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Global nuclear medicine planning flawed! -Australian plans to combat looming nuclear medicine supply crisis

The Australian Parliament has been updated today on plans to put our country front and centre in the fight against a looming international nuclear medicine supply crisis.

Global supply of nuclear medicine is under threat, with reactors responsible for 70 per cent of the world’s Molybdenum-99 (Mo-99) production due to be decommissioned in the next few years.
 
Mo-99 is the base material used in scans that diagnose heart disease and a variety of cancers. Applications include for bone oncology, neurology, the kidney and gastrointestinal tract disorders. 
 
The CEO of the Australian Nuclear Science and Technology Organisation (ANSTO), Dr Adi Paterson, today outlined Australian plans to combat the shortage to a Budget Estimates Hearing.
 
Under the plans, Australia will go from producing 550,000 doses of nuclear medicine at the Lucas Heights reactor – to making enough medicine to help 20 million people a year around the world. 
 
“With the termination of the life of these [international] reactors there would be an inability to confidently and predictably supply Mo-99 into the global market,” Dr Paterson advised the Committee.
 
Earlier this year ANSTO and the Australian Government announced the $168 million plan to significantly increase ANSTO’s nuclear medicine production capacity.
 
What this means is that in addition to securing Australia’s own supply of potentially life-saving nuclear medicine, we will be able to help meet a significant proportion of the world’s needs. 
 
 
Speaking today after the hearing, Dr Paterson said, “One in two Australians will receive a nuclear medicine procedure in their lifetime, and around 80 per cent of those will need Mo-99. 
 
“Mo-99 is a key tool in the fight against cancer and heart disease. It’s absolutely essential for an effective diagnosis.
 
“In the face of increasing demand and diminishing supply, Australia is taking a global leadership role in meeting healthcare needs.
 
“And because we will achieve mass production of nuclear medicine with low enriched uranium – this will contribute significantly to Australia’s non-proliferation goals.
 
“The world is asking for safe, low-enriched uranium based medicine – as recognised by the fact the USA has put measures in place to favour Mo-99 produced in Low Enriched Uranium reactors, such as that made in Australia’s OPAL reactor. 
 
“The development of a world supply of Mo-99 from Australia significantly strengthens our position as an important contributor to global nuclear security and non-proliferation.” 
KEY FACTS 
The plan will be delivered by scientists and engineers working at the Australian Nuclear Science and Technology Organisation (ANSTO)campus at Lucas Heights. It comprises: 
 
  • A nuclear medicine manufacturing plant, which will secure Australia’s ability to produce Molybdenum-99 (Mo-99).

    Mo-99 is primarily used for diagnosis of heart disease and cancers. Applications include for bone oncology, neurology, the kidney and gastrointestinal tract disorders. In Australia alone, each year 550,000 people receive a diagnosis using Mo-99; 

  • A co-located Synroc waste treatment plant, which will deliver a permanent, safe and economical way of managing by-products from current and future manufacture of nuclear medicines.

    Synroc is an Australian innovation that can reduce the pre-storage volume of nuclear medicine by-products by up to 99 per cent when compared to other methods such as cementation.

    Synroc offers similar benefits for other forms of waste, achieving up to 95 per cent reductions in volume.

  • The creation of 250 new jobs (150 construction and 100 operational jobs) – which is in addition to the approximately 1200 jobs already directly supported at ANSTO.

http://www.ansto.gov.au/discovering_ansto/media_centre/ansto_media_releases_2013/ansto_media_releases_2013/australian_plans_to_combat_looming_nuclear_medicine_supply_crisis

 

G.E. Ends Bid to Create a Supply of Technetium 99m

By 
Published: February 6, 2012

Radioisotope Recipe Lacks One Ingredient: Cash

WASHINGTON — For years, scientists and policy makers have been trying to address two improbably linked problems that hinge on a single radioactive isotope: how to reduce the risk of nuclear weaponsproliferation, and how to assure supplies of a material used in thousands of heart, kidney and breast procedures a year.

They seemed to be getting close to a solution. But now General Electric, the company that developed a technology for carrying it out, has quietly dropped work on the project, saying it is not commercially viable.

The isotope is technetium 99m, or tech 99 for short. It is useful in diagnostic tests because it throws off an easy-to-detect gamma ray; also, because it breaks down very quickly, it gives only a small dose of radiation to the patient.

