Abstract
Advances in the field of fluorine chemistry have been applied extensively to the syntheses of 18F-labelled organic compounds and radiopharmaceuticals. However, 18F has sparely been used as a tool to explore inorganic chemistry and can be viewed as a research area worthy of further development. This review highlights the application of 18F in development of inorganic fluorinating agents, mechanistic studies and imaging tools.
Graphical Abstract

Introduction
The extensive chemistry of 19F in organic molecules has paved the way for the use of biomolecules labelled with the radionuclide 18F. Applications of fluorine-18 (β+, t½ = 109.8 min) in radiochemistry and medical imaging with positron emission tomography (PET) have expanded over recent years. The widespread clinical use of [18F]2-fluoro-2-deoxy-D-glucose ([18F]FDG) has resulted in an increased production of 18F, which is commercially available in the form of 18F-tracers or [18F]fluoride ion in Curie quantities with high molar activity (Am). The preparation and use of 18F-labeled inorganic compounds was reviewed by Winfield in 1980, who concluded that this radionuclide had been underused in inorganic fluorine chemistry and attributed this to the specialized equipment and infrastructure required for its production.1 Nowadays, [18F]fluoride can be safely distributed in water or deposited on an ion exchange resin for further use in fundamental chemical studies.2 From this, 18F is available for radiochemists with minimal licensing and infrastructure, specifically without having to house a cyclotron or facilities to support high level radioactivity production or preclinical/clinical PET imaging infrastructure. Despite the broad dissemination of [18F]fluoride, 18F in inorganic fluorine chemistry is still largely under-utilized when compared to 18F-labelling of organic molecules. It is noteworthy that there has been a growing focus on utilizing the inorganic interactions between B-18F, Si-18F and Al-18F, however, the focus of these applications is for labelling biomolecules.3 This review aims to survey: (i) the current status and use of inorganic 18F-fluorinating reagents in radiochemistry; (ii) 18F as an isotopic marker to provide fundamental reaction mechanistic insight; and lastly (iii) highlight some 18F-labelled inorganic compounds which have found utility as a PET imaging agents, with the overall goal of inspiring new research directions and collaborative research in fundamental inorganic fluorine chemistry.
Fluorine-18 production
Fluorine-18 is typically produced in a cyclotron by proton-bombardment via the 18O(p,n)18F reaction. This reaction is applied to prepare [18F]F− or [18F]F2 by irradiation of enriched [18O]H2O or [18O]O2, respectively. [18F]fluoride is commonly extracted from the target (no-carrier-added, n.c.a.) using helium gas, whereas [18F]F2 is extracted by use of carrier-added F2. It is important to note that high Am is often required in neuroreceptor imaging studies to avoid saturation of the receptor system by non-radioactive carrier molecules.4 Radiopharmaceuticals synthesised from [18F]F− are normally obtained with higher Am [18F]F−→ Am = 5.55 × 103 GBq/µmol (1.50 × 105 Ci/mmol), [18F]F2 → Am = 1.30 GBq/µmol (35 Ci/mmol).5, 6
Improvement of the Am of [18F]F2 can be obtained from CH318F (synthesized from n.c.a. 18F−) and F2 by atomization using electric discharge or ultraviolet irradiation.7 These “post-target” methods provide [18F]F2 with molar activities up to 55 GBq/µmol. However, these methods have not gained broad adoption in the PET radiochemistry community due to its overall technical complexity in a radiopharmaceutical chemistry production facility.
Another method that has been used to produce 18F, in the past, involves a Li2CO3 target. 6Li is irradiated with thermal neutrons yielding tritium, which in turn bombards 16O to give 18F.8 Li2CO3 is an advantageous carrier-free target material and this two-step process for production of 18F is outlined in Scheme 1.9, 10
Scheme 1.

Production of 18F from 6Li, in the form of Li2CO3.
