PT - JOURNAL ARTICLE AU - Brennan J. Wadsworth AU - Jinhe Pan AU - Iulia Dude AU - Nadine Colpo AU - Momir Bosiljcic AU - Kuo-Shyan Lin AU - Francois Benard AU - Kevin L Bennewith TI - 2-<sup>18</sup>F-Fluoroethanol Is a PET Reporter of Solid Tumor Perfusion AID - 10.2967/jnumed.116.183624 DP - 2017 May 01 TA - Journal of Nuclear Medicine PG - 815--820 VI - 58 IP - 5 4099 - http://jnm.snmjournals.org/content/58/5/815.short 4100 - http://jnm.snmjournals.org/content/58/5/815.full SO - J Nucl Med2017 May 01; 58 AB - Solid tumor perfusion is a proven variable of interest for predicting cancer aggression and response to therapy. Current methods for noninvasively imaging tumor perfusion with PET are limited by restricted accessibility and short half-lives of perfusion radiotracers. This study presents 2-18F-fluoroethanol (2-18F-FEtOH) as a perfusion reporter that can distinguish between tumors of varying perfusion levels and can be applied to screening drugs that modify tumor perfusion. Methods: Uptake of 2-18F-FEtOH in 4T1 and 67NR murine mammary carcinoma tumors grown in mice was measured using ex vivo radiography as well as static and dynamic PET imaging. 2-18F-FEtOH uptake was directly compared with the 14C-iodoantipyrine perfusion reporter, and the perfusion-modifying drugs nicotinamide, pentoxifylline, and hydralazine were used to manipulate tumor perfusion before 2-18F-FEtOH quantification. Results: Uptake of 2-18F-FEtOH in 4T1 and 67NR tumors was consistent with known perfusion differences within and between these tumors. 2-18F-FEtOH uptake corresponded well with 14C-iodoantipyrine and reflected the tumor perfusion-modifying effects of each drug. Conclusion: 2-18F-FEtOH is a novel 18F-based radiotracer for investigating tumor perfusion with PET imaging. Quantification of 2-18F-FEtOH uptake can be used to distinguish between tumors of varying perfusion and to screen the efficacy of blood flow–modifying drugs for use as adjuvants to existing cancer therapies.