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[F-18]-5-fluoro-2'-deoxycytidine is a radiolabeled analog of the investigational anticancer agent 5-fluoro-2'-deoxycytidine (FdCyd), in which the fluorine atom at position 5 of the cytidine ring is replaced with radioactive fluorine‑18. It is used as a positron emission tomography (PET) imaging agent to noninvasively assess biodistribution and tumor uptake of FdCyd in patients, particularly those undergoing therapy with nonradioactive FdCyd. The parent compound, FdCyd, acts as an inhibitor of DNA methyltransferase (DNMT), suppressing epigenetic hypermethylation in tumor cells and thereby exerting antitumor effects. As a prodrug, it can also be converted intracellularly to cytotoxic metabolites such as 5-fluorouracil[4][6]. The radiolabeled form ([F‑18]FdCyd) enables visualization and quantification of drug delivery to tumors via PET/CT imaging[6][8].
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