# Treatment of [99mTc]Tc‐hydroxy‐diphosphonate ([99mTc]Tc‐HDP) extravasation using hyaluronidase

**Authors:** Kevin R. Doornhof, Quido de Lussanet de la Sablonière, Stijn L. W. Koolen, Mark W. Konijnenberg

PMC · DOI: 10.1002/prp2.1232 · Pharmacology Research & Perspectives · 2024-07-25

## TL;DR

This paper suggests using hyaluronidase to reduce tissue damage from [99mTc]Tc-HDP extravasation during medical imaging.

## Contribution

The novelty is proposing hyaluronidase as a potential intervention for [99mTc]Tc-HDP extravasation, despite no current guidelines.

## Key findings

- Hyaluronidase may help spread [99mTc]Tc-HDP and reduce tissue absorbed dose.
- Using hyaluronidase could minimize adverse effects from radiopharmaceutical extravasation.
- The low risk of hyaluronidase makes it a viable option for limiting injury.

## Abstract

Extravasation of 99mTc‐labeled radiopharmaceuticals is generally considered to require no specific intervention. In the presented case, the use of hyaluronidase could have minimized the adverse effects resulting from such an extravasation. Currently, no guidelines exist regarding the use of hyaluronidase after extravasation of [99mTc]Tc‐HDP. Considering the low risk of administering hyaluronidase, it should be considered to limit the risk of injury after extravasation of [99mTc]Tc‐HDP.

The spreading of [99mTC]Tc‐HDP after extravasation can be facilitated through administration of hyaluronidase. This can significantly reduce the tissue absorbed dose, potentially reducing the severity of adverse reactions.

## Full text

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## Figures

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## References

10 references — full list in the complete paper: https://tomesphere.com/paper/PMC11272945/full.md

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Source: https://tomesphere.com/paper/PMC11272945