ABOUT THE SPEAKER
Yoav Medan - Medical inventor
With his team, Yoav Medan is developing a tool for incision-less surgery via focused ultrasound.

Why you should listen

Yoav Medan is the Chief Systems Architect at InSightec Ltd. in Israel, where he works on MRI-guided guided focused ultrasound technology. Before this, he spent 17 years in research and management at the IBM Research Division and was elected to the IBM Academy of Technology. Medan has taught at the EE department at the Technion, Israel Institute of Technology, in addition to serving as a lecturer for Avionic Systems at the Aeronautical Engineering faculty, and mentors young enterpreneurs as part of the Technion Alumni "Technion for Life" program. He plans a 2012 sabbatical as an associate professor at the BioMedical Engineering department of the Technion and its Autonomous Systems Program.

Medan is also the inventor of the QR-code enabled tombstone. Read Adam Ostrow's Q&A with Yoav Medan at TEDGlobal >>

More profile about the speaker
Yoav Medan | Speaker | TED.com
TEDMED 2011

Yoav Medan: Ultrasound surgery -- healing without cuts

约弗・麦登:超声波手术-无创愈合

Filmed:
842,915 views

试想一下一个不用动刀子的手术。在TEDMED,约弗・麦登分享了一项技术,通过使用核磁共振成像发现病灶,并聚焦超声波来治疗诸如脑部病变、子宫肌瘤和集中癌病变。
- Medical inventor
With his team, Yoav Medan is developing a tool for incision-less surgery via focused ultrasound. Full bio

