The chemistry to label radiopharmaceuticals for imaging with positron emiss
ion tomography (PET) with the 2 h half Life positron-emitting radionuclide
fluorine-18 (F-18) requires ease, efficiency, and speed. Furthermore, when
high specific activities are needed, as in imaging high affinity, low capac
ity receptors, reactions need to work well at the tracer level scale. This
review covers F-18 synthetic methods and their application to the preparati
on of [F-18]-labeled steroids for imaging hormone-responsive cancers. The m
ethods exemplified are fluoride ion displacement of sulfonates and opening
of cyclic sulfates, nucleophilic aromatic substitution, and halogen fluorid
e addition to alkenes. (C) 2001 Elsevier Science B.V. All rights reserved.