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Medicine Biotech Robotics

A Robotic Cyberknife To Fight Cancer 80

Roland Piquepaille writes "The Cyberknife is not a real knife. This is a robot radiotherapy machine which works with great accuracy during treatment, thanks to its robotic arm which moves around a patient when he breathes. According to BBC News, the first Cyberknife will be operational in February 2009 in London, UK. But other machines have been installed in more than 15 countries, and have permitted doctors to treat 50,000 patients in the first semester of 2008. And the Cyberknife is more efficient than conventional radiotherapy devices. The current systems require twenty or more short sessions with low-dose radiation. On the contrary, and because it's extremely precise, a Cyberknife can deliver powerful radiation in just three sessions."
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A Robotic Cyberknife To Fight Cancer

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  • not the cure for cancer (prevention > treatment), but this sure looks like an improvement in treatment

    first post?

  • "The Cyberknife is not a real knife"

    Dangit, that headline got my hopes up...
    • Re: (Score:3, Funny)

      by syousef ( 465911 )

      "The Cyberknife is not a real knife"

      Dangit, that headline got my hopes up...

      The sharks with freaking laser beam union would never put up with that. With a name like Landshark17 I'd have thought you'd know that!

    • Re: (Score:1, Funny)

      by Anonymous Coward

      "The Cyberknife is not a real knife"

      They were just quoting Crocodile Dundee's opinion.

  • on our hospital intraweb. We're doing a re-cap of the year and I happened to see something about our "Cyberknife" center. Low-and-behold, I log into /. to waste some... er... research a bit and here it is again! Pretty interesting stuff. Perhaps I can get a tour of the facility here some time.
    • Re: (Score:2, Informative)

      by Anonymous Coward

      It's lo and behold, not "low".

      • Re: (Score:2, Funny)

        by Anonymous Coward

        It's an overused, died-in-the-wool, tow-the-line kind of expression, for all intensive purposes.

    • Re: (Score:2, Insightful)

      by arpad1 ( 458649 )

      Only nineteen years after the first installation of a Cyberknife English cancer patients don't have to take a plane to the US to get treatment?

      Well all hail the National Health Service!

      I wonder how important you'll have to be for the NHS to pop for Cyberknife treatment at a private clinic? Prime minister? PM's mum? Head of the PM's security detail? Cousin of an MP?

      But maybe England's one of those places where those with political influence don't use it to save the lives of those closest to them. A place whe

  • not news (Score:5, Informative)

    by bokmann ( 323771 ) on Wednesday December 31, 2008 @11:16PM (#26288225) Homepage

    Georgetown University Hospital in Washington DC has had several models of these going back years. They do radio ads for using it for prostate cancer.

    http://www.georgetownuniversityhospital.org/body.cfm?id=451 [georgetown...spital.org]

    • Re: (Score:2, Informative)

      by jhaygood86 ( 912371 )
      Kennestone Hospital in Marietta, GA (a suburb of Atlanta) has one to. They also do radio ads as well for various forms of cancer, as well as a big banner in front of the hospital) http://cancer.wellstar.org/content.aspx?id=38605&section=cyberknife [wellstar.org]
    • Re: (Score:2, Insightful)

      by Anonymous Coward

      You're right, this isn't really news to anyone outside of the UK, and the fact other countries have it first is not news to those inside the UK.

      We have a very long process of testing drugs (and machines), so advances in technology can hit the UK 5-8 years behind others.

      Plans are underway to speed up this process, and damn right when you consider France and Germany both have these machines, and yet we all belong to something called the EU.

    • by Da_Biz ( 267075 )

      Typical crap Roland summary. We've already got one in the Pacific NW:
      http://www.ohsu.edu/ohsuedu/academic/som/radiationoncology/cyberknife-sw-washington-medical-center.cfm [ohsu.edu]

    • Re: (Score:1, Informative)

      by Anonymous Coward

      My brother just had cyberknife treatment for an aural tumor. A few MRIs to pinpoint the area of treatment and 5 sessions. Then they track the shrinking of the tumor for the next 6 months. Short term side effects were general pain in the ear area, headaches, but nothing much worse than what he was already experiencing.

      The alternative was brain surgery and we're all so far pleased the cyberknife was an option and George Washington University was nearby.

  • The Cure to Cancer (Score:2, Insightful)

    by Afforess ( 1310263 )
    This forwards my idea that there is no holy grail-esque "cure to cancer." Instead therapies and treatments will continue to advance, and increase the survivability of cancer. This cyberknife, if I understand the procedure correctly, uses high intensity focused gamma rays to destroy cancer cells. I could go into detail... but wikipedia would be easier to go to, and more accurate. In any case, the cure for cancer is a technological journey, not a magical vial of fluorescent green liquid.
    • by Cerium ( 948827 )

      Also, there's the whole theory that most of these diseases and illnesses won't ever be 'cured' because the repeated treatment brings in more money than the cure would.

      • You're forgetting that there's more than one drug company, and that they're all very greedy. If one company came out with a cure, they'd be able to take the business from all of their competitors who are merely selling treatments. Also, as the recent economic situation should make clear, these companies would rather have some money now than more money later.

        • Re: (Score:3, Insightful)

          You're assuming they're competing and not colluding.
          • The first off is the the problem is that in order to do that is that they have to be "Just-so Evil". By that I mean that they have to be evil enough to screw regular people over. However when it comes to screwing each other over all of a sudden they become honest for no real reason.(Since they could either try to take over the whole market for themselves or even collude at first and milk out some extra money by selling more than their quota when no one is looking.) Also there's the problem that if a cure ex
          • by arpad1 ( 458649 )

            Because as we all know the members of a cartel would never screw the other members by selling under the table.

