Se llama radioisótopo o radionúcleo a aquel isótopo que es radiactivo. La palabra isótopo, del griego "en mismo sitio", se usa para indicar que todos los tipos de átomos de un mismo elemento químico se encuentran en el mismo sitio de la tabla periódica. Los átomos que son isótopos entre sí, son los que tienen igual número atómico (número de protones en el núcleo), pero diferente número másico (suma de número de neutrones y el de protones en el núcleo). Los distintos isótopos de un elemento, difieren pues en el número de neutrones. Hay varios tipos de isótopos los cuales aún no tienen un nombre fijo ya que cambian constantemente.

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A radionuclide (radioactive nuclide, radioisotope or radioactive isotope) is an atom that has excess nuclear energy, making it unstable. This excess energy can either create and emit, from the nucleus, new radiation (gamma radiation) or a new particle (alpha particle or beta particle), or transfer this excess energy to one of its electrons, causing it to be ejected (conversion electron). During this process, the radionuclide is said to undergo radioactive decay. These emissions constitute ionizing radiation. The unstable nucleus is more stable following the emission, but will sometimes undergo further decay. Radioactive decay is a random process at the level of single atoms: it is impossible to predict when one particular atom will decay. However, for a collection of atoms of a single element the decay rate, and thus the half-life (t1/2) for that collection can be calculated from their measured decay constants. The duration of the half-lives of radioactive atoms have no known limits; the time range is over 55 orders of magnitude. Radionuclides both occur naturally and are artificially made using nuclear reactors, cyclotrons, particle accelerators or radionuclide generators. There are about 650 radionuclides with half-lives longer than 60 minutes (see list of nuclides). Of these, 34 are primordial radionuclides that existed before the creation of the solar system, and there are another 50 radionuclides detectable in nature as daughters of these, or produced naturally on Earth by cosmic radiation. More than 2400 radionuclides have half-lives less than 60 minutes. Most of these are only produced artificially, and have very short half-lives. For comparison, there are about 254 stable nuclides. All chemical elements have radionuclides. Even the lightest element, hydrogen, has a well-known radionuclide, tritium. Elements heavier than lead, and the elements technetium and promethium, exist only as radionuclides. Unplanned exposure to radionuclides generally has a harmful effect on living organisms including humans, although low levels of exposure occur naturally without harm. The degree of harm will depend on the nature and extent of the radiation produced, the amount and nature of exposure (close contact, inhalation or ingestion), and the biochemical properties of the element; with increased risk of cancer the most usual consequence. However, radionuclides with suitable properties are used in nuclear medicine for both diagnosis and treatment. An imaging tracer made with radionuclides is called a radioactive tracer. A pharmaceutical drug made with radionuclides is called a radiopharmaceutical.

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