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[18F]fluoroethyltryptophan (L-1-[18F]FETrp) is a fluorine-18 labeled small molecule radiotracer designed for positron emission tomography (PET) imaging of cancer. It is a tryptophan analog that targets both overexpressed amino acid transporters and the indoleamine 2,3-dioxygenase (IDO)-mediated kynurenine pathway, which is frequently upregulated in various malignancies to promote immunosuppression. By tracking tumoral tryptophan metabolism and transport, this tracer provides metabolic maps that can identify active tumor volumes and non-enhancing infiltrations, particularly in glioblastoma, which may be missed by standard contrast-enhanced MRI. It is primarily used as a diagnostic tool for treatment planning and monitoring in oncology.
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