PT  - JOURNAL ARTICLE
AU  - Joseph C. Hung
TI  - Comparison of Various Requirements of the Quality Assurance Procedures for <sup>18</sup>F-FDG Injection*
DP  - 2002 Nov 01
TA  - Journal of Nuclear Medicine
PG  - 1495--1506
VI  - 43
IP  - 11
4099  - http://jnm.snmjournals.org/content/43/11/1495.short
4100  - http://jnm.snmjournals.org/content/43/11/1495.full
SO  - J Nucl Med2002 Nov 01; 43
AB  - The quality assurance (QA) requirements (i.e., test procedure, acceptance criteria, and testing schedule) for fludeoxyglucose 18F (18F-FDG) injection listed in the U.S. Pharmacopeia (USP); the draft Chemistry, Manufacturing, and Controls (CMC) issued by the U.S. Food and Drug Administration (FDA); and the European Pharmacopeia (EP) were compared. The FDA Modernization Act of 1997 requires that the QA of compounded PET drug products be in compliance with the PET compounding standards and official monographs included in the USP. However, the “sunset” clause of the PET section within the FDA Modernization Act of 1997 stipulates that all PET drug products, in due course, must meet the requirements for drug approval procedures and current good manufacturing practice, and the FDA has issued a draft CMC that includes QA specifications for 18F-FDG injection. The purpose of this article is to discuss the pros and cons of each of the QA tests stated in the USP, CMC, and EP and to propose a practical testing method for each required test, thereby helping end users to ensure the quality of the 18F-FDG injection product. It is hoped that this article will stimulate further cooperation among various countries worldwide in the development of a set of harmonized and sensible QA standards for all PET drug products.