Recent Advances in (19)Fluorine Magnetic Resonance Imaging with Perfluorocarbon Emulsions

The research roots of (19)fluorine ((19)F) magnetic resonance imaging (MRI) date back over 35 years. Over that time span, (1)H imaging flourished and was adopted worldwide with an endless array of applications and imaging approaches, making magnetic resonance an indispensable pillar of biomedical diagnostic imaging. For many years during this timeframe, (19)F imaging research continued at a slow pace as the various attributes of the technique were explored. However, over the last decade and particularly the last several years, the pace and clinical relevance of (19)F imaging has exploded. In part, this is due to advances in MRI instrumentation, (19)F/(1)H coil designs, and ultrafast pulse sequence development for both preclinical and clinical scanners. These achievements, coupled with interest in the molecular imaging of anatomy and physiology, and combined with a cadre of innovative agents, have brought the concept of (19)F into early clinical evaluation. In this review, we attempt to provide a slice of this rich history of research and development, with a particular focus on liquid perfluorocarbon compound-based agents.