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Desperately Seeking Radioisotopes

New strategies are needed to address the current and future shortages of radioisotopes that threaten medical research and treatment.

By | July 1, 2011

Leaded containers, allowing for the transport of technetium 99m syringes for use in nuclear medicine.JEJECAM / WIKIPEDIA COMMONS

Much of nuclear medicine depends on a steady supply of an isotope called molybdenum-99—“Mo-99” for short. A by-product of nuclear fission, Mo-99 decays to produce another radioactive substance, technetium-99m, which is employed in more than 16 million nuclear imaging procedures every year in the United States alone, including sentinel node biopsies in cancer surgery, bone scans, and cardiac stress tests.

Unfortunately, the supply of Mo-99 and other radioisotopes has been unreliable at best. All of the Mo-99 used in the United States is imported, with the main source being the National Research Universal (NRU) reactor at Chalk River, Ontario. When the reactor shut down for repairs in May 2009, it contributed to a global shortage of radioisotopes. And while NRU has been back in operation since August 2010, it is scheduled for permanent closure in 2015, and no backup reactor will come online before then.

When the reactor shut down for repairs in May 2009, it contributed to a global shortage of radioisotopes.

The unsteady supply of the isotope is already compromising treatment options. For many procedures there’s simply no alternative to Mo-99, and its shortage severely limits doctors’ ability to diagnose and treat many diseases. Physicians are also finding it harder to obtain iodine-131, a radioisotope used to treat thyroid cancer, Graves’ disease, and hyperthyroidism. In this case, CT and PET scanning, which use other radioisotopes, can serve as alternative diagnostic methods, but these procedures have drawbacks ranging from increased cost and greater radiation burden to lower image quality. Clearly, new production strategies are desperately needed.

Some commercial initiatives for generating Mo-99 and other radioisotopes are being developed in order to circumvent reliance on foreign suppliers and on the limited number of available federal and private nuclear reactors and processing facilities in the United States.

Lynchburg, Virginia-based Babcock & Wilcox Technical Services Group (B&W TSG), for example, is using aqueous homogeneous reactors with low-enriched uranium fuel, a process that could potentially supply 50 percent of the US market for Mo-99 (with much less radioactive waste), according to a February 2009 report issued by the Isotope Availability Task Group of the Society for Nuclear Medicine. Production could be staggered and shipping to radiopharmacies calculated so that they receive Mo-99 in a timely fashion. In January 2010, B&W TSG was awarded approximately $9 million by the National Nuclear Security Administration to further develop its patented reactor technology.

At my company, Advanced Medical Isotope Corporation in Kennewick, Washington, we hope to commercialize a proprietary compact Mo-99 production method that involves a meter-long contraption containing heavy water (deuterium oxide) and uranium. Shooting a beam of high-energy electrons at the container produces photons that rip apart deuterium, releasing neutrons that cause uranium to fission, producing substantial quantities of Mo-99.

The 2009 SNM report on isotope availability noted that the University of Missouri Research Reactor Center (MURR) could also potentially meet approximately 50 percent of the current US market need for Mo-99. However, additional funding and an upgrade of MURR’s processing facilities would be required.

Finally, the Annular Core Research Reactor (ACRR) at Sandia National Laboratories could, according to the SNM, potentially produce 100 percent of the US need for Mo-99, but the AACR is currently being used for testing by the Defense Department programs group at the Department of Energy.

Though still in the planning stages, such projects may be able to produce all the Mo-99 physicians could want, as well as a wider variety of other radioisotopes, each with its own specific medical application. Doing so will save tens of millions of dollars for the health-care market, and countless lives, making this a worthy endeavor indeed.

Robert E. Schenter is CSO of Kennewick, WA–based Advanced Medical Isotope Corp. (www.isotope world.com), a company that produces and distributes medical isotopes. He can be reached at info@isotopeworld.com.

 

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Comments

Avatar of: isotopehope

isotopehope

Posts: 1

July 1, 2011

Where can we get more information on this new process?  What is the time frame for the product to reach the market?  How is Actinium-225 used for other cancers and HIV?  Very interesting this many procedures in the United States.  Are any of these companies public companies?

Avatar of: Bionucleonics

Bionucleonics

Posts: 1

July 1, 2011

Nice Article! Dr. Schenter!

Avatar of: Isotopia

Isotopia

Posts: 1

July 1, 2011

More people need to hear about this! Cool stuff!

Avatar of: smartbullets

smartbullets

Posts: 1

July 1, 2011

HOW MUCH MO99 DOES ADVANCED MEDICAL ISOTOPE CORPORATION DEVICE MAKE IN A WEEK?

Avatar of: powerofcool

powerofcool

Posts: 1

July 1, 2011

Interesting stuff! Liked!

Avatar of:

Posts: 0

July 1, 2011

Where can we get more information on this new process?  What is the time frame for the product to reach the market?  How is Actinium-225 used for other cancers and HIV?  Very interesting this many procedures in the United States.  Are any of these companies public companies?

Avatar of:

Posts: 0

July 1, 2011

Nice Article! Dr. Schenter!

Avatar of:

Posts: 0

July 1, 2011

More people need to hear about this! Cool stuff!

Avatar of:

Posts: 0

July 1, 2011

HOW MUCH MO99 DOES ADVANCED MEDICAL ISOTOPE CORPORATION DEVICE MAKE IN A WEEK?

