Mythri Shankar, M.D.: Dr. Mythri Shankar has trained extensively in Nuclear Medicine from various globally renowned institutions such as UCLA, Cedars Sinai, Children's Hospital of Los Angeles, and Harvard Medical School. She is a member of several international organizations such as the American Society of Nuclear Cardiology and the Society of Nuclear Medicine (USA & India). She is a member of the International Board of Advisors for Environmentalists for Nuclear - USA, website: efn-usa.org.
IAEA, International Energy Agency, Jeremy Li: As the major research reactors that supply Mo-99 age and cease production, the alternative method discussed in the paper offers a simplified way to diversify production and help ensure continued supplies of Mo-99 so that nuclear medicine services are not interrupted. In 2009, reactors producing Mo-99 in Canada and the Netherlands were temporarily shut down for necessary repairs and maintenance. This caused major disruption in health care services worldwide, leading to cancelled medical scans and postponed operations, and in some cases requiring medical professionals to revert back to using old, less effective techniques.
IAEA, International Energy Agency: The Mo 99 supply chain will continue to remain fragile as long as it continues to rely on the same five aged production reactors. Given the way the supply chain has evolved --- particularly its reliance on only five multipurpose, non-commercial, government supported research reactors --- there are no clear market incentives to prompt new capacity or alternative supplies. No date on this document, but references indicate that it is 2009 or more recent.
Association of Imaging Producers & Equipment Suppliers: In this letter, AIPES discusses the supply challenges in 2015 for reliable supply of Mo-99/Tc-99m generators.