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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


> It is still unclear exactly why

It'll be nice when we figure it out, then we can understand the unintended consequences better.

Not that it should prevent its use or anything; fuck cancer.


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?


Yes, the radiation dose under the conventional metric (energy divided by mass) is the same, but the effects on biological systems change. I included a little speculation on the chemistry in my response to a sibling comment.

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.

Yeah that's the conventional dose rate effect, not the FLASH effect. The FLASH effect happens on timescales so short that ordinary considerations like the cell cycle or DNA repair mechanisms are inherently ruled out. Instead it might have to do with the type of radical species that form in normal cells versus tumors, possibly related to oxygenation, pH, glycolysis byproducts, etc.

The first interaction of radiation with tissue is usually this:

H2O + ħv >> H2O+ + e- (fugitive)

The radical ion H2O+ is extremely reactive and usually protonates another water molecule immediately:

H2O+ + H2O >> H3O+ + OH*

The hydroxyl radical has a half life of about a nanosecond and will usually be the main "reagent", diffusing until it runs into an organic molecule which will be oxidized and thus degraded. At high enough dose rates, the peak concentration of hydroxyl radicals and more stable radicals like superoxide could be much higher, leading to "nonlinear" effects, i.e. byproducts of multiple radicals interacting with each other or a protein.


One thing I found confusing about the nature article is that it mostly discusses conventional linear accelerator + bremsstrahlung X-ray radiation versus very high dose rate FLASH in the form of electron beams, proton beams, or even carbon ion beams.

Do we know that what the chemical mechanism for damage from charged particle beams is? Is it similar enough to compare directly like this? Are the timescales short enough that charge deposition might matter?


The article is a bit unclear, but we have both a very wide range of X-ray vs charged particle studies, and increasingly of conventional vs FLASH studies with a range of modalities (e.g. the seminal FLASH paper was FLASH electrons vs conventional electrons). FLASH photon vs conventional photons are also increasingly being generated, although they've been more of a pain to generate.

So it's clear there is a temporal FLASH effect, which is not purely a question of radiation type.

That's not to say it's necessarily exactly the same effect - we still don't have a perfect quantitative understanding of the effects of different radiation types even at normal dose rates, let alone when FLASH differences are added into the mix.


For the other readers in this thread, this poster really knows their stuff.

Thankfully, this is a situation we don't need to speculate about without evidence. Spain is on de facto permanent DST, serving as a natural experiment. I bet the results support you.

That's partly because it's in the same timezone as Poland. Madrid is further west that London, but London is an hour behind. Moving Spain to permanent DST puts it on the same effective timezone as London.

http://blog.poormansmath.net/images/SolarTimeVsStandardTime....

Without the DST offset, Spain much more "red" than England.

It's not so much a "permeant DST" but rather a "we want to change to GMT without moving out of the CET timezone."


In Poland in winter it gets dark around 3 PM. Awful. In Spain in winter it gets dark around 5:45 pm. And people wonder why spaniards live longer.

The clocks should show 4:45PM in Spain if the TZ was right (same as UK), and even so it would still be mostly red-white with barely any green. Poland appears white-green in the map, to have a bit of red it should be in a 1/2 TZ like India.

Minimum daylight (winter) in Warsaw is 7h 42m [0] and in Madrid 9h 17m [1]. Maximum (summer) is 16h 47m and 15h 4m. That is due to latitude and unavoidable. The exact numbers for sunset and sunrise are pushed around by the TZ choices.

[0] https://www.timeanddate.com/sun/poland/warsaw

[1] https://www.timeanddate.com/sun/spain/madrid

Life lenght depends on many factors.


That map is interesting, so most of the world prefers "red" to "green"? Why is that?

Most of the world tends to prefer to not be too far from the center of the timezone (where solar noon matches solar time in standard time). Geographic and political boundaries make it so that often it's more red. The extremes of north and south tend not to care as much because it doesn't matter as much.

https://andywoodruff.com/blog/where-to-hate-daylight-saving-...


I don't think that explains it. The "red" offenders are basically Russia, China?, Sudan, Argentina and Alaska. The only "green" offender is Greenland, which is still large enough to enough red to justify it. I get China, it aligns with the population density. Sudan likely wants to have the same time as Somalia and Ethiopia. Why Argentina? Why Alaska? And why does Russia basically have zones that range from +2 to the +1 offset? They don't even have the excuse of avoiding 2 hour jumps like between Alaska and Canada, because they still have that.

I'd have to dig to try to find out what the date on this would be.

Russia is telling since they changed their timezones in 2016. I'm going to note that timezones are also a political identity too. https://www.timeanddate.com/news/time/russia-new-time-zones.... For a map https://commons.wikimedia.org/wiki/File:Difference_between_l... and the Wiki article https://en.wikipedia.org/wiki/Time_in_Russia#Russian_Federat...

China is aligned with Beijing and the rest of the country follows from when noon in Beijing is.

Sudan's history is in https://en.wikipedia.org/wiki/Time_in_Sudan

Argentina is https://en.wikipedia.org/wiki/Time_in_Argentina - My speculation would be that Argentina (the east coast especially) wanted to be economically synchronized with the coastal cities of eastern Brazil. Buenos Aires and São Paulo being on the same timezone makes it easier for the two of them to do business.