Inorganic 18F-labelled reagents
Electrophilic Fluorination:
Fluorine-18 labelled perchlorylfluoride, [18F]ClO3F, has been prepared by reaction of potassium chlorate and [18F]F2 (eq. 1) in 23% radiochemical yield, with respect to [18F]F2 (maximum theoretical radiochemical yield of 50%).11 The [18F]ClO3F was successfully used to prepare fluoroaromatics with lithiated precursors. The yields of the fluoroaromatics varied between 3 to 30%, with respect to [18F]ClO3F. This electrophilic fluorinating agent was suggested for use in the preparation of 18F-labelled radiopharmaceuticals, however, the strongly oxidizing nature of ClO3F, and the relatively low radiochemical yields have limited its use in radiopharmaceutical development.
| (eq. 1) |
Alternative [18F]F2 sources have been avidly sought for nearly 40 years. Xenon difluoride is a versatile electrophilic fluorinating agent and has been used for selective fluorination of a wide variety of organic compounds.12, 13 There are several routes to produce [18F]XeF2. Fluorine-18 labelled XeF2 was first prepared by Schrobilgen, Chirakal, and co-workers, by treating SO2ClF solutions of XeF2 with [18F]HF, [18F]SiF4 or [18F]AsF5, where 18F was produced via the Li2CO3 production route (Route 1, Scheme 2).13 They observed a maximum radiochemical yield of 30% with this method, by labelling with [18F]HF or Lewis acids, [18F]SiF4 or [18F]AsF5. The exchanges are attributed to the Lewis acid properties of the labelled fluorides, which presumably act as weak acceptors towards XeF2 and promote exchange according to the equilibria shown in equations 2 and 3.
Scheme 2.
A summary of the three [18F]XeF2 production methods outlined in this review.
| (eq. 2) |
| (eq. 3) |
Subsequently, the same group synthesized [18F]XeF2 by the thermochemical reaction of carrier-added [18F]F2 and excess xenon in a high pressure nickel vessel at 390°C for 40 min (Route 2, Scheme 2).16 With this method, a decay-corrected radiochemical yield of 68%, relative to [18F]F2 was observed. It is noteworthy that the first stereospecific synthesis of the most commonly used PET radiopharmaceutical, [18F]FDG and regiospecific synthesis of the widely explored [18F]6-fluoro-L-DOPA ([18F]6-F-DOPA) (Scheme 3) were accomplished by use of [18F]XeF2 as the fluorinating agent.15, 17, 18
Scheme 3.
Stereospecific synthesis of [18F]FDG and regiospecific synthesis [18F]6-F-L-DOPA from [18F]XeF2.14, 15
More recently, efforts have been devoted to produce [18F]XeF2 via isotope exchange with n.c.a. [18F]F− (Route 3, Scheme 2).19-21 It has been postulated that XeF2/F− exchange occurs through the formation of the trifluoroxenate (II) anion, XeF3−, although the isolated anion is not known.21, 22 Previously, XeF4 and XeF6 were the only binary xenon fluorides known to form ionic salts with fluoride ion donors. Through experimentation, XeF2 has not conclusively demonstrated to exhibit fluoride ion acceptor properties in solution or in solid state. However, the first evidence of XeF3− in solution was demonstrated via 2-D 19F-19F EXSY and single-selective inversion 19F-NMR spectroscopic studies which proved that fluoride ion exchanges with XeF2 in CH3CN solvent (Fig. 1).21 The syntheses of salts containing the XeF3− anion would provide useful insights for further applications of [18F]XeF2. The geometry of the XeF3−anion is also interesting because it would represent the first AX3E3 valence shell electron pair repulsion (VSEPR) arrangement.
Fig. 1.
A) The 2-D 19F-19F EXSY spectrum of an equimolar sample of XeF2 and [N(CH3)4][F] in CH3CN solvent, acquired at 15°C using a mixing time of 400 ms. The asterisks (*) denote natural abundance 129Xe satellites (1J(129Xe-19F), 5657 Hz). B) 19F NMR resonances of XeF2, [N(CH3)4][F], and [N(CH3)4][HF2] in CH3CN solvent (−15°C). The 1-D NMR spectrum of XeF2, its natural abundance 129Xe satellites and F− (top trace) and the full-observed relaxation under the combined influence of spin-lattice relaxation and chemical exchange that results in the selective inversion of F− with respect to XeF2. C) Calculated gas-phase geometries (PBE1PBE/aVTZ) of the XeF3− anion (transition state, C2v symmetry).
