Technetium99mECDQualityChecker
Tc-99m ECD
Utility description: Tc-99m ECD
Tc-99m ECD Quality Checker — Technetium-99m Bicisate (ECD) for Brain SPECT Perfusion
ℹ️ Utility checks critical parameters of Tc-99m ECD:
• Radiochemical purity (≥95%)
• Free pertechnetate (≤2%)
• Colloidal technetium (≤3%)
• Stability: use within 4 hours!
• pH, endotoxins, sterility
⚠️ CRITICAL: ECD requires reconstitution with alkaline solution before adding technetium.
Exceeding 4 hours leads to decreased RCP and image quality.
Usage:
Technetium99mECDQualityChecker.exe → demo mode (console output)
Technetium99mECDQualityChecker.exe input.csv output.json → evaluate your data
Input format:
BatchNumber,TotalActivityMBq,RadiochemicalPurityPercent,FreePertechnetatePercent,ReducedHydrolyzedTcPercent,pH,EndotoxinsEU,SterilityTest,TimeSinceReconstitutionMin,ProductType
Example (sterility: 0=sterile, 1=contaminated):
TC99M-ECD-2026-060,740.0,98.0,1.0,1.0,7.4,15.0,0,30,CerebralPerfusion
Supported product types:
• CerebralPerfusion — cerebral perfusion (stroke, dementia)
— WHY IS THIS NEEDED?
Tc-99m ECD (Ethyl Cysteinate Dimer, trade name Neurolite®) is a lipophilic complex for brain imaging:
• Easily crosses the blood-brain barrier (BBB)
• Inside brain cells, it converts to a hydrophilic form and gets "trapped" (retention mechanism)
• Distribution reflects regional blood flow
• More stable analog of HMPAO, does not require immediate administration (stable for 4 hours)
⚠️ CRITICAL:
• Radiochemical purity ≥95% — ONLY the lipophilic form crosses the BBB. Low RCP leads to poor signal-to-noise ratio.
• Free pertechnetate ≤2% — Accumulates in choroid plexuses of brain ventricles, creating artifacts ("hot" ventricles) that can mask pathology or mimic it. Also accumulates in thyroid and stomach.
• Reduced/Hydrolyzed Tc ≤3% — Colloid accumulating in liver and spleen.
• TEMPORAL STABILITY (≤4 hours) — After adding alkaline solution and pertechnetate, the drug is stable for 4 hours at room temperature. This is an advantage over HMPAO.
• Reconstitution Process: First add alkaline solution (sodium hydroxide/sodium tartrate), then pertechnetate. Order is important!
• pH 7.0–8.5, Endotoxins ≤175 EU/vial, Sterility — standard requirements.
Key features:
• Control of drug shelf life (4 hours)
• Strict control of free pertechnetate (due to risk of ventricular artifacts)
• Assessment of suitability for neuroimaging
Critical parameters:
• Lipophilic complex (RCP): ≥95.0%
• Free pertechnetate: ≤2.0%
• Colloidal Tc: ≤3.0%
• Time since reconstitution: ≤240 minutes (4 hours)
• pH: 7.0–8.5
• Endotoxins: ≤175 EU/vial
• Sterility: no microbial growth
💡 Usage tips:
1. To determine RCP, TLC with two solvent systems is used (similar to HMPAO/MAG3).
2. Strictly observe the order of reagent addition: first alkaline solution, then pertechnetate.
3. The drug can be used within 4 hours, which is convenient for scheduling multiple patients.
4. Avoid air bubbles during reconstitution, as this may affect pH and stability.
⚠️ Note: ECD is considered more convenient in clinical practice than HMPAO due to the long stability of the prepared drug. However, it requires more careful control of free pertechnetate, as its accumulation in choroid plexuses is specific to brain agents and significantly interferes with diagnosis.input.csv
BatchNumber,TotalActivityMBq,RadiochemicalPurityPercent,FreePertechnetatePercent,ReducedHydrolyzedTcPercent,pH,EndotoxinsEU,SterilityTest,TimeSinceReconstitutionMin,ProductType TC99M-ECD-2026-060,740.0,98.0,1.0,1.0,7.4,15.0,0,30,CerebralPerfusion TC99M-ECD-OLD-061,700.0,90.0,5.0,5.0,7.2,20.0,0,300,CerebralPerfusion TC99M-ECD-FAIL-062,720.0,94.0,3.0,3.0,7.8,10.0,0,20,CerebralPerfusion
URS & FS — User Requirements and Functional Specification
This document describes the controlled interface and behaviour of Technetium99mECDQualityChecker for Tc-99m ECD.
