PurposeIn recent decades, radiotherapy has became one of the most useful and cost effective tools in cancer treatment. Having a number of unique characteristics made gold nanoparticles (GNPs) as promising candidates in achieving dose enhancement in tumor and improving the radiation treatment outcome. Considering the widely documented tendency of GNPs to localize around the nucleus, the distribution model of GNPs in the medium needs to be investigated in detail and to be well quantified. MethodsThe MCNPX Monte Carlo code was used to simulate particle transport in cells. A single cell, including an ellipsoidal cytoplasm with a centrally located sphere surrounded by a cube as the medium was modeled. The physical dose due to the irradiation of 10–100 keV monoenergetic photons was calculated in the nucleus. To investigate the effect of the approach used for distribution of GNPs in the medium on dose enhancement factor (DEF), three models have been proposed: filling the medium and the cytoplasm with either a gold-water mixture or a homogeneously distributed GNPs, and the heterogeneous model by simulating spheres of GNPs localized in the cytoplasm. ResultsThe results show an overestimation of dose enhancement caused by gold-water mixture rather than that of homogeneous distribution. The DEFs for the heterogeneous model, while follow the same behavior of two other models against various primary energies, quantitatively demonstrate a significant distinction. This model was also examined by studying the effect of concentration (the ratio of the mass of GNPs to the mass of the medium), size and density of GNPs on nucleus dose enhancement. It was found that though the values calculated for DEF strongly depend on concentration of GNPs, for a given concentration, they would not considerably be affected by changing the GNPs' size. As a criterion to assess their density around the nucleus, the distance between two typical GNPs was found to be a key determinant factor to predict and to control dose enhancement in the target volume. For the primary photons of 30 keV, our results showed a negligible difference between the DEFs calculated due to the cell orientation in the medium. By extending the heterogeneous model for ten different locations of nucleus in the cell, the energy dependence behavior of DEF was observed. ConclusionsThe results obtained emphasize the importance of accurate modeling of the distribution of GNPs in cell to demonstrate the more precise potential of gold in improving radiotherapy treatments.
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