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- •Contents
- •List of Contributors
- •Foreword
- •Preface
- •Abbreviations
- •1.1 INTRODUCTION
- •1.7 SUMMARY
- •REFERENCES
- •2.1 INTRODUCTION
- •2.2 THERANOSTICS
- •REFERENCES
- •3.1 INTRODUCTION
- •3.3 68Ge/68Ga GENERATORS
- •REFERENCES
- •4.1 INTRODUCTION
- •4.2 TECHNETIUM-99m
- •4.3 IODINE-131
- •4.4 XENON-133
- •4.5 CYCLOTRON-PRODUCED RADIONUCLIDES
- •4.6 THALLIUM-201
- •4.7 GALLIUM-67
- •4.8 INDIUM-111
- •4.9 IODINE-123
- •4.A. APPENDIX
- •REFERENCES
- •5.1 INTRODUCTION
- •5.7 SUMMARY
- •7.1 INTRODUCTION
- •REFERENCES
- •8.1 INTRODUCTION
- •9.1 INTRODUCTION
- •10.2 Cu-MEDIATED RADIOFLUORINATION
- •10.3 Cu-MEDIATED HEAVY HALIDE RADIOHALOGENATION
- •10.4 CONCLUSIONS
- •REFERENCES
- •11.1 INTRODUCTION
- •REFERENCES
- •12.1 INTRODUCTION
- •12.3 MYOCARDIAL IMAGING AGENTS
- •12.5 BRAIN IMAGING AGENTS
- •12.6 RENAL IMAGING AGENTS
- •12.7 BONE IMAGING AGENTS
- •12.9 SENTINEL LYMPH NODE IMAGING AGENTS
- •12.12 CONCLUDING REMARKS
- •13.1 INTRODUCTION
- •13.2 EARLY RADIOCHEMISTRY SYNTHESIS MODULES
- •13.3 MODERN CASSETTE-BASED MODULES
- •13.5 HYBRID MODULES
- •13.6 MICROFLUIDIC SYSTEMS
- •13.8 AUTOMATED QUALITY CONTROL TESTING
- •REFERENCES
- •14.1 OVERVIEW
- •14.4 DRIVERS OF AUTOMATED QC
- •14.5 BARRIERS TO QC AUTOMATION
- •14.6 QC INNOVATION

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11
C]guanidine. J. Labelled Compd. Radiopharm. 34
(8): 691–696.
414 Westerberg, G., Bergström, M., Gustafson, S. etal. (1995). Labelling of polysaccha-
rides using [
11
C]cyanogen bromide. In vivo and in vitro evaluation of 11C-hyaluronan
uptake kinetics. Nucl. Med. Biol. 22 (2): 251–256.
415. Emran, A.M., Boothe, T.E., Finn, R.D. etal. (1983). Preparation of
carrier-added
11
C-cyanide. Int. J. Appl. Radiat. Isot. 34 (7): 1013–1014.
11
C-urea from no-
416. Emran, A.M., Boothe, T.E., Finn, R.D. etal. (1985). Optimized production of high
specic activity [
11
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417. Vander Borght, T., Labar, D., Pauwels, S., and Lambotte, L. (1991). Production of
11
[2-
C]thymidine for quantication of cellular proliferation with PET. Int. J. Radiat.
Appl. Instrum. 42 (1): 103–104.
418 Emran, A.M., Boothe, T.E., Finn, R.D. etal. (1986). Use of
ing the synthesis of radiolabelled compounds—II: 2-[
11
from [
C]cyanide. Int. J. Radiat. Appl. Instrum. A Appl. Radiat. Isot. 37 (10):
11
C as a tracer for study-
11
C]-5,5-diphenylhydantoin
1033–1038.
419. Westerberg, G. and Långström, B. (1994). Synthesis of sodium [
11
[
C]cyanogen bromide. J. Labelled Compd. Radiopharm. 34 (6): 545–548.
420. Stone-Elander, S., Roland, P., Halldin, C. etal. (1989). Synthesis of [
11
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11
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421 Haywood, T., Cesarec, S., Kealey, S. etal. (2018). Ammonium [
11
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245

428. Roeda, D., Sipil, H.T., Bramoull, Y. etal. (2002). Synthesis of [11C]atipamezole, a potential PET ligand for the Α2-adrenergic receptor in the brain. J. Labelled Compd. Radio-
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439. Asakawa, C., Ogawa, M., Kumata, K. etal. (2011). Radiosynthesis of three [
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440. Lemoucheux, L., Rouden, J., Ibazizene, M. etal. (2003). Debenzylation of tertiary
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441. Dolle, F., Valette, H., Hinnen, F. etal. (2001). Synthesis and preliminary evaluation of
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246 Handbook of Radiopharmaceuticals

