Neutron-induced Carcinogenic Effects (NICE)—an examination of the biophysics underlying neutron carcinogenesis

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Our research aims to improve our understanding of the biophysical effects surrounding neutron dose deposition in human tissue. Neutrons are encountered in space, at nuclear power plants, in various industrial applications, and in radiation therapy (RT). Radiological protection measures are designed to protect human populations from the risk that neutrons (and other forms of radiation) pose. While these measures are generally adequate, they cannot protect patients undergoing RT. Neutrons that are generated as by-product, radiation during high-energy (>10 MeV) photon- and proton-beam RT, cannot be shielded and consequently exposed patients are susceptible to radiation-induced carcinogenesis. The risk is well known and generally accepted, although poorly understood. Efforts currently underway to introduce proton beam RT into Canada have brought the issue into focus. Paediatric patients who are considered the main beneficiaries of proton RT are also the most at risk for second malignancies resulting from the unavoidable whole body dose of secondary radiation that arises in part from neutrons.