Randomized trial investigates DNA damage prediction from microdosimetric characteristics in spherical targets, highlighting implications for radiation therapy.
Objective. This study investigated the microdosimetric characteristics of auger electrons (AEs) and their DNA damage-related physical properties, specifically evaluating the microdosimetric quantity as a physical predictor of initial DNA damage across different radiation types. Approach. Monte Carlo simulations using OpenTOPAS were conducted to calculate the frequency-mean lineal energy ( y F ) and the dose-mean lineal energy ( y D ) in spherical water targets (radii: 10-500 nm) for monoenergetic electrons (3-15 keV). DNA damage yields were quantified using TOPAS-nBio with a linear plasmid DNA model. The correlations between microdosimetric quantities and DNA damage were analyzed not only for AEs but also for protons and alpha particles to assess the universality of y F and y D as potential biological predictors. Main results. AEs demonstrated a pronounced site-radius dependency for both y F and y D within the 10-100 nm target region. Across these biologically relevant nano-scale targets, both strand break (SB) and double-SB (DSB) yields exhibited strong power-law correlations with microdosimetric quantities ( R 2 ⩾ 0.94 for y F and R 2 ⩾ 0.89 for y D ). Low-energy electrons, protons, and alpha particles aligned along a continuous microdosimetric–damage relationship despite differences in particle identity. Specifically, y F provided a more sensitive physical predictor than y D for Auger electron-induced initial DNA damage in the low-lineal-energy region below 10 keV μ m −1 . Significance. These findings show that y F and y D reflect nanoscale energy-deposition patterns governing initial DNA strand-break induction. This microdosimetry-damage relationship extends to low-energy AEs as well as proton and alpha particles.
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Han et al. (2026) studied this question.
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