442. Lidström, P., Bonasera, T.A., Marquez-M, M. etal. (1998). Synthesis and in vitro evaluation of [carbonyl-
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11
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(2): 339–346.
444. Wang, L., Mori, W., Cheng, R. etal. (2016). Synthesis and preclinical evaluation of sulfonamidobased [
11
C-carbonyl]-carbamates and ureas for imaging monoacylglycerol
lipase. Theranostics 6 (8): 1145–1159.
445. Cheng, R., Mori, W., Ma, L. etal. (2018). In vitro and in vivo evaluation of
11
C-labeled
azetidinecarboxylates for imaging monoacylglycerol lipase by PET imaging studies.
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447 Miller, P.W., Kato, K., and Långström, B. (2014). Carbon-11, nitrogen-13, and
oxygen-15 chemistry: an introduction to chemistry with short-lived radioisotopes. In:
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448. Del Vecchio, A., Destro, G., Taran, F., and Audisio, D. (2018). Recent developments
in heterocycle labeling with carbon isotopes. J. Labelled Compd. Radiopharm. 61
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449. Roeda, D., Tavitian, B., Coulon, C. etal. (1997). Synthesis of [
11
C]RPR-72840A and
its evaluation as a radioligand for the serotonin reuptake site in positron emission
tomography. Bioorg. Med. Chem. 5 (2): 397–403.
450. Yashio, K., Katayama, Y., Takashima, T. etal. (2012). Synthesis of [
11
[
C]phosgene, as a possible biomarker in PET imaging for diagnosis of gout. Bioorg.
11
C]uric acid, using
Med. Chem. Lett. 22 (1): 115–119.
451 Takada, Y., Ogawa, M., Suzuki, H., and Fukumura, T. (2010). Radiosynthesis of [2-
bonyl]dantrolene using [
452. Seki, K.I., Nishijima, K.I., Sanoki, K. etal. (2009). New [
11
of [
C]pyrimidines for positron emission tomography. Heterocycles 77 (2): 1307–1321.
11
C]phosgene for PET. Appl. Radiat. Isot. 68 (9): 1715–1720.
11
C]phosgene based synthesis
11
C-car-
453. Roger, G., Dollé, F., De Bruin, B. etal. (2004). Radiosynthesis and pharmacological
evaluation of [
11
C]EMD-95885: a high anity ligand for NR2B-containing NMDA
receptors. Bioorg. Med. Chem. 12 (12): 3229–3237.
454. Roger, G., Lagnel, B., Besret, L. etal. (2003). Synthesis, radiosynthesis and in vivo
evaluation of 5-[3-(4-benzylpiperidin-1-yl)prop-1-ynyl]-1,3-dihydrobenzoimidazol-
11
2-[
C]one, as a potent NR1A/2B subtype selective NMDA PET radiotracer. Bioorg.
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455. Labas, R., Sobrio, F., Bramoullé, Y. etal. (2010). Radiosynthesis of N-[4-(4-uorobenzyl)
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11
C]oxo-1,3-dihydrobenzimidazol-5-yl)oxamide, a NR2B-selective
NMDA receptor antagonist. J. Labelled Compd. Radiopharm. 53 (2): 63–67.
247

456. Brown, G.D., Luthra, S.K., Brock, C.S. etal. (2002). Antitumor imidazotetrazines.
40. 1 radiosyntheses of [4-
11
C-Carbonyl]- and [3-N-11C-methyl]-8-carbamoyl-3methylimidazo[5,1-d]-1,2,3,5-tetrazin-4(3H)-one (temozolomide) for positron
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using nitromethane labeled with
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11
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11
C-labelling of heterocyclic aromatic compounds in
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459. Schoeps, K.O., Långström, B., Stone-Elander, S., and Halldin, C. (1991). Synthesis of
11
[1-
C]D-glucose and [1-11C]D-mannose from on-line produced [11C]nitromethane. Int.
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methane for the synthesis of ethyl nitro[2-
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11
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11
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248 Handbook of Radiopharmaceuticals

