ABOUT THE SPEAKER
Joshua Smith - Cancer fighter
Motivated by his wife's bout with cancer, IBM's Joshua Smith applies his engineering expertise to early diagnosis.

Why you should listen

As a research scientist and technical team lead for IBM's Nanobiotechnology Program, Dr. Joshua Smith researches innovative healthcare technologies at the intersection of engineering and biology to better understand disease progression.

Smith's team recently developed a chip-based solution that can rapidly isolate biomarkers as small as 20 nanometers to help identify cancer development even before symptoms occur. He is a sought-after speaker on the subject of lab-on-a-chip applications for healthcare and his work has been highlighted by Forbes, CNN Money, IEEE Spectrum and Pharma Technology Focus, among other media outlets. As a Research Staff Member and IBM Master Inventor, Smith has co-authored more than a dozen peer-reviewed scientific publications and is a co-inventor of more than 30 issued patents.

Currently, Smith is focusing on the development of a suite of core capabilities to manipulate, separate and detect individual macromolecules, providing a technological backbone for automation in sample preparation, diagnostics and therapeutics. When not with his colleagues in the lab, Smith enjoys teaching tomorrow's researchers and engineers at Columbia University. 


More profile about the speaker
Joshua Smith | Speaker | TED.com
TED@IBM

Joshua Smith: New nanotech to detect cancer early

约书亚·史密斯: 探测癌症早期的纳米科技

Filmed:
1,060,909 views

如果每家每户都有一个癌症早期探测系统会怎样?研究员约书亚·史密斯正在研发纳米生物科技“癌症警报”,通过检验生物标记外泌体来追寻疾病轨迹。在这个思想前卫的演讲中,他向我们分享了革命性的癌症探测方法以及挽救生命的梦想。
- Cancer fighter
Motivated by his wife's bout with cancer, IBM's Joshua Smith applies his engineering expertise to early diagnosis. Full bio

Double-click the English transcript below to play the video.

