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.
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.
On the other hand, direct measurement of absorption of iron by the digestive tract can be accomplished only by using ⁵⁹Fe. In achlorhydria the gastric juice in the stomach is deficient in hydrochloric acid, and this condition has been shown to lower the iron absorption. A normal diet contains much more iron than the body needs, but in special cases, sometimes called “tired blood” in advertising for medicines, iron compounds are prescribed for the patient. If ⁵⁹Fe is included, its appearance in the blood stream can be monitored and the effectiveness of the medication noted.
This multiple-port scintillation counter is used for iron-kinetic studies. The tracer dose of iron-59 is administered into the arm vein and then the activities in the bone marrow, liver, and spleen are recorded simultaneously with counters positioned over these areas, and show distribution of iron-59 as a function of time. When the data are analyzed in conjunction with iron-59 content in blood, information can be obtained about sites of red blood cell production and destruction.