Nucleophilic Fluorination:
It is still an ongoing goal to discover new methods for more efficient and more selective radiofluorination from nucleophilic [18F]fluoride sources. [18F]fluoride is produced with high yields and obtained as a water solution, resulting in an ion that is strongly hydrated and unreactive as a nucleophile.23 F− itself is a highly basic nucleophile, but the conjugate acid exhibits a pKa (H2O) of 3.2, this can be attributed to the formation of a strong hydrogen bond between F− and H-OH, as well as the formation of a bifluoride (HF2−) in water.24, 25 The HF2− anion total bond dissociation energy is 182 kJ/mol.26 This has been speculated to be one of the strongest hydrogen bonds known, and the formation of this species in water greatly contributes to the low basicity of F−.26 Recovery and activation of [18F]F− is required for use in nucleophilic fluorination, often accomplished by adsorption onto an ion exchange resin, followed by elution with 2.2.2. cryptand and base. Azeotropic drying with CH3CN is carried out and newer methodologies are under development to eliminate this step. Alternatively, [18F]fluoride can be recovered as [18F]HF, a nucleophilic fluoride source, albeit is rarely used. A recently reported procedure to automate and simplify this reaction by acidification of the [18O]-enriched target water employed 98% H2SO4 because of its non-volatile nature and thermal stability. This methodology should enable widespread use of [18F]HF.27
Alkali Metal Fluorides and Isotopic Exchange Reactions
Fluorine-18 has been useful in studying fluorine exchange reactions. Early studies used 18F to determine the efficiency of exchange between alkali metal fluorides and covalent fluorides.28 It was observed that, by treating SiF4 with 18F-labelled KF, RbF, CsF and LiF, [18F]LiF was the most efficient reagent for labelling. It was noted that the other alkali metal fluorides formed stable [18F]fluorosilicate compounds (eq. 4) with silicon tetrafluoride.29 The small size and strong polarizing power of the lithium ion, was attributed for avoiding the undesirable formation of [18F]fluorosilicates.
| (eq. 4) |
Furthermore, Azeem and Gillespie prepared 18F-labelled BF3, POF3, PF5, AsF5, SF4, SOF2 and SeF4 by an exchange reaction, which involved passing these volatile compounds over heated Li18F.30 This study claimed to have provided the first evidence for the POF4− anion, by the observation of fluorine exchange between POF3 and Li18F at 200°C. Subsequently, the POF4− anion was formed by reaction of [N(CH3)4][F] and POF3 in CHF3 solvent at −140°C and was characterized by 19F and 31P NMR spectroscopy.31 The POF4− anion was shown to react with POF3 between −140 to −100°C, forming the OF2P-O-PF5− anion (eq. 5), which, at higher temperatures, reacts with F− anions to form the PO2F2− and PF6− anions (eq. 6), providing a low activation energy barrier pathway for the highly exothermic dismutation reaction of the POF4− anion. The thermal instability of the POF4− anion at low temperatures implies that this anion is unlikely to be an exchange intermediate in the reaction of POF3 and Li18F at 200°C. [18F]LiF was prepared by the irradiation of Li2CO3 with thermal neutrons (vide supra). It may be necessary to
| (eq. 5) |
| (eq. 6) |
purify 18F-labelled compounds produced by the Li2CO3 route to recover [18O]H2O and remove any undesired tritium. Previous methods have described initial dissolution of lithium carbonate to remove tritium produced during irradiation. Activity of tritium in purified product was seen to be as low as 0.21 mCi.32 As well, acid digestion of Li18F product to remove tritium releases H18F, and is followed by neutralization to form Cs18F. The produced Cs18F can be used to further synthesize a wide variety of labelled fluorides.8 CsF was treated with Lewis acid 18F-labelled fluorides (AsF5, BF3, and SF4); it was found that the order of reactivity of Lewis acids with CsF was AsF5>> BF3> SF4, which corresponds to the order of fluoride-ion affinities of these inorganic compounds.33
Appelman and Jache showed that the reaction of F2 with ice produced mixtures of [18F]OF2, [18F]HOF, O2 and H2O2, in addition to the formation of [18F]F-H-OH and [18F]HF2−.25, 34, 35 The authors used 18F-labelling experiments to determine the reaction stoichiometry of [18F]HOF with F2, and they were able to conclude that the [18F]OF2 produced contained one fluorine atom from [18F]HOF and one from F2 (eq. 7).
