Tracer library / [18F]FDOPA
Structure of fluoro-L-dopa (unlabelled parent compound, from PubChem)
Unlabelled parent compoundPubChem CID 53962907

[18F]FDOPA

Also written as 6-[18F]fluoro-L-DOPA; [18F]dihydroxyphenylalanine; [18F]F-DOPA; [18F]FDOPA; [18F]Fluoro-DOPA; [18F]Fluoro-L-DOPA; [18F]fluorodopa
Radionuclide
F-18 t½ 109.7 min
Modality
PET
Production route
Cyclotron liquid target
Stage
Approved
Syntheses indexed
26

What it is

Compound class
Amino acid
Target / mechanism
System L (LAT1) amino-acid transport into cells; for dopaminergic imaging, subsequent decarboxylation by aromatic-L-amino-acid decarboxylase (AADC) PMID 30519867 / DOI 10.1007/s00259-018-4207-9; PMID 39384519 / DOI 10.1053/j.semnuclmed.2024.09.004
Clinical application
Parkinsonian syndromes; neuroendocrine tumours; congenital hyperinsulinism; glioma PMID 39384519 / DOI 10.1053/j.semnuclmed.2024.09.004
Theranostic pair
—

Regulatory status

FDA
Yes — 2019; Fluorodopa F 18; The Feinstein Institute for Medical Research; NDA 200655 Drugs@FDA, NDA 200655, approved 2019-10-10 — https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=BasicSearch.process&searchTerm=fluorodopa
EMA (centralised)
No EMA medicines register — no centrally authorised medicine containing fluorodopa (18F); search: https://www.ema.europa.eu/en/medicines?search_api_fulltext=fluorodopa
Other approvals
Not centrally authorised by EMA, but holds national marketing authorisations in multiple EU/EEA member states (national / decentralised / mutual-recognition procedures). Example (official national register): France — IASOdopa, fluorodopa (18F), marketing authorisation active since 16/11/2006, holder Curium Austria GmbH.
Brand names
Fluorodopa F 18 (US)

Clinical use

Typical injected activity
185-200 MBq PMID 30519867 / DOI 10.1007/s00259-018-4207-9 (Joint EANM/EANO/RANO/SNMMI practice guideline for PET imaging of gliomas with radiolabelled amino acids and FDG, v1.0 -- 'Administered activity in adults' table)
Uptake time
10-30 min post-injection for brain-tumour imaging (EANM/EANO/RANO glioma guideline) PMID 30519867 / DOI 10.1007/s00259-018-4207-9

Reported in the literature. Not a dosing recommendation.

