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Treating Cancer:  A Positive Beam of Hope | Nigel Allinson | TEDxPrioryAcademyLSST


[Applause]

[Applause] see on the screen at the moment is an

see on the screen at the moment is an

see on the screen at the moment is an x-ray CT computerized tomography image

x-ray CT computerized tomography image

x-ray CT computerized tomography image going through a person from head

going through a person from head

going through a person from head somewhere Barney

somewhere Barney

somewhere Barney so he will use x-rays and we see enough

so he will use x-rays and we see enough

so he will use x-rays and we see enough manager to the leg the leg Bob’s their

bonds are talk about it is cancer

bonds are talk about it is cancer perhaps

perhaps

perhaps topic

anyway cancer starts with a single cell

anyway cancer starts with a single cell now what makes cancer cells different to

now what makes cancer cells different to

now what makes cancer cells different to normal healthy cells is they don’t know

normal healthy cells is they don’t know

normal healthy cells is they don’t know when to stop growing they don’t

when to stop growing they don’t

when to stop growing they don’t specialize that remain sure healthy

specialize that remain sure healthy

specialize that remain sure healthy cells become you specialized a little

cells become you specialized a little

cells become you specialized a little part of your brain when these cells die

part of your brain when these cells die

part of your brain when these cells die with cells dying all the time in our

with cells dying all the time in our

with cells dying all the time in our bodies it’s a natural process and the

bodies it’s a natural process and the

bodies it’s a natural process and the decorator I float off and go through the

decorator I float off and go through the

decorator I float off and go through the process

process

process and they don’t of touching council cells

and this is it section the brains of

and this is it section the brains of section the cerebellum this is your old

section the cerebellum this is your old

section the cerebellum this is your old part of the brain top of your spine

part of the brain top of your spine

part of the brain top of your spine beautiful structure the spines down the

beautiful structure the spines down the

beautiful structure the spines down the bottom there and you can see a tumor on

bottom there and you can see a tumor on

bottom there and you can see a tumor on my hand side so let’s ago I tumor looks

my hand side so let’s ago I tumor looks

my hand side so let’s ago I tumor looks like this is a pathological section a

like this is a pathological section a

like this is a pathological section a section of a brain is being staked its

section of a brain is being staked its

section of a brain is being staked its large this juma didn’t kill this patient

large this juma didn’t kill this patient

large this juma didn’t kill this patient actually quite the application we died

actually quite the application we died

actually quite the application we died for some other reasons but what you can

for some other reasons but what you can

for some other reasons but what you can see the tumors growing since torching

see the tumors growing since torching

see the tumors growing since torching the brain is going to push it into the

the brain is going to push it into the

the brain is going to push it into the sinus problems and in this country we

sinus problems and in this country we

sinus problems and in this country we have about a thousand cases of cancer

have about a thousand cases of cancer

have about a thousand cases of cancer diagnosed every day

diagnosed every day

diagnosed every day and all those patients about forty

and all those patients about forty

and all those patients about forty percent of them will receive

percent of them will receive

percent of them will receive radiotherapy as part of their curative

radiotherapy as part of their curative

radiotherapy as part of their curative troops and most of that radiotherapy is

troops and most of that radiotherapy is

troops and most of that radiotherapy is given by machines like this this is an

given by machines like this this is an

given by machines like this this is an energy source of x-rays driven by some

energy source of x-rays driven by some

energy source of x-rays driven by some cold in here accelerator or a minute it

cold in here accelerator or a minute it

cold in here accelerator or a minute it was about 300 of those around what

was about 300 of those around what

was about 300 of those around what collects rates do well x-rays ionizing

collects rates do well x-rays ionizing

collects rates do well x-rays ionizing radiation an x-ray photon comes in and

radiation an x-ray photon comes in and

radiation an x-ray photon comes in and it knocks off an electron through an

it knocks off an electron through an

