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Fludeoxyglucose (18F) is a positron-emitting radiopharmaceutical and glucose analog widely used in positron emission tomography (PET) imaging. Structurally, it is a derivative of D-glucose where the hydroxyl group at the C-2 position is replaced by the radioactive isotope fluorine-18. Following intravenous administration, fludeoxyglucose (18F) is transported into cells via facilitative glucose transporters (GLUTs) and phosphorylated by hexokinase to fludeoxyglucose-6-phosphate. Because it lacks the 2-hydroxyl group required for further glycolysis, it cannot be metabolized further and becomes trapped intracellularly. This metabolic trapping allows for the visualization and quantification of regional glucose consumption, making it a cornerstone diagnostic tool in oncology (to detect and stage malignant tumors), cardiology (to assess myocardial viability), and neurology (to identify epileptogenic foci and evaluate neurodegenerative diseases).
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