“…Several studies ranging from Monte Carlo simulations [15] to in vitro and in vivo studies [16][17][18][19][20][21][22][23] have demonstrated that such NPs could sensitize pancreatic cancer cells to X-rays when NPs made of thorium, [15] titanium, [16,17] manganese, [18] yttrium, [19] cerium, [20] gadolinium, [21] and gold [22,23] were incubated with tumor cells. Various effects were reported to explain this efficacy, including increased production of DNA damage [16,18,21,22] and ROS [16,17,19,20] enhanced apoptosis, [16][17][18][19][20]23] reduced cell proliferation, [17,22] and reduced survival fraction. [16,17,20,21] In vivo studies also demonstrated increased animal survival [17,21] and decreased tumor volumes.…”