it knocks off an electron through an Aston which is interacts with so you

Aston which is interacts with so you

Aston which is interacts with so you have to become ionized because now it’s

have to become ionized because now it’s

have to become ionized because now it’s what’s the negative charge for tonight

what’s the negative charge for tonight

what’s the negative charge for tonight so we call this ionizing radiation what

so we call this ionizing radiation what

so we call this ionizing radiation what does that do well what we want to do is

does that do well what we want to do is

does that do well what we want to do is to destroy the cancer cells DNA or here

to destroy the cancer cells DNA or here

to destroy the cancer cells DNA or here the helix DNA x-ray photon comes in

the helix DNA x-ray photon comes in

the helix DNA x-ray photon comes in destruction ops of some of those

destruction ops of some of those

destruction ops of some of those electrons destruction of those bombs and

electrons destruction of those bombs and

electrons destruction of those bombs and now we have a dysfunctional

now we have a dysfunctional

now we have a dysfunctional because that affects healthy cells as

because that affects healthy cells as

because that affects healthy cells as well as counselor ourselves fortunately

well as counselor ourselves fortunately

well as counselor ourselves fortunately the healthy cells recover faster in

the healthy cells recover faster in

the healthy cells recover faster in cancerous service so we give a like a

cancerous service so we give a like a

cancerous service so we give a like a dose of radiation everything perhaps is

dose of radiation everything perhaps is

dose of radiation everything perhaps is on the floor the healthy cells get up

on the floor the healthy cells get up

on the floor the healthy cells get up quick this is why we do with doses in

quick this is why we do with doses in

quick this is why we do with doses in radiotherapy and fractions but there are

radiotherapy and fractions but there are

radiotherapy and fractions but there are lots of other charged particles about

lots of other charged particles about

lots of other charged particles about photons are not really charged particles

photons are not really charged particles

photons are not really charged particles but they’re lots of other types of

but they’re lots of other types of

but they’re lots of other types of Rayleigh as radiation and one of those

Rayleigh as radiation and one of those

Rayleigh as radiation and one of those is from the nucleus of the act of the

is from the nucleus of the act of the

is from the nucleus of the act of the proton positively charged weighs about

proton positively charged weighs about

proton positively charged weighs about two hundred two thousand times more than

two hundred two thousand times more than

two hundred two thousand times more than the electron at rest and so it could

the electron at rest and so it could

the electron at rest and so it could probably use those and this graph sums

probably use those and this graph sums

probably use those and this graph sums up the advantage of drinking councilman

up the advantage of drinking councilman

up the advantage of drinking councilman beans and protons rather than x rays

beans and protons rather than x rays

beans and protons rather than x rays nice curve going down is how the x-rays

nice curve going down is how the x-rays

nice curve going down is how the x-rays lose energy as they pass your tissue

lose energy as they pass your tissue

lose energy as they pass your tissue so it gradually faults are almost at

so it gradually faults are almost at

so it gradually faults are almost at church this is why you have to use

church this is why you have to use

church this is why you have to use focused beams competed with directions

focused beams competed with directions

focused beams competed with directions because we’re now putting a lot of

because we’re now putting a lot of

because we’re now putting a lot of radiation in healthy tissue because

radiation in healthy tissue because

radiation in healthy tissue because before after the tube and radiation

before after the tube and radiation

before after the tube and radiation healthy tissue is never a good idea our

healthy tissue is never a good idea our

healthy tissue is never a good idea our protons as you can see they have a

protons as you can see they have a

protons as you can see they have a definite range they go a certain

definite range they go a certain

definite range they go a certain distance in tissue and we can alter that

distance in tissue and we can alter that

distance in tissue and we can alter that range by changing the energy protons and

range by changing the energy protons and

range by changing the energy protons and most of that energy is lost near the end

most of that energy is lost near the end

most of that energy is lost near the end of their channel in something called the