Published syntheses

ModuleCassettePurificationYield %RCP %Precursor / supplierSource
TRACERlab FX N Pro
GE HealthCare
custom manifoldHPLC+SPE5.2 ± 0.5%
not corrected
>99%3,4-OMOM-6-(BPin)DOPA(Boc)2-OtBu (8)
WuXi AppTec
39064920
2024 Molecules
these conditions were translated to the commercially available automated synthesis module TRACERlab FX N Pro (GE Healthcare) - The radiotracer was obtained with an activity yield (AY; isolated, not decay-corrected) of 5.2 ± 0.5% (n = 3)
In-house / custom built
in-house
custom manifoldHPLC+SPE——3,4-OMOM-6-(BPin)DOPA(Boc)2-OtBu (8)
WuXi AppTec
39064920
2024 Molecules
Radiosynthesis was performed on...remote-controlled apparatus (in-house development)
Manual synthesiscustom manifoldHPLC30±3—Boc2-6-Me3Sn-DOPA(MOM)2-OMe36214204
2023 Chemistry
Optimized procedure for radiofluorination of stannyl precursors: [18F]F− was loaded onto a QMA carbonate cartridge - Subsequent deprotection and HPLC isolation delivered the desired tracer in good AYs of 30±3 %.
Raytest SynChrom
Elysia-Raytest
custom manifoldHPLC+SPE15%≥97%ABX 1336,…ABX 1336, (S)-3-(5-Formyl-4-methoxymethoxy-2-nitro-phenyl)-2-(trityl-amino)-propionic acid tert-butyl ester
ABX
36678506
2022 Pharmaceuticals (Basel)
The synthesis and its modifications were carried out using a Raytest Synchrom R&D module. - with a radiochemical yield (RCY) of 15%, radiochemical purity (RCP) ≥ 97%, and enantiomeric purity (ee) ≥ 96%.
Neptis (model not stated)—SPE11.8 ± 3.2%
decay-corrected
>95%ABX nitro precursor35607634
2022 Nucl Med Mol Imaging
NEPTIS module and a commercially available cassette based chemistry - The decay uncorrected yield were 5.5 ± 1.5% (n = 33) which corresponds to a decay corrected yield of 11.8 ± 3.2% (n = 33).
FASTlab 2—SPE9.3-9.8%
not corrected
>99.9%—34513282
2021 Am J Nucl Med Mol Imaging
using a GE Fastlab 2 module - The uncorrected radiochemical yields of [18F]FDOPA were 9.3-9.8% with a total synthesis time of ~140 min.
In-house / custom builtcustom manifoldHPLC9.3 ± 4.2%
not corrected
97.4 ± 1.4%trimethylstannyl-precursor 2
ABX
34117961
2021 EJNMMI Radiopharm Chem
The synthesis is carried out using a custom-build synthesis platform - [18F]1 is obtained in a non-decay corrected (n.d.c.) RCY of 9.3 ± 4.2%, 45 min from the end of the second bombardment.
TRACERlab MX
GE HealthCare
vendor cassetteSPE5.6 ± 0.3%
not corrected
98.4 ± 0.16%nitro-precursor 4
ABX
34117961
2021 EJNMMI Radiopharm Chem
The automated synthesis of [18F]1 is performed on a GE Tracerlab MX module - [18F]1 is obtained in a non-decay corrected RCY of 5.6 ± 0.3%, 95 min from EOB.
AllinOne (AiO)
Trasis
vendor cassetteHPLC30 ± 8%
not corrected
99.8 ± 0.5%nitroveratraldehyde 734117961
2021 EJNMMI Radiopharm Chem
[18F]1 is synthesized using the Trasis AllinOne (AiO) automated radiochemistry module - [18F]1 is obtained in a non-decay corrected RCY of 30 ± 8%, 70 min from EOB.
In-house / custom builtcustom manifoldHPLC+SPE54 ± 5%
decay-corrected
—N,N,O,O'-tetraBoc-6-(SnMe3)DOPA-OEt
ABX
29244780
2017 Molecules
All automated radiosyntheses were carried out in a home-made synthesis module. - 6-[18F]FDOPA in a high RCY of 54 ± 5% (n = 5)
——HPLC7±1 %—nickel complex 4 a26478840
2015 ChemistryOpen
Raytest SynChrom
Elysia-Raytest
—HPLC15 ± 5 %97 ± 36-trimethylstannyl-L-DOPA
ABX
29564384
2017 EJNMMI Radiopharm Chem
the synthesis module (Raytest, Synchrom FDOPA F2, see schematic overview in Fig. 1) - FDOPA-Lower 20Ne(d,α)18F single-shoot68 15 ± 5 8.5 ± 3.3 97 ± 3 526 ± 192
