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Global Supply Chain of Radio Isotopes

        The supply chain consists of :


            Uranium target manufacturers       Nuclear reactors for target irradiation

            Processing facilities that dissolve the irradiated targets to extract Mo-99

            Mo-99/Tc-99m generators manufacturers

            Radio-pharmacies to elute Tc-99m from the generators and prepare radiopharmaceutical doses

            Transport companies to ship to various participants involved in the supply chain














        Source: https://www.oecd-ilibrary.org/sites/67dec9af-en/index.html?itemId=/content/component/67dec9af-en#wrapper
        The most important factor of the supply chain is that Mo99 has a half-life of 66 hours, and Tc99 has a half-life of 6
        hours which is time available for effective radioisotope utilisation.

        Some of the Key Nuclear Reactors producing Mo99 Fission Products


                                  Overview of Nuclear Research Reactor irradiators
          Reactor Name   Country      Average no      Maximum     Share of annual    Type of       Importance of
                                       of Mo-99      capacity per   total world    Organisation 1  Mo-99 irradiation
                                      production        week         capacity                     to organisation 2
                                      weeks/year   (6-day Ci 99Mo)
         ANSTO (OPAL)    Australia        43           3 500           16%        Governmental         High
         CNEA (RA-3)     Argentina        46            400            2%         Governmental         High
         NCBJ (MARIA)     Poland          36           2 200           9%             Semi-          Moderate
                                                                                  governmental
         NECSA          South Africa      44           3 000           14%            Semi-          Very High
         (SAFARI-1)                                                               governmental
         NRG (HFR)      Netherlands       39           6 200           26%            Semi-            High
                                                                                  governmental/
                                                                                   commercial
         RC Rez           Czech           30           3 000           10%            Semi-            High
         (LVR-15)        Republic                                                 governmental/
                                                                                   commercial
         Rosatom          Russian         50            890            5%             Semi-            Low
         (RIAR and      Federation                                                governmental
         KARPOV)
         SCK-CEN         Belgium          21           6 500           15%            Semi-          Moderate
         (BR-2)                                                                   governmental
         University    United States      52            750            4%          Independent       Moderate
         of Missouri                                                                non-profit
         (MURR)
        Source: https://www.oecd-ilibrary.org/sites/67dec9af-en/index.html?itemId=/content/component/67dec9af-en#wrapper
        1   https://www.world-nuclear.org/information-library/non-power-nuclear-applications/radioisotopes-research/radioisotopes-in-medicine.aspx
        2   Nuclear medicine in India: A historical journey- Anshu Rajnish Sharma

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