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Article #938

Re: Time to boycott Photo CD

#938
From: Paul Repacholi
Date: Fri, 11 Sep 1992 16:11
29 lines
1995 bytes
In article <1992Sep9.164601.735@cognos.com>, mcgregoa@cognos.com (Alayne McGregor) writes:
...
Yeah I know it's not realy photography but....
> The problem with the Therac-25 radiation (not X-ray) machine was, from what
> I've read, both a hardware and software problem. The software malfunctioned in
> not correctly calculating the intensity of the radiation in certain unusual
> cases; the hardware interlocks that should have prevented this level of
> radiation from reaching the patient did not react fast enough.
> 

The Therac could be used fr electron beam or X-ray therapy. For X-ray use, the
beam current is *MUCH* higher, and a tungsten block anode is moved into the
path of the beam. The problem arose when the machine was A-B-A mode switched in
a short time. ( can't remember the exact sequence ) Anyway, you ended up with
the machine in X-ray mode but with the target OUT. You them proceed to zap them
with several AMPS of E beam...

> Furthermore, the problem only showed up if an operator entered an incorrect value
> and corrected that value within a few seconds. This kind of timing problem is
> *not* easy to find just by reading code.
> 

The machine in fact registed an error condition, "Malfunction 25"
the ops canceled it and proceded. If it had said

    " you are about to **KILL** the patient..." they would, I am sure, have
taken more notice and stoped t see what the hell was going on.

~Paul
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Message-ID: <1992Sep12.011142.1@cc.curtin.edu.au>
Path: arc1-ca.pugleaf.net!sparky!uunet!munnari.oz.au!uniwa!cujo!cc.curtin.edu.au!zrepachol
References: <glcnc4@dixie.com> <JIMB.92Sep4013256@occs.cs.oberlin.edu> <BURLEY.92Sep5160246@geech.gnu.ai.mit.edu> <1992Sep9.164601.735@cognos.com>

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Newsgroups: gnu.misc.discuss,rec.photo
Path: arc1-ca.pugleaf.net!sparky!uunet!munnari.oz.au!uniwa!cujo!cc.curtin.edu.au!zrepachol
From: zrepachol@cc.curtin.edu.au (Paul Repacholi)
Subject: Re: Time to boycott Photo CD
Message-ID: <1992Sep12.011142.1@cc.curtin.edu.au>
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Organization: Curtin University of Technology
References: <glcnc4@dixie.com> <JIMB.92Sep4013256@occs.cs.oberlin.edu> <BURLEY.92Sep5160246@geech.gnu.ai.mit.edu> <1992Sep9.164601.735@cognos.com>
Date: Fri, 11 Sep 1992 16:11:42 GMT