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249


Chapter 8
Fluorine-18
Radiochemistry
Allen F. Brooks
Department of Radiology, University of Michigan, Ann Arbor,
MI, 48109, USA
Katarina J. Makaravage
Department of Chemistry, University of Michigan, Ann Arbor,
MI, 48109, USA
Jay Wright
Department of Radiology, University of Michigan, Ann Arbor,
MI, 48109, USA
Melanie S. Sanford
Department of Chemistry, University of Michigan, Ann Arbor,
MI, 48109, USA
Peter J. H. Scott
Department of Radiology, University of Michigan, Ann Arbor,
MI, 48109, USA
8.1 INTRODUCTION
Between the publication of the rst edition of the Handbook of Radiopharmaceuticals and
this new edition, interest in uorine-18, its applications, and utilization have continued
to grow. This is reected in the increasing number of publications and patents containing uorine-18 as a key feature of the work (Figure8.1). Cyclotron produced uorine-18
Handbook of Radiopharmaceuticals: Methodology and Applications, Second Edition.
Edited by Michael R. Kilbourn and Peter J.H. Scott.
© 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd.

3500
3000
2500
2000
1
500
1
3000
2500
2000
1
1
1996 2001 2006 2011 2016
1996 2001 2006 2011 2016
1960–2017 Publications
000
500
0
1960
1970 1980 1990
1997–2017 Scientific Literature Publications 1997–2017 Patents
500
000
500
0
Figure 8.1 Fluorine-18 scientic and patent literature. Source: Data from Scopus.
is readily available primarily from commercial nuclear pharmacies (which require it for
18
[
F]uorodeoxyglucose ([18F]FDG) production) and academic medical research centers,
which has been a factor in this growth as more sites and researchers can start programs
with smaller investments in infrastructure. Alongside this increased interest, the trend
toward the utilization of nucleophilic [
18
like [
F]F2, has continued. This is due to the amount of high-molar-activity [18F]uoride
that can be conveniently produced in easy-to-handle aqueous solutions. For example,
the bulk of new methodology research and positron emission tomography (PET) tracer
development with uorine-18 has utilized small medical cyclotrons to produce [
uoride ([
18
F]F−) via proton irradiation of [18O]H2O according to the 18O(p,n)18F nuclear
reaction. New uorine-18 radiochemistry has been extensively reviewed in recent
years[1–20], and this chapter will focus on highlighting key new methods utilizing [
as a reagent for the production of uorine-18 PET imaging agents.
At the time of the previous edition of the Handbook, the two main approaches to
radiolabeling with [
18
F]uoride were nucleophilic substitution reactions (SN2) of aliphatic
compounds and nucleophilic aromatic substitution (S
challenging substrates (e.g. electron-rich arenes) or molecules previously labeled with a
252 Handbook of Radiopharmaceuticals
2000 2010
700
600
500
400
300
200
100
0
18
F]F− sources such as [18F]KF, over [18F]F+ sources
18
Ar) of aromatic compounds. For
N
F]
18
F]F−

carbon-11 methyl group, an alternative approach involving the use of prosthetic groups
such as the [
18
F]uoroethyl tosylate group[21] or N-succinimidyl 4-[18F]uorobenzoate[22, 23] were employed. These approaches are still used extensively in uorine-18
radiochemistry, but they only allow for the labeling of a limited set of potential molecules
of interest for study by PET imaging.
In the past 15 years, extensive work has been done to improve the chemical space
that can be labeled with uorine-18. A signicant challenge is improving the reactivity
18
of [
F]KF to a level comparable to reagents such as anhydrous HF and F+ sources. To
facilitate this, many productive collaborations between radiochemists and organometallic chemists have developed, and the results have disrupted many of the established
notions, dogma, and limitations of uorine-18 chemistry previously accepted.
A standard procedure is often undertaken to process [18F]uoride obtained as a solution
18
in [
O]H2O from a cyclotron. Typically, [18F]uoride is trapped on a quaternary methylammonium (QMA) ion-exchange resin that has been preconditioned with carbonate or
bicarbonate, allowing recovery of [
solution such as aqueous K
2CO3
acetonitrile containing Kryptox 222 (K
18
[
F]KF˙K
reagent is azeotropically dried in order to allow for solubility and reactivity
2.2.2
in the radiouorination step to follow. While this approach is general, a pitfall is that S
reactions with uoride are prone to undesirable competing elimination reactions.
Furthermore, the use of additional base in the preconditioning of the QMA and elution of
uoride can exacerbate this problem (e.g. accelerate deleterious deprotection processes).
Moreover, carbonate and bicarbonate are not compatible with many catalysts or reagents,
as they form unproductive mixtures. For example, copper species can form unreactive
copper carbonates, inhibiting the desired radiouorination process and decreasing overall
radiochemical yield (RCY). In addition, K
precursors and poison reaction mixtures. As the eld has developed new methodologies
over the past 15 years, PET radiochemists have given careful thought to how [
prepared as a reagent for radiolabeling in order to overcome these challenges.
The preparation of new [
of research. Reports dating back to the 1990s overcame limitations associated with the
use of carbonate and its ability to degrade precursors, reagents, and/or products through
the use of other anions (e.g. triate, oxalate) to condition and elute QMA cartridges.
Recent work on elution scope has demonstrated that basic elution can be achieved
provided that a sucient amount of solvent anion is generated. This can simply be
achieved using bases with conjugate pKa constants high enough to form ions of the solvent (e.g. hydroxide in the case of H
using less basic salts like KOTf, this results in [
ated in a broader set of reaction conditions, such as copper-mediated radiouorination
(CMRF)[24]. For example, the Scott group was recently interested in preparing [
18
O]H2O. The [18F]uoride is then eluted with a basic
to generate [18F]KF. The [18F]KF is then combined with
), a phase-transfer reagent, and the resulting
2.2.2
as a nitrogen base can also degrade potential
2.2.2
18
F]uoride is
18
F]uoride sources to improve reactivity is not a new avenue
O). When utilized in conjunction with preconditioning
2
18
F]uoride reagents that can be toler-
18
F]AgF
2
N
Chapter 08: Fluorine-18 Radiochemistry 253

