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Contents

  1. 2.1 Alpha, Beta and Positron Decay
  2. 2.1.1 Alpha (α) Decay
  3. 2.1.2 Beta-Minus (β⁻) Decay
  4. 2.1.3 Beta-Plus (β⁺) Decay – Positron Emission
  5. 2.2 Electron Capture and Isomeric Transition
  6. 2.2.1 Electron Capture (EC)
  7. 2.2.2 Isomeric Transition (IT)
  8. 2.2.3 Internal Conversion (IC)
  9. 2.3 Decay Constant, Half-Life, Mean Life
  10. 2.3.1 Law of Radioactive Decay
  11. 2.3.2 Decay Constant (λ)
  12. 2.3.3 Half-Life (T½)
  13. 2.3.4 Mean Life (τ)
  14. 2.3.5 Physical, Biological and Effective Half-Life
  15. 2.4 Activity Calculations
  16. 2.4.1 Definition of Activity
  17. 2.4.2 Units of Activity
  18. 2.4.3 Change of Activity with Time
  19. 2.4.4 Specific Activity
  20. 2.5 Radioactive Equilibrium (Transient and Secular)
  21. 2.5.1 General Parent–Daughter Relationship
  22. 2.5.2 Transient Equilibrium
  23. 2.5.3 Secular Equilibrium
  24. 2.5.4 No Equilibrium
  25. 2.5.5 Comparison of Generator Systems
  26. 2.6 Decay Schemes
  27. 2.6.1 Rules for Reading a Decay Scheme
  28. 2.6.2 Decay Schemes of Important Radionuclides
  29. 2.6.3 Branching Ratios
  30. 2.6.4 Summary of Decay Scheme Terminology
  31. Key Points for the Board
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Chapter 02Basic sciencesLast reviewed: 14 Nov 2026 · What's new

Radioactive Decay

This chapter's English text is a draft translation (prepared with Claude and checked against a terminology glossary and automatic checks); specialist review is in progress. Please report errors with the feedback button.

Solve questions (24) →
Contents
  1. 2.1 Alpha, Beta and Positron Decay
  2. 2.1.1 Alpha (α) Decay
  3. 2.1.2 Beta-Minus (β⁻) Decay
  4. 2.1.3 Beta-Plus (β⁺) Decay – Positron Emission
  5. 2.2 Electron Capture and Isomeric Transition
  6. 2.2.1 Electron Capture (EC)
  7. 2.2.2 Isomeric Transition (IT)
  8. 2.2.3 Internal Conversion (IC)
  9. 2.3 Decay Constant, Half-Life, Mean Life
  10. 2.3.1 Law of Radioactive Decay
  11. 2.3.2 Decay Constant (λ)
  12. 2.3.3 Half-Life (T½)
  13. 2.3.4 Mean Life (τ)
  14. 2.3.5 Physical, Biological and Effective Half-Life
  15. 2.4 Activity Calculations
  16. 2.4.1 Definition of Activity
  17. 2.4.2 Units of Activity
  18. 2.4.3 Change of Activity with Time
  19. 2.4.4 Specific Activity
  20. 2.5 Radioactive Equilibrium (Transient and Secular)
  21. 2.5.1 General Parent–Daughter Relationship
  22. 2.5.2 Transient Equilibrium
  23. 2.5.3 Secular Equilibrium
  24. 2.5.4 No Equilibrium
  25. 2.5.5 Comparison of Generator Systems
  26. 2.6 Decay Schemes
  27. 2.6.1 Rules for Reading a Decay Scheme
  28. 2.6.2 Decay Schemes of Important Radionuclides
  29. 2.6.3 Branching Ratios
  30. 2.6.4 Summary of Decay Scheme Terminology
  31. Key Points for the Board
Learning objectives and modules3 modules · about 2 h 15 min

Learning objectives

After this chapter you will be able to:

  • State how Z and A change in alpha, β⁻ and β⁺ decay, electron capture and isomeric transition, and the accompanying emissions.
  • Explain the energy threshold for β⁺ decay and its competition with electron capture.
  • Calculate activity using the relations between decay constant, half-life, mean life and effective half-life.
  • Distinguish transient equilibrium, secular equilibrium and no equilibrium from the parent and daughter half-lives, and apply them to generators.
  • Read a decay scheme to extract transition types, energies and branching ratios.

Modules

The chapter is divided into study modules without changing the order of the text: read, watch the animations, then answer the questions linked to those headings.

  1. Module 12.1 Alpha, Beta and Positron Decay40 min · 2 animations · 17 questionsAnswer the questions →
  2. Module 22.2–2.4 Electron Capture and Isomeric Transition · Decay Constant, Half-Life, Mean Life · Activity Calculations55 min · 4 animations · 20 questionsAnswer the questions →
  3. Module 32.5–2.6 Radioactive Equilibrium (Transient and Secular) · Decay Schemes · Key Points for the Board40 min · 1 animation · 14 questionsAnswer the questions →

Times are estimates: 130 words per minute, 3 min per animation, 1.5 min per question.

Tip cards (14) →

MOST FREQUENTLY ASKED IN THIS CHAPTER

✓
Neutron excess → β⁻ decay → Z increases by 1, A unchanged
✓
Proton excess → β⁺ or EC → Z decreases by 1, A unchanged
✓
Heavy nucleus (Z > 83) → α decay → Z decreases by 2, A decreases by 4
✓
Excited nucleus → isomeric transition (IT) → Z and A unchanged
✓
β⁺ threshold: 1.022 MeV → below the threshold only EC occurs
✓
β⁻: n → p + e⁻ + ν̄ₑ → Z increases → an antineutrino is emitted
✓
β⁺: p → n + e⁺ + νₑ → Z decreases → a neutrino is emitted → threshold: 1.022 MeV

2.1 Alpha, Beta and Positron Decay

Radioactive decay is the process by which an unstable nucleus emits particles and/or energy to reach a more stable state. Decay is entirely random and spontaneous; it cannot be altered by external factors such as temperature, pressure or chemical bonding.

2.1.1 Alpha (α) Decay3 questions

Alpha decay occurs in heavy nuclei (usually Z > 83). The nucleus emits an alpha particle (a ⁴He nucleus = 2 protons + 2 neutrons).

General equation:

AZX → A−4Z−2Y + 42He

•
Mass number (A) decreases by 4
•
Atomic number (Z) decreases by 2
•
The daughter nucleus moves 2 places back in the periodic table

Properties of the alpha particle:

•
Mass: 4 amu (heavy particle)
•
Charge: +2e
•
Energy: Usually monoenergetic, between 4-8 MeV
•
Range: A few cm in air, a few micrometres (µm) in tissue
•
LET (linear energy transfer): Very high (~80 keV/µm)
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Can be stopped by a sheet of paper or the dead outer layer of the skin (stratum corneum)
•
Low external exposure risk, very high internal contamination risk

Alpha-emitting radionuclides in nuclear medicine:

•
Ra-223 (radium-223): Used to treat bone metastases (Xofigo®). T½ = 11.4 days
•
At-211 (astatine-211): Investigational, targeted alpha therapy (TAT)
•
Ac-225 (actinium-225): Research on PSMA-targeted alpha therapy
•
Bi-213 (bismuth-213): Radioimmunotherapy research

