EFFECT
OF THE SKIN CUT THAT IS NOT COVERING THE CHANNELS ON THE TRANSPORT
Title.
Study of the effect of cutaneous incisions
that do not affect the migration pathway on subcutaneous migration
of the Tc-99m in form of pertechnetate of sodium throughout
the K-Channels.
Background.
It is known
that making cuts in the skin that covers the migration pathway
prevents the transport of sodium pertechnetate (see page 35).
The effect that the cut has on the neighboring skin not situated
over the pathway has not been studied. If its cut did not
have effect, it could suggest that there is some kind of wall
that maintains the electrical
isolation of the transport channel.
Objectives.
To evaluate the effect of cutaneous cuts
that do not affect the migration pathway over the subcutaneous
transport of the sodium pertechnetate.
Methodology.
80 male beagles between 18 and 36 months
old were anesthetized and then injected with 200 to 250 mCi
of Tc-99m in a point of low electrical resistance on the dorsal
part of the metacarpus. Various kinds of experiments were
made and the cutaneous cuts that did not intersect the migratory
pathway of the Tc-99m were made before or after the injection
of the Tc-99m and in the contralateral or ipsilateral extremity.
In different experiments, the cuts were sutured both before
and after the injection of Tc-99m. In no case did the cuts
extend less than 1 cm from the pathway through which the isotope
is transported.
Participants, along with the Foundation's
Science Department.
Departments of Nuclear Medicine of the Hospital
Clínico of Barcelona, de Morphological Sciences of
the Central University of Barcelona (Medical School), and
of Animal Surgery of the Autónomo University of Barcelona
(Veterinary School).
Funded in full by the Kovacs Foundation.
Results.
Published in the journal European Radiology
(Kovacs FM, García A, Mufraggi N, et al. Migration
pathways of hypodermically injected technetium-99m in dogs.
Eur-Radiol 2000;10:1019-1025).
To summarize, they indicate that the cut in the skin that
does not intersect the pathway through which the isotope is
transported has no effect on its migration. Transport occurs
the same as in healthy skin, whether the cut is made before
or after the injection and in the injected extremity or in
the opposite side.
This could suggest that the flow of the isotope is surrounded
by a wall that electrically isolates it from the rest of the
subcutaneous environment. This would explain how when the
skin in the area, but not that right above the migration pathway,
is cut, the pathway continues electrically isolated despite
the fact that the neighboring tissue has lost its isolation
from the exterior. This fact would be compatible with the
hypothesis posed by the research team, according to which
the transport would be verified by means of a mechanism similar
to that of capillary
electrophoresis.
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