| (eq. 7) |
The kinetics of isotopic exchange, specifically 18F exchange between HF and fluorine-18 labelled tetrafluoroboric acid, has been analyzed. It was determined that the isotopic exchange between [18F]BF4− and HF has a rate constant k = 4.5 × 104 e−24.7/RT. The mechanism of exchange was seen to match that of the mechanism of acid hydrolysis of the fluoroborate ion (Scheme 4), and that the two steps involved are the slow acid hydrolysis of HBF4 and the fast isotopic exchange between BF3OH−.36
Scheme 4.
Kinetic mechanism of isotopic exchange between fluoroboric acid and hydrofluoric acid.
Fluorine-18 labelling has also been used to deduce structural information. For example, the Lewis acid-base adduct [18F]BF3·SF4 was shown to have two symmetrical sulfur-fluorine-boron bridges, by determination of the relative distribution of 18F radioactivity in BF3 (83%) and SF4 (17%) after the decomposition of the 18F-labelled BF3·SF4 adduct.37 If the bridges were unsymmetrical, the bonds would be weaker than the symmetrical bonds, in this scenario the weak bonds would break and no fluorine transfer would be observed. Fluorine transfer was observed at −80°C and −100°C, indicating symmetrical bonds. Upon later elucidation of the crystal structure of the adduct, it was concluded that there are three S-F contacts, two of the same length (symmetrical) and one shorter (eq. 8).38
![]() |
(eq. 8) |
18F has been used as a radiotracer to probe inorganic reaction mechanisms in which postulated the existence of “hypervalent” species of nitrogen and chlorine as potential intermediates.39, 40 Experimental data indicated the existence of hypervalent carbon and boron, but convincing evidence for penta-coordinated nitrogen compounds had not been presented.41, 42 On the question of the possible existence of NF5, the reaction of [18F]CsHF2 with NF4PF6 was conducted at room temperature in HF to form [18F]NF4HF2.34 Upon thermal decomposition at 100°C, the 18F-activity would be scrambled among NF3, HF and F2. There are two possible mechanisms which can lead to 18F scrambling: (1) the nucleophilic attack of [18F]F− on nitrogen, causing isotopic scrambling among the five fluorines, therefore 60% of the original 18F-activity would be found as [18F]NF3 and 40% would be found as [18F]F2 (eq. 9), (2) if the [18F]F− attacked a fluorine of NF4+, then [18F]NF3 will not form and all of the radioactivity would be found as [18F]F2 (eq. 10). Following the decomposition of [18F]NF4HF2, essentially no 18F-activity was detected on NF3, providing conclusive evidence that the attack of
![]() |
(eq. 9) |
![]() |
(eq. 10) |
[18F]HF2− on NF4+ occurred exclusively on the fluorine, therefore NF5 is not an intermediate in this reaction.
Although 18F-labelling was used to show the non-existence of a hypervalent nitrogen species, the existence of a hypervalent chlorine species was conclusively revealed by use of 18F-labelling experiments, in conjunction with 19F NMR and vibrational spectroscopic studies.37
This work considered the existence of ClF7 by reaction of ClF6+AsF6− with [18F]NOF. Two modes of attack by F− on ClF6+ were possible, at the central chlorine (eq. 11) and at a fluorine ligand (eq. 12).
