Which fluorine‑18 (F‑18) positron emission tomography (PET) tracers are approved for clinical PET‑CT studies in India?

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Last updated: October 16, 2026 • View editorial policy

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F-18 Based PET-CT Tracers Approved in India

I cannot provide a definitive list of F-18 based PET tracers specifically approved for clinical use in India, as the evidence provided does not contain India-specific regulatory approval information.

What the Evidence Shows

The provided guidelines and research discuss various F-18 tracers used internationally, but none of the evidence addresses regulatory approvals specific to India 1. The documents primarily focus on:

Internationally Recognized F-18 Tracers

Based on the 2024 EANM-SNMMI guidelines and research literature, the following F-18 tracers are discussed for clinical use:

Established tracers:

  • 2-[18F]FDG (Fluorodeoxyglucose) - Most widely utilized PET agent for oncological imaging 1, 2
  • [18F]FES (Fluoroestradiol) - FDA-approved in 2020 for detecting ER-positive lesions in recurrent or metastatic breast cancer 1
  • [18F]Sodium fluoride (NaF) - Used for bone imaging with higher sensitivity than conventional bone scans 1, 3
  • [18F]Fluciclovine (FACBC) - Amino acid tracer showing promise for certain cancers 1

Emerging tracers mentioned:

  • FAPI (Fibroblast activation protein inhibitor) tracers 1
  • HER2-targeted radiolabeled antibodies and fragments 1

Critical Gap in Evidence

The evidence provided contains no information about:

  • Indian regulatory authority (CDSCO/DCGI) approvals
  • India-specific drug labels or guidelines
  • Regional availability or approval status in India

Recommendation for Accurate Information

To obtain the definitive list of approved F-18 tracers in India, you must:

  • Consult the Central Drugs Standard Control Organisation (CDSCO) database
  • Contact the Drug Controller General of India (DCGI)
  • Review institutional protocols at major Indian nuclear medicine centers
  • Consult the Society of Nuclear Medicine India (SNMI) guidelines

The international guidelines provided are valuable for understanding clinical applications but cannot substitute for India-specific regulatory approval information.

References

Guideline

fdg pet/ct: eanm procedure guidelines for tumour imaging: version 2.0.

European Journal of Nuclear Medicine and Molecular Imaging, 2015

Guideline

nccn task force report: bone health in cancer care.

Journal of the National Comprehensive Cancer Network : JNCCN, 2009

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.