The Millisecond That Could Change Cancer Treatment

(spectrum.ieee.org)

57 points | by marc__1 2 hours ago

5 comments

  • Eduard 1 hour ago
    Theryq - why would they go with this name when everyone in the field knows about the Therac-25 radiation overexposure incidents?
    • accrual 12 minutes ago
      Therac-25 is a great case study for software engineers too, recommend reading the Wikipedia article for anyone who hasn't, it's not too long.

      > Previous models had hardware interlocks to prevent such faults, but the Therac-25 had removed them, depending instead on software checks for safety.

      https://en.wikipedia.org/wiki/Therac-25

      Another interesting part of the story is the user element. The issue was most often triggered by fast, experienced technicians who were able to key commands more quickly than Therac engineers anticipated:

      > After strenuous work, the physicist and operator were able to reproduce the error 54 message. They determined that speed in editing the data entry was a key factor in producing error 54.

    • bilbo0s 1 hour ago
      Exactly what I thought as soon as I learned the name.

      It's like, man, how to kill a product?

      No pun intended.

      It could even work? But you put yourself behind such a poorly placed 8 ball when you do these things. Even among researchers, people are a little superstitious about stuff like this. It's always in the back of everyone's mind.

    • deadbabe 1 hour ago
      Redemption arc.
  • slibhb 42 minutes ago
    > Currently, the most plausible theory emerging from her team’s research points to metabolism: Healthy and cancerous cells may process reactive oxygen species—unstable oxygen-containing molecules generated during radiation—in very different ways.

    Reminds me of this which I (think) was linked here a while ago: https://www.nature.com/articles/s12276-020-0384-2

    It really does feel like all these piecemeal cancer treatments are converging on something resembling a cure.

  • scythe 1 hour ago
    Hey, FLASH finally hit Hacker News! I remember my professors talking about this in graduate school. It's a fairly well-established effect: the tumor selectivity of radiation is much better at ultra-high dose rates. It is still unclear exactly why. But there are a lot of studies about it:

    https://www.nature.com/articles/s41571-022-00697-z

    • toss1 50 minutes ago
      Interesting the effect's reason is still unclear.

      I was starting to infer there was a better focusing ability so it could start and exit as a broad cone of radiation and keep the peak intensity at the tip of the focal cones at the tumor-tissue, and the short pulse also helped the healthy tissue.

      But the way this sounds, it's more like a straight beam delivering similar intensity to healthy and tumor tissue but the biological effect strongly differs between healthy vs tumor tissue?

    • LoganDark 1 hour ago
      My guess would be that the radiation doesn't itself care but that tumors have some other characteristic (like multiplying rapidly) that makes them more susceptible to it. Similarly to how you can sometimes attack them with medication that inhibits cell division.
  • bitwize 1 hour ago
    Sounds a little too close, in both name and concept, to Therac for my comfort.
  • tiderpenger 1 hour ago
    I generally don't trust cancer-communication if it's juiced up like this incredible headline. There has been huge amounts of progress. We don't need silicon valley idiots starting to make proclamations. It's doing fine without your mediocrity.