On the relative role of the physical mechanisms on complex biodamage induced by carbon irradiation
Simone Taioli, Paolo E. Trevisanutto, Pablo de Vera, Stefano, Simonucci, Isabel Abril, Rafael Garcia-Molina, Maurizio Dapor

TL;DR
This study combines quantum mechanical calculations and Monte Carlo simulations to analyze how carbon ion radiation causes complex biological damage, revealing ionization as the dominant damaging process with minimal DEA contribution.
Contribution
It provides the first detailed quantum-mechanical and simulation-based analysis of energy transfer and damage clustering in biological tissues caused by carbon ions, highlighting ionization's primary role.
Findings
Ionization is the main contributor to complex biodamage.
DEA plays a minor role in damaging event clusters.
Simulations accurately predict damage patterns across energy ranges.
Abstract
The effective use of swift ion beams in cancer treatment (known as hadrontherapy) as well as an appropriate protection in manned space missions rely on the accurate understanding of energy delivery to cells damaging their genetic information. The key ingredient characterizing the response of a medium to the perturbation induced by charged particles is its electronic excitation spectrum. By using linear response time-dependent density functional theory, we obtain the energy and momentum transfer excitation spectrum (the energy-loss function, ELF) of liquid water (main constituent of biological tissues), in excellent agreement with experimental data. The inelastic scattering cross sections obtained from this ELF, together with the elastic scattering cross sections derived considering the condensed phase nature of the medium, are used to perform accurate Monte Carlo simulations of the…
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