996) 11. Radio-receptor assay. ( 10-1996) 12. Non-specific assay labels (10- May 2005) 13. Statistical error in radioactive counting. (10- Dec 2005) 14. ELISA (10-2002) 15. TSH estimation by IRMA method (10-2002) 16. Principles of RIA. What are the variants of RIA? Merits/demerits of RIA. RIA Vs ELISA. (10-1989) 17. ELISA & RIA- Merits & demerits. (15-1990) 18. T3 Toxicosis. (15-1990) 19. RIA(15-1992) 20. Instrument QC in RIA (15-1992) 21. Discuss the principle of RIA & its variants. What QC methods will you follow periodically to assess the reliability of RIA kit? (15-1993) 22. Discuss briefly the methods available for measurement of (15-1993) a. TSH b. Free T4 23. How would you interpret these result in the clinical practice (15-1993) 7

Infection & infection Agents 24. Infection imaging Agents( 10-2005) 25. Leucocytes labelling ( 15-1994) 26. Labelling of Leucocytes. (15-1997) 27. Infection imaging agents (10- May 2005) 28. RN approach to case of PUO (15-1992) Miscellaneous 29. Various RPs in emergency room with indication( 10-2005) 30. Discuss the role of radionuclide technique in the development & testing of new drugs in medicine.( 25-1994) 31. Mechanisms of localization of radioactive imaging agents ( 10-1994) 32. Methods of Radio-iodination of proteins. ( 10-1994) 33. Describe the mechanism of localization of RPs used for hepatic studies & discuss the indication of hepatic imaging. ( 25-1996) 34. RPs for targeting recognition sites. ( 10-1996) 35. Tritium labeling. ( 10-1996) 36. RPs for imaging hypoxia. ( 10-1996) 37. Discuss the mechanism of RPs localizations & variabilities due to pharmacological interventions. (25-1997) 38. Various RPs used in emergency room with indication(10- May 2005) 39. Intervention in NM (10- May 2005) 40. Mechanism of localization RPs (10- Dec 2005) 41. RPs helpful in the evaluation of patients of road traffic accidents. (10- Dec 2005) 42. Methods of RN production (10- Dec 2005) 43. Methods of Cr-51 labeling of RBC & causes of poor labeling. (10- Dec 2005) 8

44. What is the ideal RPs? Discuss the various QC measures used in RP lab? (25-2004) 45. Drugs & RPs distribution(15-2004) 46. RPs for thrombus imaging(15-2004) 47. Discuss the role of nuclear technique in the evaluation of a diabetic (25-2004) 48. Radio-immunoscintigraphy (15-2004) 49. Mechanism of localization of RPs. (10-2007) 50. Physical properties of 99mTc. (10-2007) 51. Iodination of proteins. (10-2007) 52. Labelling methods of RBCs. (10-2007) 53. Radioactive tracer & indicators. (10-1990) 54. Design of Hospital Radio pharmacy (15-1992) 55. Discuss the QC of various technetiums labelled RPs. Illustrate with examples. (25-1992) 56. Discuss the different methods of radio-iodination of proteins, peptides & haptans. Give critical comments on selection of suitable isotope for labelling. Iodination damage, stability of iodinated compounds & radiation safety measures you would take during iodination. (25-1993) 57. Bio-distribution of RPs(15-1993) 58. Methods & usefulness of in-vivo labeling of RBCs( 10-12/06) 9