Nuclear Medicine Europe's major updates

Nuclear Medicine Advocacy in European Legislation

A European Association of Nuclear Medicine (EANM) and Nuclear Medicine Europe (NMEU) joint statement

The European Association of Nuclear Medicine (EANM) and Nuclear Medicine Europe (NMEU) express disappointment over the recent European Parliament vote on the Pharmaceutical Regulation and Directive, which did not incorporate their proposed amendments aimed at updating the regulatory framework for radiopharmaceuticals.

Despite the pivotal role Nuclear Medicine plays in modern healthcare, especially in cancer care as recognized by EU initiatives like the SAMIRA Action Plan, the current legislative approach fails to acknowledge the significant advancements in radiopharmaceuticals since 2004. This oversight poses challenges to the industry and clinical sectors, leading to uncertainties and reduced availability of radiopharmaceuticals across Europe.

EANM and NMEU advocate for a regulatory framework that aligns with the evolving landscape of Nuclear Medicine, emphasizing the need for updated definitions and provisions to support the growth and accessibility of radiopharmaceuticals. They call upon policymakers to reconsider these developments and ensure that the revised legislation reflects the advancements in Nuclear Medicine, ultimately benefiting patients across the EU.

Read full statement 

Position paper on the Ban on Lead for the Transport of Radiopharmaceuticals

 The European Chemicals Agency’s (ECHA) 11th recommendation to include lead metal in the REACH Authorization List raises significant concerns within the Nuclear Medicine community.

While the intention behind such regulations is undoubtedly to enhance safety and environmental protection, it is crucial to consider the potential challenges and consequences that may arise from the implementation of this ban.

Click here or the image to download the position paper.


Restart Delay of the HFR Reactor

 A Nuclear Medicine Europe Emergency Response Team meeting was informed today by NRG, the operator of the HFR reactor in Petten, Netherlands, that the HFR is preparing for startup on Thursday May 11th, but because of pending discussions for approval this start-up date cannot yet be guaranteed. NRG will provide confirmation regarding restart to NMEU on Wednesday 10 May and NMEU will communicate with stakeholders at that time.


Restart Delay of the HFR Reactor


Brussels, May 5, 2023

Nuclear Medicine Europe was informed by NRG, the operator of the HFR reactor in Petten, Netherlands, that the HFR did not resume operations as planned on 4 May 2023 (HFR cycle 2023-02) due to detection of an increase in the amount of water that is leaking from the reactor pool. This water is collected in dedicated tanks that are part of the reactor design.

The Nuclear Medicine Europe Emergency Response Team held a call on 5 May 2023 with representatives of NRG/HFR to receive an update on the situation.

Read more here


Research reactors producing medical radioisotopes are operating according to their planned schedule


Brussels, April 20, 2023

NNMEU would like to notify the stakeholder community that the research reactors that are coordinated within the NMEU Security of Supply Working Group are all operating according to the current planned schedules. There are no unanticipated outages and therefore the reactors are available for target irradiation for Mo-99, I-131, Lu-177 etc.

Read more here

Delay in Return to Service of Maria Research Reactor (Poland)


Brussels, January 31, 2023

NMEU has been informed by the National Center for Nuclear Research (NCBJ) in Poland that due to delays in the completion of certain maintenance works, the Maria research reactor will not be able to return to service during the first week of March 2023 as had been foreseen when the activities were initiated last September. NCBJ now anticipates modernization activities to be completed in June and plan to resume operation of the reactor at the beginning of July 2023.

Read more here


BR2 Planned Restart on Track


Brussels, December 16, 2022

The NMEU Emergency Response Team (ERT) has been informed by SCK-CEN, the operator of the BR2 reactor, that everything is on track for BR2 to resume operations on December 20 through January 22 as scheduled.

Nuclear Medicine Europe anticipates normal Mo-99 and I-131 global supply going forward


BR2 December restart


Brussels, December 12, 2022

The NMEU Emergency Response Team (ERT) has been informed that the BR2 reactor continues to work toward resuming operations as scheduled on December 20 subject to receiving required Belgian nuclear regulatory authority approval.  

Read more here

Two European Research Reactors Resume Irradiation for MO-99 and I-131 Production


Brussels, November 23, 2022

The NMEU Emergency Response Team (ERT) has been notified that the LVR-15 reactor resumed operations on Friday morning November 18 and the first irradiated targets from it are being processed today November 23rd. In addition, Nuclear Medicine Europe was notified that the HFR reactor resumed operations today November 23 and achieved full power operation at 14:30 CET.

