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Fludeoxyglucose F-18 is a positron-emitting radiopharmaceutical diagnostic agent produced and distributed by the M.D. Anderson Cancer Center. As a radioactive analog of glucose, it is taken up by cells via glucose transporters (GLUT) and phosphorylated by hexokinase into 18F-FDG-6-phosphate. Because this metabolite cannot be further metabolized in the glycolytic pathway, it accumulates in tissues with high metabolic activity, such as malignant tumors, the brain, and the heart. This accumulation allows for the visualization of altered glucose metabolism using positron emission tomography (PET) imaging. In clinical practice, it is widely used for oncology staging, monitoring treatment response, and detecting recurrence, as well as in neurology and cardiology.
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