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On May 30, 2024, the DOE Isotope Program hosted a Virtual Roundtable on Best Practices and Safe Handling of Radium-226 (Ra-226), featuring invited speakers from the international community. As interest in targeted alpha therapies increases, so does the demand for Ra-226 feedstock to produce key alpha-emitters, including Ac-225, Ac-227/Th-227/Ra-223, Th-228/Ra-224/Pb-212, and Th-229. Radium-226’s physical properties present unique and challenging handling requirements, particularly its decay product radon-222. A panel of national and international speakers provided candid discussions on best practices, types of facilities, appropriate capabilities, and technical challenges to an audience of over 200 participants. Following the presentations, a Question & Answer session was held.