WHY IT MATTERS · Recoil

See the animation: Figure 2.1 →

•
What it is: Momentum is conserved in alpha decay; the daughter nucleus recoils opposite to the alpha particle (shown in the Figure 2.1 animation).
•
In numbers: Recoil energy ≈ Q × m(α) / M(daughter): ~100-160 keV (Ra-223 → Rn-219 ~108 keV; 105-160 keV along the Ac-225 chain). Chemical bond energies are a few eV, so the recoil energy is more than 1000 times larger; the daughter travels ~100 nm in water-like media.
•
Why it matters clinically: With every decay the daughter breaks free of the chelator and leaves the targeting molecule. Parent nuclides with several alpha emitters in their chain (Ac-225, Ra-223, Pb-212) act as "in vivo generators": released daughters enter the circulation and accumulate in other organs; with Ac-225, free Bi-213 accumulating in the kidney can cause renal toxicity.
•
In the exam: "Why does the daughter radionuclide not stay at the target in alpha therapy?" → The recoil energy far exceeds the bond energy.
•
Sources: de Kruijff and Wolterbeek, Pharmaceuticals 2015; Kozempel et al., Molecules 2018; de Kruijff et al., Sci Rep 2019.
BOARD TIP
▸
Alpha particles are monoenergetic (discrete energy spectrum). This is the most important feature distinguishing them from the continuous energy spectrum of beta particles. If the board exam asks "which decay emits monoenergetic particles?" → think of alpha decay and internal conversion electrons.

2.1.2 Beta-Minus (β⁻) Decay6 questions

Beta-minus decay occurs in nuclei with a neutron excess (above the band of stability). A neutron turns into a proton:

General equation:

n → p + e⁻ + ν̄ₑ (antineutrino)

AZX → AZ+1Y + e⁻ + ν̄ₑ

•
Mass number (A) is unchanged
•
Atomic number (Z) increases by 1
•
An electron antineutrino (ν̄ₑ) is also emitted in the decay.

Properties of the beta particle:

•
Shows a continuous energy spectrum (from 0 to Emax)
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Mean energy ≈ Emax/3
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The energy is shared between the beta particle and the antineutrino → the reason for the continuous spectrum
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Range: A few metres in air, a few mm in tissue
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LET: Low (~0.2 keV/µm)

β⁻-emitting radionuclides in nuclear medicine:

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I-131: T½ = 8.02 days, Emax(β⁻) = 606 keV, gamma = 364 keV → thyroid cancer therapy and imaging
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Mo-99: T½ = 66 h → parent nuclide of the Tc-99m generator
•
Y-90: T½ = 64.1 h, Emax(β⁻) = 2.28 MeV, pure beta emitter → radioembolisation, radioimmunotherapy
•
Lu-177: T½ = 6.65 days, Emax(β⁻) = 497 keV, gamma = 208 keV → PRRT, PSMA therapy
•
Sr-89: T½ = 50.5 days → palliative treatment of bone pain
•
Sm-153: T½ = 46.3 h → palliative treatment of bone pain
•
P-32: T½ = 14.3 days, pure beta emitter → treatment of polycythaemia vera
BOARD TIP
▸
The continuous energy spectrum of beta particles results from the energy being shared between the beta particle and the antineutrino. The formula mean beta energy ≈ Emax/3 is frequently asked in board exams. Pure beta emitters (Y-90, P-32, Sr-89) emit no gamma rays → they cannot be imaged directly and are used only for therapy (for Y-90, bremsstrahlung imaging or PET is possible).

Decays are added one by one to a histogram: alpha lines (Ra-223, Ac-225, Th-227, At-211, Po-213, Po-212) are discrete, beta spectra (I-131, Lu-177, Y-90, P-32, F-18) continuous; the mean energy and the β⁻/β⁺ difference are shown.

Continuous stream · no seeking

Key point: in alpha decay the energy is shared between two bodies, so the lines are discrete; in beta decay it is shared with a (anti)neutrino, the spectrum is continuous and the mean energy is about Emax/3.

Source: ENSDF (IAEA LiveChart, retrieved 10 November 2026): α lines, daughter levels and Q values, β branches; spectrum shape from a model with the relativistic Fermi function (model means within 2% of ENSDF values); β–ν angle W ∝ 1 + a·(v/c)·cos θ (Jackson, Treiman, Wyld 1957; allowed GT a = −1/3, forbidden transitions isotropic).

How to use: one click pauses and resumes; in the alpha and mean energy steps ↑ ↓ change the radionuclide; tap a histogram bar to see its energy range and number of decays; ← → change steps.

Speed
Test yourself:Chapter 2 · question 14Chapter 2 · question 2Chapter 2 · question 5Chapter 2 · question 23
Read in the text:Recoil
Did this animation help you understand the topic?

Figure 2.1: Discrete (monoenergetic) energy spectrum of alpha particles and continuous spectrum of beta particles; mean beta energy ≈ Emax/3.

2.1.3 Beta-Plus (β⁺) Decay – Positron Emission8 questions

Beta-plus decay occurs in nuclei with a proton excess (below the band of stability). A proton turns into a neutron:

General equation:

p → n + e⁺ + νₑ (neutrino)

AZX → AZ−1Y + e⁺ + νₑ

•
Mass number (A) is unchanged
•
Atomic number (Z) decreases by 1
•
A neutrino (νₑ) is emitted

Threshold condition:

For β⁺ decay to occur, the (atomic) mass difference between the parent and daughter atoms must be at least 1.022 MeV/c² (2 × 0.511 MeV). If this threshold is not met, the nucleus undergoes electron capture (EC) instead.

Fate of the positron – annihilation:

The emitted positron loses its kinetic energy through interactions with electrons in the medium (range of a few mm). As it comes to rest it combines with an electron (annihilation), producing two 511 keV photons. These photons are emitted in opposite directions at ~180°. PET imaging is based on detecting these coincidence photons.

Positronium:

Just before annihilating, the slowed positron may form with an electron a very short-lived bound system resembling a hydrogen atom: positronium (Ps). The mass of the two particles is then converted into two 511 keV annihilation photons emitted simultaneously at about 180° to each other. Three-photon annihilation is also possible from ortho-positronium; however, this pathway is very rare in tissue, and clinical PET imaging relies on two-photon annihilation.

Positron range and spatial resolution:

The distance travelled by the positron before annihilation (positron range) is one of the factors limiting the spatial resolution of PET:

•
F-18: Mean positron range ~0.6 mm → best spatial resolution
•
Ga-68: Mean positron range ~2.9 mm
•
Rb-82: Mean positron range ~5.9 mm → poorest spatial resolution
•
O-15: Mean positron range ~2.5 mm

WHY IT MATTERS · Positron range in a magnetic field (PET/MR)

See the animation: Figure 2.2 →

•
What it is: In PET/MR the positron follows a helical path in the plane perpendicular to the main magnetic field because of the Lorentz force: the range perpendicular to the field (transaxial) shortens, the range along the field (axial) does not.
•
In numbers: The effect grows with positron energy and field strength. At 3 T it is unimportant for F-18 (mean range ~0.6 mm); for high-energy positrons such as Ga-68 (~2.9 mm) and Rb-82 (~5.9 mm) transaxial resolution improves and axial resolution worsens. Positrons escaping into air travel along the field lines and annihilate on the first surface they meet: for a source in air, the ratio of spurious activity on a surface 3 cm away to the activity at the true location was 0.9 for F-18 and 5.7 for Ga-68.
•
Why it matters clinically: Next to air cavities (trachea, larynx, lung, skin surface), symmetrical spurious foci ("shine-through") may appear on both sides of a lesion along the axis; for a lesion in the trachea the artefact-to-lesion ratio was 21-30%. With Ga-68 PET/MR this can lead to overstaging; foci lined up with the lesion along the axis and placed symmetrically are the clue.
•
In the exam: "How does the magnetic field in PET/MR affect positron range?" → It shortens the range perpendicular to the field (transaxial resolution improves) but not along the field; the effect is marked for high-energy positrons.
•
Sources: Kolb et al., J Nucl Med 2015; Conti and Eriksson, EJNMMI Phys 2016.