![]() |
(eq. 11) |
![]() |
(eq. 12) |
The existence of ClF7 as an intermediate could be indicated by the presence of [18F]ClF5 in the products. These experiments did reveal the presence of [18F]ClF5, but other exchange pathways that could transfer 18F to ClF5 could not be ruled out (eq. 13-15).43 Another experiment conducted between ClF5 and [18F]NOF showed complete randomization of 18F-distribution between the two molecules. This reaction likely required the ClF6− anion as the intermediate (eq. 16).
| (eq. 13) |
| (eq. 14) |
| (eq. 15) |
| (eq. 16) |
Inorganic 18F Imaging Agents
[18F]NaF was first introduced in 1962, and approved as a radiopharmaceutical by the United States Food and Drug Administration in 1972.44, 45 It is noteworthy that [18F]NaF has been synthesized via the selective fluorinating agent [18F]NOF (prepared via 20Ne(d,α)18F reaction), but is now routinely and simply prepared via [18F]fluoride.46 [18F]NaF is extensively used for skeletal system imaging via PET/computed tomography (CT) (Fig. 2). The labelled fluoride exchanges with hydroxyl groups of hydroxyapatite crystals, which exist at the sites of new bone formation.47 From this, bone imaging of benign and malignant diseases are routinely conducted. [18F]NaF has been used for numerous applications, including for assessing bone fractures in suspected child abuse cases, as it was displayed to be more sensitive than the conventional skeletal survey in children under the age of 2.48 [18F]NaF has been explored as a tracer for detecting bone metastases in metastatic prostate cancer with [18F]NaF PET/CT, and found to be promising with potentially higher imaging capabilities of smaller metastases, in comparison to conventional imaging techniques.49 More recently, [18F]NaF is being applied in imaging heart disease, for imaging metabolically active calcific plaque.50 [18F]NaF has been used to study patients who have had a coronary event, but applications in diagnosis are being explored to assess the risk of a patient before the event occurs, specifically for identifying coronary lesions. 51, 52
Fig. 2. 18F PET/CT Images.
PET/(CT) images of human subjects following administration of [18F]NaF (prepared in our laboratory). 260 MBq injected, 30 min uptake, 2 min /bed.
Recent studies have assessed the imaging characteristics, safety, biodistribution, Am, and radiation dosimetry of novel 18F-based inorganic PET radiotracers, such as [18F]NaBF4. The model study that has been consistently carried out involves imaging the sodium-iodide symporter (NIS) in vivo using mice, as well as the human form of sodium iodide symporter (hNIS) in vitro using human cell lines.53 Historically, tracers such as 124I− and 99mTcO4− have been used to image thyroid disease and the hNIS gene expression via gamma camera and (single photon emission computed tomography) SPECT, respectively. Due to increased interest in developing PET radiotracers for thyroid imaging, [18F]tetrafluoroborate has been analyzed for NIS imaging, improving sensitivity, resolution, quantification, and dynamic imaging, as well as showing selective uptake by the main NIS-expressing organs and tissues (thyroid, salivary glands, and stomach).53 [18F]tetrafluoroborate production has been limited by previous methodologies of producing 18F, which consisted of the Li2CO3 method, and other similar exchange reactions (e.g. reaction between [18F]fluoride and potassium tetrafluoroborate in acid) which would yield poor molar activities.54, 55 Newer methods have since been published, namely using isotopic exchange of BF4− with [18F]fluoride in hot HCl and purified using an alumina column.56 [18F]tetrafluoroborate has been produced with molar activities of 1–8.8 GBq/µmol.56-58 PET images revealed the appropriate uptake of the tracer in vivo using mice, as well as the difference in standardized uptake values (SUV) between [18F]tetrafluoroborate vs. 124I− (Fig. 3). [18F]tetrafluoroborate exhibited higher NIS-expressing tumour SUV values than 124I−, as well as the commonly used tracer, [18F]FDG.53 [18F]tetrafluoroborate has offers lower absorbed doses of radiation than 124I−, and meet adequate safety and biodistribution requirements in humans.59
Fig. 3.
