[lurking_swe]

An x ray machine can be used “locally” without uploading the images into the IT system. So i don’t understand the question. If it was designed to be cloud only then that would be horrendous design (IMO).

The x ray machine would still work, it’s connected directly to a PC. A doctor can look at the image on the computer without asking some fancy cloud AI.

A power outage on the other hand is a true worst case scenario but that’s different.

[stavros]

I'm not talking about the IT system, I'm talking about when the X-ray machine breaks, same as how we're talking about when the colonoscopy diagnosis machine breaks.

[fzeroracer]

How often do you think the x-ray machine breaks vs how often software shits the bed?

Like one of the biggest complaints I've heard around hospital IT systems is how brittle they are because there are a million different vendors tied to each component. Every new system we add makes it more brittle.

[d3vnull]

Seems like a pretty easy fix in treating the system that runs the cancer detection algorithm as an hospital machine and not as part of the IT system. It can be an airgapped system that runs just the needed software in a a controlled configuration.

This is not new, lots of mission critical software systems are run like this.