Raytest SynChrom
Elysia-Raytest
—HPLC23 ± 4 %97 ± 36-trimethylstannyl-L-DOPA
ABX
29564384
2017 EJNMMI Radiopharm Chem
the synthesis module (Raytest, Synchrom FDOPA F2, see schematic overview in Fig. 1) - FDOPA-Higher 18O(p,n)18F double-shoot42 23 ± 4 121 ± 27 97 ± 3 4521 ± 967
TRACERlab FX FN
GE HealthCare
custom manifoldHPLC+SPE6 ± 1%>99%FDOPA BPin precursor (1)
ABX
32269382
2020 Nat Protoc
General Electric (GE) TRACERLab FXFN synthesis module - 3.85 ± 0.59 GBq, 104 ± 16 mCi, 6 ± 1% based upon approximately 66.6 GBq (1800 mCi) of starting [18F]fluoride
TRACERlab FX FN
GE HealthCare
custom manifoldHPLC+SPE5 ± 1%>98%FDOPA BPin precursor (1)
ABX
32269382
2020 Nat Protoc
This pre-purification requires a modified TRACERlab FXFN synthesis module (see Supplementary Figure 2 for configuration and Supplementary Method 1 for timelist) - 2.26 ± 0.48 GBq, 61 ± 13 mCi, 5 ± 1% based upon 45.6 ± 11.0 GBq (1232 ± 298 mCi) of starting [18F]fluoride
TRACERlab FX FN—HPLC6 ± 1%>99%BPin precursor 1
ABX
31536095
2019 Org Biomol Chem
TRACERLab FXFN synthesis module - the activity yield (AY) was 6 ± 1%, based upon 1.8 Ci of [18F]fluoride
TRACERlab FX2 N
GE HealthCare
—HPLC15 ± 3%95.8 ± 1.4%nucleophilic precursor33153893
2021 Appl Radiat Isot
purified using in-built preparative HPLC on FX2N module - [18F]fluorodopa was synthesized with high radiochemical purity of 95.8 ± 1.4% with 15 ± 3% yield.
iPHASE FlexLab
iPHASE Technologies
——10~14%
decay-corrected
>95%—32113705
2020 Appl Radiat Isot
iPHASE FlexLab module - Decay-corrected radiochemical yield (RCY) of [18F]FDOPA synthesized by this method was 10~14% (n = 7)
Modular-Lab Standard
Eckert & Ziegler
——20±1%>98%AB133627886621
2017 Nucl Med Biol
an Ecker&Ziegler Modular-Lab Standard module - [18F]F-DOPA could be produced fully automated within 114min in RCYs of 20±1%
FASTlab
GE HealthCare
—HPLC36.3 ± 3.0%
decay-corrected
——26011311
2015 J Labelled Comp Radiopharm
on a GE FASTlab synthesizer - [(18)F]FDOPA and [(18)F]FTYR were produced in 36.3 ± 3.0% (n = 8) and 50.5 ± 2.7% (n = 10) FASTlab radiochemical yield (decay corrected)
TRACERlab FX FE
GE HealthCare
—HPLC———25851249
2015 Ann Nucl Med
Automatic synthesis of (18)F-FDOPA was based on the electrophilic method using TRACERlab FXFE module.
In-house / custom built
Laboratory
———≥95%—19433364
2009 Appl Radiat Isot
In a home-made automatic synthesizer, 9064+/-3076 MBq of [(18)F]FDOPA were produced within 120 min from EOB (n=5).
——HPLC22%—(2S,5S)-tert-butyl-5-(4-benzyloxy-2-fluoro-5…(2S,5S)-tert-butyl-5-(4-benzyloxy-2-fluoro-5-formylbenzyl)-2-tert-butyl-3-methyl-4-oxoimidazolidine-1-carboxylate19759110
2009 J Nucl Med
TRACERlab FX (model not stated)
GE HealthCare
—HPLC25±3%
decay-corrected
—N-formyl-3,4-di-tert-butoxycarbonyloxy-6-(tr…N-formyl-3,4-di-tert-butoxycarbonyloxy-6-(trimethylstannyl)-L-phenylalanine ethyl ester18278215
2008 Nuklearmedizin
The TRACERlab Fx FDOPA module (GE Medical Systems) was used for the preparation of 6-[(18)F]fluoro-L-DOPA. - 6-[(18)F]fluoro-L-DOPA purified by HPLC was obtained in decay-corrected radiochemical yields of 25+/-3%
——HPLC——2-(2-Fluoro-4,…2-(2-Fluoro-4, 5-dimethoxybenzyl)-N-(diphenylmethylene) glycine tert-butyl ester (8)12579971
2001 Yao Xue Xue Bao
Anatech RB III
Scanditronix/Anatech
———>97%—11065151
2000 Nucl Med Commun
The radiosynthesis was performed by the Scanditronix Anatech RB III robotic system.

