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List of PET radiotracers

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
^18F‑Fluoro‑L‑thymidine (FLT) ^18F Cellular proliferation, tumor grading
^18F‑Fluoro‑ethyl‑tyrosine (FET) ^18F Amino‑acid transport in brain tumors
^11C‑Methionine (MET) ^11C Protein synthesis, brain tumor delineation
^18F‑DOPA (Fluorodopa) ^18F Catecholamine synthesis, neuroendocrine tumors, Parkinsonian disorders

2. Amyloid and Tau Imaging (Neurodegenerative Disorders)

Radiotracer Radioisotope Primary Application
^11C‑Pittsburgh Compound B (PIB) ^11C Cerebral β‑amyloid plaque detection
^18F‑Florbetapir (Amyvid) ^18F β‑amyloid imaging in Alzheimer’s disease
^18F‑Florbetaben (Neuraceq) ^18F β‑amyloid imaging
^18F‑Flortaucipir (AV‑1451) ^18F Tau pathology in Alzheimer’s and frontotemporal dementia

3. Cardiovascular Perfusion and Viability

Radiotracer Radioisotope Primary Application
^13N‑Ammonia ^13N Myocardial blood flow quantification
^15O‑Water ^15O Absolute perfusion measurement
^82Rb (Rubidium‑82) ^82Rb Myocardial perfusion imaging (generator‑produced)
^18F‑Flurpiridaz ^18F Emerging myocardial perfusion agent

4. Bone Metabolism

Radiotracer Radioisotope Primary Application
^18F‑Sodium Fluoride (NaF) ^18F Skeletal metastasis detection, bone turnover assessment
^68Ga‑Citrate ^68Ga Osteomyelitis and bone infection imaging (off‑label)

5. Neuroreceptor and Neurotransmitter Systems

Radiotracer Radioisotope Primary Application
^11C‑Raclopride ^11C Dopamine D2/D3 receptor density
^18F‑Fallypride ^18F High‑affinity D2/D3 receptor imaging
^11C‑DASB ^11C Serotonin transporter (SERT) mapping
^18F‑SynVesT‑1 ^18F Synaptic vesicle glycoprotein 2A (SV2A) for neurodegeneration
^11C‑PBR28 ^11C Translocator protein (TSPO) for neuroinflammation

6. Somatostatin Receptor Imaging (Neuroendocrine Tumors)

Radiotracer Radioisotope Primary Application
^68Ga‑DOTATATE ^68Ga Somatostatin receptor subtype 2 (SSTR2) imaging
^68Ga‑DOTATOC ^68Ga SSTR2/5 imaging
^68Ga‑DOTANOC ^68Ga Broad SSTR subtype coverage

7. Prostate‑Specific Membrane Antigen (PSMA) Imaging

Radiotracer Radioisotope Primary Application
^68Ga‑PSMA‑11 ^68Ga PSMA expression in prostate cancer
^18F‑PSMA‑1007 ^18F High‑resolution PSMA imaging, reduced urinary bladder activity
^18F‑DCFPyL ^18F PSMA PET/CT for staging and recurrence detection

8. Hypoxia Imaging

Radiotracer Radioisotope Primary Application
^18F‑Fluoromisonidazole (FMISO) ^18F Tissue hypoxia in tumors
^64Cu‑ATSM ^64Cu Cellular hypoxia and redox status

9. Infection and Inflammation

Radiotracer Radioisotope Primary Application
^68Ga‑DOTA‑Ubiquicidin (UBI) ^68Ga Bacterial infection imaging (experimental)
^18F‑FDG (high uptake) ^18F Non‑specific inflammation, prosthetic joint infection

10. Emerging or Specialized Tracers

Radiotracer Radioisotope Primary Application
^11C‑Acetate ^11C 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.

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