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Radiation Oncology

Dr. Samantha Van Nest, Ph.D., initiates and receives funding for a novel research project related to Early Immunogenic Signaling Initiated by Proton FLASH.

Dr. Van Nest (“Sam”) approached Professors Stewart and Sandison on a project of special interest to her a few months into her Medical Physics residency. We worked with her to build a multi-disciplinary team so she could pursue her passion for translational research at the intersection of physics, radiation biology and clinical advancement.

Her project was funded through a prestigious 2024-2025 grant from the Aldarra Foundation. She has been the driving force and inspiration for all aspects of the project; she has taken on a leadership role in the effort to train radiation biology staff on new procedures and is an effective collaborator with all members of our team.

Project Summary

Radiation therapy (RT) has been shown to increase tumor immunogenicity, supporting synergy between RT and immunotherapy. We propose that the therapeutic ratio of proton FLASH RT could be further improved beyond reported studies in the literature of normal tissue sparing by capitalizing on RT induced anti-tumor immunity. This would lead to enhanced tumor-cell targeting by the immune system and support combinations of FLASH RT and immunotherapy. We propose to investigate the role of FLASH RT to modulate key immunogenic and immune suppressive markers in tumors and normal tissue. We will investigate in vitro the extent to which FLASH RT influences antigen processing and presentation, micronuclei formation and rupture, and type-I interferon signaling in breast cancer and normal breast cell lines. This work has the potential to establish fundamental evidence that FLASH RT leads to immunogenic signaling in tumors, or alters signaling in healthy cells, which could be exploited to improve the care of breast patients with radiation-resistant disease through a combination of FLASH RT and immunotherapeutics.


PI and co-PI:

Emily Hatch, Ph.D., Assistant Professor, Basic Sciences and Human Biology, Fred Hutch Cancer Center. Robert D Stewart, Ph.D., Professor of Radiation Oncology and Medical Physicist at the University of Washington (UW).


Co-Investigators: Samantha Van Nest, Ph.D. UW Medical Physics resident

Dani Johnson Erickson, Ph.D., Director, UW Radiation Biology Laboratory; Marissa Kranz, M.S, Director of the UW MCF; George A Sandison, Ph.D., Professor of UW Radiation Oncology and Medical Physics; Keith Stantz, Ph.D. Associate Professor in the School of Health Sciences at Purdue University; Ning Cao, Ph.D. Associate Professor of UW Radiation Oncology; Sunan Cui, Ph.D. Assistant Professor of UW Radiation Oncology


Dr. Andrew Trister Recognized with Alumni Early Achievement Award

Andrew Trister, MD, PhD, Res. ’10, Chief Res. ’14

We honor Dr. Andrew Trister for his early-career achievements as a leader and innovator in expanding access to healthcare through technology. Dr. Trister led the Bill & Melinda Gates Foundation’s efforts to accelerate the development and adoption of molecular and antigen tests during the COVID-19 pandemic. His career highlights include serving as the Chief Medical and Scientific Officer at Verily, as deputy director of digital health and artificial intelligence at the Bill & Melinda Gates Foundation and as a founding member of Apple’s Health team. His leadership roles, including board positions and advisory roles in healthcare companies, further illustrate his commitment to advancing global health through technology and innovation. Dr. Trister is an active mentor and contributes to scholarly work in healthcare and technology that focuses on improving healthcare access and delivery worldwide.

Image of Andrew Trister, Alumni.

Alumni Early Achievement Award Overview

Honors an alum who graduated within the last 20 years and has excelled in their career, making significant contributions to public health through clinical care, medical science, research, humanitarianism or administrative activities.