of their channel in something called the

of their channel in something called the bright feet so here we have a way of

bright feet so here we have a way of

bright feet so here we have a way of putting or energy or lactose and fairly

putting or energy or lactose and fairly

putting or energy or lactose and fairly narrow region deep inside the body for

narrow region deep inside the body for

narrow region deep inside the body for this is ID and it will be good for

this is ID and it will be good for

this is ID and it will be good for particularly good for certain types of

particularly good for certain types of

particularly good for certain types of cancer tumor has a neck tumors and brain

cancer tumor has a neck tumors and brain

cancer tumor has a neck tumors and brain tumors tumors near critical organs like

tumors tumors near critical organs like

tumors tumors near critical organs like spinal cord and also most tumors in

spinal cord and also most tumors in

spinal cord and also most tumors in children and

children and

children and because you want to minimize the dose

because you want to minimize the dose

because you want to minimize the dose the healthy tissue but there’s always a

the healthy tissue but there’s always a

the healthy tissue but there’s always a danger of second councils developing

danger of second councils developing

danger of second councils developing much later time 20 years so I’m treating

much later time 20 years so I’m treating

much later time 20 years so I’m treating who cares what happens in 20 years time

who cares what happens in 20 years time

who cares what happens in 20 years time for you we do care so this is what the

for you we do care so this is what the

for you we do care so this is what the advantage of program filipinas but we’ll

advantage of program filipinas but we’ll

advantage of program filipinas but we’ll have to get that distance just right

have to get that distance just right

have to get that distance just right because if you get it wrong we gave on

because if you get it wrong we gave on

because if you get it wrong we gave on bits out because you put the dough so

bits out because you put the dough so

bits out because you put the dough so these are just before or just after you

these are just before or just after you

these are just before or just after you and to generate these we have systems

and to generate these we have systems

and to generate these we have systems like this you’re looking here at about

like this you’re looking here at about

like this you’re looking here at about 100 million pounds worth of investment

100 million pounds worth of investment

100 million pounds worth of investment the NHS will have two of these upcoming

the NHS will have two of these upcoming

the NHS will have two of these upcoming the next 2-3 years one in manchester

the next 2-3 years one in manchester

the next 2-3 years one in manchester than one in London we generate the

than one in London we generate the

than one in London we generate the protons and it is up to about 200

protons and it is up to about 200

protons and it is up to about 200 million electron volts in a cyclotron we

million electron volts in a cyclotron we

million electron volts in a cyclotron we possibly go with charge all to a

possibly go with charge all to a

possibly go with charge all to a direction of electromagnet into a gantry

direction of electromagnet into a gantry

direction of electromagnet into a gantry which is the height

which is the height

which is the height house and that focuses are being

house and that focuses are being

house and that focuses are being monitored the patient can trick the move

monitored the patient can trick the move

monitored the patient can trick the move around do director beam angle

around do director beam angle

around do director beam angle and then we can start focusing energy is

and then we can start focusing energy is

and then we can start focusing energy is actually a cube map we have a very

actually a cube map we have a very

actually a cube map we have a very narrow beam of pennsylvania’s it’s cold

narrow beam of pennsylvania’s it’s cold

narrow beam of pennsylvania’s it’s cold and if you like it’s almost like

and if you like it’s almost like

and if you like it’s almost like painting by neighbors that’s what we

