Modeling the mechanisms of ionizing radiation damage to living tissue structures in radiotherapy technologies
M.Yu. Azarkina,
I.N. Zavestovskayaa,b,
M.R. Kirakosyana,
V.A. Ryabova aLebedev Physical Institute, Russian Academy of Sciences, Leninsky prosp. 53, Moscow, 119991, Russian Federation bNational Research Centre ‘Kurchatov Institute’, pl. akad. Kurchatova 1, Moscow, 123182, Russian Federation
The widespread development of nuclear physics methods in medicine has brought
to the light the challenges of ensuring both therapeutic efficacy and safety of the
effects of ionizing radiation on living tissues. This review addresses the current
state of modeling the mechanisms of radiation-induced cell death in the context of
its application in radiotherapy for oncological diseases. It covers a range of
models, from analytical dose–response models to mechanistic Monte Carlo
simulations that provide a detailed picture of DNA damage based on the physical
and physicochemical processes of ionizing radiation interaction with biological
tissues. Particular emphasis is placed on the practical use of computational
schemes in treatment planning for photon and hadron beam radiotherapy. Special
attention is given to the emerging and promising field of nanoparticle
radiosensitization, specifically in the context of modern binary technologies in
hadron therapy.
Keywords: Keywords: radiotherapy, binary hadron therapy technologies, radiation-induced DNA damage, Monte Carlo modeling, radiotherapy treatment planning systems, nanoparticles, Geant4-DNA DOI: Citation: Azarkin M Yu, Zavestovskaya I N, Kirakosyan M R, Ryabov V A "Modeling the mechanisms of ionizing radiation damage to living tissue structures in radiotherapy technologies" Phys. Usp., accepted