Clinical therapeutic studies using 225 Ac-labeled antibodies have begun. Of major concern is renal toxicity that may result from the three alpha-emitting progeny generated following the decay of 225 Ac. The purpose of this study was to determine the amount of 225 Ac and non-equilibrium progeny in the mouse kidney after the injection of 225 Ac-huM195 antibody and examine the dosimetric consequences. Groups of mice were sacrificed at 24, 96 and 144 h after injection with 225 Ac-huM195 antibody and kidneys excised. One kidney was used for gamma ray spectroscopic measurements by a high-purity germanium (HPGe) detector. The second kidney was used to generate frozen tissue sections which were examined by digital autoradiography (DAR). Two measurements were performed on each kidney specimen: (1) immediately post-resection and (2) after sufficient time for any non-equilibrium excess 213 Bi to decay completely. Comparison of these measurements enabled estimation of the amount of excess 213 Bi reaching the kidney (γ-ray spectroscopy) and its sub-regional distribution (DAR). The average absorbed dose to whole kidney, determined by spectroscopy, was 0.77 (SD 0.21) Gy kBq −1 , of which 0.46 (SD 0.16) Gy kBq −1 (i.e. 60%) was due to non-equilibrium excess 213 Bi. The relative contributions to renal cortex and medulla were determined by DAR. The estimated dose to the cortex from nonequilibrium excess 213 Bi (0.31 (SD 0.11) Gy kBq −1 ) represented ~46% of the total. For the medulla the dose contribution from excess 213 Bi (0.81 (SD 0.28) Gy kBq −1 ) was ~80% of the total. Based on these estimates, for human patients we project a kidney-absorbed dose of 0.28 Gy MBq −1 following administration of 225 Ac-huM195 with non-equilibrium excess 213 Bi responsible for approximately 60% of the total. Methods to reduce renal accumulation of radioactive progeny appear to be necessary for the success of 225 Ac radioimmunotherapy.