“…The proof-of-concept was demonstrated by Hainfeld et al [ 7 ] who evidence that injections of 1.9 nm gold nanoparticles (GNPs) increased the survival of tumor-bearing mice in combination with 250 kVp X-rays compared to X-rays alone. Since this pioneering work, the development of new high-Z radiosensitizers (including silver [ 8 , 9 ], gadolinium [ 10 , 11 , 12 ], hafnium [ 13 , 14 ], platinum [ 15 , 16 ], gold [ 6 , 17 , 18 ] or bismuth [ 19 , 20 ] nanoparticles) has accelerated and many studies have shown their ability, when injected into the tumor, to amplify the X-ray radiation treatment efficacy. While evidencing this potential use as a radiosensitizer, the large variations in all these experimental settings revealed the high variability of GNP effects according to different physico-chemical parameters including GNP size, shape and coating agent.…”