Isotopes of bismuth
has 41 known isotopes, ranging from 184Bi to 224Bi. Bismuth has no stable isotopes, but does have one naturally occurring, very long-lived isotope; thus, the standard atomic weight can be given from that isotope, bismuth-209. Though it is now known to be radioactive, it may still be considered practically stable because it has a half-life of 2.01×1019 years, which is more than a billion times the age of the universe.
Besides 209Bi, the most stable bismuth radioisotopes are 210mBi with a half-life of 3.04 million years, 208Bi with a half-life of 368,000 years and 207Bi, with a half-life of 31.22 years, none of which occur in nature. All other isotopes have half-lives under 15 days, most under two hours. Of naturally occurring radioisotopes, the most stable is radiogenic 210Bi with a half-life of 5.012 days. 210mBi is unusual for being a nuclear isomer with a half-life many orders of magnitude longer than that of the ground state.
Bismuth-213
Bismuth-213 has a half-life of 45.6 minutes and decays mainly by beta emission to polonium-213; with only 2.1% going via alpha emission to thallium-209; however, as the polonium instantly decays by alpha, one alpha particle is emitted per atom. The amounts needed for medical use are always produced through its decay chain from either thorium-229 or actinium-225, which can be produced directly from radium-226, for example by bombardment with bremsstrahlung photons from a linear particle accelerator, knocking out a neutron and through beta decay giving actinium-225.In 1997, an antibody conjugate with 213Bi was used to treat patients with leukemia, and this isotope has otherwise been used in Targeted [alpha-particle therapy|targeted alpha therapy] to treat a variety of cancers.
Bismuth-213 is also produced in the decay of uranium-233, the fuel bred by thorium reactors, but as mentioned this goes through the long-lived thorium-229, so the production rates from each reactor will not be large.