As a result of a recent change in the National Institute of Standards and Technology (NIST) activity standard for 18 F, we have determined new relative response ratios for a 68 Ge solid epoxy mock syringe source used in activity calibrators as a long-lived substitute for 18 F. New standardized solutions of each radionuclide were used to determine the response ratios while maintaining traceability to national standards. This work updates our previously published data from 2010. Methods: Following our previously published methodology, solution-filled mock syringe sources, identical in geometry to the solid 68 Ge epoxy calibration source currently on the market, were prepared using NIST-calibrated solutions of 68 GeCl 4 and 18 F-FDG and directly compared in several models of activity calibrators to determine empirically the relative response ratios for these 2 radionuclides. Results: The new relative response ratios measured in this study reflect the change in 18 F activity measurements that arise from the recent −4% change in the NIST activity standard. The results allow the 68 Ge activity of the mock syringe source to be expressed in terms of equivalent 18 F activity, with a relative combined standard uncertainty of about 0.8% for the activity calibrators used in this study. Conclusion: This work revises our previously derived relative response ratios for 18 F and 68 Ge by −3.7%, allowing users of the commercial mock syringe surrogate source to calibrate their activity calibrators in a way that is consistent with the recent change in the NIST 18 F standard. In 2 recent publications (1,2), the National Institute of Standards and Technology (NIST) reported on a change of 24% in its radioactivity standard for the positron emitter 18 F. In addition to the obvious change that this brings in directly measuring this radionuclide in activity calibrators, it has an influence on the relative response ratio that allows 68 Ge-based solid mock syringe sources to be used as long-lived calibration artifacts for 18 F in those instruments.In 2010, we published a procedure for calibrating a specific commercially available mock syringe source for 68 Ge content (3). At the same time, we provided data on the relative response between that source and the equivalent activity of 18 F when measured in several models of activity calibrators. Although it would have been possible to merely take the magnitude of the published change in the 18 F standard and recalculate a new relative response ratio, a rigorous approach involving new direct measurements of sources containing calibrated 68 Ge and 18 F solutions gives more confidence in the results. Direct measurement of the ratios has 2 distinct advantages: direct traceability back to the NIST primary standards for the 2 radionuclides is maintained, and a proper uncertainty assessment for the new ratios is possible. We have undertaken a new series of measurements to experimentally determine the new 18 F-to-68 Ge relative response ratios for the 6-mL (filling volume nominally 3 mL) epoxy-based...