to enable access to new CH activation methods for radiouorination[25]. Several reports
18
of [
F]AgF were present in the literature prior to this[26–30] but required specialized
equipment and conditions. Instead, by preconditioning the QMA with an anion that
forms a soluble silver salt, such as triate, acetate, or nitrate (using the corresponding
potassium or sodium salt), [
18
F]AgF can be conveniently produced[31]. In this example,
changing the preconditioning agent enabled the production of a reactive silver salt that
would otherwise have formed an unproductive carbonate/bicarbonate under standard
elution conditions. In analogy, solvent protonation can also enable the production of different ions and
the production of [
acid led to the protonation of H
18
[
F]HF[32]. The ability to prepare dierent forms of [18F]uoride oers scope to develop
18
F uoride sources. This was demonstrated in a recent report describing
18
F]HF, in which elution with methanesulfonic acid or triuoroacetic
O, ethanol, or N,N-Dimethylformamide (DMF) to produce
2
further radiouorination methods in the future.
Choice of solvent is also essential in the design of ecient radiouorination
processes. Until recently, it has been accepted that the use of protic solvents would
inhibit any nucleophilic radiouorination since uoride forms hydrogen bonds with them.
This likely originates from nucleophilic
19
F uorination chemistry, which in many cases has
been demonstrated to occur with increased eciency in the absence of hydrogen-bond
donors (such as adventitious moisture)[33–37].
However, Stewart and co-workers described how the azeotropic drying of [
18
F]uoride
can be conducted with ethanol instead of acetonitrile without reduction in subsequent
reaction yield, oering a greener and cheaper alternative for uorine-18 processing[38].
In this report, the authors demonstrated that several precursors, including the mannose
triate precursor of [
18
F]FDG, could be labeled in a solvent composed of ethanol and H2O
(85:15). The use of ethanol over acetonitrile in the azeotropic drying step is of particular
interest as it replaces a class II solvent, simplifying quality control analysis provided none
are utilized in the production method (e.g. during the reaction, high-performance liquid
chromatography (HPLC) purication, and/or solid-phase extraction), as was later disclosed
by the Scott laboratory[39]. Furthermore, Sergeev and co-workers demonstrated that
highly aqueous solvent mixtures could be utilized for the radiouorination of sulfonates
in the presence of titanium catalysts. The sulfonate was postulated to coordinate to the
surface of TiO
both S
N
particles, which could also desolvate the [18F]uoride and thus facilitate
2
2 and SNAr reactions[40]. The use of sulfonate precursor molecules for SN2 was
further explored in protic solvents by the Chi laboratory, where reaction was achieved
through the formation of ionic liquids from protic solvents[41]. In their early work, 1-butyl3-methylimidazolium triate was utilized, and [
carbonate elution. Notably, the S
2 radiouorination of mesylates in this medium did not
N
18
F]uoride was prepared with cesium
require the removal of water prior to the reaction. Later, the same group also reported
that if tert-butyl alcohol was utilized as a solvent and cesium carbonate was used for
elution, no additive was required to convert the starting sulfonates to the corresponding
18
[
F]uorinated products[42]. In spite of the preference for aprotic media in a majority of
radiouorination methods, protic solvents can also be utilized in uorine-18 chemistry,
providing the precursor and reaction conditions are judiciously selected[43].
254 Handbook of Radiopharmaceuticals
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