β⁺-emitting (PET) radionuclides in nuclear medicine:

•
F-18: T½ = 110 min, Emax(β⁺) = 634 keV → FDG, NaF
•
Ga-68: T½ = 68 min, Emax(β⁺) = 1899 keV → DOTATATE, PSMA
•
Rb-82: T½ = 75 s, Emax(β⁺) = 3350 keV → cardiac perfusion PET
•
C-11: T½ = 20.4 min → choline, methionine, raclopride
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N-13: T½ = 10 min → N-13 ammonia (cardiac perfusion)
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O-15: T½ = 2.04 min → O-15 water (myocardial blood flow, gold standard)
•
Cu-64: T½ = 12.7 h → DOTATATE, research
BOARD TIP
▸
As positron energy increases, range increases and PET spatial resolution falls. F-18 has the lowest positron energy → shortest range → best spatial resolution. Rb-82 has the highest positron energy → longest range → poorest spatial resolution. This ranking is frequently asked in board exams!

A positron from a β⁺ emitter slows down in tissue with its real energy and speed on a common scale; it collides with tissue electrons, thermalises and annihilates; positronium formation (para and ortho) and the emission of two 511 keV photons in nearly opposite directions are shown.

Continuous stream · no seeking

Key point: positron range and the slight deviation of annihilation photons from 180° are physical limits of PET resolution.

Source: β⁺ branches and mean energies ENSDF (IAEA LiveChart); energy loss NIST ESTAR (water); the track is a multiple-scattering simulation whose mean net distance was compared with published Monte Carlo results (PeneloPET, GATE); e⁺–ν angular correlation Jackson-Treiman-Wyld 1957; mean ranges from the book; 125 ps / 142 ns, 0.5° FWHM from the book; three-photon fraction Mercurio 2006; ortho-positronium lifetime in water Mercolli 2025. Deflection over the first 20% of the track agrees with the Highland formula (PDG) within ±12%; the drawn kinked track uses the energy-loss (~25 keV) points.

How to use: one click pauses and resumes; in the first step ↑ ↓ or a row on the right change the radionuclide, in the annihilation step ↑ ↓ switch the ring diameter (80 / 30 cm); ← → change steps.

Speed
Test yourself:Chapter 2 · question 21Chapter 2 · question 3
Read in the text:Positron range in a magnetic field (PET/MR)
Did this animation help you understand the topic?

Figure 2.2: Positron emission, positronium formation and annihilation (schematic); mean positron range of PET radionuclides.

2.2 Electron Capture and Isomeric Transition

2.2.1 Electron Capture (EC)3 questions

Electron capture is an alternative to β⁺ decay in nuclei with a proton excess. The nucleus captures one of its inner orbital electrons (usually from the K shell), and a proton turns into a neutron:

General equation:

p + e⁻ → n + νₑ

AZX + e⁻ → AZ−1Y + νₑ

•
Mass number (A) is unchanged
•
Atomic number (Z) decreases by 1
•
A monoenergetic neutrino is emitted
•
Unlike β⁺ decay, there is no threshold energy (1.022 MeV is not required)

Radiations emitted after EC:

1. Characteristic X-rays: Arise from the transition of an outer-shell electron filling the K-shell vacancy

2. Auger electrons: Produced when the transition energy is transferred directly to a neighbouring electron without photon emission

3. Gamma rays: Emitted if the daughter nucleus is left in an excited state

EC versus β⁺ decay:

•
Both decays occur in nuclei with a proton excess
•
β⁺ decay requires a mass difference ≥ 1.022 MeV; EC has no such threshold
•
If the mass difference is <1.022 MeV, only EC occurs
•
If the mass difference is ≥ 1.022 MeV, both β⁺ and EC can occur (they compete)
•
EC dominates in high-Z nuclei (the K-shell electron is closer to the nucleus)
•
β⁺ dominates in low-Z nuclei

Radionuclides decaying by EC in nuclear medicine:

•
Tl-201: Pure EC → imaged with Hg X-rays (69-83 keV), T½ = 73 h
•
Ga-67: EC → 93, 185, 300, 394 keV gamma, T½ = 78.3 h
•
In-111: EC → 171 and 245 keV gamma, T½ = 67.3 h
•
I-123: EC → 159 keV gamma, T½ = 13.2 h
•
I-125: EC → 27-35 keV X-rays and Auger electrons, T½ = 59.4 days
BOARD TIP
▸
If asked "which radionuclide decays only by electron capture?" → think of Tl-201 and I-125. I-123 also decays predominantly by EC (close to 100%). Ga-67 and In-111 also decay by EC. F-18, by contrast, decays 97% by β⁺ and 3% by EC → it is predominantly a positron emitter.

A Tl-201 nucleus captures a K electron and becomes Hg-201, emitting Hg X-rays; for seven radionuclides Q(EC) is compared with the 1.022 MeV threshold to show the β⁺ and EC shares.

Continuous stream · no seeking

Key point: electron capture can occur at any energy difference; β⁺ decay requires the energy difference between the nuclei to exceed 1.022 MeV.

Source: ENSDF (IAEA LiveChart): Q(EC) values and branching ratios.

How to use: one click pauses and resumes; in the β⁺ threshold step ↑ ↓ or the buttons change the radionuclide; ← → change steps.

Speed
Test yourself:Chapter 2 · question 13Chapter 1 · question 14
Did this animation help you understand the topic?

Figure 2.3: Electron capture and the radiations emitted afterwards; the 1.022 MeV threshold relationship between β⁺ and EC (schematic).

2.2.2 Isomeric Transition (IT)

Isomeric transition is the return of an excited (metastable) nucleus to its ground state by emitting its excess energy as a gamma ray. Z and A do not change in this process; only the energy state of the nucleus changes.

General equation:

AZX* (or AmZX) → AZX + γ

Features:

•
No particle is emitted → Z and A do not change
•
The emitted gamma ray is monoenergetic
•
The metastable state is denoted by "m" (e.g. Tc-99m)
•
The half-life of the metastable state is measurably long (from nanoseconds to hours)

Tc-99m → Tc-99 transition:

The most important example of isomeric transition in nuclear medicine:

•
Tc-99m becomes Tc-99 by emitting a 140 keV gamma ray
•
T½ = 6.01 h
•
88.5% 140 keV gamma emission, 11.5% internal conversion (IC)
•
140 keV is an ideal energy for gamma camera imaging

2.2.3 Internal Conversion (IC)4 questions

Internal conversion is an alternative to isomeric transition. Instead of being emitted as a gamma photon, the excitation energy of the nucleus is transferred to one of the inner orbital electrons, which is ejected from the atom.