Read more here

Nuclear Medicine Europe Position Paper

Brussels, August 17, 2022 

Nuclear medicine is a vital technology, but is still facing 4 main challenges, for which NMEU has established a list of proposed actions.

Today, Nuclear Medicine Europe is publishing "What is nuclear medicine, & how can it help Europe beat cancer?", the latest position paper which contains the combined views of the 45 members of the association on how we see the need for support from both EU and local politicians to ensure a stable and secure treatment of patients in the member states.

Visit the dedicated page to learn more and download the position paper.

NMEU 2019-2022 newsletter

The Improbable Triennium

Brussels, July 1st, 2022 

"When the newly-elected executive committee took the reins of NMEU in May 2019, they knew that there would be some challenges. This is, after all, a fast-changing world. They did not, however, expect a global event that would disrupt all the laws of communication, economy, trade and society. Indeed, no one did."

"When the Covid-19 pandemic plunged the whole world into the unknown in early 2020, we all had to be creative. We had to develop new tools and new ideas, to defend the nuclear medicine industry. We had to respond to the urgent issues facing our members and try to solve them. It was not easy, but necessity is the mother of invention."

Read the newsletter

The new NMEU Executive Committee

Brussels, June 29, 2022 

The 2022-2025 Executive Committee of Nuclear Medicine Europe has been elected this Tuesday at the end of the Annual General Assembly in Brussels. Congratulations to (from left to right) the new NMEU President Mart Jan Blauwhoff (Curium Pharma), Vice-President Dr. Lutz Helmke (Eckert & Ziegler AG), Vice-President & Treasurer Dr. Konrade von Bremen (SWAN Isotopen AG), Vice-President and Secretary General Erich Kollegger (IRE - Institute for radioelements).

More details coming very soon!

Parliament’s backing for nuclear medicine is huge boost for sector


Brussels, February 23, 2022 

The European Parliament’s vote to recognize nuclear medicine is a significant boost for one of Europe’s most innovative sectors, and offers new hope for cancer patients, Nuclear Medicine Europe (NMEU) says.

The recognition came at the Parliament’s plenary meeting in Strasbourg, when MEPs backed an own-initiative opinion on “Strengthening Europe in the fight against cancer – towards a comprehensive and coordinated strategy” (2020/2267).

Read the full statement

How the nuclear medicine sector coordinates isotope supply

The nuclear medicine sector has an intricate system for ensuring essential medical isotopes are produced when they are needed. It involves carefully managed production schedules that take account of supply, demand and many logistical considerations around just six nuclear reactors. So, how does the system work?

Europe is the leading world supplier of medical radioisotopes and a leader in developing nuclear medicine diagnostics and treatments. The process for using this technology starts with the production of medical radioisotopes. These are isotopes produced artificially, mainly in research reactors and accelerators.

Read more

Why MEPs need to back Fiocchi’s amendments to the cancer report

Brussels, February 11, 2022

On February 15, the European Parliament plenary is scheduled to vote on an own-initiative opinion on “Strengthening Europe in the fight against cancer – towards a comprehensive and coordinated strategy”

However, the resolution does not mention nuclear medicine. This is despite Europe leading global research and development in nuclear medicine, and nuclear medicine’s record in saving hundreds of thousands of lives over the years. By contrast, the European Commission’s Europe’s Beating Cancer Plan recognizes nuclear medicine as the safest and most effective way to beat the disease.

Read more update

In 2009, our Nuclear Medicine Awareness Working Group launched a website to raise awareness about nuclear medicine. It was set up as an educational platform for the general public and included animations. These animations quickly became popular within the medical community: they were translated and watched millions of times.

The internet has changed a lot over the past 13 years. We felt it was time to refresh the website to make these resources available to even more people. We now have a new design, optimised navigation, responsiveness, SEO optimisation and more. After a great deal of work, we are delighted to launch the new version of the website today:

NMEU and the Communications Working Group would like to thank all past members of the Awareness Working Group, Innovation Working Group, Chairwomen and Chairmen of these groups, as well as NMEU Members and friends who have contributed to this project since 2009.

Summary of the 2021 NMEU Symposium

Brussels, 17 November 2021

Nuclear medicine is already transforming the fight against cancer and other critical conditions, Portuguese MEP Maria Da Graça Carvalho told the annual Nuclear Medicine Europe (NMEU) Symposium.

