Table 7.1), and the usual activity per knee joint is 185 MBq. Rhenium-186 (186Re) and erbium-169 (169Er) are mentioned for completeness, as they are used outside the UK and discussed in the literature. The rationale for using each radionuclide in different sized joints may be seen by looking at the average penetration of the beta particles in tissue; 3.6 mm for 90Y in large joints, 1.1 mm for 186Re in medium joints and 0.3 mm for 169Er in small joints. The high energy beta particles emitted by 90Y result in the production of bremsstralung radiation (see