            If it's one thing we can be sure of it's that there's honor among thieves.

    • uses high intensity focused gamma rays to destroy cancer cells

      If they're not careful, cancer patients are going to turn into The Incredible Hulk.

    • by plover ( 150551 ) *

      That's because cancer is a catch-all word that describes the overall effect of unchecked mutated cell growth, but not the mechanism that causes it, nor the mutations that continue. Some cancers may have a common genetic cause, but the environmental cancers are thought be caused by damage to the DNA.

      Things like flaws on the BRCA1 gene are associated with breast cancer, for example, and may initiate the disease on their own over time. These might be eventually preventable with a gene therapy designed to

  • by MillionthMonkey ( 240664 ) * on Wednesday December 31, 2008 @11:22PM (#26288269)
    A robot to fight cancer is impressive, but I hear the Japanese are working on a robot that can give you herpes.
  • by Anonymous Coward

    That man is destined to be rich and famous

  • Am I the only one that immediately thought of the bio-etheric laser from the spirits within?

  • FTA:

    More than a dozen countries worldwide already use the machine[...]

    In fact, these have been around for about a decade, am I right?

    This is not news. This is olds.

    • Re: (Score:3, Insightful)

      by MadAhab ( 40080 )

      The real news os that it's been approved for use in England.

      But even in the USA, it's not like it's routine. It's not like you can get your health insurance to cover it no questions asked.

      It's not a panacea either.

      To my knowledge, in the USA it's primarily used for lung and liver tumors, and not even for first-line treatment, but for metastasis.

      Shows some promise, but cancer treatment doesn't move as fast as you think.

      • it's been approved for use in England.

        Ah, but what of Scotland, Wales, or Northern Ireland? Only one of the four national health insurance systems in the UK gave the go-ahead?

  • by Xenophore ( 1260104 ) on Thursday January 01, 2009 @03:30AM (#26289309)
    Here now, what's all this then? Somebody has a knife? In the UK? No worries, a constable will be around shortly to confiscate it!
  • Anonymous Coward (Score:1, Informative)

    by Anonymous Coward

    www.tomotherapy.com

  • I tried.. (Score:2, Interesting)

    by symbolset ( 646467 )

    I tried to get an appointment with my doctor to get this treatment, but I have no coverage. The only doctor who would talk to me offered an appointment on 12/22/2012. Should I be concerned?

  • Evidence for Cyberknife's efficacy using lower dosages wrt convential treatments is still being gathered [nytimes.com], especially for prostate cancer treatment.

    One of the more remarkable twists governing medical devices in the USA is that, unlike pharmaceuticals licensed with health claims, medical devices do not have to demonstrate conclusively in clinical trials that they are of proven benefit or greater efficacy [nytimes.com] than existing treatments.

    Some of these new machines can cost several million dollars and offer amazing fra

    • Some of these new machines can cost several million dollars and offer amazing franchise opportunities... providing enough procedures can be scheduled on the machines during their operating lifetimes to amortise the cost and produce a profit.

      Several million would be cheap compared to some devices. According to this article [nytimes.com], accelerators can exceed $100 million per machine.

      • most modern linear accelerators (photons and electrons, not protons) cost something in the neighborhood of $5 million.
    • The cyberknife works by delivering multiple beams of high dose radiation from a wide variety of angles using a robotic arm.

      Hang on a sec! Doesn't radiation give you cancer? And doesn't cancer take a long time to develop?

      It seems likely to me that the damage done by such devices will not be detected right away. Hence if it kills the cancer cells in the tumor, but damages the DNA in neighboring tissue and gives you more cancer years later, you will likely blame the original cancer for having grown back, and not the machine for having given you a new cancer.

      C'mon, let's use a little physics and dose of common sense:

      • you s
  • We used something similar to kill my daughter's (benign) brain tumor that was in an inoperable location, so unfortunately I know a lot about the subject.

    Devices like this have been used for decades to treat brain tumors. Search for Leksell gamma knife or medical uses of the linear accelerators. The basic principle is to use numerous focused radiation beams from different directions in order to deliver the maximum possible radiation dose to the tumor (place where the beams intersect) while delivering less th

  • I hope they learned their lessons from http://en.wikipedia.org/wiki/Therac-25 [wikipedia.org] machines and installed hardware safety devices.

  • . . . armed with CyberKnives.

    Against the Sharks with Lasers.

    Coming soon to a theater near you.

  • permitted to treat 50,000 patients in the first semester of last year.

  • Excelent. This is a great step towards doctors doing whatever doctors do (like saving peoples lives...)

    methinks this would make a good house episode....

  • The wonders of single-payer medicine.
  • My mother-in-law (88 years old) has pancreatic cancer, first diagnosed in January 2008. The Mayo Clinic (in Rochester Minnesota) would not operate because they determined that the cancer had already begun to spread outside the pancreas.

    After some research we found the CyberKnife Center in Saint Paul Minnesota and she was treated in early April. The treatment was effective in killing the original tumor and had neglible side effects other than some fatigue and very mild nausea, easily treated with medicatio

  • The *first* Cyberknife? No, it's the first Cyberknife in the *UK*. We've had a Cyberknife for more than a year and ours was not the first in Southeast Wisconsin.

    For more details:

    http://www.prohealthcare.org/services/cyberknife/index.aspx [prohealthcare.org]
  • ...to a robotic cybergunfight.

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