Comparing in vivo imaging of NIS-expressing tumour using (a) PET/CT with [18F]BF4− and (b) SPECT/CT with [123I]iodide after 12, 36, and 120 min. Abbreviations: bladder (B), heart (H), kidney (K), stomach (S), thyroid and salivary glands (Th + SG), and primary tumour (T). Reproduced without changes from G.E.D. Mullen & G.O. Fruhwirth, et al. 53 (https://creativecommons.org/licenses/by/4.0/)
In efforts to make a 18F-based radiotracer to image NIS-expressing tumours with a simpler radiosynthesis, resulting in more appreciable Am, the synthesis of [18F]SO3F− has been explored. Published radiosynthesis of [18F]SO3F− consists of the reaction between 2. 2. 2. cryptand/18F-KF and SO3-pyridine complex (eq. 17).60
![]() |
(eq. 17) |
Using a starting activity of about 750 MBq, a Am of at least 48.5 ± 13.4 GBq/µmol was obtained. The main advantage of using [18F]SO3F− is that there is only one fluorine atom, allowing for a n. c. a. synthesis, enhancing the molar activity. The tracer was imaged by PET to confirm uptake in the main NIS-expressing organs and tissues
18F-labelled rare-earth nanoparticles (RENs)
RENs have been gaining attention for their use in magnetic resonance imaging and photoluminescence bioimaging due to their unique optical and magnetic properties. In order to expand their application, for example, to be used in PET imaging, current research focuses on radiolabelling certain RENs with 18F. A quick and simple method for synthesizing 18F-labelled RENs resulted in strong binding and efficient coupling between Y3+ and F−, as demonstrated by XPS and TLC autoradiogram analysis, as well as high radiolabelling stability.61 As such, RENs such as Y2O3 and NaYF4 have potential as novel PET imaging probes, with the ability to label NaYF4 through a simple isotopic exchange reaction. To further the applications of these imaging probes, co-doping with lanthanide ions has resulted in multimodal bioimaging probes, allowing for molecular imaging that combines sensitivity, resolution, and depth. NaYF4 co-doped with a mixture of Gd3+/Yb3+/Er3+displayed multimodal imaging, namely MRI, UCL (upconverting luminescence), and PET.62 The presence of Yb3+ and Er3+ improved UCL emission for luminescent imaging, the presence of Gd3+ improved MRI contrast by providing paramagnetic relaxivity, and the presence of 18F, considering the aforementioned strong affinity of certain RENs for F−, allowed for in vivo PET imaging. Another successful method for incorporating the 18F radionuclide into nanoparticles involves direct proton irradiation of metal oxide nanoparticles.63 High energy protons were used to irradiate purified and dried Al2O3 nanoparticles that were prepared using 18O water. Through the 18O(p,n)18F nuclear reaction, 18F-labelled nanoparticles were obtained, and proved to be efficient for in vivo biodistribution studies in rodents.
Conclusions
In conclusion, 18F has a long history of applications in PET imaging studies and radiochemical experiments in the organic chemistry field but has been underutilized in inorganic synthesis. The limited use of 18F in inorganic chemistry can still be attributed to the radionuclide’s short half-life, which restricts the chemical techniques that can be employed in synthetic work and characterization. Structural characterization of 18F-labeled inorganic fluorine compounds is often challenged by the lack chromophores thereby restricting use of UV detection, and relies on radiochemical analysis (primarily radiochromatography and counting techniques), as well as “cold” characterization from carrier-added fluorinations that can take advantage of 19F-NMR spectroscopy and mass spectrometry. However, the increased opportunities for inorganic fluorine chemistry groups to work in collaboration with a cyclotron or accelerator facility in close proximity needs to be taken advantage of for fundamental science. There are major opportunities to bridge inorganic chemists with fluorine chemists and radiochemists to lead to advances in basic science as well as applied reagents, methods and mechanistic insights relevant to PET radiopharmaceutical production.
Acknowledgments
The authors thank Prof. Dr. Jason P. Holland for helpful discussions. N.V. thanks National Institute on Ageing of the NIH (R01AG054473), the Azrieli Foundation and the Canada Research Chairs Program for support.
Footnotes
Conflicts of interest
There are no conflicts to declare.
Notes and references
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