painting by neighbors that’s what we

painting by neighbors that’s what we like

like

like the problem is that we get these ranges

the problem is that we get these ranges

the problem is that we get these ranges from we get the distance he will receive

from we get the distance he will receive

from we get the distance he will receive either work or treatment treatment fun

either work or treatment treatment fun

either work or treatment treatment fun house on the left there’s a funny map

house on the left there’s a funny map

house on the left there’s a funny map for treating a brain tumor the veteran

for treating a brain tumor the veteran

for treating a brain tumor the veteran trailer therapy on the right people

trailer therapy on the right people

trailer therapy on the right people giving the proton radio through and you

giving the proton radio through and you

giving the proton radio through and you can see what tumors were high great

can see what tumors were high great

can see what tumors were high great slaughter that shows us what the most of

slaughter that shows us what the most of

slaughter that shows us what the most of the energy is being positive but he

the energy is being positive but he

the energy is being positive but he seems quite a big pull of wash around

seems quite a big pull of wash around

seems quite a big pull of wash around that too much less here much less of the

that too much less here much less of the

that too much less here much less of the brain has been affected by some

brain has been affected by some

brain has been affected by some radiation so here are trying to do a

radiation so here are trying to do a

radiation so here are trying to do a whole body goes down the spine is

whole body goes down the spine is

whole body goes down the spine is probably the Leukemia and we want to try

probably the Leukemia and we want to try

probably the Leukemia and we want to try and radiate the sky but get up against

and radiate the sky but get up against

and radiate the sky but get up against elongation and we go even further the

elongation and we go even further the

elongation and we go even further the protons don’t carry extra

protons don’t carry extra

protons don’t carry extra but again we’re going to just write

but again we’re going to just write

but again we’re going to just write because these are x-ray CT images but we

because these are x-ray CT images but we

because these are x-ray CT images but we treating with protons and they’re not

treating with protons and they’re not

treating with protons and they’re not the same that is the problem that is a

the same that is the problem that is a

the same that is the problem that is a big problem and we get the rain shocked

big problem and we get the rain shocked

big problem and we get the rain shocked so we have a cuisines and we don’t want

so we have a cuisines and we don’t want

so we have a cuisines and we don’t want to do that and the whole thing about

to do that and the whole thing about

to do that and the whole thing about very therapy is it’s a very precise

very therapy is it’s a very precise

very therapy is it’s a very precise careful science so we take robust

careful science so we take robust

careful science so we take robust treatments not optimum children’s so we

treatments not optimum children’s so we

treatments not optimum children’s so we have to take in account all these errors

have to take in account all these errors

have to take in account all these errors so we don’t get any problems to get

so we don’t get any problems to get

so we don’t get any problems to get treatment I’m gonna go see how could it

treatment I’m gonna go see how could it

treatment I’m gonna go see how could it not may not be the best treatment you

not may not be the best treatment you

not may not be the best treatment you could possibly have so what we do is we

could possibly have so what we do is we

could possibly have so what we do is we try an image with these protons and and

try an image with these protons and and

try an image with these protons and and this is our equipment very simple

this is our equipment very simple

this is our equipment very simple picture there’s my patient in the middle

picture there’s my patient in the middle

picture there’s my patient in the middle because it’s tumor proton beams going to