The MEP told the ‘Personalised Medicine Fighting Cancer: The Promise of Nuclear Medicine’ symposium on November 17 that radiological breakthroughs offered new hope against cancers and disorders. “Nuclear medicine promises the shortest path to precision medicine and can intervene in the fight against cancer, but also in cardiac and neuropsychological disorders. It is already transforming the way diseases like cancer and mental health conditions are treated,” she said.

Read more

2021 Nuclear Medicine Europe Symposium

Join us for the 2021 edition of the Symposium, which will happen online. 
Full programme coming soon. 

Registrations are now open! 

Lifesaving nuclear medicine applications deserve better recognition and support at EU level

Brussels, 14 June 2021
Thanks to medical applications of nuclear technology, Europe’s citizens have access to diagnostic and lifesaving treatment. That is why the European Union – in line with its Europe’s Beating Cancer Plan – should promote new research reactor capacity along with innovation in the sector and the design modification of the current fleet. According to a joint position paper issued today by FORATOM and Nuclear Medicine Europe, these and other recommendations should be implemented to maintain the current level of medical radioisotopes supply.

Read on FORATOM's website the full statement

Read the FORATOM-NMEU joint Position Paper 
Download the annex

COVID and the transport of radiopharmaceuticals

Gilles Degauque, Chairman of NMEU’s Transport Expert Working Group, asked our members five general questions about how the coronavirus affected them.

The nuclear medicine sector, like everyone else, has faced and is still facing huge challenges during the coronavirus pandemic. NMEU’s Transport Expert Group surveyed its members to find out how it has affected the transport of radioactive material, from shipment and safety to controls and audits.

Read more

Extended OPAL (Australia) reactor outage

A communication from the NMEU Security of Supply Working Group

• Brussels, 20 November 2020

The Security of Supply Working Group (SoS WG) was informed on 19 November by the Australian Nuclear Science and Technology Organization (ANSTO) that last week, during scheduled maintenance, ANSTO observed an anomaly in a pipe connection that enters the OPAL research reactor’s riser structure. There continues to be no impact to people or radiological consequences as a result of the issue.

Read more

Staying safe, saving life

How nuclear medicine patient care continues in the COVID era

These are extraordinary times. Life as we knew it has been disrupted and we all have had to adapt to a new reality. Regardless, patients undergoing or awaiting life-changing medical treatments need to receive their critical care. The nuclear medicine sector is doing everything it can to make sure that people who most need interventions – diagnostic and therapeutic - can get them, despite the ongoing coronavirus pandemic.

Read more

2020 AGM : The Word of the President

"Dear friends and colleagues,

We are still living under extraordinary pandemic conditions, but I hope nonetheless that you are facing the challenge with courage and optimism.

Why are we meeting today? Because our legal obligations as an association require us to maintain the mandatory points on the agenda. These include the 2019 annual accounts and the 2020 budget, as well as the validation of our newcomers."

Read more

From status quo to status go

Nuclear Medicine is based on the use of radioactivity for healthcare applications in diagnosis and therapy. Through the use of biomolecules that are labelled with radioisotopes, numerous metabolic, molecular and signalling pathways can be visualized and quantified. This information is used for diagnosis and personalized treatment planning.

The Innovation Working Group is updating and making publicly available their Pictorial Views about Nuclear Medicine. 

Following the publication of the updated "Cyclotrons for Medical Radionuclide Production", the latest update "From Status Quo to Status Go" is now available for download. 

COVID-19 and the global supply of Mo99

• Brussels, 11 May 2020

The Security of Supply Working Group (SoS WG) Emergency Response Team (ERT) held a teleconference on 11 May 2020 and received written updates from NMEu members regarding the impact of the COVID-19 pandemic on Mo-99 and other radioisotope production.

The improving situation reported in the last communication of 27 April continues and supply chain organizations maintain regular operations. Air transportation options for most geographic regions continue to improve. NTP reported that it is operating below capacity as a result of remaining logisitical challenges from South Africa.

Read the full statement

The European Parliament shows support to secure availability of radiopharmaceuticals

• Brussels, 22 April 2020

Nuclear Medicine Europe appreciates the action taken by the European Parliament with the European authorities concerned to highlight the difficulties encountered during the Covid-19 pandemic, with regard to the availability of radiopharmaceuticals.

