Page last updated: 2024-11-13

technetium tc 99m sulfur colloid

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

Technetium Tc 99m Sulfur Colloid: A gamma-emitting radionuclide imaging agent used for the diagnosis of diseases in many tissues, particularly in the gastrointestinal system, liver, and spleen. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID76957057
MeSH IDM0021107

Synonyms (14)

Synonym
technetium tc-99m sulfur colloid
99mtc-labeled sulfur colloid
technetium (99mtc) sulfur colloid
tc99m-sulfur colloid
technetium tc 99m sulfur colloid
technetium tc 99m tsc
556Q0P6PB1
technetium tc 99m sulfur colloid [usan]
technetium tc-99m sulfur colloid [orange book]
technetium tc 99m sulfur colloid [who-dd]
technetium tc 99m sulfur colloid [usp impurity]
technetium 99m sulfur colloid
DB09397
Q27261285

Research Excerpts

Toxicity

ExcerptReferenceRelevance
"3 mGy calculated for the worst-case scenario is well below the 50 mGy that is believed to be the threshold absorbed dose for adverse effects."( The safety of lymphatic mapping in pregnant breast cancer patients using Tc-99m sulfur colloid.
Delpassand, E; Keleher, A; Kuerer, HM; Stachowiak, AM; Wendt, R,
)
0.13
" Our study suggests that BNC without scans is safe and effective."( Are pre-operative lymphoscintigrams needed for localization prior to sentinel node biopsy?: An audit to ensure safe practice and to provide another view.
Green, M; Gregg, L; Ives, C; Trust, C, 2018
)
0.48

Pharmacokinetics

ExcerptReferenceRelevance
" The mean peak plasma concentration, mean area under plasma concentration time curve and mean half-life of cefpodoxime proxetil were similar in all groups as compared to control."( Gastric emptying and the pharmacokinetics of the cephalosporin antibiotic, cefpodoxime proxetil.
Batts, DH; Euler, AR; Heald, DL; Hughes, GS; Patel, R; Spillers, CR, 1990
)
0.28
"Estimates of the radiation dose resulting from liver-spleen scintigraphy 99Tcm-labelled colloids are based on pharmacokinetic data mainly determined in animals."( Absolute quantification of pharmacokinetic distribution of RES colloids in individuals with normal liver function.
Feinendegen, LE; Herzog, H; Notohamiprodjo, G; Spohr, G, 1987
)
0.27

Compound-Compound Interactions

ExcerptReferenceRelevance
" The effects of inhaling terbutaline in combination with mannitol on MCC were investigated in nine healthy (aged 19+/-1 yrs) and 11 mild (aged 21+/-4 yrs) asthmatic subjects."( Effects of terbutaline in combination with mannitol on mucociliary clearance.
Anderson, SD; Chan, HK; Daviskas, E; Eberl, S; Seale, JP; Young, IH, 2002
)
0.31
" Our current study examines whether the method of radiocolloid combined with methylene dye localization (RCML) has an advantage over WL."( Radiocolloid in combination with methylene dye localization, rather than wire localization, is a preferred procedure for excisional biopsy of nonpalpable breast lesions.
Fan, W; Fu, JH; He, JH; Tang, J; Wang, X; Wu, YP; Xie, XM; Xie, ZM; Yang, MT, 2011
)
0.37
" The objective of this study was to evaluate the chemical properties and particle size of filtered (99m)Tc-sulfur colloid before and after it is combined with indocyanine green for injection."( Evaluation of compatibility and stability of filtered 99mTc-sulfur colloid when combined with fluorescent indocyanine green dye.
Hegseth, KM; Hung, JC; Mosman, EA; Warren, AM, 2012
)
0.38

Bioavailability

ExcerptReferenceRelevance
"The rate and completeness of gastric emptying (GE) are major determinants of the bioavailability of oral medication, and the efficiency of gastric emptying is highly dependent on an intact central nervous system."( Gastric emptying is impaired in patients with spinal cord injury.
Brunnemann, SR; Milne, N; Segal, JL, 1995
)
0.29