Alaska used to have four timezones. In 1983, they were consolidated into two timezones - Aleutian and Alaska. Being in -9 rather than -10 brings Anchorage closer to the Pacific west coast in its business day with the note that it doesn't matter too much when solar noon is if sun is up for 22 hours or 5 hours.


Spain instead adjusted it's entire country around the time.

And they still do DST. They're just on a different time zone than they should be because during WWII, they changed to the same time zone as Germany.


Spaniards are a lazy bunch of party animals, waking up late and going to sleep late too...

Or the clocks are wrong. Once you realize noon is 13h in winter and 14h in summer, never 12h, things start to make sense. Late lunch? Not really, Sun at same height than Italy, but clocks off by 1.

For the "public image" part of the experiment, the conclusion is easy: bad. Time to change clocks so waking up happens at "3h" in the morning, and become a country of hard workers with no nightlife, because everyone retires "early". Even if discos are full as in the past.


Have to wonder if yogurt counts, since I've had that for breakfast many more times than just milk or a latte

It's crazy to me that we want to force age verification on every service across the Internet before we ban phones in school. I could understand being in favor of both, or neither, but implementing the policy that impacts everybody's privacy before the one that specifically applies within government-run institutions is just so disappointingly backwards it's tempting to consider conspiracy-like explanations.

The advantage, I think, of age verification by private companies over cellphone bans in public schools is that cellphone bans appear as a line-item on the government balance sheet, whereas the costs of age verification are diffuse and difficult to calculate. It's actually quite common for governments to prefer imposing costs in ways that make it easier for the legislators to throw up their hands and whistle innocently about why everything just got more expensive and difficult.

And the argument over age verification for merely viewing websites, which is technically difficult and invasive, muddles the waters over the question of age verification for social media profiles, where underage users are more likely to get caught and banned by simple observation. The latter system has already existed for decades -- I remember kids getting banned for admitting they were under 13 on videogame forums in the '00s all the time. It seems like technology has caused people to believe that the law has to be perfectly enforceable in order to be any good, but that isn't historically how the law has worked -- it is possible for most crimes to go unsolved and yet most criminals get caught. If we are going to preserve individual privacy and due process, we need to be willing to design imperfect systems.


> It's crazy to me that we want to force age verification on every service across the Internet before we ban phones in school.

France banned phones in elementary and noddles schools in 2018. It's not the only European country to have done so.


The argument about luminance ranges is wrong. I measure the brightness of monitors regularly as part of my job, and typical maximum luminance values are in the range of 100-500 lux. That puts you right in the steep range of the visual response (especially if you are turning it down and near a max of 100), which is natural — maximizing the slope of the neuronal response to light means that more information will be available to the brain. In fact a good monitor will be tuned according to the just-noticeable difference which aims precisely to maximize the information available according to this characteristic curve. See e.g. the DICOM standard:

https://dicom.nema.org/medical/dicom/current/output/chtml/pa...

The author's basic problem is that he knows too much about the brain and not enough about monitors.

The author goes on to argue that you should be turning your brightness down, but most people already are turning their brightness down; the blue light filter is more comfortable. He does make a reasonable case that you should be reducing green light similarly, but people prefer the incandescent effect of the flux filter to a straightforward color filter — indeed a primary design goal of these filters has been to be pleasant to look at which is why people use them.


It's a propaganda maneuver. And it's obviously just as critical of China as it is of Europe. The State Department's public voices may be immersed in the culture war but there are probably a few cooler heads left who have learned to keep out of the spotlight.


>Adding to this: Even back when I was in college (not that long ago) it became known that registering as having ADHD qualified you for extra time on exams.

In sixth grade I was frustrated focusing on exams because I'm easily irritated by noise (misophonia). So, I asked for a separate room, or, as I remember putting it, a closet. They sent me to a different room and offered me four hours. I couldn't seem to explain that I don't need more time, I just want it to be quiet. I never asked again.


Possibly the solution would be to have some kind of soundproofing backing material on the converse side of the drywall panels. Including this could be required by regulation which would be easier to enforce than some kind of abstract acoustic property. One of the interesting arguments that Brian Potter made is that you're usually better off trying to move the issue from construction to manufacturing.

This is basically similar to how leaded drywall is used to shield X-rays. Of course, there are additional costs associated with the hazards of lead.


The author is fairly clear about it to me:

>One of the biggest mistakes I see artists make is painting things that don't resonate with people. Once you have an aesthetic that works, the market rewards you for exploring adjacent aesthetic territory. You might not make a living right away — it took me over two years from when I painted that first Honey Bear until I took my art full time — but it is totally necessary if you are to make a living off your own art (as opposed to teaching or commercial art). Until then, if what you're doing isn't resonating, you just need to just paint something else. Experiment with different concepts and directions until you find something that works.

He doesn't spend a whole lot of time deliberating on the literature versus television question, but it's easy to see what he's chosen.


There's a related idea in mathematics, the proof that the real numbers are a vector space over the rational numbers. If you scramble the basis vectors, you obtain an isomorphic vector space, but it is effectively a "permutation" of |R. Of course, vector spaces don't even have multiplication, but one interesting thing is that the proof requires the axiom of choice.

I think that actually constructing a "nontrivial" model of C using the field conception might require choosing a member from each of an infinite family of sets, i.e. it requires applying the axiom of choice, similar to the way you construct R as a vector space.


Vector space over which field ? The reals ? In that case you have got a chicken and egg problem.


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