because it’s tumor proton beams going to

because it’s tumor proton beams going to come in something like that how am I

come in something like that how am I

come in something like that how am I going to get the energy just right so

going to get the energy just right so

going to get the energy just right so the distance is just right so in the

the distance is just right so in the

the distance is just right so in the positive most of its energy at you now

positive most of its energy at you now

positive most of its energy at you now if all that you can see a person called

if all that you can see a person called

if all that you can see a person called proton trackers and after the patient

proton trackers and after the patient

proton trackers and after the patient under the same set of truckers and there

under the same set of truckers and there

under the same set of truckers and there are subject mysteriously

are subject mysteriously

are subject mysteriously telescope because under the image the

telescope because under the image the

telescope because under the image the patient using protons I’ve got to

patient using protons I’ve got to

patient using protons I’ve got to increase the energy of the proton so

increase the energy of the proton so

increase the energy of the proton so they get through the patient but I

they get through the patient but I

they get through the patient but I reduce the number of them maybe 10,000

reduce the number of them maybe 10,000

reduce the number of them maybe 10,000 times so as a dose of radiation it’s

times so as a dose of radiation it’s

times so as a dose of radiation it’s very very small as know and it’s only

very very small as know and it’s only

very very small as know and it’s only diagnostic and I use a broad bean

diagnostic and I use a broad bean

diagnostic and I use a broad bean because I want to look at nice big

because I want to look at nice big

because I want to look at nice big picture and this you like if one path

picture and this you like if one path

picture and this you like if one path that one single proton place and it’s

that one single proton place and it’s

that one single proton place and it’s not like like it isn’t traveling

not like like it isn’t traveling

not like like it isn’t traveling straight lines in DB a great deal so

straight lines in DB a great deal so

straight lines in DB a great deal so under the image of you protons I’ve got

under the image of you protons I’ve got

under the image of you protons I’ve got to record every protein but it came from

to record every protein but it came from

to record every protein but it came from where it went to but I clicking the

where it went to but I clicking the

where it went to but I clicking the shirts are pressing the button on your

shirts are pressing the button on your

shirts are pressing the button on your camera where you’d have to worry about

camera where you’d have to worry about

camera where you’d have to worry about the individual photons are doing here

the individual photons are doing here

the individual photons are doing here and what I do when that individual

and what I do when that individual

and what I do when that individual proton comes in these detectors get to

proton comes in these detectors get to

proton comes in these detectors get to the locations I can draw a straight line

the locations I can draw a straight line

the locations I can draw a straight line and estimate where it enters the patient

and estimate where it enters the patient

and estimate where it enters the patient simpleton I pick up at the other end an

simpleton I pick up at the other end an

simpleton I pick up at the other end an 0 that where it came out to the patient

0 that where it came out to the patient

0 that where it came out to the patient then I know what my initial energy of my

then I know what my initial energy of my

then I know what my initial energy of my protons work this year measures the

protons work this year measures the

protons work this year measures the residual energy what’s the left efforts

residual energy what’s the left efforts

residual energy what’s the left efforts been for the patient I know our energy

been for the patient I know our energy

been for the patient I know our energy that individual proton deposited in the

that individual proton deposited in the

that individual proton deposited in the patient and repeat that millions of

patient and repeat that millions of

patient and repeat that millions of times and that’s just for one projection

times and that’s just for one projection

times and that’s just for one projection beam coming from one direction I’m with

beam coming from one direction I’m with

beam coming from one direction I’m with my equipment 1 degree 2 degrees and we

another 12 degrees new peak dr color the

another 12 degrees new peak dr color the 436 and this is the song babies we would

