“…Over the years, a number of radioligands targeting the σ 2 receptors have been developed for tumor imaging. ,,, One radiotracer, N -(4-(6,7-dimethoxy-3,4-dihydroisoquinolin-2(1 H )-yl)butyl)-2-(2-fluoroethyl)-5-methylbenzamide ([ 18 F]ISO-1), has entered clinical trials for PET imaging of σ 2 receptors in tumors. , However, its affinity for the σ 2 receptors ( K i (σ 2 ) = 6.95–28.2 nM) and subtype selectivity ( K i (σ 1 )/ K i (σ 2 ) = 4–48) are relatively low and thus could be improved further. − In our previous work, we developed a series of σ 2 receptor ligands with the 6,7-dimethoxy-1,2,3,4-tetrahydroisoquinoline or 5,6-dimethoxyisoindoline pharmacophore. ,− Among these ligands, [ 18 F]SYB4 was found to display excellent biological profiles including nanomolar affinity, high subtype selectivity, high brain uptake, good specific binding, and appropriate kinetics in the brain. − Recently, 1-(4-(6,7-dimethoxy-3,4-dihydroisoquinolin-2(1 H )-yl)butyl)-3-methyl-1 H -benzo[ d ]imidazol-2(3 H )-one (CM398) was reported as a σ 2 receptor ligand with high affinity ( K i (σ 2 ) = 0.43 nM) and subtype selectivity ( K i (σ 1 ) = 560 nM, K i (σ 1 )/ K i (σ 2 ) = 1302). , In the current work, we used SYB4 and CM398 as lead compounds to design and develop suitable 18 F-labeled radioligands for imaging the σ 2 receptor in brain tumors. The design concept is presented in Figure .…”