Radiopharmaceutical Production
Specialized Radiopharmaceuticals for Molecular Imaging
Radiopharmaceuticals are an essential part of PET imaging. Different radiopharmaceuticals interact with specific biological processes or molecular targets, allowing PET to provide information relevant to different clinical questions. TMIC’s integrated radiopharmacy supports the preparation of radiopharmaceuticals for applications across oncology, cardiology, and neurology.
Oncology
Radiopharmaceuticals used in oncology can provide information about different biological characteristics of tumours and may support the evaluation of disease, staging, treatment response, or specific tumour types.
- 18F-FDG - used across a range of oncology applications to assess abnormal glucose metabolism.
- 18F-NaF - used to evaluate bone-forming activity and suspected bone involvement in selected clinical situations.
- 18F-PSMA and 68Ga-PSMA - used for molecular imaging applications involving prostate cancer.
- 68Ga-DOTATATE - targets somatostatin receptors and is used for imaging selected neuroendocrine tumours.
- 18F-Choline - used in selected oncology applications, including prostate cancer.
- 18F-FES - used for selected imaging applications involving oestrogen receptor-positive breast cancer.
- 18F-FET - used in selected applications involving primary and recurrent brain tumours.
- 18F-FDOPA - used in selected oncology and neurological applications.
- 18F-MISO - used in selected clinical settings to evaluate tumour hypoxia.
Cardiology
13N-ammonia (13N-NH3) is produced for cardiac PET imaging and can be used to assess myocardial perfusion at rest and during pharmacological stress in patients with suspected or established coronary artery disease.
Neurology
Radiopharmaceuticals such as 18F-FDG, 18F-FDOPA, and 18F-FET may be used for selected neurological imaging applications. Depending on the radiopharmaceutical and clinical indication, PET can provide information about brain metabolism or specific molecular processes.
The choice of radiopharmaceutical depends on the patient’s clinical indication and the information required by the referring physician.
Radiopharmaceuticals Available at TMIC.
| Radiopharmaceutical |
Production Method |
Clinical Applications |
| 18F-FDG |
Cyclotron + synthesizer |
Oncology, neurology, cardiology |
| 18F-DOPA |
Cyclotron + synthesizer |
Oncology |
| 18F-FET |
Cyclotron + synthesizer |
Oncology, neurology |
| 18F-MISO |
Cyclotron + synthesizer |
Oncology |
| 18F-PSMA |
Cyclotron + synthesizer |
Oncology |
| 18F-FES |
Cyclotron + synthesizer |
Oncology |
| 18F-Choline |
Cyclotron + synthesizer |
Oncology |
| 68Ga-PSMA |
Generator + synthesis system |
Oncology |
| 68Ga-DOTATATE |
Generator + synthesis system |
Oncology |
| 13N-NH3 |
Cyclotron |
Cardiology |
| 18F-NaF |
Cyclotron + synthesizer |
Oncology |
| In-the-pipeline |
| 18F-Fluorothymidine |
Cyclotron + synthesizer |
Oncology |
| 18F-Flurpiridaz |
Cyclotron + synthesizer |
Cardiology |