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**18F-fludarabine** is a radiopharmaceutical agent derived from the purine analog fludarabine and labeled with the radioisotope fluorine-18. It is primarily used as a positron emission tomography (PET) imaging tracer for hematological malignancies such as lymphoma and chronic lymphocytic leukemia (CLL). The compound leverages the cellular uptake and accumulation properties of fludarabine, which are cell-cycle independent. Once inside cells, it is phosphorylated by deoxycytidine kinase to its active triphosphate form. The radiolabeling with fluorine-18 allows for high-sensitivity PET imaging of lymphoid tumors due to specific uptake in malignant lymphoid cells. Unlike therapeutic fludarabine, 18F-fludarabine is not used for treatment but rather for diagnostic imaging to assess tumor burden or residual disease[1][2][3][5][8].
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