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Technetium (99mTc) butedronate, commonly referred to as technetium Tc 99m 3,3-diphosphono-1,2-propanedicarboxylic acid (99mTc-DPD), is a diagnostic radiopharmaceutical used as a bone-seeking imaging agent. It consists of the bisphosphonate ligand butedronate labeled with the metastable radionuclide technetium-99m. Upon intravenous administration, the agent rapidly distributes and binds with high affinity to hydroxyapatite crystals in areas of active bone remodeling, making it highly effective for bone scintigraphy to detect skeletal metastases and other bone pathologies. Additionally, technetium (99mTc) butedronate is widely utilized in cardiac scintigraphy for the non-invasive diagnosis of transthyretin cardiac amyloidosis (ATTR-CA), where it accumulates in myocardial amyloid deposits via calcium-dependent binding.
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