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Let $M_P$ and $M_D$ denote neutral atomic rest masses for the appropriate parent and daughter, and initially neglect electronic binding energy corrections and daughter excitation. The Q values areFor beta-minus decay, the daughter nucleus has one extra positive charge. Its neutral atom contains one more electron than the neutral parent, cancelling the emitted electron's rest mass in the atomic accounting. For beta-plus decay, the neutral parent contains one more electron than the neutral daughter; together with the emitted Positron, this gives the $2m_e$ subtraction. Thus beta-plus decay requires an atomic mass difference exceeding $2m_e{c}^2$, whereas electron capture need not.

For electron capture, the captured bound electron is already included in $M_P$. Capture from a shell leaving an atomic hole of excitation energy $E_{\mathrm{hole}}$, and a nuclear excited state of energy $E_x$, gives approximatelyThe hole's energy later appears as atomic radiation or Auger electrons. Subtract $E_x$ for either beta decay as well. Exact endpoints also depend on daughter ionization and small atomic binding energy changes; the boxed expressions are the conventional leading atomic-mass formulas.

The relevant sequence is electron capture followed by nuclear gamma decay:The nuclear spin angular momenta are $0\to 1\to 0$. The captured K-shell electron has total angular momentum $1/2$, so the initial atom-plus-electron system cannot be treated as having zero angular momentum. The atomic vacancy also produces subsequent X-rays or Auger electrons; these are not the selected nuclear transition.

Choose the neutrino momentum along $+z$ and the recoil momentum along $-z$. For a negative-helicity neutrino, $s_{\nu z}=-1/2$. With the two initial electron spin projections, angular momentum conservation allows the daughter to have $m_z=0$ or $+1$. A photon emitted exactly along the recoil direction is transverse, and the $1\to 0$ transition selects the $m_z=+1$ component. Its spin angular momentum points along $+z$, opposite to its momentum.

Thus in the selected collinear geometry the daughter and photon have the same negative helicity as the neutrino, while their spin angular momenta point opposite to the neutrino spin. Reversing all these spin projections gives the positive-helicity alternative. In normalized notation,The actual eigenvalues of $\mathbf{S}\cdot \hat{\mathbf{p}}$ are $\pm 1/2$ for the neutrino and $\pm 1$ for the photon; the equality concerns their normalized signs.

A diagnostic example is technetium-99m methylene diphosphonate, which accumulates at sites of bone turnover for bone scintigraphy. A therapeutic example is sodium iodide iodine-131, taken up by thyroid tissue and used for selected thyroid disease including differentiated thyroid cancer.

For diagnosis, an escaping gamma ray or a Positron followed by annihilation photons allows external detection, with an appropriate short half-life and limited deposited energy. For molecular radiotherapy, short-range charged emissions such as beta particles, alpha particles or Auger electrons deposit substantial local energy in the targeted tissue. Iodine-131 emits therapeutic beta particles as well as imageable gamma rays, so these categories are functional rather than mutually exclusive isotope classes.