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The Supply of Medical Radioisotopes
An Economic Study of the Molybdenum-99 Supply Chain: Summary
English, 36 pages, published: 09/16/10
NEA#6969, ISBN: 978-92-64-99150-7
Available online at: http://www.oecd-nea.org/ndd/reports/2010/nea6969-radioisotopes-summary.pdf

Other language(s):
- Français: L’approvisionnement en radioisotopes médicaux 
The reliable supply of molybdenum-99 (Mo-99) and its decay product, technetium-99m (Tc-99m), is a vital component of modern medical diagnostic practices. Disruptions in the supply chain of these radioisotopes – which cannot be effectively stored – can suspend important medical testing services. Unfortunately, supply reliability has declined over the past decade, due to unexpected or extended shutdowns at the few ageing, Mo-99 producing, research reactors and processing facilities. These shutdowns have created global supply shortages.

The full study offers a unique analysis of the economic structure and present state of the Mo-99/Tc-99m supply chain. It finds that the shortages are a symptom of a longer-term problem linked to insufficient capital investment, which has been brought about by an economic structure that does not provide sufficient remuneration for producing Mo-99 or support for developing additional production and processing infrastructure. To assist governments and other decision makers in their efforts to ensure long-term, reliable supply of these important medical isotopes, the study presents options for creating a sustainable economic structure. The study will also enhance understanding amongst stakeholders of the costs of supplying Mo-99 and ultimately contribute to a better functioning market.