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Technetium-99m BRU 59-21 is a **radiopharmaceutical imaging agent** consisting of technetium-99m labeled BRU 59-21, a 2-nitro-imidazole derivative designed for the **identification and imaging of hypoxic tissue** in tumors[1][3]. After intravenous administration, it accumulates selectively in hypoxic tumor cells, enabling non-invasive detection of tumor hypoxia by gamma camera or SPECT imaging. The mechanism involves retention of the 2-nitro-imidazole compound in cells under low-oxygen conditions, correlated with tissue staining for hypoxia markers such as pimonidazole[1][3]. It was primarily developed for research and diagnostic use in **head and neck cancer** patients, with preclinical studies demonstrating selective retention in hypoxic cells and safety/feasibility in humans[1].
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