“…Here, the EF is defined as the ratio of the DNA damages in the presence and lack of NPs, and DEF refers to the ratio of the delivered dose in the presence and absence of NPs. There has been considerable work on the radiosensitizing efficacy of NPs, including mathematical, 24 , 25 in silico, 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 and in various biological systems including molecular solutions, 5 , 36 , 37 , 38 cell‐based models 39 , 40 , 41 , 42 , 43 , 44 and in vivo. 45 , 46 Ionizing radiation causes a variety of direct and indirect damage to DNA, including isolated (single‐strand break (SSB) and single base damages) and clustered/complex lesions (multiple DSBs and/or closely spaced (within 10–20 base pairs) non‐DSB (double strand break) lesions, such as oxidized bases and abasic sites) that affect genome integrity and DNA biochemistry.…”