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$5 device tests for breast cancer in under 5 seconds: study

studyfinds.org

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Re: $5 device tests for breast cancer in under 5 seconds: study

#91

The PCB picture above the words "...The printed circuit board used in the saliva-based biosensor,..." makes me think the article is a scam. As a electronics engineer the word labels seem to be not especially relevant to the invention. Who makes boards with lots DIP chips?

Yea, I was really curious about those.

I mean… even if we were talking some special hardware, that’s still PLC territory.

My reading was this isn’t $5, but could be made to be $5.

This is clearly a prototype.

Re: $5 device tests for breast cancer in under 5 seconds: study

#92

Using the performance in the paper, the false positive rate means the current test in clinically useless (due to harm from screening and follow-up). Refining the test requires improving the selection of biomarkers and antibodies, not the hardware (which looks great).

No offense, but as someone that makes hardware devices, that hardware does not look great. It looks the very opposite of great.

Through hole DIP array? This is a prototype and it makes me skeptical of the whole thing. There is nothing a single $5 FPGA couldn’t do. So why not start there? I suspect because the people that made this doesn’t know electronics or programming well - but then also didn’t find someone that did.

This was put together the way long way, and it’s strange to me.

Re: $5 device tests for breast cancer in under 5 seconds: study

#94

Earlier quoted context omitted.

First standout thing I noticed is the “patern generator” array of DIPs - admittedly without having dived into the paper, any answers from the hive mind what they’re doing?

From the paper: > Synchronous voltage pulses are sent to both the electrode of the strip connecting to the gate and drain electrodes of the MOSFET. The drain pulse is applied for around 1.1 ms at a constant voltage. The gate pulse starts at 40 μs after the drain pulse and ends at 40 μs before the end of the drain pulse. > the antigen-antibody complexes undergo stretching and contracting, akin to double springs, in re…

There are a million people that could do this with a single FPGA in an afternoon. Why were none of them approached?

Re: $5 device tests for breast cancer in under 5 seconds: study

#95

Earlier quoted context omitted.

Yeah, this looks like an Apple IIe logic board to me.

Commodity logic ICs ubiquitous and totally capable if needs are well-matched; it’s perhaps a deliberate prototype engineering/development choice.

Any FPGA could do the work smaller, faster, cheaper. So, I’m still skeptical.

Re: $5 device tests for breast cancer in under 5 seconds: study

#96
post #45
post #43

Earlier quoted context omitted.

That depends on how harmful the screening is, how harmful treatment is, how harmful the disease is, how well the test works, and how common the disease is. (probably more that I'm not aware of) Most cancer treatments are really nasty. Thus false positives are really bad: you destroy someone's quality of life. The earlier cancer is discovered the better chance that we can use a less harmful treatment (if only because…

>about 1 in 3000 cases of breast cancer discovered by xray wouldn't have got breast cancer in the first place without the screening I had no idea the risks associated with xrays for breast cancer screenings were that high. Do you have a source (for that 1:3000 assertion) I can read?

Communication with someone who claims to be in the know. It seems reasonable, but I don't have a source and I welcome someone who cares more to go more in depth.

Re: $5 device tests for breast cancer in under 5 seconds: study

#97

Earlier quoted context omitted.

A device such as this would never replace an MRI scan. The information provided is for screening purposes, at best. Also, diagnosis would typically be done using a mammography. The cost of such a scan is lower - around $100[0]. [0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4142190/

Diagnosis is done via biopsy.

That is correct, my bad. The next screen after a test like this would likely be a mammography, and only after that would a biopsy be done if anything suspicious was seen.

Re: $5 device tests for breast cancer in under 5 seconds: study

#98
post #57

Earlier quoted context omitted.

You can absolutely draw conclusions about the statistical power of the test. That’s what statistics is for. If this sample data is randomly sampled it looks like it will be a fairly high precision test for invasive cancers, with room for false negatives. You would have had to have gotten very unlucky to see such a difference in distributions even on a small sample like this. But sure, let’s get more samples.

And this result probably helps the funding to get more patients. I’ve never worked in clinical trials but it seems like it would be so tiresome.

I ran many clinical trials during my career as an academic neurosurgical anesthesiologist. "... it seems like it would be so tiresome" is accurate; it's also exhausting in terms of the huge amount of time and effort required to get a study approved by the institutional review board; getting informed consent from prospective patients after an exhaustive explanation repeated over and over to each individual; actually doing the study; organizing the results; doing the statistical analysis required; writing the paper; waiting months to hear back from the journal's reviewers, often receiving a rejection letter; resubmitting the paper to another journal, sometimes several more; after having it accepted, revising the paper per the reviewers' comments before resubmission, sometimes going back and forth for months.

You can find my published papers here:

https://scholar.google.com/citations?user=5DdrMc8AAAAJ&hl=en

Re: $5 device tests for breast cancer in under 5 seconds: study

#99

Press release: https://publishing.aip.org/publications/latest-content/would... Actual publication: https://pubs.aip.org/avs/jvb/article/42/2/023202/3262988/Hig... Experiment size is literally N=21, with 4 healthy participants, 3 in-situ breast cancers, and 14 invasive breast cancers. N=21 might as well be useless in my opinion. You can't draw any meaningful conclusions about statistical power of this test; if your pr…

[deleted]

Re: $5 device tests for breast cancer in under 5 seconds: study

#100
post #57

Earlier quoted context omitted.

You can absolutely draw conclusions about the statistical power of the test. That’s what statistics is for. If this sample data is randomly sampled it looks like it will be a fairly high precision test for invasive cancers, with room for false negatives. You would have had to have gotten very unlucky to see such a difference in distributions even on a small sample like this. But sure, let’s get more samples.

Thank you for this! I get frustrated with the "N of only 21? Might as well flip a coin!" responses. Like you say, the whole purpose of statistical testing is to give an accurate, numeric value that says how likely the results are due to chance. One thing I'd note, though, is that the paper's title is "High sensitivity saliva-based biosensor in detection of breast cancer biomarkers: HER2 and CA15-3". My understanding…

People on HN (maybe elsewhere too) devote a lot of attention to sample sizes. I don't know the upthread commenter at all, but in general I suspect it's because that is an easy thing to understand about research and statistics, and it's a valid critique they've seen professionals use.

A normal human fallacy is to focus on the thing you understand, that is easy to understand (e.g., easy to quantify), and overlook the difficult issues that are far more important. There is much more, of much more importance going on in most of these studies, and in their statistics and validity, than the sample size.

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