Dosage Studied

ExcerptRelevanceReference
" Treatment with propantheline or metoclopramide was given 30 min before dosing with the antibiotic and the radioisotope."( Gastric emptying and the pharmacokinetics of the cephalosporin antibiotic, cefpodoxime proxetil.
Batts, DH; Euler, AR; Heald, DL; Hughes, GS; Patel, R; Spillers, CR, 1990
)
0.28
" Dose-response curves for the t-PA were generated, and in addition, long and short dosing schedules were assessed."( Optimized thrombolysis of cerebral clots with tissue-type plasminogen activator in a rabbit model of embolic stroke.
Badillo, JM; Bennett, WF; Errett, CJ; Refino, CJ; Thibodeaux, H; Thomas, GR; Zivin, JA, 1993
)
0.29
" immunoscrintigraphy with Tc-99m-antimelanoma antibody [Tecnemab-K-I, Sorin Biomedica Spa, Saluggia, Italy] at a dosage of 55 MBq and 740 MBq respectively, were performed in 13 patients to define possible infiltration of lymph nodes after surgery with a time interval of 1 week between the two examinations."( Two phase scintigraphic mapping of lymphatic drainage in cutaneous melanoma using 99mTc-sulfur microcolloid/99mTc antimelanoma antibody.
Kondi-Paphiti, A; Limouris, GS; Stavraka, A; Vlahos, L; Voliotopoulos, V,
)
0.13
" However, there is still only limited comparative information available on the dispersion of such dosage forms in human subjects."( Colonic spread of three rectally administered mesalazine (Pentasa) dosage forms in healthy volunteers as assessed by gamma scintigraphy.
Brown, J; Haines, S; Wilding, IR, 1997
)
0.3
"0 mg/kg dosage of ERY (76."( Effect of erythromycin lactobionate on myoelectric activity of ileum, cecum, and right ventral colon, and cecal emptying of radiolabeled markers in clinically normal ponies.
Lester, GD; Merritt, AM; Neuwirth, L; Rice, B; Steible, C; Vetro-Widenhouse, T, 1998
)
0.3
" A pneumatic dosing system (Kahnetics) was used to reproducibly deliver the spray."( Coarse spray delivery to a localized region of the pulmonary airways for gene therapy.
Cipolla, DC; Crystal, R; Gonda, I; Kovesdi, I; Shak, S; Sweeney, TD, 2000
)
0.31
"To compare the thrombolytic effects of the two dosing regimes with urokinase (UK) in a canine model of pulmonary thromboembolism induced by radioactive blood clots."( [Experimental study of the thrombolytic effects in a canine model of pulmonary thromboembolism induced by autologous radioactive blood clots].
Li, C; Pang, BS; Wang, C; Wang, F; Wang, T; Weng, XZ; Wu, YB; Yang, YH; Zhang, HY, 2004
)
0.32
" Exogenously dosed autologous lymphocytes and HIV-sized particles migrate to similar locations and associate with the colonic tissue in the lumen."( Distribution of cell-free and cell-associated HIV surrogates in the colon after simulated receptive anal intercourse in men who have sex with men.
Bakshi, RP; Caffo, BS; Cao, YJ; Du, Y; Fuchs, EJ; Goldsmith, J; Hendrix, CW; King, KE; Lee, LA; Louissaint, NA; Menendez, FA; Nimmagadda, S; Torbenson, MS, 2012
)
0.38
"5-MBq (500-μCi) technetium 99m ((99m)Tc)-sulfur colloid (HIV-sized 100-nm particle, cell-free HIV surrogate) were resuspended in 3 mL of hydroxyethylcellulose gel (semen simulant) with gadoteridol and dosed via artificial phallus after simulated intercourse."( Distribution of cell-free and cell-associated HIV surrogates in the female genital tract after simulated vaginal intercourse.
Anderson, J; Bakshi, RP; Caffo, B; Cao, YJ; Du, Y; Fuchs, EJ; Goldsmith, AJ; Hendrix, CW; King, KE; Louissaint, NA; Macura, KJ; Nimmagadda, S; Wahl, R, 2012
)
0.38
"Eight subjects were dosed rectally with radiolabelled and gadolinium-labelled gels to simulate microbicide gel and seminal fluid."( Quantification of the spatial distribution of rectally applied surrogates for microbicide and semen in colon with SPECT and magnetic resonance imaging.
Bakshi, RP; Caffo, BS; Cao, YJ; Du, Y; Fuchs, EJ; Grohskopf, LA; Hendrix, CW; Khan, WA; Lee, LA; Li, L; Macura, K; Wahl, RL, 2012
)
0.38
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (1,989)

