“…High-Z elements with larger X-ray interaction cross-sections than light elements (for example, H, O, N and C) could increase the energy deposition and radiolytic hydrolysis in the vicinity of the materials. 2 Several high-Z materials, such as germanium nanoparticles (NPs), 13 iron oxide NPs, 14,15 lanthanidebased compounds, 16 iodine, 17 gold-based NPs 18 and nuclear-targeting gadolinium-based NPs, 19 have recently been used as adjuvants to enhance cellular radiosensitivity. However, few are efficient in in vivo cancer radiotherapy.…”