Biology at the Bragg peak

Angelica Facoetti explains five facts accelerator physicists need to know about radiobiology to work at the cutting edge of particle therapy.

In 1895, mere months after Wilhelm Röntgen discovered X-rays, doctors explored their ability to treat superficial tumours. Today, the X-rays are generated by electron linacs rather than vacuum tubes, but the principle is the same, and radiotherapy is part of most cancer treatment programmes.

Charged hadrons offer distinct advantages. Though they are more challenging to manipulate in a clinical environment, protons and heavy ions deposit most of their energy just before they stop, at the so-called Bragg peak, allowing medical physicists to spare healthy tissue and target cancer cells precisely. Particle therapy has been an effective component of the most advanced cancer therapies for nearly 80 years, since it was proposed by Robert R Wilson in 1946.