Energy of the internal conversion electron:

EIC electron = Eγ − Ebinding

Features:

•
Internal conversion electrons are monoenergetic (gamma energy − binding energy)
•
Competes with gamma emission
•
Internal conversion coefficient (α): IC/gamma ratio
–
α = N(IC) / N(gamma)
•
Total conversion coefficient: αT = αK + αL + αM + ...
–
High Z → α increases (IC becomes dominant)
–
Low transition energy → α increases
–
Large ΔL (change in angular momentum) → α increases
•
The inner-shell vacancy left after IC leads to emission of a characteristic X-ray or an Auger electron
•
IC and Auger electrons have a very short range in tissue and deposit their energy right where they are produced. They therefore do not contribute to image formation; they only increase the patient's dose.
BOARD TIP
▸
The internal conversion coefficient (α) is frequently asked in board exams. Three factors increase α: (1) high Z, (2) low transition energy, (3) large change in angular momentum (ΔL). In Tc-99m the IC fraction is 11.5% → in every 100 decays ~88 gamma photons and ~12 IC electrons are emitted.

The transition of Tc-99m from the 142.7 keV isomeric level to the ground state; whether it proceeds by γ emission or an internal conversion electron, and the factors that raise the conversion coefficient, are shown.

Continuous stream · no seeking

Key point: in an isomeric transition the energy leaves either as a γ photon or is transferred to a shell electron; internal conversion dominates in low-energy, high-multipolarity transitions.

Source: ENSDF (IAEA LiveChart): 140.5 keV γ 89%, 2.17 keV M4 transition almost entirely internal conversion; I-125 35.5 keV γ 6.7%.

How to use: one click pauses and resumes; in the last step ↑ ↓ or tapping a row highlights one example (tap again to show all three); ← → change steps.

Speed
Test yourself:Chapter 2 · question 6Chapter 2 · question 22
Did this animation help you understand the topic?

Figure 2.4: Competition between isomeric transition (γ) and internal conversion in Tc-99m, and factors that increase the internal conversion coefficient (schematic).

2.3 Decay Constant, Half-Life, Mean Life

2.3.1 Law of Radioactive Decay

Radioactive decay is a first-order kinetic process. The number of atoms decaying in a given time interval is proportional to the number of atoms present at that moment:

Differential form:

dN/dt = −λN

Solution (exponential decay equation):

N(t) = N₀ × e−λt

•
N(t): Number of atoms at time t
•
N₀: Initial number of atoms (t=0)
•
λ: Decay constant (s⁻¹, min⁻¹ or h⁻¹)
•
e: Euler's number (≈ 2.718)

2.3.2 Decay Constant (λ)

The decay constant expresses the probability that an atom decays per unit time:

λ = 0.693 / T½

•
Large λ → fast decay → short half-life
•
Small λ → slow decay → long half-life

2.3.3 Half-Life (T½)1 questions

The half-life is the time required for half of the radioactive atoms to decay:

N(T½) = N₀ / 2

Half-lives and remaining activity:

•
1 half-life → 50% remains
•
2 half-lives → 25% remains
•
3 half-lives → 12.5% remains
•
4 half-lives → 6.25% remains
•
5 half-lives → 3.125% remains
•
7 half-lives → ~1% remains (exactly 0.78%)
•
10 half-lives → ~0.1% remains (exactly 0.098%)

Tc-99m atoms decay at random; the measured stepped curve lies around the theoretical exponential; half-life marks, the 10 half-life rule and the mean life are shown.

Continuous stream · no seeking

Key point: the remaining activity halves with each half-life and falls below one thousandth after 10 half-lives; the mean life is 1.443 × T½.

Source: book; Tc-99m T½ 6.01 h (λ 0.115/h, τ 8.67 h).

How to use: one click on the atom panel pauses and resumes; move over or drag along the curve to read the fraction remaining at that time; ← → change steps.

Speed
Test yourself:Chapter 2 · question 7Chapter 2 · question 12
Did this animation help you understand the topic?

Figure 2.5: Radioactive decay curve: remaining activity by number of half-lives, mean life (τ) and the 10 half-life rule.

Important half-lives in nuclear medicine:

•
Tc-99m: 6.01 h
•
F-18: 109.8 minutes (~110 min)
•
I-131: 8.02 days
•
I-123: 13.2 h
•
Tl-201: 73 h (~3 days)
•
Ga-67: 78.3 h (~3.3 days)
•
In-111: 67.3 h (~2.8 days)
•
Ga-68: 67.7 minutes (~68 min)
•
Rb-82: 75 seconds (~1.3 min)
•
Mo-99: 66 h (~2.75 days)
•
Lu-177: 6.65 days
•
Ra-223: 11.4 days
•
Y-90: 64.1 h (~2.67 days)
•
Xe-133: 5.24 days
•
Cr-51: 27.7 days
•
Sr-89: 50.5 days
•
I-125: 59.4 days
BOARD TIP
▸
Half-lives most frequently asked in board exams: Tc-99m (6 h), F-18 (110 min), I-131 (8 days), Mo-99 (66 h), Ga-68 (68 min), Rb-82 (75 s).
▸
"About 0.1% of the activity remains after 10 half-lives" is critical for radiation safety questions → the "10 half-life rule" is applied in waste management.
1 min 10 min 1 h 6 h 1 day 1 week 1 month 1 year Physical half-life (logarithmic scale) Rb-82 75 s O-15 2 min N-13 10 min C-11 20 min Ga-68 68 min F-18 110 min Tc-99m 6 h Cu-64 12.7 h I-123 13.2 h Sm-153 46 h Y-90 64 h Mo-99 66 h In-111 67 h Tl-201 73 h Ga-67 78 h Xe-133 5.2 d Lu-177 6.65 d I-131 8 d Ra-223 11.4 d P-32 14.3 d Sr-82 25.4 d Cr-51 27.7 d Sr-89 50.5 d I-125 59.4 d Ge-68 271 d PET (β⁺) Gamma camera / SPECT Therapy Generator parent nuclide Other (in vitro, seeds)

Figure 2.6: Physical half-lives of important radionuclides in nuclear medicine (logarithmic scale, by field of use).

Did this figure help you understand the topic?

2.3.4 Mean Life (τ)2 questions

The mean life is the average lifetime of all the radioactive atoms:

τ = 1/λ = T½ / 0.693 = 1.443 × T½

The mean life is always longer than the half-life (1.443 times).

Importance of the mean life:

•
Used in cumulated activity (Ã) calculations → dosimetry (MIRD formalism)
•
à = A₀ × τ = A₀ × T½ / 0.693 = 1.443 × A₀ × T½

2.3.5 Physical, Biological and Effective Half-Life3 questions

Radiopharmaceuticals decrease in the body by both physical decay and biological elimination (kidney, liver, etc.):

•
Physical half-life (Tp): Half-life due to radioactive decay
•
Biological half-life (Tb): Half-life due to biological elimination
•
Effective half-life (Te): Combined effect of both processes

Formula:

1/Te = 1/Tp + 1/Tb or Te = (Tp × Tb) / (Tp + Tb)

Important rules:

•
The effective half-life is always shorter than both the physical and the biological half-life
•
If one is much shorter than the other, the effective half-life approaches the shorter one
•
If Tp >> Tb → Te ≈ Tb (biological elimination dominates)
•
If Tb >> Tp → Te ≈ Tp (physical decay dominates)
BOARD TIP
▸
The effective half-life formula is a staple of board exams. Key point: Te is always shorter than both Tp and Tb. Example: if Tp = 6 h and Tb = 3 h → Te = (6×3)/(6+3) = 18/9 = 2 h. And for "which affects the effective half-life most?" → the shorter half-life dominates.

