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[11C]N-methylspiperone (NMSP) is a radiopharmaceutical and small molecule used as a positron emission tomography (PET) imaging agent. It is a derivative of the antipsychotic drug spiperone, radiolabeled with the positron-emitting isotope carbon-11. NMSP acts as a high-affinity antagonist for dopamine D2-like receptors (including D2, D3, and D4) and serotonin 5-HT2A receptors. In clinical research, it is primarily used to quantify receptor density and occupancy in the brain, particularly in the striatum and extrastriatal regions. Unlike reversible ligands such as [11C]raclopride, NMSP is characterized as an 'irreversible' or slowly dissociating ligand during the timeframe of a PET scan, making it a robust tool for studying receptor availability in conditions like Parkinson's disease, schizophrenia, and various movement disorders.
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