But the recipe for tech 99 requires another isotope, molybdenum 99, that is now made in nuclear reactors using weapon-grade uranium. In May 2009, a Canadian reactor that makes most of the North American supply of moly 99 was shut because of a safety problem. A second reactor, in the Netherlands, was simultaneously closed for repairs.

The 54-year-old Canadian reactor, Chalk River in Ontario, is running now, but its license expires in four years. Canada built two replacement reactors, but even though they turned out to be unusable, their construction discouraged potential competitors.

So the United States Energy Department, which regulates nuclear weapons, has been trying to find a way to make the molybdenum isotope without relying on leaky reactors that use bomb fuel. And in 2010 General Electric, which designs power reactors, came up with an innovative solution.

The commercial reactors have a big flow of neutrons, and if an atom of natural molybdenum absorbs one, it becomes moly 99.

G.E.’s reactors have an opening at the bottom for an instrument that measures the neutron density. The company said it could replace that monitor with a “target” made of molybdenum and pull it back out after about seven days, so it could be sent to a chemical processing plant for recovery of the moly 99.

The company even picked out a reactor, Exelon’s Clinton plant in DeWitt County, Ill. And it lined up industrial partners for the parts of the process it would not do itself, and tested the concept in research reactors.

There is a drawback, though. Only about 24 percent of natural molybdenum is moly 98, the kind that can be converted to moly 99. To produce a given volume of tech 99, the volume of molybdenum in the generator has to be far larger.

Enter another player: Perma-Fix, a company based in Atlanta that makes a resin for treating contaminants at polluted industrial sites.

The company came up with a resin that will hold the atom when it is molybdenum but release it when it decomposes into technetium. Perma-Fix executives say this is a good complement to the G.E. system.

But G.E. has given up. When the Canadian reactor was restarted, it said, it decided that its technology was not financially competitive. In a statement, G.E. said that while it and Exelon were confident “that large quantities of molybdenum 99 could safely be produced” in one of their reactors, financial projections “do not support the remaining cost.”

Kevin Walsh, a nuclear-fuel executive at General Electric, said that the company would finish developing the system if the economics improved but that for now, “we’ve put all the engineering aside.”

Louis Centofanti, chairman and chief executive of Perma-Fix, said his company was trying to line up other reactors to process the molybdenum. Federal officials say Perma-Fix may have a time advantage, because it is not using government money and thus does not have to file an environmental impact statement.

But experts say it may be nearly impossible to develop an alternative supply while highly enriched uranium is still in use, even though the reactors that do that work have an uncertain lifetime. Chalk River’s license expired last year, but it was given a single five-year extension; the Dutch reactor’s lifetime is less certain but also limited.

“The economics is key,” said Parrish Staples, director of European and African threat reduction at the National Nuclear Security Administration, who has been meeting with European officials looking for ways to stop using highly enriched uranium. The old, unreliable reactors now in use are subsidized by government, he said.

His agency backed G.E. but also a number of other companies. One, NorthStar Medical Radioisotopesuses an accelerator to create gamma rays that bombard yet another type of molybdenum, moly 100; the bombardment causes the substance to eject a neutron and become moly 99.

Another organization, the Morgridge Institute for Research in Wisconsin, uses an accelerator to bombard uranium in a liquid solution, but it uses uranium with a much lower content of uranium 235, the kind that is useful in bombs.

And the Energy Department is helping finance a research program at Babcock & Wilcox to develop a new kind of reactor, in which uranium will be circulated in a liquid, and split; fission products, including the desired type of molybdenum, will be filtered out of the liquid for medical use.

Dr. Andrew J. Einstein, an assistant professor of clinical medicine at the Columbia University College of Physicians and Surgeons, who testified before a Senate committee in 2008 about the isotope shortage, said supplies were adequate at the moment.

But he drew a biblical analogy. “This is the seven years of plenty,” he said. “It certainly is time to be preparing for supply beyond Chalk River.”

Dr. Einstein said that when tech 99 was not available, doctors could use substitutes, but that these gave the patient larger radiation doses or provided poorer image quality to the doctor.

And for some uses, doctors can substitute PET scans, he said. But the equipment is in high demand for other procedures, and many medical facilities do not have it.

A version of this article appeared in print on February 7, 2012, on page D2 of the New York edition with the headline: Radioisotope Recipe Lacks One Ingredient: Cash.

http://www.nytimes.com/2012/02/07/science/ge-ends-bid-to-create-a-supply-of-technetium-99m.html?_r=0

October 17, 2012 - Posted by | Uncategorized

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