00:16
"You have cancer癌症."
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“你患上了癌症。”
00:20
Sadly可悲的是, about 40 percent百分 of us will hear
those three words within our lifetime一生,
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不幸的是,大约有百分之四十的人
在他们的一生中会听到这几个字,
00:25
and half will not survive生存.
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这些人中的一半最终不治身亡。
00:28
This means手段 that two out of five
of your closest最近的 friends朋友 and relatives亲戚们
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这意味你的亲朋好友中 ,
五个有两个
00:32
will be diagnosed确诊
with some form形成 of cancer癌症,
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会被诊断出某种癌症,
其中一个会死去。
00:35
and one will die.
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00:39
Beyond the physical物理 hardships艰辛,
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除了身体上的痛苦之外,
00:40
roughly大致 one-third三分之一
of cancer癌症 survivors幸存者 here in the US
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美国差不多三分之一的癌症幸存者
会因为治疗负债累累,
00:43
will go into debt债务 from treatment治疗.
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他们申报破产的几率
00:45
And they're at least最小 two and a half times
more likely容易 to declare宣布 bankruptcy破产
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是没有得过癌症的人的2.5倍。
00:49
than those without cancer癌症.
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00:51
This disease疾病 is pervasive无处不在.
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这种疾病随处可见。
00:54
It's emotionally感情上 draining排水
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它使人承受感情上的痛苦,
00:55
and, for many许多,
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对很多人来说,
会对财政状况带来毁灭性的影响。
00:56
financially经济 destructive有害.
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00:59
But a cancer癌症 diagnosis诊断
doesn't have to be a death死亡 sentence句子.
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但是被诊断为癌症
并不是死亡判决书。
01:03
Finding查找 cancer癌症 early,
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越早发现,
01:05
closer接近 its genesis创世纪,
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越靠近它的发生和起源,
01:07
is one of the critical危急 factors因素
to improving提高 treatment治疗 options选项,
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就有越多治疗手段可以采取,
减少精神冲击,
01:10
reducing减少 its emotional情绪化 impact碰撞
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并且最小化经济负担。
01:12
and minimizing减少 financial金融 burdens负担.
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01:15
Most importantly重要的,
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最重要的是,
01:16
finding发现 cancer癌症 early --
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尽早发现癌症——
01:18
which哪一个 is one of the primary
aims目标 of my research研究 --
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这就是我研究的根本目标——
极大增加了存活下来的可能。
01:21
greatly非常 enhances提高 your odds可能性 of survival生存.
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01:24
If we just look at the case案件
of breast乳房 cancer癌症 for example,
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如果拿乳腺癌来举例,
01:26
we find that those who are diagnosed确诊
and treated治疗 at stage阶段 one
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我们发现在第一阶段
诊断并治疗的患者,
几乎全部都能继续生活五年以上——
01:30
have a five-year五年 survival生存 rate
of nearly几乎 100 percent百分 --
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01:34
odds可能性 that decrease减少 to just 22 percent百分
if treated治疗 at stage阶段 four.
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如果停留到第四阶段才开始治疗,
该事件的几率就只有22%。
01:40
And similar类似 trends趋势 are found发现
for colorectal and ovarian卵巢 cancer癌症.
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在结肠癌和卵巢癌中也存在相似的规律。
01:46
Now, we're all aware知道的
that an early diagnosis诊断 that is accurate准确
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现在,我们都知道,
在早期得到准确的检测结果
是存活的决定性因素。
01:51
is critical危急 for survival生存.
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01:55
The problem问题 is that many许多
cancer癌症 diagnostic诊断 tools工具 are invasive侵入的,
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问题在于,很多检验癌症的工具
会对患者带来很大伤害,
01:59
costly昂贵,
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价格昂贵,
经常不准确,
02:00
often经常 inaccurate不准确
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并且它们耗时很久。
02:01
and they can take an agonizing折腾
amount of time to get the results结果 back.
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02:06
Still worse更差, when it comes
to some forms形式 of cancer癌症,
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更不好的是,对于某些癌症,
02:08
such这样 as ovarian卵巢,
liver or pancreatic cancer癌症,
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比如说卵巢癌、肝癌和胰腺癌,
我们甚至缺少有效的检测手段,
02:13
good screening筛查 methods方法 simply只是 don't exist存在,
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02:16
meaning含义 that often经常 people wait
until直到 physical物理 symptoms症状 surface表面,
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这意味着人们只能等到病情表露时,
这同时也意味着病情已经进入晚期。
02:20
which哪一个 are themselves他们自己 already已经
indicators指标 of late-stage后期 progression级数.
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02:25
Like a tornado龙卷风 strike罢工 in an area
without an early warning警告 system系统,