Atoms in an organ are lost by physical decay or biological excretion; physical, biological and effective retention curves and the area under the activity–time curve (cumulated activity) are shown.

Continuous stream · no seeking

Key point: the effective half-life is shorter than both the physical and biological half-lives (1/Teff = 1/Tphys + 1/Tbiol); cumulated activity is the area under the curve, Ã = 1.443 × A₀ × Teff.

Source: book (example Tphys 6 h, Tbiol 24 h → Teff 4.8 h); A₀ = 100 MBq and f = 1 schematic; Tc-99m 6.01 h, I-123 13.2 h, I-131 8.02 d.

How to use: one click on the organ scene pauses and resumes; move over or drag along the graph; in the free step ↑ ↓ change the biological half-life smoothly; ← → change steps.

Speed
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Figure 2.7: Relationship between physical, biological and effective half-life: the effective half-life always approaches the shorter one.

2.4 Activity Calculations

2.4.1 Definition of Activity3 questions

Activity (A) is the number of atoms decaying per unit time:

A = λN = (0.693 / T½) × N

•
A: Activity
•
λ: Decay constant
•
N: Number of radioactive atoms

Activity and emission rate are different concepts:

•
Activity: the number of decays (disintegrations) per second in the source
•
Emission rate: the number of a given radiation (e.g. the 140 keV gamma photon) emitted per second
•
The two quantities are linked through the gamma yield or branching ratio of that radiation
•
Example: 1 MBq of Tc-99m undergoes 10⁶ decays per second; because of internal conversion only ~0.89 × 10⁶ of these are emitted as 140 keV photons
BOARD TIP
▸
It is a mistake to equate activity with the number of photons emitted. Activity gives the decay rate (Bq); the number of photons contributing to the image is obtained by multiplying the activity by the gamma yield. For low-yield emissions (e.g. the 208 keV photon of Lu-177, ~10%) this distinction is especially important for counting and dosimetry calculations.

2.4.2 Units of Activity3 questions

Curie (Ci):

•
1 Ci = 3.7 × 10¹⁰ disintegrations per second (dps)
•
Historically equal to the activity of 1 gram of Ra-226
•
1 mCi = 3.7 × 10⁷ dps
•
1 µCi = 3.7 × 10⁴ dps

Becquerel (Bq) – SI unit:

•
1 Bq = 1 disintegration per second (dps)
•
1 kBq = 10³ dps
•
1 MBq = 10⁶ dps
•
1 GBq = 10⁹ dps

Conversion:

•
1 mCi = 37 MBq
•
1 µCi = 37 kBq
•
1 Ci = 37 GBq
BOARD TIP
▸
The conversion 1 mCi = 37 MBq must be known for board exams. Quick calculation: multiply mCi by 37 to obtain MBq. Example: 20 mCi = 740 MBq, 30 mCi = 1110 MBq. You may also be asked that 1 Ci was defined by reference to Ra-226.

2.4.3 Change of Activity with Time2 questions

Activity also decreases exponentially:

A(t) = A₀ × e−λt = A₀ × (1/2)n, where n = t / T½

Alternatively, using the number of half-lives (n):

A(t) = A₀ × (1/2)t/T½

Try it in the calculator: Decay →

Worked example:

If there are initially 20 mCi of Tc-99m (T½ = 6 h), what is the activity after 18 h?

•
n = 18/6 = 3 half-lives
•
A(18) = 20 × (1/2)³ = 20 × 1/8 = 2.5 mCi

2.4.4 Specific Activity

Specific activity is the activity per unit mass:

SA = A/m (Bq/g or Ci/g)

Carrier-free specific activity:

The theoretical maximum specific activity of a radionuclide in the carrier-free state (containing no stable isotopes of the same element):

SAmax = λ × Nₐ / M = (0.693 × 6.022 × 10²³) / (T½ × M)

•
Nₐ: Avogadro's number (6.022 × 10²³)
•
M: Atomic mass (g/mol)

Important rules:

•
Short-lived radionuclides have a high specific activity
•
Long-lived radionuclides have a low specific activity
•
The carrier-free state gives the highest specific activity
•
Cyclotron products are usually carrier-free → high specific activity
•
Products of reactor neutron activation usually contain carrier → low specific activity
BOARD TIP
▸
If asked "what is the most important factor affecting specific activity?" → the half-life and the presence of carrier. Short T½ → high SA. Carrier-free → maximum SA. Cyclotron products (target of one element → product of a different element) are usually carrier-free. Reactor neutron activation products (target and product of the same element) contain carrier → low SA. This distinction is covered in detail in Chapter 11 (Radionuclide Production).

2.5 Radioactive Equilibrium (Transient and Secular)

Radioactive equilibrium describes special situations arising in systems where a parent radionuclide decays to produce a daughter radionuclide. The type of equilibrium depends on the relationship between the half-lives of the parent and daughter.

2.5.1 General Parent–Daughter Relationship

When a parent radionuclide (P) decays to a daughter radionuclide (D), the daughter's activity depends on the balance of two processes:

1. Production: The daughter is produced by decay of the parent 2. Decay: The daughter decays with its own half-life

Daughter activity equation:

AD(t) = [λD / (λD − λP)] × AP(0) × [exp(−λP·t) − exp(−λD·t)]

Three different scenarios follow from this equation:

2.5.2 Transient Equilibrium7 questions

Condition: the parent half-life is longer than the daughter half-life, but not by a very large factor.

T½(parent) > T½(daughter), but of the same order of magnitude

Features:

•
Initially the daughter activity increases (production > decay)
•
The daughter activity reaches a maximum (tmax)
•
At tmax, daughter activity = parent activity
•
After equilibrium, the daughter activity is higher than the parent activity
•
At equilibrium the daughter decays with the parent's half-life (apparent half-life = parent half-life)
•
The daughter/parent activity ratio remains constant: AD/AP = T½(P) / [T½(P) − T½(D)]

Calculation of tmax:

tmax = [1.443 × T½(P) × T½(D) / (T½(P) − T½(D))] × ln[T½(P) / T½(D)]

Most important clinical example: the Mo-99 / Tc-99m generator

•
Mo-99: T½ = 66 h (parent)
•
Tc-99m: T½ = 6 h (daughter)
•
tmax ≈ 23 h (time at which Tc-99m activity reaches its maximum)
•
At equilibrium: theoretical ratio = 66/(66−6) ≈ 1.1; because only 87.6% of Mo-99 decays to Tc-99m, the actual ratio ≈ 0.96
•
After elution of the generator, Tc-99m builds up again and reaches its maximum again at ~23 h
BOARD TIP
▸
The Mo-99/Tc-99m generator is the classic example of transient equilibrium. Key points for the board exam: (1) Theoretical ratio 1.1; because of 87.6% branching, actually ≈0.96. (2) After elution Tc-99m reaches its maximum at ~23 h. (3) At equilibrium Tc-99m decreases with the half-life of Mo-99 (66 h). (4) At tmax, ideally daughter activity = parent activity (for Mo/Tc ≈0.88 × because of branching).

2.5.3 Secular Equilibrium4 questions

Condition: the parent half-life is very much longer than the daughter half-life.