TimeframeStudies, This Drug (%)All Drugs %
pre-1990899 (45.20)18.7374
1990's456 (22.93)18.2507
2000's468 (23.53)29.6817
2010's152 (7.64)24.3611
2020's14 (0.70)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 23.67

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be moderate demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index23.67 (24.57)
Research Supply Index7.73 (2.92)
Research Growth Index4.22 (4.65)
Search Engine Demand Index34.37 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (23.67)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials151 (7.12%)5.53%
Reviews90 (4.24%)6.00%
Case Studies602 (28.37%)4.05%
Observational0 (0.00%)0.25%
Other1,279 (60.27%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (21)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Lymphatic Mapping and Sentinel Node Identification in Patients With Stage1B1 Cervical Carcinoma [NCT00070317]102 participants (Actual)Interventional2004-06-30Terminated
Sentinel Lymph Node Localization and Biopsy for Sebaceous Gland Carcinoma of the Eyelid [NCT00832429]Phase 220 participants (Actual)Interventional2009-02-25Active, not recruiting
Functional Liver Imaging With Sulfur Colloid SPECT/CT in Primary and Metastatic Liver Cancer Patients Receiving Liver-Directed Treatment: A Pilot Study [NCT02881554]60 participants (Anticipated)Interventional2016-12-21Recruiting
Thoracoscopic Internal Mammary Sentinel Node Biopsy [NCT00450723]39 participants (Actual)Interventional2004-05-31Completed
Integration of SPECT/CT Lymphoscintigraphy Into Breast Cancer Radiation for LymphaticSparing [NCT00743314]Early Phase 130 participants (Actual)Interventional2008-09-30Completed
Multilevel Models of Therapeutic Response in the Lungs [NCT02947126]Phase 156 participants (Actual)Interventional2017-01-31Completed
Lymphatic Mapping and Sentinel Lymph Node Biopsy in the Treatment of Colorectal Cancer: A Feasibility Study [NCT00005640]17 participants (Actual)Interventional1999-06-30Completed
A Preliminary Study To Explore Subareolar Injection As The Site For Lymphatic Mapping And Sentinel Lymph Node Biopsy In Patients With Breast Cancer [NCT00438477]74 participants (Actual)Interventional2005-06-30Completed
Diagnostic Study of Patent Blue V Dye to Identify Sentinel Lymph Nodes in Patients With Stage I or IIA Breast Cancer [NCT00003654]200 participants (Anticipated)Interventional1997-09-30Terminated
Lymphoscintigraphy Assisted Molecular Staging of Head and Neck Cancer [NCT00012168]0 participants Interventional1999-05-31Completed
Efficacy Of Sentinel Lymph Node Biopsy And Primary Tumor Gene Expression Profiling To Detect Axillary Lymph Node Metastases After Neoadjuvant Chemotherapy For Breast Cancer [NCT00080860]60 participants (Anticipated)Interventional2004-02-29Completed
A Trial Of Lymphatic Mapping And Sentinel Node Lymphadenectomy For Patients With T1 or T2 Clinically N0 Oral Cavity Squamous Cell Carcinoma [NCT00042926]161 participants (Actual)Interventional2002-05-31Completed
French Randomized Sentinel Node Multicentric Study [NCT00052676]0 participants Interventional2002-10-31Completed
A Multi-center, Open-label Comparison Study of a 13C-uracil Breath Test Versus 99mTechnetium Sulfur Colloid Gastric Emptying Scintigraphy to Evaluate Normal, and Delayed Gastric Emptying Time in Dyspeptic Subjects [NCT01677338]Phase 220 participants (Actual)Interventional2013-07-31Completed
