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The Daily Insight

What is technetium 99m sestamibi scan?

Author

James Stevens

Updated on May 04, 2026

Technetium 99m sestamibi is a cationic radiotracer with FDA approval as a nuclear myocardial perfusion agent to visualize the blood flow through the heart. Also, sestamibi allows simultaneous assessment of exertional and resting left ventricular ejection fraction.

What does 99mtc sestamibi bind to?

The drug is a coordination complex consisting of the radioisotope technetium-99m bound to six (sesta=6) methoxyisobutylisonitrile (MIBI) ligands. The anion is not defined….Technetium (99mTc) sestamibi.

Clinical data
Protein binding1%
MetabolismNil
Elimination half-lifeVariable
ExcretionFecal (33%) and renal (27%)

What is sestamibi spect?

During a sestamibi scan, the body absorbs a radioactive agent that travels to an overactive parathyroid gland, and a doctor can use single photon emission computed tomography (SPECT) scans to produce 3D images of the parathyroid glands & other neck structures.

What is NM parathyroid MIBI?

A parathyroid MIBI scan is used in nuclear medicine to look at possible problems involving the parathyroid gland(s). The parathyroids are four small hormone glands lying close to or embedded in the back surface of the thyroid gland, in the front of the neck.

What is 99mTc SC?

99mTc-SC is used routinely to study the function of the. phagocytic/reticuloendothelial system, while 99mTc- BrIDA is also used routinely to study hepatobiliary func- tion. There has been limited research involving both liver.

What is 4d CT parathyroid?

Parathyroid four-dimensional computed tomography (4DCT) is a technique that uses sophisticated x-ray technology to locate the parathyroid glands in the neck. CT scanning is fast, painless, noninvasive and accurate. Parathyroid 4DCT is a more specialized CT scan with greater ability to locate diseased glands.

How long is a sestamibi scan?

It takes approximately two hours to perform the Sestamibi scan after it has been injected. Pictures of the neck and chest are usually taken immediately after the injection and again in 1.75 to 2.0 hours (shown above).

How is technetium 99m produced?

Technetium -99m is produced by bombarding molybdenum 98Mo with neutrons. The resultant 99Mo decays with a half-life of 66 hours to the metastable state of Tc . This process permits the production of 99mTc for medical purposes.

Where is technetium 99m used?

Technetium-99m is used to image the skeleton and heart muscle in particular, but also for brain, thyroid, lungs, liver, spleen, kidney, gall bladder, bone marrow, salivary and lachrymal glands, heart blood pool, infection and numerous specialized medical studies.

What is Sestamibi test?

What is a sestamibi scan? A sestamibi (MIBI) scan measures the amount of blood being supplied to your heart. The scan is done in two parts: At rest – sitting and breathing normally. After a chemical or physical stress test – when your heart is beating faster after exercising on a treadmill or exercise bike.

What is a 99m Tc sestamibi used for?

Technetium ( 99m Tc) sestamibi. Sestamibi is mainly used to image the myocardium (heart muscle). It is also used in the work-up of primary hyperparathyroidism to identify parathyroid adenomas, for radioguided surgery of the parathyroid and in the work-up of possible breast cancer .

What is the abbreviation for technetium sestamibi?

Technetium (99mTc) sestamibi (INN) (commonly sestamibi; USP: technetium Tc 99m sestamibi; trade name Cardiolite) is a pharmaceutical agent used in nuclear medicine imaging.

What is sesta (6) MIBI?

The drug is a coordination complex consisting of the radioisotope technetium-99m bound to six methoxyisobutylisonitrile ( MIBI) ligands, hence the name sesta (6) MIBI .. Following intravenous injection of the drug, Technetium Tc-99m sestamibi is taken up by the myocardium, parathyroid, and/or breast tissue.

What is the protein binding rate of technetium Tc 99m sestamibi in plasma?

There is less than 1% protein binding of Technetium Tc 99m Sestamibi in plasma. Hendrikse NH, Franssen EJ, van der Graaf WT, Meijer C, Piers DA, Vaalburg W, de Vries EG: 99mTc-sestamibi is a substrate for P-glycoprotein and the multidrug resistance-associated protein.