Stanford University

Fetal Radiation Doses From Nuclear Medicine Procedures

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The radiation doses to the fetus at various points in gestation for a number of diagnostic nuclear medicine studies are tabulated below. “Early” refers to irradiation during the first portion of the first trimester; “Months 3, 6 and 9” to irradiation at the ends of the first, second and third trimesters respectively. The doses are expressed in millirads, and assume an amount of administered radioactivity which is customary for the study. When an agent has several indications using different administered activities, the highest value is assumed.

Studies for which values appear in bold can carry an increased risk. Please refer to the Exposure to X-Rays and Nuclear Medicine Studies During Pregnancy subtopic for more information.

The information supplied for I-131 sodium iodide and I-131 MIBG is for diagnostic studies. Therapeutic procedures with these radiopharmaceuticals incur far higher doses and require special computational treatment.

Radiopharmaceutical Early Month 3 Month 6 Month 9
Co-57 Vitamin B-1 Normal-Flushing 4 3 3 4
Co-57 Vitamin B-12 Normal-No Flushing 6 4 5 5
Co-57 Vitamin B-12 PA- Flushing 1 1 1 1
Co-57 Vitamin B-12 PA- No Flushing 1 1 1 1
Co-58 Vitamin B-12 Normal-Flushing 8 6 6 6
Co-58 Vitamin B-12 Normal-No Flushing 11 8 9 9
Co-58 Vitamin B-12 PA-Flushing 2 2 2 1
Co-58 Vitamin B-12 PA-No Flushing 3 3 2 2
F-18 FDG 999 629 348 300
Ga-67 Citrate 1767 3800 3420 2470
I-123 Hippuran 233 180 63 59
I-123 IMP 380 220 142 118
I-123 MIBG 630 420 238 217
I-123 Sodium Iodide 60 42 33 29
I-125 HSA 50 16 8 5
I-125 Sodium Iodide 2 1 < 1 < 1
I-131 HSA 26 9 8 7
I-131 MAA 369 231 220 231
I-131 MIBG 220 108 76 70
I-131 Rose Bengal 1 1 1 <1
I-131 Sodium Iodide 288 272 920 1080
In-111 DTPA 130 96 40 36
In-111 Pentetreotide 1886 1380 805 713
In-111 Platelets 170 110 99 89
In-111 White Blood Cells 260 192 192 188
Tc-99m Disofenin 595 525 420 235
Tc-99m DMSA 112 103 88 75
Tc-99m DTPA 900 653 308 353
Tc-99m DTPA Aerosol 23 17 9 12
Tc-99m Glucoheptonate 900 825 398 345
Tc-99m HDP 390 405 225 188
Tc-99m HMPAO 653 503 360 270
Tc-99m Human Serum Albumin 102 60 52 44
Tc-99m MAA 62 88 110 88
Tc-99m MAG3 1350 1050 413 390
Tc-99m MDP 458 405 203 180
Tc-99m MIBI-rest 1650 1320 924 594
Tc-99m MIBI-stress 1320 1045 759 484
Tc-99m Pertechnetate 1210 2420 1540 1023
Tc-99m PYP 420 462 252 203
Tc-99m RBC-in vitro 632 437 316 260
Tc-99m RBC-in vivo 595 400 307 251
Tc-99m Sulfur Colloid-Liver Disease 144 113 126 126
Tc-99m Sulfur Colloid-normal 81 95 144 167
Tc-99m White Blood Cells 76 56 58 56
Tl-201 Chloride 1455 870 705 405
Xe-133 5 minute rebreathing 10 liter spirometer volume 19 2 2 1
Xe-133 5 minute rebreathing 5 liter spirometer volume 31 4 3 2
Xe-133 5 minute rebreathing 7.5 liter spirometer volume 17 2 1 1
Xe-133 injection 1 < 1 < 1 < 1
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