Domain limits and critical parameters
- ℹ️ Utility checks critical parameters of Tc-99m ECD:
- • Radiochemical purity (≥95%)
- • Free pertechnetate (≤2%)
- • Colloidal technetium (≤3%)
- • pH, endotoxins, sterility
- ⚠️ CRITICAL: ECD requires reconstitution with alkaline solution before adding technetium.
- BatchNumber,TotalActivityMBq,RadiochemicalPurityPercent,FreePertechnetatePercent,ReducedHydrolyzedTcPercent,pH,EndotoxinsEU,SterilityTest,TimeSinceReconstitutionMin,ProductType
- Example (sterility: 0=sterile, 1=contaminated):
- ⚠️ CRITICAL:
- • Radiochemical purity ≥95% — ONLY the lipophilic form crosses the BBB. Low RCP leads to poor signal-to-noise ratio.
- • Free pertechnetate ≤2% — Accumulates in choroid plexuses of brain ventricles, creating artifacts ("hot" ventricles) that can mask pathology or mimic it. Also accumulates in thyroid and stomach.
- • Reduced/Hydrolyzed Tc ≤3% — Colloid accumulating in liver and spleen.
- • TEMPORAL STABILITY (≤4 hours) — After adding alkaline solution and pertechnetate, the drug is stable for 4 hours at room temperature. This is an advantage over HMPAO.
- • pH 7.0–8.5, Endotoxins ≤175 EU/vial, Sterility — standard requirements.
URS — User Requirements Specification
| ID | Requirement | Criticality | Acceptance criterion |
|---|---|---|---|
| URS-001 | The utility shall accept an input.csv file with the exact headers defined in the data contract. | High | The file is processed without manual header editing. |
| URS-002 | The utility shall perform deterministic QC evaluation for Tc-99m ECD using input values, approved limits and domain rules. | High | Each input row receives a PASS / WARNING / FAIL status. |
| URS-003 | The utility shall validate mandatory fields, data types, numeric ranges, units and pharmaceutical/radiochemical plausibility. | High | Schema and conversion errors are explicitly reported. |
| URS-004 | The utility shall identify critical deviations related to radionuclidic purity, radiochemical purity, free radionuclide, impurities, pH, endotoxins and sterility when such fields are present. | High | A critical deviation causes FAIL or a separate critical finding. |
| URS-005 | The utility shall generate output.json with machine-readable results, source values, warnings and failures. | High | JSON is suitable for LIMS/ELN/MES integration and QA/QC review. |
| URS-006 | The utility shall not use machine learning to decide conformance. | Medium | The result is based on explicit rules, thresholds and input values. |
| URS-007 | The utility shall preserve traceability between batch number, input values, applied rules and final status. | High | The output contains the batch identifier and the list of checked parameters. |
| URS-008 | The documentation shall support IQ/OQ preparation and inspection discussion with FDA/EMA/Roszdravnadzor or local regulators. | Medium | URS & FS, input.csv/output.json contract and test scenarios are supplied with the utility. |
input.csv contract
| # | Field | Type | Sample | Purpose |
|---|---|---|---|---|
| 1 | BatchNumber | string | TC99M-ECD-2026-060 | Batch or lot identifier used for traceability. |
| 2 | TotalActivityMBq | decimal | 740.0 | Radioactivity value used for release, decay or dose-related assessment. |
| 3 | RadiochemicalPurityPercent | string | 98.0 | Radiochemical purity; confirms the labelled chemical form and binding quality. |
| 4 | FreePertechnetatePercent | decimal | 1.0 | Free radionuclide / unbound species; important for non-target uptake and toxicity. |
| 5 | ReducedHydrolyzedTcPercent | decimal | 1.0 | Controlled input parameter used by the deterministic QC rules. |
| 6 | pH | decimal | 7.4 | Solution pH; relevant for stability, compatibility and administration. |
| 7 | EndotoxinsEU | decimal | 15.0 | Bacterial endotoxins; critical for parenteral administration. |
| 8 | SterilityTest | flag / boolean | 0 | Sterility result; critical release parameter. |