Clinical literature

Clinical studies in the indexed corpus, ordered by design (multicentre, prospective, retrospective, others, case reports last) and then by year. Titles and links only, as published; this is not a summary of the evidence.

  1. Automatic extraction of PET RANO criteria with an externally validated deep learning model: Application to [18F]FDOPA PET imaging.
    2026 · Neuro Oncol · Retrospective, multicentre
  2. 18F-FDOPA PET/CT for neuroendocrine tumors in multiple endocrine neoplasia type 1.
    2026 · Front Endocrinol (Lausanne) · Prospective
  3. PET/MRI versus PET/CT in oncology: a prospective single-center study of 330 examinations focusing on implications for patient management and cost considerations.
    2020 · Eur J Nucl Med Mol Imaging · Prospective
  4. Clinical, Diagnostic, and Treatment Characteristics of SDHA-Related Metastatic Pheochromocytoma and Paraganglioma.
    2019 · Front Oncol · Prospective, retrospective
  5. Metastatic Pheochromocytoma/Paraganglioma: Diagnostic Performance of Functional Imaging (18F-Fluoro-L-DOPA-, 68Ga-DOTA- and 18F-Fluoro-Deoxyglucose-Based PET/CT) and of 123I-MIBG Scintigraphy in 57 Patients and 527 Controls During Long-Term Follow-Up.
    2025 · Cancers (Basel) · Retrospective
  6. A retrospective comparison between 68Ga-DOTA-TOC PET/CT and 18F-DOPA PET/CT in patients with extra-adrenal paraganglioma.
    2013 · Eur J Nucl Med Mol Imaging · Retrospective
  7. Automated radiosynthesis and clinical experience of [18F]SMBT-1 PET imaging for in vivo evaluation of reactive astrocyte in Parkinson's disease: a pilot study.
    2025 · Front Nucl Med · Clinical study
  8. 68 Ga- DOTATOC PET/CT, 18 F-FDOPA, and 18 F-FDG PET/MR Findings in Growth Hormone-secreting Pituitary Adenoma.
    2025 · Clin Nucl Med · Clinical study
  9. Application value of Philips Ingenuity TF PET/CT scanner imaging agent FAP in evaluating renal fibrosis.
    2025 · Hell J Nucl Med · Clinical study
  10. Case Series: ATRX Variants in Four Patients with Metastatic Pheochromocytoma.
    2024 · Front Endocrinol (Lausanne) · Clinical study
Show all 18 clinical studies
  1. Immunoassay interferences: laboratory pitfall in the diagnosis of adrenocortical carcinoma.
    2024 · BMJ Case Rep · Clinical study
  2. An automatic analysis framework for FDOPA PET neuroimaging.
    2023 · J Cereb Blood Flow Metab · Clinical study
  3. Functional dynamics of dopamine synthesis during monetary reward and punishment processing.
    2021 · J Cereb Blood Flow Metab · Clinical study
  4. Maximizing the use of batch production of 18F-FDOPA for imaging of brain tumors to increase availability of hybrid PET/MR imaging in clinical setting.
    2021 · Neurooncol Pract · Clinical study
  5. Brain-first versus body-first Parkinson's disease: a multimodal imaging case-control study.
    2020 · Brain · Clinical study
  6. 68Ga-DOTATOC PET/CT in the localization of metastatic extra-adrenal paraganglioma and pheochromocytoma compared with 18F-DOPA PET/CT.
    2019 · Rev Esp Med Nucl Imagen Mol (Engl Ed) · Clinical study
  7. Ageing effect on 18F-DOPA and 123I-MIBG uptake: a cross-sectional study.
    2018 · Nucl Med Commun · Clinical study
  8. A Rare Cyclic Cushing Syndrome Mystery Illustrates Diagnostic Principles.
    2024 · JCEM Case Rep · Case report

Precursor

Common precursor
Nucleophilic route: protected nitro-precursor (e.g. nitro-aldehyde 'ABX 1336', (S)-3-(5-formyl-4-methoxymethoxy-2-nitro-phenyl)-2-(trityl-amino)-propionic acid tert-butyl ester) or nitroveratraldehyde; electrophilic route: enantiopure trimethylstannyl precursor PMID 34117961 / DOI 10.1186/s41181-021-00135-y; PMID 36678506 / DOI 10.3390/ph16010010
Suppliers seen in the literature
ABX advanced biochemical compounds (Radeberg, Germany)
Cited suppliers in indexed syntheses
ABX, WuXi AppTec
Typical final purification
HPLC (electrophilic route); SPE possible (nucleophilic)

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Quality control Pharmacopoeial monograph

Ph. Eur. monograph
1918 (electrophilic route); 2481 (nucleophilic route) Fluorodopa (18F) (prepared by electrophilic substitution) injection / Fluorodopa (18F) (prepared by nucleophilic substitution) injection
USP monograph
Fluorodopa F 18 Injection referenced in FDA product labelling; not independently verified — USP-NF index is subscription-only
AppearancepHRCP HPLCHPLC UVHPLC ECDResidual solvents (GC)Radionuclidic (HPGe)Half-lifeActivityEndotoxins (LAL)SterilityFilter integrity
How this set was arrived at. Base set per Ph. Eur. 0125. Related substances + [18F]fluoride by HPLC; catecholamine structure -> ECD (per draft note). FIX: 'Kryptofix' applies to the NUCLEOPHILIC route only (monograph 2481); the ELECTROPHILIC route (1918) uses no aminopolyether. Residual solvents (GC) apply to both routes.

Tests listed by reference only. Monograph texts are copyrighted and are not reproduced here. How these are derived

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Notes

Carbidopa premedication common. Both electrophilic and nucleophilic routes in clinical use.
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