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就好像飓风来之前没有有效的预警,
02:29
there is no alarm报警 to warn警告,
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癌症没有警告信号,
因为在你的生存几率被大幅降低的同时,
02:31
for the danger危险 is already已经 at your doorstep门阶
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危险已经近在咫尺。
02:34
when your odds可能性 of survival生存
are greatly非常 reduced减少.
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02:39
Having the convenience方便 and accessibility无障碍
of regular定期 screening筛查 options选项
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因此,我们必须要尽快研发出一种
02:43
that are affordable实惠, noninvasive无创
and could provide提供 results结果 much sooner,
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方便可行、能够负担且
不会造成伤害的常规检验方式,
这种检验方式就是我们对抗癌症的强大武器。
02:49
would provide提供 us with a formidable强大
weapon武器 in the fight斗争 against反对 cancer癌症.
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02:54
An early warning警告 would allow允许 us
to get out ahead of the disease疾病
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提早发现能够使我们在治疗中抢占先机
02:57
instead代替 of merely仅仅
following以下 in its relentless wake唤醒.
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而非仅仅追赶它的步伐,
这就是我一直以来尝试去做的。
03:00
And this is exactly究竟 what I've been doing.
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在过去的三年中,
03:02
For the past过去 three years年份,
I've been developing发展 technologies技术
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我一直在研发能够为诊疗师带来
03:05
that could ultimately最终 aid援助 clinicians临床医生
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早期、即时癌症诊疗的科技。
03:07
with rapid快速, early-stage早期
cancer癌症 diagnostics诊断.
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03:10
And I've been fueled燃料
by a deep scientific科学 curiosity好奇心,
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促使我坚持下去的是强烈的科学好奇心,
03:14
and a passion to change更改 these statistics统计.
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以及改变现有数据的激情。
03:18
Last year however然而,
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去年,
03:20
this fight斗争 became成为 much more personal个人
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当我的妻子被诊断出乳腺癌时,
03:24
when my wife妻子 was diagnosed确诊
with breast乳房 cancer癌症.
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这种奋斗增加了更多的个人因素。
03:27
It was an experience经验 that added添加 a strong强大
and unexpected意外 emotional情绪化 dimension尺寸
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这个经历为我的研究增加了
空前强烈的感情维度。
03:32
to these efforts努力.
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03:35
I know firsthand第一手 how life-altering改变生活
treatment治疗 can be,
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我亲身经历了治疗手段对人生轨迹的改变,
03:39
and I'm keenly敏锐地 aware知道的
of the emotional情绪化 havoc浩劫
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并且我十分清楚它带来的精神灾难,
03:42
that cancer癌症 can wreak发泄 on a family家庭,
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癌症会使圆满的家庭经历浩劫,
对我们来说,还包括了两个年幼的女儿。
03:44
which哪一个 in our case案件
included包括 our two young年轻 daughters女儿.
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03:48
Because we found发现 it early
during a routine常规 mammogram乳房X光检查,
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因为我们在定期乳房检查中及早发现,
03:51
we were able能够 to focus焦点
primarily主要 on treatment治疗 options选项
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我们能够采取各种治疗手段,
定位肿瘤,
03:55
for the localized本地化 tumor,
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又一次是使我意识到早期诊断的重要性。
03:56
reaffirming重申 to me
how important重要 an early diagnosis诊断 is.
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04:02
Unlike不像 other forms形式 of cancer癌症,
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与其他癌症种类不同,
04:05
mammograms乳房X光检查 do offer提供 an early-stage早期
screening筛查 option选项 for breast乳房 cancer癌症.
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乳房X光为乳腺癌提供了一种早期的检查方式。
04:09
Still, not everyone大家 has this doneDONE,
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但并非所有人都会接受检查,
或者她们在中年之前,
也就是推荐接受检查的时间,
04:11
or they may可能 develop发展 breast乳房 cancer癌症
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04:12
before the middle中间 age年龄 recommendation建议
for having a mammogram乳房X光检查.
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就已经患上乳腺癌。
04:17
So, there's still
a lot of room房间 for improvement起色,
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所以,我们还有很大前进的空间,
04:19
even for cancers癌症
that do have screening筛查 options选项,
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即便是那些有检查方式的癌症,
另外,这对发现当今未知的诊断手法
也有极大的作用。
04:22
and, of course课程, considerable大量 benefits好处
for those that don't.
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04:25
A key challenge挑战 then
for cancer癌症 researchers研究人员
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对癌症研究者最重要的挑战在于
04:28
is to develop发展 methods方法
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找到一种可行的,
04:29
that make regular定期 screening筛查
for many许多 types类型 of cancers癌症
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能够用于
多种癌症检查的途径。
04:33
much more accessible无障碍.
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04:35
Imagine想像 a scenario脚本