T½(parent) >> T½(daughter) (a difference of at least 100-1000 times)

Features:

•
The parent activity remains practically constant (no significant decay during the observation period)
•
The daughter activity increases and eventually equals the parent activity
•
At equilibrium: AD = AP (daughter and parent activities are equal)
•
Daughter/parent activity ratio = 1
•
The daughter reaches equilibrium with its own half-life (equilibrium is established in ~5-6 daughter half-lives)
•
After equilibrium the daughter activity remains constant (as long as the parent activity is constant)

Clinical examples:

Sr-82 / Rb-82 generator:

–
Sr-82: T½ = 25.4 days (parent)
–
Rb-82: T½ = 75 seconds (daughter)
–
T½ ratio ≈ 29,000 → secular equilibrium
–
Rb-82 reaches equilibrium within a few minutes
–
Used for cardiac PET perfusion imaging

Ge-68 / Ga-68 generator:

–
Ge-68: T½ = 271 days (parent)
–
Ga-68: T½ = 68 minutes (daughter)
–
T½ ratio ≈ 5,700 → secular equilibrium
–
Ga-68 reaches equilibrium within a few hours
–
Used for DOTATATE and PSMA PET imaging
•
The relationship between Ra-226 (T½ ~1600 years) and Rn-222 (T½ 3.8 days) is the well-known example of secular equilibrium in nature. Secular equilibrium is also established in the Rb-81 (4.6 h) / Kr-81m (13 s) generator.

2.5.4 No Equilibrium

Condition: the daughter half-life is longer than the parent half-life.

T½(daughter) > T½(parent)

Features:

•
The parent decays rapidly and is exhausted
•
The daughter accumulates and then decays with its own half-life
•
Equilibrium is never established
•
The daughter activity first rises, reaches a maximum and then decreases with its own half-life

Example:

•
I-131 (T½ = 8 days) → Xe-131 (stable) → the concept of equilibrium does not apply (stable daughter)
•
Conceptually, however: with a short-lived parent and a long-lived daughter, no equilibrium forms

2.5.5 Comparison of Generator Systems

GeneratorParent (T½)Daughter (T½)Type of EquilibriumClinical Use
Mo-99/Tc-99m66 h6 hTransientSPECT imaging
Ge-68/Ga-68271 days68 minSecularPET (DOTATATE, PSMA)
Sr-82/Rb-8225.4 days75 sSecularCardiac PET perfusion
Sn-113/In-113m115 days100 minSecularQuality control (historical)
Ti-44/Sc-4459.1 years4.04 hSecularResearch
BOARD TIP
▸
In secular equilibrium A(daughter) = A(parent); in transient equilibrium A(daughter) > A(parent). This distinction is one of the most commonly confused topics in board exams. Mnemonic: secular → same, transient → ten percent more (theoretical). For Mo-99/Tc-99m the actual ratio is ≈0.96 because of 87.6% branching.

Parent and daughter activities are plotted over time: transient equilibrium (Mo-99/Tc-99m), secular equilibrium (Ge-68/Ga-68) and no equilibrium (Te-131/I-131).

Continuous stream · no seeking

Key point: if the parent's half-life is somewhat longer than the daughter's, transient equilibrium forms; if much longer, secular equilibrium; if shorter, no equilibrium.

Source: half-lives IAEA (ENSDF/NUBASE); Bateman equation.

How to use: one click on the atom columns pauses and resumes; move over or drag along the time graph; ← → change steps.

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Figure 2.8: Parent and daughter activity curves in transient equilibrium (Mo-99/Tc-99m), secular equilibrium (Ge-68/Ga-68) and no equilibrium.

2.6 Decay Schemes

Decay schemes are diagrams that show the decay process of a radionuclide graphically. Being able to read and interpret decay schemes is critical in board exams.

2.6.1 Rules for Reading a Decay Scheme1 questions

Axes:

•
Horizontal axis: Atomic number (Z) → increases to the right
•
Vertical axis: Energy → increases upwards
•
Each horizontal line represents an energy level

Transition arrows:

•
Arrow down to the right (↘): Z increases → β⁻ decay
•
Arrow down to the left (↙): Z decreases → β⁺ decay or EC
•
Arrow down to the left by two units: Z decreases by 2 → α decay
•
Vertical arrow down (↓): Z unchanged → isomeric transition (IT) or gamma emission

Energy levels:

•
Top line: Parent nucleus
•
Bottom line: Ground state of the daughter nucleus
•
Intermediate lines: Excited states of the daughter nucleus
Energy Atomic number (Z) Z−2 Z−1 Z Z+1 Parent nucleus (Z, A) α β⁺ / EC IT / γ β⁻ A − 4, Z − 2 (left, 2 units) Z − 1 (down left ↙) Z and A unchanged (vertical ↓) Z + 1 (down right ↘) Horizontal line = energy level Top = parent, bottom = daughter ground state; intermediate lines = excited states

Figure 2.9: Rules for reading a decay scheme: the direction of the arrow shows the type of decay (schematic).

Did this figure help you understand the topic?

2.6.2 Decay Schemes of Important Radionuclides2 questions

Mo-99 → Tc-99m → Tc-99 Decay Scheme:

•
Mo-99 (T½ = 66 h) undergoes β⁻ decay
•
87.6% reaches the 142 keV excited state (Tc-99m), directly or via higher levels
•
~12.4% bypasses Tc-99m and goes directly to Tc-99
•
Tc-99m (T½ = 6 h) becomes Tc-99 by isomeric transition, emitting a 140 keV gamma ray
•
Tc-99 (T½ = 2.1 × 10⁵ years) becomes Ru-99 (stable) by β⁻ decay

I-131 Decay Scheme:

•
I-131 (T½ = 8.02 days) undergoes β⁻ decay
•
There are several beta energies and gamma transitions
•
Principal β⁻: Emax = 606 keV (89.4%)
•
Principal gamma: 364 keV (81.2%) → used for imaging
•
Other gammas: 637 keV (7.2%), 284 keV (6.1%), 723 keV (1.8%)
•
Daughter: Xe-131 (stable)

F-18 Decay Scheme:

•
F-18 (T½ = 110 min) decays by two routes:
•
96.7% β⁺ decay: Emax = 634 keV → positron → annihilation → 2 × 511 keV
–
3.3% electron capture (EC)
•
Daughter: O-18 (stable, ground state) → no excited state → no additional gamma

Tc-99m Decay Scheme:

•
Tc-99m (T½ = 6.01 h) undergoes isomeric transition
•
88.5% gamma emission: 140 keV
•
11.5% internal conversion (IC)
•
Daughter: Tc-99 (ground state)

Tl-201 Decay Scheme:

•
Tl-201 (T½ = 73 h) decays 100% by electron capture
•
Daughter: Hg-201
•
Photons used for imaging: Hg characteristic X-rays (69-83 keV)
•
Gamma rays are also emitted: 167 keV (10%), 135 keV (2.6%) → limited contribution to imaging

Ga-67 Decay Scheme:

•
Ga-67 (T½ = 78.3 h) decays 100% by electron capture
•
Daughter: Zn-67
•
Principal gammas: 93 keV (39%), 185 keV (21%), 300 keV (17%), 394 keV (5%)
•
Imaged using multiple energy windows

In-111 Decay Scheme:

•
In-111 (T½ = 67.3 h) decays 100% by electron capture
•
Daughter: Cd-111
•
Two principal gammas: 171 keV (91%) and 245 keV (94%)
•
A separate energy window is used for each photopeak
BOARD TIP
▸
Board exams may show a decay scheme and ask "which radionuclide is this?" or "which type of decay is this?". Watch the direction of the arrow: down to the right → β⁻ (Z increases), down to the left → β⁺/EC (Z decreases), vertically down → IT/gamma. You must also know that the principal gamma energy of I-131 is 364 keV (81%) and its principal beta energy is Emax = 606 keV.
A Mo-99 → Tc-99m → Tc-99 Mo-99 66 h Tc-99m 142 keV; 6.01 h Tc-99 2.1 × 10⁵ y Ru-99 (stable) β⁻ %87.6 ~%12.4 (bypasses Tc-99m) IT: γ 140 keV 88.5% (IC 11.5%) β⁻ B F-18 → O-18 Daughter in ground state → no extra γ; imaging: 2 × 511 keV annihilation F-18 110 min O-18 (stable) EC %3.3 2m₀c² = 1.022 MeV β⁺ %96.7 Emax 634 keV C I-131 → Xe-131 I-131 8.02 d 364 keV Xe-131 (stable) β⁻ %89.4 Emax 606 keV γ 364 keV %81.2 Other branches: β⁻ 334 keV (7.3%) γ 637, 284, 723 keV

Figure 2.10: Simplified decay schemes of Mo-99/Tc-99m, F-18 and I-131 (not to scale, schematic).

