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[18F]-d4-FET is a deuterated analog of the O-(2-[18F]fluoroethyl)-L-tyrosine ([18F]FET) positron emission tomography (PET) tracer. It is specifically designed to improve metabolic stability by incorporating four deuterium atoms into the fluoroethyl side chain, which reduces in vivo defluorination compared to standard [18F]FET. The tracer acts as a substrate for the large neutral amino acid transporter 1 (LAT1), which is significantly overexpressed in various malignancies, particularly gliomas. By measuring amino acid transport rather than glucose metabolism, [18F]-d4-FET provides superior contrast for brain tumor imaging, aiding in tumor localization, staging, surgical and radiotherapy guidance, and the differentiation of tumor recurrence from radiation-induced changes. It is currently being evaluated in clinical studies by The First Affiliated Hospital of Jinan University for the diagnosis and management of glioma.
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