where during your regular定期 checkup检查,
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想象一下,在常规体检中,
04:39
your doctor医生 can take
a simple简单, noninvasive无创 urine尿 sample样品,
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医生能够简单地取一份尿液样本,
或者其他一份活细胞样本,
04:42
or other liquid液体 biopsy活检,
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04:44
and present当下 you with the results结果
before you even leave离开 the doctor's医生 office办公室.
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在你离开诊所之前就能够给你结果。
04:48
Such这样 a technology技术 could
dramatically显着 reduce减少 the number of people
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这样一种科技能够极大程度上减少
04:52
who slip through通过 the net
of an early-stage早期 cancer癌症 diagnosis诊断.
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错过早期诊断的人数。
04:56
My research研究 team球队
of engineers工程师 and biochemists生物化学家
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我研究队伍中的工程师和生化学家,
04:59
is working加工 on exactly究竟 this challenge挑战.
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就在向该目标努力。
05:02
We're working加工 on ways方法 to frequently经常
activate启用 an early-stage早期 cancer癌症 alarm报警
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我们想要找到一种能够频繁触发
早期癌症诊断的方式,
05:07
by enabling启用 regular定期 screenings放映
that would start开始 when a person is healthy健康
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在人们仍处于健康状态时
就开始定期检查,
所以一旦产生癌症征兆,
人们就可以马上采取行动,
05:11
so that action行动 could be taken采取
to stop cancer癌症 the moment时刻 it emerges出现,
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而不是等到过了初期治疗阶段。
05:16
and before it can progress进展
beyond its infancy婴儿期.
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05:20
The silver bullet子弹 in this case案件
are tiny vesicles囊泡,
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这里的杀手锏是一种极小的囊泡,
05:23
little escape逃逸 pods regularly经常 shed
by cells细胞 called exosomes外来体.
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是一种名为外泌体的
由细胞发散的茧状物。
05:28
Exosomes外来体 are important重要 biomarkers生物标记物
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外泌体作为重要的生物标记
05:31
that provide提供 an early-warning预先警告 system系统
for the development发展 of cancer癌症.
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在癌症发展过程中起到了早期警告作用。
05:35
And because they're abundantly丰富地 present当下
in just about every一切 bodily身体 fluid流体,
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因为它们在体液中大量存在,
05:39
including包含 blood血液, urine尿 and saliva唾液,
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包括血液、尿液和唾液,
它们可以被用于
不对人体造成伤害的活组织检查。
05:41
they're extremely非常 attractive有吸引力
for noninvasive无创 liquid液体 biopsies活检.
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05:47
There's just one problem问题.
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但是有一个问题。
05:48
An automated自动化 system系统 for rapidly急速 sorting排序
these important重要 biomarkers生物标记物
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能够将生物标记快速分类的
自动机制当下并不存在。
05:52
is not currently目前 available可得到.
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05:55
We've我们已经 created创建 a technology技术
that we call nano-DLD纳米
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我们称这个科技为nano-DLD,
它的功能是:
05:59
that is capable of precisely恰恰 this:
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06:01
automated自动化 exosome外来体 isolation隔离
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通过自动的将外泌体分离,
实现快速癌症诊断。
06:04
to aid援助 rapid快速 cancer癌症 diagnostics诊断.
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06:08
Exosomes外来体 are the newest最新
early-warning预先警告 weapon武器, if you will,
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外泌体是出现在活体细胞中
06:11
to emerge出现 on the liquid液体 biopsy活检 front面前.
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最新发现的早期预警武器。
它们十分微小。
06:13
And they're really, really small.
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它们的直径仅仅是30到150纳米。
06:16
They measure测量 just 30 to 150
nanometers纳米 in diameter直径.
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06:20
This is so tiny
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它们太小,
06:21
that you could fit适合 about a million百万
of them into a single red blood血液 cell细胞.
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以至于你能够在一个红细胞里放一百万个。
06:25
That's roughly大致 the difference区别
between之间 a golf高尔夫球 ball
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差不多是一个高尔夫球
06:28
and a fine grain粮食 piece of sand.
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和一粒沙子大小的区别。
06:30
Once一旦 thought to be little bins垃圾箱
for unwanted不需要 cellular细胞的 waste浪费,
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虽然它们曾经被认为是储存细胞废物的容器,
06:34
it has been found发现
that cells细胞 actually其实 communicate通信
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但有发现证明 ,
细胞通过
产生和吸收外泌体进行沟通交流,
06:37
by producing生产 and absorbing吸收 these exosomes外来体
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因为外泌体里面含有表面接收器,
06:40
which哪一个 contain包含 surface表面 receptors受体,
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蛋白质和从产生细胞中收集的遗传信息。
06:43
proteins蛋白质 and other genetic遗传 material材料
collected from their cell细胞 of origin起源.
