RT Journal Article SR Electronic T1 Automated radiosynthesis of 18F-PSMA-11 for large scale routine use JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 888 OP 888 VO 58 IS supplement 1 A1 Kersemans, Ken A1 Courtyn, Jan A1 Moerman, Lieselotte A1 Van Royen, Tessa A1 De Man, Kathia A1 De Vos, Filip A1 Brans, Boudewijn YR 2017 UL http://jnm.snmjournals.org/content/58/supplement_1/888.abstract AB 888Objectives: Various 18F-labeled urea-based radiotracers for PET imaging of PSMA have been developed that allow direct labeling of the peptides via aluminum-fluoride (Al18F) chelation. Despite the existence of successful labeling protocols, not a single method has been reported that allows the production of large amounts of 18F-PSMA-11, sufficient for routine application in a clinical setting. The aim of this work was to develop a reproducible automated radiosynthesis for large scale batch production of high quality 18F-PSMA-11.Methods: A customized Synthra RNplus module (Synthra GmBh) was used to synthetize 18F-PSMA-11 from commercially available PSMA-11 (ABX) by aluminum-fluoride (Al18F) chelation. The process was based on previously described manual procedures and optimized/altered to account for the specific issues arising from working with high amounts of freshly produced 18F-fluoride (i.e. radionuclidic impurities, radiolysis,⋯). After production, quality control was performed on all batches and the stability of 18F-PSMA-11 in the final formulation was assessed by means of HPLC and TLC.Results: The radiofluorinated compound 18F-PSMA-11 was successfully synthetized within 35 minutes in an average yield of 13.5 +/- 3.2 % (not corrected for decay) and with a radiochemical purity exceeding 95% in all cases. All produced batches passed the quality control tests required by the European Pharmacopeia for radiotracers to be injected into humans. We have successfully demonstrated the synthesis of several batches of 18F-PSMA-11, starting with approximately 0.1 TBq of radioactivity and obtained up to 16.5 GBq (non-decay-corrected) of 18F-PSMA-11. The specific activity of was estimated to be 64 +/- 18 GBq/μmol. Loss of radiolabel was greatly reduced by optimization of the reaction parameters as defluorination of 18F-PSMA-11 is suspected to be related to the formation of an unstable isomer, similar to the different isomer described for 68Ga-PSMA-11. Strict control of reaction parameters almost quantitatively removes the undesired isomer, leading to a compound that meets the radiopharmaceutical requirements over a time frame of at least 4 hours.Conclusion: The optimized synthesis of 18F-PSMA-11 using a Synthra RNplus allows for large scale production of high quality 18F-PSMA-11, suitable for routine human application in a clinical setting. As many doses can now efficiently be prepared in a single production- cycle, widespread use of the tracer is possible. Research Support: Nothing to declare