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2.6.3 Branching Ratios

Some radionuclides can decay by more than one route. The probability of each route is expressed as the "branching ratio":

•
F-18: 96.7% β⁺ + 3.3% EC = 100%
•
Cu-64: 17.6% β⁺ + 38.5% β⁻ + 43.9% EC = 100% → a rare radionuclide capable of both β⁺ and β⁻ decay
•
I-131: Several beta branches: 89.4% (606 keV) + 7.3% (334 keV) + others

Branching ratios are critical in dosimetry calculations and imaging efficiency.

2.6.4 Summary of Decay Scheme Terminology

•
Q value: Total energy released in the decay (parent–daughter mass difference × 931.5 MeV)
•
Branching ratio: Probability of each decay route (%)
•
Gamma yield: Number of gamma photons emitted per decay (%)
•
Internal conversion coefficient (α): IC/gamma ratio
•
Metastable state (m): An excited state with a measurable half-life

Key Points for the Board

Types of Decay – Quick Decision Table

•
Neutron excess → β⁻ decay → Z increases by 1, A unchanged
•
Proton excess → β⁺ or EC → Z decreases by 1, A unchanged
•
Heavy nucleus (Z > 83) → α decay → Z decreases by 2, A decreases by 4
•
Excited nucleus → isomeric transition (IT) → Z and A unchanged
•
β⁺ threshold: 1.022 MeV → below the threshold only EC occurs

β⁻ vs β⁺ vs EC

•
β⁻: n → p + e⁻ + ν̄ₑ → Z increases → an antineutrino is emitted
•
β⁺: p → n + e⁺ + νₑ → Z decreases → a neutrino is emitted → threshold: 1.022 MeV
•
EC: p + e⁻ → n + νₑ → Z decreases → a neutrino is emitted → no threshold
•
β⁻ and β⁺: continuous energy spectrum
•
EC: monoenergetic neutrino + characteristic X-ray/Auger

Monoenergetic vs Continuous Spectrum

•
Monoenergetic: alpha particles, internal conversion electrons, gamma rays, Auger electrons, characteristic X-rays
•
Continuous spectrum: beta particles (β⁻ and β⁺), bremsstrahlung X-rays

Pure Beta Emitters (No Gamma)

•
Y-90 (Emax = 2.28 MeV, T½ = 64.1 h)
•
P-32 (Emax = 1.71 MeV, T½ = 14.3 days)
•
Sr-89 (Emax = 1.46 MeV, T½ = 50.5 days)
•
Sr-90 (Emax = 0.546 MeV, T½ = 28.8 years)
•
Pure beta emitters cannot be imaged directly → bremsstrahlung SPECT; for Y-90 also PET via internal pair production

Critical Half-Lives (Board Favourites)

•
Rb-82: 75 seconds (shortest, cardiac PET)
•
O-15: 2.04 minutes
•
N-13: 10 minutes
•
C-11: 20.4 minutes
•
Ga-68: 68 minutes
•
F-18: 110 minutes
•
Tc-99m: 6.01 h
•
I-123: 13.2 h
•
Mo-99: 66 h
•
Y-90: 64.1 h
•
In-111: 67.3 h
•
Tl-201: 73 h
•
Ga-67: 78.3 h
•
Lu-177: 6.65 days
•
I-131: 8.02 days
•
Ra-223: 11.4 days
•
P-32: 14.3 days
•
Cr-51: 27.7 days
•
Sr-89: 50.5 days
•
I-125: 59.4 days
•
Co-57: 271.8 days
•
Ge-68: 271 days
•
Co-60: 5.27 years

Activity Formulas

•
A = λN = (0.693/T½) × N
•
A(t) = A₀ × e−λt = A₀ × (1/2)t/T½
•
1 Ci = 3.7 × 10¹⁰ dps = 37 GBq
•
1 mCi = 37 MBq
•
1 µCi = 37 kBq
•
Mean beta energy = Emax/3

Effective Half-Life

•
Te = (Tp × Tb) / (Tp + Tb)
•
Te is always shorter than both Tp and Tb
•
The shorter half-life determines the effective half-life more

Mean Life

•
τ = 1/λ = 1.443 × T½
•
τ is always longer than T½
•
Cumulated activity: Ã = A₀ × τ = 1.443 × A₀ × T½

Comparison of Radioactive Equilibria

•
Transient equilibrium: T½(parent) > T½(daughter), same order → A(daughter) > A(parent) → Example: Mo-99/Tc-99m
•
Secular equilibrium: T½(parent) >> T½(daughter) → A(daughter) = A(parent) → Example: Sr-82/Rb-82, Ge-68/Ga-68
•
No equilibrium: T½(daughter) > T½(parent) → no equilibrium is established
•
Other examples of secular equilibrium: Ra-226/Rn-222 (classic example in nature) and the Rb-81/Kr-81m generator

Mo-99/Tc-99m Generator – Critical Board Facts

•
Transient equilibrium
•
At equilibrium the Tc-99m/Mo-99 ratio is theoretically 1.1; with 87.5% branching actually ≈0.96
•
tmax ≈ 23 h
•
At tmax ideally A(daughter) = A(parent); for Mo/Tc A(Tc) ≈ 0.88 × A(Mo)
•
At equilibrium Tc-99m decreases with the half-life of Mo-99 (66 h)
•
Daily elution (~24 h) is close to tmax → optimal yield

PET Radionuclides – Ranking by Positron Range

•
F-18 < C-11 < N-13 < O-15 ≈ Ga-68 < Rb-82
•
Short range → good resolution
•
F-18: best resolution
•
Rb-82: poorest resolution

Reading a Decay Scheme

•
Arrow down to the right → β⁻ (Z increases)
•
Arrow down to the left → β⁺ or EC (Z decreases)
•
Vertical arrow down → IT or gamma (Z unchanged)
•
Top line → parent nucleus
•
Bottom line → daughter ground state
•
Intermediate lines → excited states

Factors Increasing the Internal Conversion Coefficient (α)

•
High Z
•
Low transition energy
•
Large change in angular momentum (ΔL)
•
IC and Auger electrons are absorbed locally in tissue → no contribution to imaging, they only increase the patient dose

Branching Ratios – Frequently Asked Examples

•
F-18: 96.7% β⁺ + 3.3% EC
•
Cu-64: 17.6% β⁺ + 38.5% β⁻ + 43.9% EC (a rare radionuclide with both β⁺ and β⁻ decay)
•
Tc-99m: ~100% IT → of which 88.5% is 140 keV gamma emission + 11.5% internal conversion (IC)

