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Californium-252 is a synthetic radioactive isotope that serves as a potent, compact source of fast neutrons, primarily utilized in specialized cancer treatments such as neutron brachytherapy and boron neutron capture therapy (BNCT). With a half-life of approximately 2.6 years, it decays via alpha emission and spontaneous fission, the latter of which releases a high flux of neutrons. In clinical applications, particularly for bulky or radioresistant tumors like stage IB cervical cancer, Californium-252 provides high-linear energy transfer (LET) radiation. This type of radiation is more effective than conventional photon therapy at overcoming the radioresistance of hypoxic tumor cells by causing complex, irreparable double-strand DNA breaks. The isotope is produced at the Radiochemical Engineering Development Center at Oak Ridge National Laboratory as part of the U.S. Department of Energy Californium Program.
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