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Journal of Nuclear Medicine Vol. 48 No. 3 420-428
© 2007 by Society of Nuclear Medicine


Basic Science Investigation

18F-Fluoroacetate: A Potential Acetate Analog for Prostate Tumor Imaging—In Vivo Evaluation of 18F-Fluoroacetate Versus 11C-Acetate

Datta E. Ponde1, Carmen S. Dence1, Nobuyuki Oyama1,2, Joonyoung Kim1, Yuan-Chuan Tai1, Richard Laforest1, Barry A. Siegel1,2 and Michael J. Welch1,2

1 Mallinckrodt Institute of Radiology and 2 Alvin J. Siteman Cancer Center, Washington University School of Medicine, Saint Louis, Missouri

Correspondence: For correspondence or reprints contact: Michael J. Welch, PhD, Mallinckrodt Institute of Radiology, Washington University School of Medicine, Campus Box 8225, 510 South Kingshighway Blvd., St. Louis, MO 63110. E-mail: welchm{at}wustl.edu

PET with 11C-acetate (11C-ACE) has a high sensitivity for detection of prostate cancer and several other cancers that are poorly detected with 18F-FDG. However, the short half-life (20.4 min) of 11C limits the general availability of 11C-ACE. 18F-Fluoroacetate (18F-FAC) is an analog of acetate with a longer radioactive half-life (18F = 110 min). This study was undertaken to assess the potential usefulness of 18F-FAC as a prostate tumor imaging agent. Methods: We developed an efficient radiosynthesis for 18F-FAC, which has already been adapted to a commercial synthesizer. Biodistribution studies of 18F-FAC were compared with 11C-ACE in normal Sprague–Dawley male rats and CWR22 tumor-bearing nu/nu mice. We also performed a small-animal PET study of 18F-FAC in CWR22 tumor-bearing nu/nu mice and a whole-body PET study in a baboon to examine defluorination. Results: We obtained 18F-FAC in a radiochemical yield of 55% ± 5% (mean ± SD) in ~35 min and with a radiochemical purity of >99%. Rat biodistribution showed extensive defluorination, which was not observed in the baboon PET, as indicated by the standardized uptake values (SUVs) (SUVs of iliac bones and femurs were 0.26 and 0.3 at 1 h and 0.22 and 0.4 at 2 h, respectively). CWR22 tumor-bearing nu/nu mice showed tumor uptake (mean ± SD) of 0.78 ± 0.06 %ID/g (injected dose per gram of tissue) for 11C-ACE versus 4.01 ± 0.32 %ID/g for 18F-FAC. For most organs—except blood, muscle, and fat—the tumor-to-organ ratios at 30 min after injection were higher with 18F-FAC, whereas the tumor-to-heart and tumor-to-prostate ratios were similar. Conclusion: All of these data indicate that 18F-FAC may be a useful alternative to 11C-ACE tracer for the detection of prostate tumors by PET.

Key Words: PET • 18F-fluoroacetate • 11C-acetate • prostate tumor detection • radiosynthesis


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