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[F-18]RGD-K5 is an investigational radiopharmaceutical developed by The Cleveland Clinic for the detection of unstable atherosclerotic plaques using positron emission tomography (PET) imaging. The tracer consists of a cyclic peptide containing the arginine-glycine-aspartic acid (RGD) motif labeled with the radioisotope fluorine-18. It specifically targets the alpha-v beta-3 (αvβ3) integrin, a cell surface receptor that is significantly upregulated on neovascular endothelial cells and activated macrophages within inflamed, vulnerable plaques. By localizing to these areas of high inflammation and angiogenesis, [F-18]RGD-K5 allows for the non-invasive identification of carotid artery lesions at high risk of rupture, potentially assisting in the selection of patients for carotid endarterectomy.
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