Avatar of:

Posts: 0

July 1, 2011

Interesting stuff! Liked!

Avatar of:

Posts: 0

July 1, 2011

Where can we get more information on this new process?  What is the time frame for the product to reach the market?  How is Actinium-225 used for other cancers and HIV?  Very interesting this many procedures in the United States.  Are any of these companies public companies?

Avatar of:

Posts: 0

July 1, 2011

Nice Article! Dr. Schenter!

Avatar of:

Posts: 0

July 1, 2011

More people need to hear about this! Cool stuff!

Avatar of:

Posts: 0

July 1, 2011

HOW MUCH MO99 DOES ADVANCED MEDICAL ISOTOPE CORPORATION DEVICE MAKE IN A WEEK?

Avatar of:

Posts: 0

July 1, 2011

Interesting stuff! Liked!

Avatar of:

Posts: 0

July 13, 2011

When I worked at the Nuclear Regulatory Commission 20 years ago, the Department of Energy (DOE) was supposed to convert one of the reactors at Idaho Falls to the production of molybdenum-99/technitium-99.  This has been a recurring crisis for more than 20 years.  Why can't DOE do anything!

Avatar of:

Posts: 0

July 13, 2011

Don't fret, radionuclide lovers, the kelp beds in California, thanks to Fukushima and Tepco will have plenty of I-129 (not mentioned above but it's a commonly used tracer) for several MILLION years.

And for I-131 lovers who crave short lived radionuclides, any used fuel pool in the USA right now can generate all the I-131 you want (and thyroid cancer too) lickety split. Just interrupt the cooling for a while.

I hope those who like dashi (Japanese soup stock made from boiled Bonito flakes and kelp) don't mind eating radionuclides because it will be virtually impossible to make dashi without some Cs-137 and I-129 for the next 300 years or so.

Denial is not a river in Egypt. You nuke lovers can bury your head in the sand as long as you want but it won't change the poisonous reality. And by the way, a good cyclotron can make a lot of these tracers. You don't need a nuclear reactor.

"Jun 12, 2009 – The benefit of cyclotron-created isotopes is that when used in PET scanners they produce superior images, said Tom Ruth, a chemistry adjunct ..."►www.cbc.ca/news/technology/sto...
www.cbc.ca/news/technology/sto...

Avatar of:

Posts: 0

July 13, 2011

When I worked at the Nuclear Regulatory Commission 20 years ago, the Department of Energy (DOE) was supposed to convert one of the reactors at Idaho Falls to the production of molybdenum-99/technitium-99.  This has been a recurring crisis for more than 20 years.  Why can't DOE do anything!

Avatar of:

Posts: 0

July 13, 2011

Don't fret, radionuclide lovers, the kelp beds in California, thanks to Fukushima and Tepco will have plenty of I-129 (not mentioned above but it's a commonly used tracer) for several MILLION years.

And for I-131 lovers who crave short lived radionuclides, any used fuel pool in the USA right now can generate all the I-131 you want (and thyroid cancer too) lickety split. Just interrupt the cooling for a while.

I hope those who like dashi (Japanese soup stock made from boiled Bonito flakes and kelp) don't mind eating radionuclides because it will be virtually impossible to make dashi without some Cs-137 and I-129 for the next 300 years or so.

Denial is not a river in Egypt. You nuke lovers can bury your head in the sand as long as you want but it won't change the poisonous reality. And by the way, a good cyclotron can make a lot of these tracers. You don't need a nuclear reactor.

"Jun 12, 2009 – The benefit of cyclotron-created isotopes is that when used in PET scanners they produce superior images, said Tom Ruth, a chemistry adjunct ..."►www.cbc.ca/news/technology/sto...
www.cbc.ca/news/technology/sto...

Avatar of: John Glenn

Anonymous

July 13, 2011

When I worked at the Nuclear Regulatory Commission 20 years ago, the Department of Energy (DOE) was supposed to convert one of the reactors at Idaho Falls to the production of molybdenum-99/technitium-99.  This has been a recurring crisis for more than 20 years.  Why can't DOE do anything!

Avatar of: agelbert

agelbert

Posts: 50

July 13, 2011

Don't fret, radionuclide lovers, the kelp beds in California, thanks to Fukushima and Tepco will have plenty of I-129 (not mentioned above but it's a commonly used tracer) for several MILLION years.

And for I-131 lovers who crave short lived radionuclides, any used fuel pool in the USA right now can generate all the I-131 you want (and thyroid cancer too) lickety split. Just interrupt the cooling for a while.

I hope those who like dashi (Japanese soup stock made from boiled Bonito flakes and kelp) don't mind eating radionuclides because it will be virtually impossible to make dashi without some Cs-137 and I-129 for the next 300 years or so.

Denial is not a river in Egypt. You nuke lovers can bury your head in the sand as long as you want but it won't change the poisonous reality. And by the way, a good cyclotron can make a lot of these tracers. You don't need a nuclear reactor.

"Jun 12, 2009 – The benefit of cyclotron-created isotopes is that when used in PET scanners they produce superior images, said Tom Ruth, a chemistry adjunct ..."►www.cbc.ca/news/technology/sto...
www.cbc.ca/news/technology/sto...

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