That's a good question. I'm assuming that you are interested in dose enhancement from nanoparticles which is quite contentious. Ultimately, x-rays and gamma rays could interact with a gold nanoparticle to cause ionization. This theoretically could produce a dose enhancement in two ways: 1) through increased photoelectric absorption relative to a similar volume of tissuse and 2) through the emission of auger electrons.
I'll start with the auger electrons. These electrons have very low energies - typically below 100 eV - which is a problem. According to NISTs ESTAR website, a 10 keV electron (100 times more energetic than the auger electron) has a linear range in water of only 2 micrometers. Therefore, a 10 keV photo-electron (much-less an auger electron) would not have sufficient energy to penetrate into a cell's nucleus to cause a strand break.
Next, is the photoelectric effect on gold. This is more effective and could cause a dose enhancement since the photo-electrons are energetic and because the gold will have a higher photoelectric cross section relative to water (tissue). Yet, for everything I've seen, the concentrations of gold nanoparticles needed to cause a dose enhancement are on the order of several mg per gram of tissue - which is extremely high and toxic to a cell.
I think that one potentially interesting line of research with nanoparticles is getting them to transport preferentially into a cell nucleus. A vast majority of this type of research that I've seen has been using non-radioactive techniques to kill tumor cells.
Over the past years, we have conducted some experiments on the radiation attenuation properties of nano-sized and micro-sized materials. As you believe that the dose enhancement of nanoparticles is due to 1) increased photoelectric absorption and 2) the emission of auger electrons, can you explain how nano-sized materials have more photoelectric interactions per unit mass for photons with a specific energy?
We previously showed that nano-structured WO3/PVC samples present a significant greater potential in absorbing low energy X-ray photons compared to that of the samples produced with microstructured WO3/PVC. We also reported that the smaller size of the nano-structured WO3 particles can guarantee a better radiation shielding property. However, we did not study the mechanisms of this phenomena. The abstract of our paper that is published in the Medical Physics International Journal is enclosed.