A radioactive tracer, it is apparent, corresponds in chemical nature and
behavior to the thing it traces. It is a true part of it, and the body
treats the tagged and untagged material in the same way. A molecule of
hemoglobin carrying a radioactive iron atom is still hemoglobin, and the
body processes affect it just as they do an untagged hemoglobin
molecule. The difference is that a scientist can use counting devices to
follow the tracer molecules wherever they go.
[Illustration: _One of the first scans made by a photoscanner. The
photorecording (dark bands), superimposed on an X-ray picture for
orientation, shows radioactivity in a cancer in the patient’s neck._]
It should be evident that tracers used in _diagnosis_—to identify
disease or improper body function—are present in such small quantities
that they are relatively harmless. Their effects are analogous to those
from the radiation that every one of us continually receives from
natural sources within and without the body. _Therapeutic_ doses—those
given for medical treatment—by contrast, are given to patients with a
disease that is in need of control, that is, the physician desires to
destroy selectively cells or tissues that are abnormal. In these cases,
therefore, the skill and experience of the attending physician must be
applied to limit the effects to the desired benefits, without damage to
healthy organs.
This booklet is devoted to these two functions of radioisotopes,
_diagnosis_ and _therapy_; the field of medical research using
radioactive tools is so large that it requires separate coverage.[7]
DIAGNOSIS
Pinpointing Disease
Mr. Peters, 35-year-old father of four and a resident of Chicago’s
northwest side, went to a Chicago hospital one winter day after
persistent headaches had made his life miserable. Routine examinations
showed nothing amiss and his doctor ordered a “brain scan” in the
hospital’s department of nuclear medicine.
Thirty minutes before “scan time”, Mr. Peters was given, by intravenous
injection, a minute amount of radioactive technetium. This radiochemical
had been structured so that, if there were a tumor in his cranium, the
radioisotopes would be attracted to it. Then he was positioned so an
instrument called a scanner could pass close to his head.
As the motor-driven scanner passed back and forth, it picked up the
gamma rays being emitted by the radioactive technetium, much as a Geiger
counter detects other radiation. These rays were recorded as black
blocks on sensitized film inside the scanner. The result was a piece of
exposed film that, when developed, bore an architectural likeness or
image of Mr. Peters’ cranium.
Public-domain text, read in full here on John Shaqi.
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