Transition is the nuclear change from one energy state to another, generally accompanied by the emission of particles or photons.

See Decay.

If a nucleus still has excess energy after attempts of stabilization, it can emit energy without changing the number of protons or neutrons. This process is named isomeric transition. One way of isomeric transition is the emission of a gamma rays, the other competing way is internal conversion, where the excess energy of the nucleus must exceed the binding energy of an electron, which then will be ejected from the atom.

See also Decay, Gamma Radiation and Internal Conversion.

Annihilation in general refers to the transition of a particle and its antiparticle by collision into something different, depending on their energies and based on the conservation of energy and momentum. The electromagnetic radiation emitted is the result of the annihilation (combination and disappearance) of an electron and a positron. Two gamma rays of 0.511 MeV energy, assuming very low-energy particles, are emitted perpendicular to each other.

When invented, a fluoroscopic system consisted of x-ray tube, fluorescent screen and x-ray table. In 1950's, the development of the image intensifier revolutionized fluoroscopes. The basic components are extended by a gantry, image intensifier, camera, film and monitor system. The x-ray tube is usually located under the patient table, in opposition to the image intensifier and film cassette or display unit. The patient table can be rotated to an upright position for certain examinations and can be lowered to horizontal position for other imaging procedures. In some instances, the unit can be operated from outside the room.
Today, the transition from conventional to digital fluoroscopy replaces the image intensifier. A flat-panel detector in combination with sensitive image sensors and digital image processing improves the diagnostic ability of a modern system.

Isomers are nuclides with the same number of neutrons and protons of a given element in different states of excitation. Most of these unstable isomers decay very quickly (~ 10^-12 seconds).
They are characterized in the chemical formula by an m (e.g. Tc-99m).

See also Isomeric Transition.