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06:48
When absorbed吸收 by a neighboring邻接 cell细胞,
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当被临近的细胞吸收之后,
06:51
exosomes外来体 release发布 their contents内容
into the receiving接收 cell细胞,
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外泌体会将内部物质释放出来,
造成大幅度的遗传信息改变——
06:55
and can set in motion运动
fundamental基本的 changes变化 in gene基因 expression表达 --
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有些是好的,
06:58
some good,
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有些是不好的,
06:59
and this is where cancer癌症 comes in,
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这就是癌症的成因。
07:01
some bad.
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因为它们被包裹在母细胞里,
07:02
Because they are clothed丰衣足食
in the material材料 of the mother母亲 cell细胞,
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并且包含一份环境样本,
07:06
and contain包含 a sample样品 of its environment环境,
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它们为细胞的健康和起源
提供了一份参考信息。
07:08
they provide提供 a genetic遗传 snapshot快照
of that cell's细胞 health健康 and its origin起源.
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07:15
All of these qualities气质
make exosomes外来体 invaluable无价 messengers使者
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这些特质使得它们
成为有效的信息来源,
07:18
that potentially可能 allow允许 physicians医师
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让医生发现了
去从细胞层面检测健康水平的可能性。
07:20
to eavesdrop窃听 on your health健康
at the cellular细胞的 level水平.
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07:24
To catch抓住 cancer癌症 early, however然而,
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但是要想尽早发现癌症,
07:25
you have to frequently经常
intercept截距 these messages消息
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你必须要频繁拦截查看这些信息,
看体内的致癌物质,
07:28
to determine确定 when cancer-causing致癌
troublemakers闹事 within your body身体
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有没有打算发生癌变,
07:32
decide决定 to start开始 staging分期 a coup政变,
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这也是为什么定期体检十分重要,
07:34
which哪一个 is why regular定期
screening筛查 is so critical危急
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以及为什么我们要发展
能够察觉癌症的科技。
07:37
and why we're developing发展
technologies技术 to make this possible可能.
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07:41
While the first exosome-based外来体为主 diagnostics诊断
emerged出现 on the market市场 just this year,
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第一个外泌体检验
仅仅是今年才在市场上出现,
它们还不是体检的主流选择。
07:46
they are not yet然而 part部分
of mainstream主流 healthcare卫生保健 options选项.
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07:51
In addition加成 to their recent最近 emergence紧急情况,
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除了出现的时间过短以外,
07:53
another另一个 factor因子 that's limiting限制
their widespread广泛 adoption采用
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另外一个影响普及的因素是
现在还没有发现合适的
自发分离系统,
07:56
is that currently目前, no automated自动化
exosome外来体 isolation隔离 system系统 exists存在
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来降低定期检查的价格。
08:00
to make regular定期 screening筛查
economically经济 accessible无障碍.
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08:04
The current当前 gold standard标准
for exosome外来体 isolation隔离
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当下外泌体分离的最佳途径,
08:07
includes包括 ultracentrifugation超速,
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比如超速离心法,
这个过程需要昂贵的实验器材,
08:09
a process处理 requiring要求
expensive昂贵 laboratory实验室 equipment设备,
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经过专业培训的技术人才,
08:12
a trained熟练 lab实验室 tech高科技
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以及差不多30个小时来
处理一份样本。
08:14
and about 30 hours小时 of time
to process处理 a sample样品.
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08:18
We've我们已经 come up with a different不同 approach途径
for achieving实现 automated自动化 exosome外来体 isolation隔离
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我们想到了一种不同的途径达到同样的目的,
利用一份样本,比如尿液。
08:23
from a sample样品 such这样 as urine尿.
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08:25
We use a chip-based基于芯片的, continuous连续 flow
separation分割 technique技术
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我们使用芯片基础的流动分离技术,
08:29
called deterministic确定性 lateral displacement移位.
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这个技术名为确定性侧向位移。
通过这种技术我们达到了
08:32
And we have doneDONE with it
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半导体产业过去50年试图达到的目标。
08:34
what the semiconductor半导体 industry行业 has doneDONE
so successfully顺利 for the past过去 50 years年份.
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我们将这种技术的维度
08:38
We shrunk压缩 the dimensions尺寸
of this technology技术
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从微米降到了真正的纳米。
08:40
from the micron微米 scale规模
to the true真正 nanoscale纳米级.
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08:44
So how does it work?
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它的工作原理是什么呢?
08:46
In a nutshell简而言之,
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简单来说,
许多之间有纳米级空隙的极小柱子,
08:47
a set of tiny pillars支柱
separated分离 by nanoscopic纳米级 gaps空白
