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Iodine-131 is used for thyroid, Iridium-192 for head   There are three primary ways of creating
        & breast, iodine-125 or palladium-103 for prostrate.   Mo99
        Localised targeting of tumours by this procedure
        effectively destroys cancerous cells, and overall
        radiation to the body is reduced. Targeted Alpha
        Therapy (TAT) using bismuth-213 & lead-212 are newer       Fission of uranium-235 (U-235) using HEU (Highly
        treatments for leukaemia, cystic glioma, & melanoma      Enriched Uranium) targets and newer method LEU
        and treat pancreatic, ovarian, and melanoma cancers.     (Low Enriched Uranium) targets

        Boron-10 or gadolinium-157 are concentrated in            Neutron capture of molybdenum-98 (Mo-98)
        malignant brain tumours, and the patient is irradiated
        with neutrons and protons. The Boron absorbs these                                             N
        particles and produces high energy alpha which kills
        the cancerous cells. This experimental development
        technique Neutron Capture Enhanced Particle Therapy
        (NCEPT) requires the terminally ill patient to be
        irradiated in a reactor facility.
                                                                        235 U                        98 Mo
        Sterilisation

        Co-60 source provides Gamma rays for cheap and
        effective sterilisation of disposable syringes, surgical
        instruments, surgical gloves, solutions, ointments,
        powders and biological preparations for heart valves,           236 U                        99 Mo
        skin, tissue graft, bone, nerve. It is also used for
        bandages, plastic and rubber sheets, cotton wool, and     N                 99 Mo
        burn dressings. Blood for transfusions kits is sterilised
        using Cs-137. Sterilisation provided by radiation has                    N
        indefinite shelf life until it is exposed to air and can   Other
        perform on fully packed items.                              FPs                              99 Mo

        Production of Radioisotopes
                                                              Source: https://www.ncbi.nlm.nih.gov/books/NBK215146/

        The Radioisotopes, as mentioned above, are all            Using ACCELERATOR
        produced in Nuclear Reactors or Cyclotrons/
        Accelerators. The most in-demand Isotope is Mo99 from
        which Tc99 is obtained. This is because as mentioned   1.  Photo-fission reaction: 238U(γ,fission)99Mo
        above used in over 85% of Nuclear procedures as
        shown below                                           2.  Photonuclear reaction: 100Mo(γ,n)99Mo

         Brain Imaging                       Liver Imaging    3.  Photo-neutrons generated from the e- beam for
         99m Tc-ECD                          99m Tc-Phytate
         99m Tc-TRODAT                       99m Tc-Sulphur      fission LEU in solution
                                             Colloid
                                             99m Tc-Mebrofenin  4.  D-T neutron generators to fission LEU in solution:
         Cardiac Imaging
         99m Tc-MIBI                         Sentinel Lymph      235U(n, fission)99Mo
         99m Tc-Tetrofosmin                  Node Detection
         Sn-Pyrophosphate                    99m Tc-HSA       5.  Spallation neutron source production (ADS):
                                             Nanocolloid
                                                                 235U(n,fission)99Mo
                                             Tumor Imaging
         Kidney Imaging
         99m Tc-GHA                          99m Tc(V)-DMSA   6.  Direct Tc-99m production by cyclotron:
         99m Tc(III)-DMSA                    99m Tc-HYNICTOC
         99m Tc-DTPA &                        Bone Imaging       100Mo(p,2n)99mTc
         99m Tc-EC                            99m Tc-MDP
                                                              The fission method is used in 95% and 98% of Mo-99
        Source: https://www.britatom.gov.in/sites/default/files/  production currently.
        Publications/RPH_exhibit.pdf

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