Personalized Radiation Therapy Through Functional Lung Avoidance and Response-Adaptive Dose Escalation: Utilizing Multimodal Molecular Imaging to Improve the Therapeutic Ratio (FLARE RT) [NCT02773238]Phase 256 participants (Actual)Interventional2016-05-20Completed
A Pivotal, Prospective, Open-Label, Multicenter Paired Comparison Study Of SentiMag/SiennaXP And The Standard Of Care In Patients With Breast Cancer Who Are Undergoing Lymph Node Mapping As Part Of A Sentinel Node Biopsy Procedure [NCT02336737]160 participants (Actual)Interventional2015-01-31Completed
Reducing the Incidence and Severity of Arm Lymphedema With Axillary Reverse Mapping and Implementation of a Lymphedema Screening and Intervention Program [NCT01276054]Phase 24 participants (Actual)Interventional2010-12-31Terminated(stopped due to P.I. left)
An Evaluation of the Safety of Intravenous (IV) Tc 99m Tilmanocept and a Comparison of Localization to Tc 99m Sulfur Colloid in Subjects With Nonalcoholic Steatohepatitis (NASH) and Healthy Controls (HC) [NCT03332940]Phase 16 participants (Actual)Interventional2017-12-06Completed
Does Rise in Breath Hydrogen During Endoscopically Assisted Glucose Breath Test (EAGBT) Correlate With Radio-Isotope Location in Small Bowel: Improving Detection of Distal SIBO [NCT04499742]25 participants (Anticipated)Observational2019-01-21Recruiting
A Pilot Study to Assess the Utility of Indocyanine Green™ (IC-GREEN™) SPY Imaging in the Mapping of Arm Draining Lymphatics and Nodes During Sentinel Node Resection With or Without Axillary Dissection in Breast Cancer [NCT01771666]Phase 223 participants (Actual)Interventional2012-07-31Completed
Comparison of Use of Indocyanine Green and 99mTc-labeled Radiotracer for Axillary Lymphatic Mapping in Patients With Breast Cancer [NCT02419807]102 participants (Actual)Interventional2015-02-17Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00070317 (2) [back to overview]False Negative Predictive Value (FNPV)
NCT00070317 (2) [back to overview]Sensitivity
NCT00450723 (3) [back to overview]Number of Patients With Identifiable Internal Mammary Sentinel Lymph Nodes
NCT00450723 (3) [back to overview]Rate of Metastatic Disease in Internal Mammary Sentinel Lymph Nodes
NCT00450723 (3) [back to overview]Success Rate in Removing Sentinel Lymph Nodes by Thoracoscopy
NCT01771666 (2) [back to overview]Agreement of Labeling Between Isosulfan Blue (IS-BLUE) and Indocyanine Green (IC-GREEN)
NCT01771666 (2) [back to overview]Detection of Indocyanine Green (IC-GREEN); Isosulfan Blue (IS-BLUE); and 99technetium-sulfur Colloid Radiolabel in Resected Sentinel Nodes
NCT02336737 (4) [back to overview]Nodal Concordance: Number of Nodes Identified by Both Test and Control Out of Nodes Identified by Control
NCT02336737 (4) [back to overview]Number of Participants With Detected Lymph Nodes
NCT02336737 (4) [back to overview]Number of Participants With Lymph Nodes Detected by Combined Radioisotope,Blue Dye and Magnetic Technique
NCT02336737 (4) [back to overview]Safety of SiennaXP and SentiMag® as Indicated by Adverse Events and Serious Adverse Events and Their Relatedness to the Detection Method or Procedure.
NCT02419807 (1) [back to overview]Proportion of Sentinel Lymph Nodes (SLNs) Flagged by the Two Methods

