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Fluspidine is a spirocyclic piperidine derivative developed as a positron emission tomography (PET) tracer for the imaging of sigma-1 (σ1) receptors. Both (S)- and (R)-enantiomers labeled with fluorine-18, known as (S)-[18F]fluspidine and (R)-[18F]fluspidine, have been evaluated in humans for PET imaging. Fluspidine exhibits very high affinity and selectivity for the sigma-1 receptor over the sigma-2 receptor, making it valuable for non-invasive quantification of sigma-1 receptors in the brain, which are implicated in neuropsychiatric and neurodegenerative disorders[4][8].
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