Activity and the Positron – Additional Concepts

•
Activity (Bq) = decay rate ≠ photon emission rate → number of photons = activity × gamma yield
•
1 MBq Tc-99m → ~0.89 × 10⁶ 140 keV photons/s
•
Positron + electron → short-lived positronium → annihilation → 2 × 511 keV (~180°)

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Step 1/4

Alpha: discrete spectrum (single-energy lines)

Alpha decay has two bodies: the α particle and the daughter nucleus. In each decay the parent nucleus appears first, then decays: as the α leaves in one direction the whole daughter nucleus recoils the other way. The momenta are equal and opposite and the energy is shared in inverse proportion to mass: for Ra-223 the α carries 5716 keV and the Rn-219 recoil ~104 keV (E_recoil ≈ E_α·4/219); the daughter moves ~55 times more slowly, its path is drawn 10 times longer. The rest of the energy is the daughter's excitation (marked *; released by γ emission or internal conversion); the bar below shows α + recoil + excitation = Q. Because the energy is always shared the same way for a given transition, the α has a single energy and the histogram shows separate lines (a discrete spectrum); several lines mean transitions to different daughter levels. Change the radionuclide (↑ ↓): Ac-225 and Th-227 also have many lines; 58% of At-211 decays are EC (no α; the daughter Po-211 emits a 7450 keV α 0.5 s later); Po-213 (Bi-213 chain) and Po-212 (Pb-212 chain) have a single, more energetic line.

Radionuclide:
Alpha: separate energy linesRa-2239 MeV
Decays: 0540055005600570058005900Energy (keV)Each line is one energy: a discrete (line) spectrumRa-223 → Rn-219 · T½ 11.4 dENSDF (IAEA LiveChart); spectrum: model with relativistic Fermi function

Step 1/3

β⁺ emission and slowing down

In a proton-rich nucleus a proton becomes a neutron; a positron (e⁺) and a neutrino (ν) are emitted and share the energy. Every positron therefore has a different energy (from the real β⁺ spectrum): mean 250 keV for F-18, 1.5 MeV for Rb-82. The positron loses energy in collisions with tissue electrons (ionisation) and changes direction mostly by scattering in the field of atomic nuclei. While fast its path is nearly straight; as it slows down scattering grows and the path becomes tortuous; once thermalised it annihilates with an electron and two 511 keV photons leave in opposite directions. All radionuclides are drawn on the same scale and in real time: a high-energy positron travels a longer path and range. The close-up is the same for every radionuclide (×6): short tracks appear whole, long ones show their start. The track is drawn as a line that bends at each visible collision; the small direction changes in between show up together at the corner. Measured: in the first 20% of the track the corners are ~19° for F-18 and ~6° for Rb-82; in the last 20%, ~54° and ~30°. Nucleus (sized ∝ A^1/3) and electron symbols are not to scale; positron and electron are drawn the same size.

β⁺ emission and slowing downBefore the decay: nucleus and tissue electronsF-18F-18Close-up · ×6.01 mmKinetic energy 0 keV · v = 0.00c3.4 MeVpositrontissue electronneutrino5 mm
Mean range (in water)F-180.6 mmC-111.1 mmN-131.5 mmO-152.5 mmGa-682.9 mmRb-825.9 mmF-18: Emax 634 keV · mean 250 keVPath length (CSDA, mean energy): 0.64 mmNet distance, Monte Carlo: 0.50–0.61 mmIn this animation: waiting for a decayENSDF, NIST ESTAR; range: book; MC: PeneloPET, GATE

Step 1/2

Electron capture

A proton-rich nucleus captures an inner-shell electron (usually K): p + e⁻ → n + ν. Z falls by one, A is unchanged: Tl-201 → Hg-201. Only a neutrino leaves, and with two bodies its energy is a single value. The K vacancy is filled from an outer shell and a characteristic X-ray (or an Auger electron) is emitted: the 69-83 keV photons used in Tl-201 imaging are mercury X-rays.

Electron capture: Tl-201Tl-201Tl-201 (Z = 81)
Electron capturep + e⁻ → n + νZ falls by one (81 → 80), A unchanged (201)Only a neutrino: two bodies → one energyK vacancy → Hg X-rays (69-83 keV)the photons used in Tl-201 imaging(also γ 167 and 135 keV)ENSDF (IAEA LiveChart)

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Isomeric transition

Tc-99m is an excited (metastable) nucleus; it gives up its extra energy without emitting a particle, as a γ ray, and becomes Tc-99: Z and A do not change. The isomeric level is actually at 142.7 keV: it first drops 2.2 keV to the 140.5 keV level (this step proceeds almost entirely by internal conversion, releasing a 1.6-2.1 keV electron absorbed on the spot), then the 140.5 keV γ used for imaging follows. T½ 6.01 h.

Isomeric transitionTc-99mExcited (metastable) nucleus: Tc-99m
Energy levels (keV)142.7140.50Tc-99m · 6.01 hTc-99142.7–140.5 keV gap enlargedENSDF (IAEA LiveChart)

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Random decay and half-life

Each Tc-99m atom decays at a random moment; which one decays when cannot be predicted. Yet the population falls regularly: each hour about 11% of the remaining atoms decay (λ = 0.693 / T½ = 0.115 / h). The number halves at 6.01 h (T½) and falls to a quarter at 12 h. The stepped curve of 100 atoms fluctuates around the theoretical exponential (dashed).

100 Tc-99m atomsRemaining: 100 / 100 · t = 0.0 hTc-99mTc-99
100%75%50%25%0102030hoursRemainingN₀·e^(−λt)100 atoms

The radiopharmaceutical in the organ decreases in two ways: physical decay (the atom flashes and fades in place) and biological excretion (the atom leaves the organ). Because both act together, the organ activity falls faster than with either alone: 1/Teff = 1/Tphys + 1/Tbiol. The effective half-life is always shorter than both and closer to the shorter one (6 h and 24 h → 4.8 h).

OrganInside 80Decayed 0Excreted 0t = 0 h
025507510006121824 hIn organ (%)Teff = 4.8 hPhysical 6.0 · Biological 24.0 h
PhysicalBiologicalEffective

Example from the book: Tphys = 6 h, Tbiol = 24 h → Teff = (6 × 24) / (6 + 24) = 4.8 h. In the cumulated activity step A₀ = 100 MBq and organ fraction f = 1 (schematic). Atoms are not to scale; each atom either decays physically or is excreted from the organ.

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Transient equilibrium: Mo-99 → Tc-99m

The parent half-life is about ten times the daughter's (Mo-99 66 h, Tc-99m 6.01 h). After elution Tc-99m builds up, peaks at about 23 h and then decays together with Mo-99 at the Mo-99 half-life. At equilibrium the daughter activity should slightly exceed the parent (theoretical ratio 66/60 ≈ 1.1); since only 87.6% of Mo-99 decays feed Tc-99m the real ratio is ≈ 0.96.

Transient equilibriumActivity (% of initial parent)100Mo-990Tc-99mDaughter / parent = 0.00 · t = 0.0 h
0255075100024487296hoursActivityMo-99 (parent)Tc-99m (daughter)Daughter/parent atequilibrium ≈ 0.96(theory 1.1)Half-lives IAEA (ENSDF/NUBASE); Bateman equation

Hover over the graph or drag with your finger: parent and daughter activity at that moment appear.