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组成一种能将
08:51
are arranged安排 in such这样 a way
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流体分离开的形式,
08:52
that the system系统 divides分歧
the fluid流体 into streamlines流线,
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在这种模式下 ,
与癌症相关的纳米粒子
08:55
with the larger cancer-related癌症相关
nanoparticles纳米粒子 being存在 separated分离
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会在改道过程中与较小的健康粒子分开,
08:59
through通过 a process处理 of redirection重定向
from the smaller, healthier健康 ones那些,
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比较之下,
09:03
which哪一个 can in contrast对比
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健康的粒子会顺着流向,
09:04
move移动 around the pillars支柱
in a zigzag-type锯齿型 motion运动
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在柱子周围沿着Z字形移动。
09:07
in the direction方向 of fluid流体 flow.
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09:10
The net result结果 is a complete完成 separation分割
of these two particle粒子 populations人群.
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4000
最后就得到完全分开的两种粒子。
09:15
You can visualize想象 this separation分割 process处理
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你能够直观地看到这个分离过程,
09:19
similar类似 to traffic交通 on a highway高速公路
that separates中隔离 into two roads道路,
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就好像高速路上的车分成两路一样,
一条路连到低高度的穿山隧道,
09:23
with one road going into
a low-clearance低通关 tunnel隧道 under a mountain,
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另一条绕过山脉。
09:26
and the other road going around it.
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小车可以走隧道,
09:28
Here, smaller cars汽车
can go through通过 the tunnel隧道
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带有危险品的卡车
09:31
while larger trucks卡车,
carrying携带 potentially可能 hazardous危险 material材料,
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就只能绕路。
09:34
are forced被迫 to take the detour車輛改道 route路线.
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09:37
Traffic交通 is effectively有效 separated分离
by size尺寸 and contents内容
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通过区分大小和负载的物质种类,
在不影响车流的前提下
09:41
without impeding阻碍 its flow.
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2016
交通就有效地被分离了。
把这缩小很多倍,
就得到我们的系统的工作原理。
09:43
And this is exactly究竟 how our system系统 works作品
on a much, much smaller scale规模.
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09:49
The idea理念 here is that
the separation分割 process处理 for screening筛查
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这里用到的理念是,
癌症检查用到的分离
09:53
could be as simple简单 as processing处理
a sample样品 of urine尿, blood血液 or saliva唾液,
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可以只是简单地分析尿液、血液或者唾液,
这是在很近的未来就有希望解决的问题。
09:57
which哪一个 is a near-term短期 possibility可能性
within the next下一个 few少数 years年份.
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我们希望
最终能够用这种手段分离出
10:00
Ultimately最终,, it could be used
to isolate隔离 and detect检测 target目标 exosomes外来体
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与特定癌症相关的外泌体,
10:06
associated相关 with
a particular特定 type类型 of cancer癌症,
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并且在几分钟之内就生成检验结果。
10:09
sensing传感 and reporting报告
their presence存在 within minutes分钟.
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10:12
This would make rapid快速 diagnostics诊断
virtually实质上 painless无痛人流.
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这样就能够使快速检验完全无痛。
10:16
Broadly speaking请讲,
185
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大体来说,
10:18
the ability能力 to separate分离
and enrich丰富 biomarkers生物标记物
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有了自动化的途径以及纳米层面的精准
分离的手段与对生物标记的使用,
10:20
with nanoscale纳米级 precision精确
in an automated自动化 way,
187
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10:24
opens打开 the door to better understanding理解
diseases疾病 such这样 as cancer癌症,
188
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为我们打开了解癌症等疾病的大门,
10:27
with applications应用 ranging不等
from sample样品 preparation制备 to diagnostics诊断,
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这种技术有各种各样的应用,
从样品准备到诊断学,
从抗药性检测到治疗学。
10:31
and from drug药物 resistance抵抗性
monitoring监控 to therapeutics疗法.
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10:35
Even before my wife's妻子 bout回合 with cancer癌症,
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在我妻子患上癌症之前,
10:37
it was a dream梦想 of mine to facilitate促进
the automation自动化 of this process处理 --
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实现检验自动化就是我的梦想——
10:41
to make regular定期 screening筛查 more accessible无障碍,
193
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希望能使得常规检查更加亲民,
10:44
similar类似 to the way Henry亨利 Ford
made制作 the automobile汽车 accessible无障碍
194
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就像是亨利·福特
通过发展流水线,
10:47
to the general一般 population人口
195
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让汽车能够进入平常百姓的生活。
10:49
through通过 development发展 of the assembly部件 line线.
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自动化是实现亲民的根本。
10:51
Automation自动化 is the key to accessibility无障碍.
197
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10:56