| 9 | TimeSinceReconstitutionMin | datetime / string | 30 | Time point used for decay, stability or ingrowth calculation. |
| 10 | ProductType | string | CerebralPerfusion | Controlled input parameter used by the deterministic QC rules. |
BatchNumber,TotalActivityMBq,RadiochemicalPurityPercent,FreePertechnetatePercent,ReducedHydrolyzedTcPercent,pH,EndotoxinsEU,SterilityTest,TimeSinceReconstitutionMin,ProductType TC99M-ECD-2026-060,740.0,98.0,1.0,1.0,7.4,15.0,0,30,CerebralPerfusion TC99M-ECD-OLD-061,700.0,90.0,5.0,5.0,7.2,20.0,0,300,CerebralPerfusion TC99M-ECD-FAIL-062,720.0,94.0,3.0,3.0,7.8,10.0,0,20,CerebralPerfusion
FS — Functional Specification
| ID | Function | Implementation |
|---|---|---|
| FS-001 | CSV import | Read input.csv in UTF-8/CSV-compatible format and validate the header and expected columns. |
| FS-002 | Schema validation | Check mandatory fields and column count; report unknown or missing key fields. |
| FS-003 | Type conversion | Convert numeric, flag and text values; invalid formats are recorded as row-level errors. |
| FS-004 | Domain rule engine | Apply domain rules for Tc-99m ECD, including critical limits from the utility description and approved specification. |
| FS-005 | Status aggregation | Produce final status: FAIL for critical failure, WARNING for non-critical deviation, PASS for conformance. |
| FS-006 | JSON export | Write output.json with detailed checks, source values, warnings, failures and critical findings. |
| FS-007 | Audit support | Keep the result structure suitable for review, deviation investigation, calculation reproduction and IQ/OQ preparation. |
| FS-008 | Integration contract | Support the production scenario: LIMS/ELN/MES creates input.csv, the utility returns output.json, the portal displays description and documentation. |
Example output.json
{
"utilityId": "technetium99m-ecd-quality-checker",
"api": "Tc-99m ECD",
"overallStatus": "PASS|WARNING|FAIL",
"sourceFile": "input.csv",
"checks": [
{
"parameter": "BatchNumber",
"value": "TC99M-ECD-2026-060",
"status": "PASS|WARNING|FAIL",
"message": "Rule-based check result"
},
{
"parameter": "TotalActivityMBq",
"value": "740.0",
"status": "PASS|WARNING|FAIL",
"message": "Rule-based check result"
},
{
"parameter": "RadiochemicalPurityPercent",
"value": "98.0",
"status": "PASS|WARNING|FAIL",
"message": "Rule-based check result"
},
{
"parameter": "FreePertechnetatePercent",
"value": "1.0",
"status": "PASS|WARNING|FAIL",
"message": "Rule-based check result"
},
{
"parameter": "ReducedHydrolyzedTcPercent",
"value": "1.0",
"status": "PASS|WARNING|FAIL",
"message": "Rule-based check result"
},
{
"parameter": "pH",
"value": "7.4",
"status": "PASS|WARNING|FAIL",
"message": "Rule-based check result"
},
{
"parameter": "EndotoxinsEU",
"value": "15.0",
"status": "PASS|WARNING|FAIL",
"message": "Rule-based check result"
},
{
"parameter": "SterilityTest",
"value": "0",
"status": "PASS|WARNING|FAIL",
"message": "Rule-based check result"
}
],
"criticalFindings": []
}
OQ/PQ test scenarios
| ID | Scenario | Expected result |
|---|---|---|
| OQ-001 | Valid sample row | PASS or acceptable WARNING according to the rules. |
| OQ-002 | Mandatory column missing | Schema error or FAIL. |
| OQ-003 | Non-numeric value in numeric field | Type-conversion error. |
| OQ-004 | Critical parameter outside limit | FAIL and critical finding. |
| PQ-001 | User real batch/lot | Reviewed result with input.csv and output.json retained. |
QA/QC and change control
- Do not rename columns without updating the validator and test set.
- Retain
input.csv,output.json, executable version and checksum. - Before production use, perform IQ/OQ/PQ or equivalent CSV/CSA verification.
- Critical radiopharmaceutical limits must be verified against the approved specification and local SOPs.
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