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Therapeutic radiation can result in substantially different survival outcomes for patients with non-small cell lung cancer (NSCLC). Measures for identification of patients who can benefit most throughout radiotherapy remain limited. In this retrospective study, survival analysis was performed based on a discovery cohort from TCGA and a validation cohort from three independent hospitals. Tumor mutational burden (TMB) and chromosomal aneuploidy (ANE) were derived from the whole exome sequencing (WES) data from treatment-naïve tumors. Integrated risk scores were derived from TMB and ANE by a multivariate Cox proportional hazards model. TCGA reveal that TMB and ANE are associated positively and negatively, respectively, with survival throughout radiotherapy. Additionally, the synergistically predictive significance of these two genomic alterations, in differing responders and non-responders to radiotherapy is identified. These biomarkers may have clinical potential to improve personalized treatment management by rationally identifying highly likely responders to therapeutic radiation in patients with NSCLC. Here, the authors use whole exome sequencing to determine the effect of tumor mutational burden (TMB) and chromosomal aneuploidy (ANE) on survival outcomes of non-small cell lung cancer patients undergoing radiotherapy. The authors find that a higher TMB and lower ANE were correlated with better survival outcomes and that these factors interact synergistically. [ABSTRACT FROM AUTHOR]

In this paper, we develop a new model for the electron emission of high-Z nanoparticle irradiated by X-rays. This study is motivated by the recent advances about the nanoparticle enhancement of cancer treatment by radiotherapy. Our original approach combines a pure probabilistic analytical model for the photon trajectories inside the nanoparticle, and subsequent electron cascade trajectories based here on a Monte-Carlo simulation provided by the Livermore model implemented in Geant4. To compare the nanoparticle and the plane surface electron emissions, we also develop our model for a plane surface. Our model highlights and explains the existence of a nanoparticle optimal radius corresponding to a maximum of nanoparticle electron emission. It allows us to study precisely the nanoparticle photon absorption and electron cascade production depth in the nanoparticle. [ABSTRACT FROM AUTHOR]