And in the spirit精神 of the Hoover胡佛 dream梦想,
198
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就好像胡佛之梦的中心,
10:58
"a chicken in every一切 pot
and a car汽车 in every一切 garage车库,"
199
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“炖锅里有鸡肉,车库里有汽车,”
我们在发展的这项技术
11:01
we're developing发展 a technology技术
200
649080
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最终能够将早期癌症检测系统
11:02
that could ultimately最终 place地点
an early-warning预先警告 cancer癌症 detection发现 system系统
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带给每个人。
11:06
in every一切 home.
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1200
11:08
This would allow允许
every一切 man, woman女人 and child儿童
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这能够给男性、女性和小孩
11:10
the opportunity机会 to be regularly经常 tested测试
while they're still healthy健康,
204
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在健康时就开始定期检测的机会,
在癌症的萌芽阶段及时采取措施。
11:14
catching cancer癌症 when it first emerges出现.
205
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11:17
It is my hope希望 and dream梦想
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我的希望和梦想,
11:18
to help people around the world世界
avoid避免 the high costs成本 --
207
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就是帮助全世界的人
省去高昂的开支——
11:22
physical物理, financial金融 and emotional情绪化 --
208
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2536
以及免去癌症患者所面对的——
我十分熟悉的
11:25
faced面对 by today's今天的 cancer癌症 patients耐心,
209
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物质、经济和精神灾难。
11:27
hardships艰辛 that I'm well acquainted熟悉 with.
210
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2320
11:31
I'm also happy快乐 to report报告 that because
we caught抓住 my wife's妻子 cancer癌症 early,
211
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我还想高兴地告诉大家,
因为我们发现得早,
11:35
her treatment治疗 was successful成功,
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我妻子的癌症治疗十分有效,
万幸,她现在已经被完全治愈。
11:37
and she is now, thankfully感激地, cancer-free癌症免费.
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(掌声)
11:39
(Applause掌声)
214
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2200
11:48
It is an outcome结果 that I would like to see
for everyone大家 with a cancer癌症 diagnosis诊断.
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4400
对于每一个癌症患者,
我都希望能看到同样的结果。
11:53
With the work that my team球队
has already已经 doneDONE
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对于我们正在进行的
11:55
on separation分割 of nanoscale纳米级 biomarkers生物标记物
217
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快速、早期癌症诊疗的
纳米生物标记分离的研究结果,
11:58
for rapid快速, early-stage早期 cancer癌症 diagnostics诊断,
218
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在接下来十年中,
12:01
I am optimistic乐观
that within the next下一个 decade,
219
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2536
我相信这种技术一定会被实现,
12:03
this type类型 of technology技术 will be available可得到,
220
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被用来保护我们的朋友、家人和子孙后代。
12:06
helping帮助 protect保护 our friends朋友,
our family家庭 and future未来 generations.
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12:10
Even if we are so unlucky不幸的
as to be diagnosed确诊 with cancer癌症,
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即便我们不幸被诊断出癌症,
12:14
that early-stage早期 alarm报警
will provide提供 a strong强大 beacon烽火 of hope希望.
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早期诊断会带来更大治愈的希望。
12:18
Thank you.
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谢谢大家。
12:19
(Applause掌声)
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(掌声)
Translated by Diana Li
Reviewed by Elvis Liu

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ABOUT THE SPEAKER
Joshua Smith - Cancer fighter
Motivated by his wife's bout with cancer, IBM's Joshua Smith applies his engineering expertise to early diagnosis.

Why you should listen

As a research scientist and technical team lead for IBM's Nanobiotechnology Program, Dr. Joshua Smith researches innovative healthcare technologies at the intersection of engineering and biology to better understand disease progression.

Smith's team recently developed a chip-based solution that can rapidly isolate biomarkers as small as 20 nanometers to help identify cancer development even before symptoms occur. He is a sought-after speaker on the subject of lab-on-a-chip applications for healthcare and his work has been highlighted by Forbes, CNN Money, IEEE Spectrum and Pharma Technology Focus, among other media outlets. As a Research Staff Member and IBM Master Inventor, Smith has co-authored more than a dozen peer-reviewed scientific publications and is a co-inventor of more than 30 issued patents.

Currently, Smith is focusing on the development of a suite of core capabilities to manipulate, separate and detect individual macromolecules, providing a technological backbone for automation in sample preparation, diagnostics and therapeutics. When not with his colleagues in the lab, Smith enjoys teaching tomorrow's researchers and engineers at Columbia University. 


More profile about the speaker
Joshua Smith | Speaker | TED.com

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