Overview
Positron Emission Tomography (PET) utilizes radiolabeled molecules—radiotracers—that emit positrons detectable by a scanner. Radiotracers are chosen to target specific physiological, biochemical, or molecular processes. Below is a concise, factual compilation of PET radiotracers that are widely reported in peer‑reviewed literature and clinical practice.
1. Glucose Metabolism (Oncologic and Neurologic Imaging)
Radiotracer
Radioisotope
Primary Application
^18F‑Fluorodeoxyglucose (FDG)
^18F
Cancer staging, assessment of infection/inflammation, brain metabolism
Prostate cancer metabolism, myocardial oxidative metabolism
^18F‑Fluorocholine (FCH)
^18F
Prostate cancer and parathyroid adenoma detection
^68Ga‑FAPI (Fibroblast Activation Protein Inhibitor)
^68Ga
Cancer-associated fibroblast imaging
^89Zr‑Cetuximab
^89Zr
Antibody‑based imaging of EGFR expression (pre‑clinical/clinical trials)
Notes on Selection and Availability
Half‑life considerations: Short‑lived isotopes (^11C, t½ ≈ 20 min) require an on‑site cyclotron, whereas longer‑lived isotopes (^18F, t½ ≈ 110 min; ^68Ga, t½ ≈ 68 min) can be supplied via regional distribution or generator systems.
Regulatory status: Many tracers (e.g., ^18F‑FDG, ^68Ga‑DOTATATE, ^68Ga‑PSMA‑11) are FDA‑approved or have CE marking for clinical use. Others remain investigational or are used under research protocols.
Tracer choice depends on the targeted biological pathway, disease context, and logistical constraints (production, scanner availability, patient safety).
This list reflects radiotracers documented in peer‑reviewed pharmaco‑imaging literature, regulatory filings, and clinical guidelines up to 2024. It is not exhaustive; ongoing research continuously expands the repertoire of PET radiotracers.