If an F18 Na fluoride isotope for a bone scan looks cloudy or contains particulate matter, should you inject it?

The presence of cloudiness or particulate matter in an F18 Na fluoride isotope indicates that the radiopharmaceutical may not have been prepared or stored correctly, or it may have undergone degradation. In radiopharmacy, the integrity and clarity of radiopharmaceuticals are crucial for ensuring their safety and effectiveness. Particulates can introduce risks, such as causing blockage in blood vessels or leading to unreliable imaging results.

Before administering any radiopharmaceutical, a radiologic technologist or a nuclear medicine professional should perform a visual inspection to ensure that the solution is clear and free of any contaminants. If the solution appears cloudy or contains particles, it is essential to refrain from injecting it until the issue can be resolved, ensuring patient safety and the reliability of the diagnostic procedure. Therefore, the decision not to inject a radiopharmaceutical that looks abnormal is appropriate for maintaining high standards of care in radiological practices.