An efficient preparation of the hypoxic cell tracer -18!3-fluoro-1-(2'
-nitro-1'-imidazolyl)-2-propanol (F-18!fluoromisonidazole) is reporte
d. This radiopharmaceutical is of interest to probe hypoxic tissue in
infarcts and tumors. One-step radiolabeling and rapid protection group
removal provided 55-80% yield in 50 min. The process is similar to co
mmon fluorine labeling procedures, simplifying the procedure for most
laboratories, and offers an improvement over more difficult previous m
ethods. The labeling precursor was prepared in five steps from readily
available materials in a straightforward reaction scheme.