Read the joint statement to Dr. Stella Kyriakides Commissioner for Health and Food Safety, European Commission, Dr. Thierry Breton Commissioner for Internal Market, European Commission, and Dr. Rafael Mariano Grossi, IAEA Director.

Short-term risk to security of supply of both bulk Mo-99 and Tc-99m generators

• Brussels, 20 April 2020

The Security of Supply Working Group (SoS WG) Emergency Response Team (ERT) held a teleconference on 20 April 2020 to discuss the impact of the COVID-19 pandemic on Mo-99 and other radioisotope production.

All organizations (research reactors, Mo-99 producers, Tc-99m generator manufacturers, ground transportation) continue to report regular operations. 

Read more

Update from the ERT

• Brussels, 15 April 2020

The Security of Supply Working Group (SoS WG) Emergency Response Team (ERT) held a teleconference on 15 April 2020 to discuss the impact of the COVID-19 pandemic on Mo-99 and other radioisotope production.

All organizations again reported that production operations continue normally within adjustments that have been taken against COVID-19, although production is being oriented to international flight availability. Radioisotope shipments from Europe have been more stable in recent weeks and continue via the reduced number of ongoing passenger flights.

Read more

Possible impact COVID-19 on the transport of medical radioisotopes

• Luxembourg, 01 April 2020

In this capacity, ESA has been in contact with the other co-chair – industry association of nuclear medicine - Nuclear Medicine Europe (NMEu), who expressed their concerns related to the impact of COVID-19 on the supply chain and in consequence on the availability of the most vital medical radioisotopes used in the nuclear medicine (namely Mo-99/Tc-99m).

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Emergency Response Team

• Brussels, 24 March 2020

The Security of Supply Working Group (SoS WG) Emergency Response Team (ERT) held a teleconference on 23 March 2020 to discuss the continuing impact of the COVID-19 epidemic on Mo-99 and other isotope production. Despite increasing challenges, the Mo-99 supply chain has not yet experienced any significant disruptions, though all levels of the supply chain remain vigilant and continue to adopt business continuity measures to provide a reliable supply.

Read more

Crossing the Covid-19 period

• Brussels, 24 March 2020

In these turbulent times, we are aware of the safety measures to be taken at all levels in conformity to the recommendations of national and international public health authorities. We are particularly careful not to endanger the health and safety of our members and their representatives within NMEu.

AIPES and the Transport Expert Working Group on Channel 4 TV

Channel 4’s TV host Victoria Macdonald and her crew came last week to interview the members of the Transport Experts Working Group about the possible consequences of the Brexit on the transport of radiopharmaceuticals to the UK.

Full segment of the broadcast can be seen here :

Cessation of Mo-99 Production Activities by NTP Radioisotopes Ltd.

• Brussels, 21 January 2019

ANSTO Press Release – OPAL reactor – Update

The AIPES Security of Supply working Group (SoS WG) composed of Mo-99 processors, research reactors, and generator manufacturers received an update from NTP Radioisotopes (South Africa) on 19 January concerning its Mo-99 and I-131 production activities.
NTP recently was authorized by the National Nuclear Regulator of South Africa to continue to perform routine Mo-99 production runs at around 40% of its capacity through the end of February 2019, which is the same level that has occurred since NTP returned to production in late November 2018. No Mo-99 or I-131 shortages have been experienced since NTP returned to service and none are anticipated in this upcoming period. NTP will update AIPES in late February regarding its Mo-99 and I-131 production activities.

Cessation of Mo-99 Production Activities by NTP Radioisotopes Ltd. (NTP)

• Brussels, 9 July 2018 

ANSTO Press Release – OPAL reactor - Update

The AIPES Emergency Response Team (ERT*) composed of Mo-99 processors, research reactors, and generator manufacturers had a telecon on Monday 9 July 2018 to receive an update from NTP Radioisotopes (South Africa) on the temporary interruption of its Mo-99 and I-131 production activities. NTP reported that following meetings and information and documentation submissions to National Nuclear Regulator (NNR), it continues to await NNR’s feedback and approval in response to its request to resume Mo-99 production operations.

Processors and Generators expressed that for the time being, there is no major problems in the production initially planned, and that all are trying to manage through the NTP production outage. Situation will have to be reconsidered in the coming days/weeks if there are no changes.

The ERT also discussed the article issued...

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AIPES AGM 2018 dinner