This study assessed the in vivo distribution of 11 C-nicotine and the absorbed radiation dose from whole-body 11 C-nicotine PET imaging of 11 healthy (5 male and 6 female) subjects. Methods: After an initial CT attenuation scan, 11 C-nicotine was administered via intravenous injection. A dynamic PET scan was acquired for 90 s with the brain in the field of view, followed by a series of 13 whole-body PET scans acquired over a 90-min period. Regions of interest were drawn over organs visible in the reconstructed PET images. Time-activity curves were generated, and the residence times were calculated. The absorbed radiation dose for the whole body was calculated by entering the residence time in OLINDA/EXM 1.0 software to model the equivalent organ dose and the effective dose for a 70-kg man. Results: The mean residence times for 11 C-nicotine in the liver, red marrow, brain, and lungs were 0.048 6 0.010, 0.031 6 0.005, 0.021 6 0.004, and 0.020 6 0.005 h, respectively. The mean effective dose for 11 C-nicotine was 5.44 6 0.67 mSv/MBq. The organs receiving the highest absorbed dose from the 11 C-nicotine injection were the urinary bladder wall (14.68 6 8.70 mSv/MBq), kidneys (9.56 6 2.46 mSv/ MBq), liver (8.94 6 1.67 mSv/MBq), and spleen (9.49 6 3.89 mSv/ MBq). The renal and hepatobiliary systems were the major clearance and excretion routes for radioactivity. Conclusion: The estimated radiation dose from 11 C-nicotine administration is relatively modest and would allow for multiple PET examinations on the same subject.Key Words: 11 C nicotine; radiation absorbed dose; PET dosimetry; whole-body PET imaging J Nucl Med 2017; 58: 473-478 DOI: 10.2967/jnumed.116.180059 The rate of smoking by adults has decreased substantially in the United States since the hallmark 1964 U.S. Surgeon General's report. Nonetheless, 40 million Americans still smoke regularly, and approximately 400,000 people die each year from illnesses directly associated with smoking (1). Although the various components of tobacco cause different effects, nicotine has been identified as one of the primary chemicals responsible for tobacco addiction in humans (2,3). More recently, there has been a steady rise in the use of newly developed nicotine delivery devices (such as e-cigarettes) to replace cigarettes, and their use has now surpassed that of any other tobacco product, especially among highschool students (4). There is growing concern among the scientific, medical, and regulatory communities over the deleterious impact of nicotine consumption on human health. Aside from the reinforcing action, nicotine perpetuates the smoking habit in humans through the aversive consequences of nicotine withdrawal, a negative reinforcement phenomenon (5-7). Neuronal nicotinic acetylcholine receptors have been identified as one of the primary sites of action in the brain for the elicitation of reinforcing effects, dependency, and withdrawal expressions during cessation of smoking (8)(9)(10)(11)(12). PET imaging is highly useful for studying the impact of smoking ...