False Negative Predictive Value (FNPV)

The proportion of patients with FNPV among patients who tests as negative sentinel node, where FNPV is defined as a person who tests as negative sentinel node but who actually has lymph node metastases (NCT00070317)
Timeframe: At the time of Surgery

InterventionPercentage of participants (Number)
Diagnostic5.9

[back to top]

Sensitivity

Sensitivity is defined as the proportion of patients who test as positive sentinel node among the patients who have lymph node metastases. (NCT00070317)
Timeframe: At the time of surgery

InterventionPercentage of participants (Number)
Diagnostic85.7

[back to top]

Number of Patients With Identifiable Internal Mammary Sentinel Lymph Nodes

(NCT00450723)
Timeframe: 5 years

Interventionparticipants (Number)
Sentinel Lymph Node BIopsy34

[back to top]

Rate of Metastatic Disease in Internal Mammary Sentinel Lymph Nodes

(NCT00450723)
Timeframe: 5 years

Interventionparticipants (Number)
Sentinel Lymph Node Biopsy7

[back to top]

Success Rate in Removing Sentinel Lymph Nodes by Thoracoscopy

(NCT00450723)
Timeframe: 5 years

Interventionparticipants (Number)
Sentinel Lymph Node Biopsy31

[back to top]

Agreement of Labeling Between Isosulfan Blue (IS-BLUE) and Indocyanine Green (IC-GREEN)

Number of women with agreement of the two dies [ie, isosulfan blue (IS-BLUE) and indocyanine green (IC-GREEN)] on all nodes examined in the lymphatics and arm-draining lymph nodes, during nodal staging procedures for surgery to treat breast cancer with curative intent. (NCT01771666)
Timeframe: 1 day

InterventionParticipants (Count of Participants)
ISB and IC-Green Dye8

[back to top]

Detection of Indocyanine Green (IC-GREEN); Isosulfan Blue (IS-BLUE); and 99technetium-sulfur Colloid Radiolabel in Resected Sentinel Nodes

"The outcome is expressed as the number of participants whose resected sentinel lymph nodes (SLN) bound 99technetium-sulfur colloid (99tech), a tumor marker radiolabel; Indocyanine Green (IC-GREEN; GREEN), a fluorescent label; or isosulfan blue (IS-BLUE; BLUE), a visual dye. Results are expressed as:~Any HOT = Those whose samples bound 99tech.~Not HOT = Those whose samples did not bind 99tech.~Not HOT (also no BLUE, no GREEN) = Those whose samples did not bind 99tech; and also did not bind IC-GREEN nor IS-BLUE.~HOT, BLUE, GREEN = Those whose samples bound all of 99tech; IC-GREEN; and IS-BLUE.~HOT, no BLUE, no GREEN = Those whose samples bound 99tech, but did not bind either of IC-GREEN nor IS-BLUE.~HOT, GREEN only, no BLUE = Those whose samples bound 99tech and IC-GREEN, but did not bind IS-BLUE." (NCT01771666)
Timeframe: 1 day

Interventionparticipants (Number)
Any HOTNot HOT (also no BLUE, no GREEN)HOT, no BLUE, no GREENHOT, BLUE, GREENHOT, GREEN only, no BLUE
ISB and IC-Green Dye2031262

[back to top]

Nodal Concordance: Number of Nodes Identified by Both Test and Control Out of Nodes Identified by Control

The number of nodes identified by both SiennaXP and Control out of nodes identified by Control (NCT02336737)
Timeframe: Intraoperative <1 hour

Interventionpercentage of concordance (Number)
SiennaXP Injection94.5

[back to top]

Number of Participants With Detected Lymph Nodes

The proportion of lymph nodes detected intraoperatively by SentiMag and SiennaXP in relation the proportion of lymph nodes detected by the combination of Technetium Sulfur Colloid and Isosulfan blue dye (NCT02336737)
Timeframe: During surgical procedure <1 hour

InterventionParticipants (Count of Participants)
SiennaXP Injection145

[back to top]

Number of Participants With Lymph Nodes Detected by Combined Radioisotope,Blue Dye and Magnetic Technique

The per patient detection rate for a combination of all methods (magnetic, combined radioisotope and blue dye; radioisotope alone; blue dye alone) (NCT02336737)
Timeframe: Intraoperative <1 hour

InterventionParticipants (Count of Participants)
SiennaXP Injection145

[back to top]

Safety of SiennaXP and SentiMag® as Indicated by Adverse Events and Serious Adverse Events and Their Relatedness to the Detection Method or Procedure.

Number of Participants with Adverse Events relating to Sienna XP Injection (NCT02336737)
Timeframe: 3-6 weeks

InterventionParticipants (Count of Participants)
SiennaXP Injection20

[back to top]

Proportion of Sentinel Lymph Nodes (SLNs) Flagged by the Two Methods

Let A be the number of Tc-positive and ICG-positive sentinel nodes (SNs) detected, B be the number of Tc-positive and ICG-negative SNs detected, and C be the number of Tc-negative and ICG-positive SNs detected. The total number (N) of SNs detected is therefore N = (A + B + C); the proportion of SNs detected by the Tc method (PTc) is (A + B)/N; and the proportion of SNs detected by the ICG method (PICG) is (A + C)/N. Differences in the proportions of SLNs flagged will be compared using a two-sided 95% confidence interval. (NCT02419807)
Timeframe: Baseline

Interventionproportion of nodes (Number)
Proportion of SNs (PTc) detected by Tc methodProportion of SNs (PICG) detected by ICG method
Diagnostic (Indocyanine Green, 99mTc-labeled Radiotracer)0.860.95

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