436 and this is the song babies we would

436 and this is the song babies we would hope to expect this is a patient

hope to expect this is a patient

hope to expect this is a patient receiving lady therapy he has a strange

receiving lady therapy he has a strange

receiving lady therapy he has a strange Ghazi mask on him because his head is

Ghazi mask on him because his head is

Ghazi mask on him because his head is healthy positions of movements and

healthy positions of movements and

healthy positions of movements and treatment and there’s no data for the

treatment and there’s no data for the

treatment and there’s no data for the enemies know so it’s a bit p but this is

enemies know so it’s a bit p but this is

enemies know so it’s a bit p but this is what a proton CT he mention and we can

what a proton CT he mention and we can

what a proton CT he mention and we can alter it we can take off the flesh

alter it we can take off the flesh

alter it we can take off the flesh Susilo living patients till we can put a

Susilo living patients till we can put a

Susilo living patients till we can put a flashback

we can rotate it to take sections

we can rotate it to take sections through it and now I have an image that

through it and now I have an image that

through it and now I have an image that has been created by the same radiation

has been created by the same radiation

has been created by the same radiation type don’t gonna treatment so if you

type don’t gonna treatment so if you

type don’t gonna treatment so if you like it got the same ruler there are no

like it got the same ruler there are no

like it got the same ruler there are no worries the proof but imaging with

worries the proof but imaging with

worries the proof but imaging with protons is very different so four years

protons is very different so four years

protons is very different so four years ago we started a project earlier project

ago we started a project earlier project

ago we started a project earlier project I’ve got five universities five NHS

I’ve got five universities five NHS

I’ve got five universities five NHS trusts the National Labs of South Africa

trusts the National Labs of South Africa

trusts the National Labs of South Africa three and this is what we’ve done this

three and this is what we’ve done this

three and this is what we’ve done this is progress this is what it stands for

is progress this is what it stands for

is progress this is what it stands for the bottom and this is our instrument in

the bottom and this is our instrument in

the bottom and this is our instrument in a proton therapy facility in South

a proton therapy facility in South

a proton therapy facility in South Africa and it can’t be moved into

Africa and it can’t be moved into

Africa and it can’t be moved into position by some of my research he’s big

position by some of my research he’s big

position by some of my research he’s big and he’s poking but it’s really the

and he’s poking but it’s really the

and he’s poking but it’s really the first time is being done using totally

first time is being done using totally

first time is being done using totally solid state policy for sure

so a heart of any system is the things

so a heart of any system is the things that’s going to detect the prototype

that’s going to detect the prototype

that’s going to detect the prototype detect the light sensors and we use two

detect the light sensors and we use two

detect the light sensors and we use two times once got a silicon strictly

times once got a silicon strictly

times once got a silicon strictly chapter which it was very fine strips so

chapter which it was very fine strips so

chapter which it was very fine strips so it can die of a wave of silicon and the

it can die of a wave of silicon and the

it can die of a wave of silicon and the menus where vehicle may play so they use

menus where vehicle may play so they use

menus where vehicle may play so they use at the moment is in the Large Hadron

at the moment is in the Large Hadron

at the moment is in the Large Hadron Collider observe these guys have

Collider observe these guys have

Collider observe these guys have detected the information that we know

detected the information that we know

detected the information that we know that this Expo

that this Expo

that this Expo so we have some designed by the same

so we have some designed by the same

so we have some designed by the same guys who designed these for the culantro

guys who designed these for the culantro

guys who designed these for the culantro provider and linking we’ve started

provider and linking we’ve started

provider and linking we’ve started putting together this is one of our

putting together this is one of our

putting together this is one of our proton tractors big symbol in our lab

proton tractors big symbol in our lab

proton tractors big symbol in our lab University and the other sensor we have

University and the other sensor we have

University and the other sensor we have a single sensor you’ve all got a CMOS

a single sensor you’ve all got a CMOS

a single sensor you’ve all got a CMOS sensor on the moment we go suit up

sensor on the moment we go suit up

sensor on the moment we go suit up camera chip in your sparkles except that

camera chip in your sparkles except that

camera chip in your sparkles except that camera chip is 45 millimeter square

camera chip is 45 millimeter square

camera chip is 45 millimeter square minus 5 centimeters by 10 centimeters

minus 5 centimeters by 10 centimeters

minus 5 centimeters by 10 centimeters it’s about 500 times bigger books 20

it’s about 500 times bigger books 20

it’s about 500 times bigger books 20 times faster and costs a lot

so what we built is probably one of the

so what we built is probably one of the most complex medical instruments that

most complex medical instruments that

most complex medical instruments that will be conceived we can check up to 25

will be conceived we can check up to 25

will be conceived we can check up to 25 million proton per second the amount of

million proton per second the amount of

million proton per second the amount of data that comes out of it is equivalent

data that comes out of it is equivalent

data that comes out of it is equivalent to three hundred high-definition TV

to three hundred high-definition TV

to three hundred high-definition TV channel I’ve got a new process silicon

channel I’ve got a new process silicon

channel I’ve got a new process silicon to make 25,000 I phone cameras but what

to make 25,000 I phone cameras but what

to make 25,000 I phone cameras but what I’m doing is an imaging treating the

I’m doing is an imaging treating the

I’m doing is an imaging treating the same type of radiation but this reduces

same type of radiation but this reduces

same type of radiation but this reduces these are using the same

so now the right now

so now the right now Oh

now this will be a great food

now this will be a great food especially convenient

okay thanks very much because as I say

okay thanks very much because as I say program CT or may not just robust

program CT or may not just robust

program CT or may not just robust treatments for optional ones

”

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