[Illustration: _Time-lapse motion pictures of the liver of a 3-year-old
girl were made with the scintillation camera 1 hour after injection of
50 microcuries of iodine-131-labeled rose bengal dye. This child was
born without a bile-duct system and an artificial bile duct had been
created surgically. She developed symptoms that caused concern that the
duct had closed. These scans show the mass of material containing the
radioactive material (small light area) moving downward and to the
right, indicating that the duct was still open._]
For many years, a dye known as _rose bengal_ has been used in testing
liver function. About 10 years ago this procedure was improved by
labeling the dye with ¹³¹I. When this dye is injected into a vein it
goes to the liver, which removes it from the blood stream and transfers
it to the intestines to be excreted. The rate of disappearance of the
dye from the blood stream is therefore a measure of the liver activity.
Immediately after administration of the radioactive dye, counts are
recorded, preferably continuously from several sites with shielded,
collimated detectors. One counter is placed over the side of the head or
the thigh to record the clearance of the dye from the blood stream. A
second is placed over the liver, and a third over the abdomen to record
the passage of the dye into the small intestine.
Human serum albumin labeled with ¹³¹I is sometimes used for location of
brain tumors. It appears that tumors alter a normal “barrier” between
the brain and blood in such a manner that the labeled albumin can
penetrate tumorous tissues although it would be excluded from healthy
brain tissue.
[Illustration: Showing:]
1 Human serum albumin labeled with ¹³¹I
2 Tumor selectively localizes labeled albumin
3 Survey of gamma radiation (Standard points)
The brain behaves almost uniquely among body tissues in that a
“blood-brain barrier” exists, so that substances injected into the blood
stream will not pass into brain cells although they will pass readily
into muscular tissue. This blood-brain barrier does not exist in brain
tumors. A systematic scanning of the skull then permits location of
these cancerous “hot spots”.
Iron-59
Iron is a necessary constituent of red blood cells, so its radioactive
form, ⁵⁹Fe, has been used frequently in measurement of the rate of
formation of red cells, the lifetime of red cells, and red cell volumes.
The labeling is more difficult than labeling with chromium for the same
purposes, so this procedure no longer has the importance it once had.
Public-domain text, read in full here on John Shaqi.
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