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

00:15
Over the last 13 years年份 --
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在过去的13年里-
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one, three, 13 years年份 --
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1,3,13年-
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I've been part部分 of an exceptional优秀 team球队 at InSightecInSightec的 in Israel以色列
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我作为以色列InSightech里一个优秀团队里的一员
00:22
and partners伙伴 around the world世界
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协同世界各地的同道之士
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for taking服用 this idea理念, this concept概念,
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将一个新构想,一个理念
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noninvasive无创 surgery手术,
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——非侵入性手术
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from the research研究 lab实验室 to routine常规 clinical临床 use.
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从研究实验室带进日常临床应用
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And this is what I'll tell you about.
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这将是我要谈论的话题
00:34
13 years年份 --
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13年-
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for some of you, you can empathize同情 with that number.
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在座各位当中有些人会对这个数字产生共鸣
00:39
For me, today今天, on this date日期,
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对我来说
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it's like a second第二 bar酒吧 mitzvah成人礼 experience经验.
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就像第二次成年礼一样
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(Laughter笑声)
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(笑声)
00:46
So this dream梦想
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这个梦想的
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is really enabled启用
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实现是
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by the convergence收敛
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两项现存技术
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of two known已知 technologies技术.
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结合的结果
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One is the focused重点 ultrasound超声,
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一个是聚焦超声
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and the other one is the
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另一个是
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vision-enabled启用视觉 magnetic磁性 resonance谐振 imaging成像.
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可视化磁共振成像技术
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So let's first talk about focused重点 ultrasound超声.
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首先来谈谈聚焦超声
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And I hold保持 in my hand
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我手里是
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a tissue-mimicking仿组织 phantom幻影.
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一个组织模型
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It is made制作 out of silicon.
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由硅材料制成
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It is transparent透明, made制作 just for you.
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透明的,便于大家观察
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So you see, it's all intact完整,
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显而易见,它是完整的
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completely全然 transparent透明.
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完全透明的
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I'll take you now to the acoustic lab实验室.
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现在我们来到声学实验室
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You see the phantom幻影 within the aquarium水族馆.
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可以看到玻璃缸里的透视图
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This is a setup建立 I put in a physics物理 lab实验室.
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这是我在物理实验室里的装置
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On the right-hand右手 side,
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在右边
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you see an ultrasonic超声 transducer传感器.
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是一台超声传感器
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So the ultrasonic超声 transducer传感器
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当超声传感器
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emits发射 basically基本上 an ultrasonic超声 beam光束
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对着模型内部
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that focuses重点 inside the phantom幻影.
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发射出一束超声波束
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Okay, when you hear the click点击,
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你听见咔嗒声
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this is when the energy能源 starts启动 to emit发射
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就是能量要发射了
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and you see a little lesion病变 form形成
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然后你能看见模型内部
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inside the phantom幻影.
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出现了小小的损坏
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Okay, so everything around it
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而周围一切
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is whole整个 and intact完整.
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都完好无损
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It's just a lesion病变 formed形成 inside.
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损伤完全从内部形成
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So think about, this is in your brain.
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试想一下,如果这是你的大脑
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We need to reach达到 a target目标 inside the brain.
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我们要击中大脑内部的一处目标
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We can do it without harming汉宁波 any tissue组织.
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我们可以在不伤及任何组织的情况下办到
02:06
So this is, I think,
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我想
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the first kosher合犹太人戒律 Hippocratic希波克拉底 surgical外科 system系统.
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这是第一个符合犹太戒律的希波克拉底手术系统
02:11
(Laughter笑声)
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(笑声)
02:13
Okay, so let's talk a little bit about ultrasound超声,
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接下来谈谈超声波
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the force of ultrasound超声.
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超声波的力量
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You know all about imaging成像, right, ultrasound超声 imaging成像.
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大家都知道超声波成像
02:20
And you know also about lithotripsy碎石 --
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还有体外震波碎石术
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breaking破坏 kidney stones石头.
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可以震碎肾结石
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But ultrasound超声 can be shaped成形
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但超声波可以成为
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to be anything in between之间,
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两者间的任何形态
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because it's a mechanical机械 force.
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因为它是一种机械力
02:35
Basically基本上, it's a force acting演戏 on a tissue组织
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它横穿组织时对其
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that it transverses横梁.
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产生作用力
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So you can change更改 the intensity强度, the frequency频率,
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所以可以通过改变超声波的强度、频率
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the duration持续时间, the pulse脉冲 shape形状 of the ultrasound超声
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波长和脉冲波形
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to create创建 anything
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来创造出从喷枪到铁锤的
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from an airbrush喷枪 to a hammer锤子.
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任何东西
02:50
And I am going to show显示 you
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接下来我要展示的是
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multiple applications应用 in the medical field领域
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通过聚焦超声波
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that can be enabled启用
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只用物理聚焦
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just by focusing调焦,
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在医疗领域中的
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physically物理 focusing调焦.
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多种应用
03:01
So this idea理念
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使用聚焦超声波
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of harnessing治理 focused重点 ultrasound超声 to treat对待 lesions病变 in the brain
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来治疗脑损伤
03:06
is not new at all.
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并不是新理念
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When I was born天生, this idea理念 was already已经 conceived设想
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这个构想早在我出生之前
03:11
by pioneers开拓者 such这样 as the Fry brothers兄弟
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就已经形成了,比如弗莱兄弟
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and Lars拉尔斯 Leksell莱克塞尔,
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和拉尔斯・莱克塞尔
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who is know actually其实
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后者因
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as the inventor发明者 of the gammaknifegammaknife.
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发明伽玛刀而闻名
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But you may可能 not know
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但大家可能不知道
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that he tried试着 to perform演出 lobotomieslobotomies in the brain,
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早在五十年代他
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noninvasively无创,
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尝试利用聚焦超声波
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with focused重点 ultrasound超声 in the '50s.
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进行非侵入式前脑白质切断术
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He failed失败,
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没有成功
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so he then invented发明 the gammaknifegammaknife.
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于是他发明了伽玛刀
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And it makes品牌 you ponder思考
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于是你会思索
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why those pioneers开拓者 failed失败.
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为什么这些先辈都没有成功
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And there was something fundamental基本的
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因为一些关键的东西
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that they were missing失踪.
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未被发现和使用
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They were missing失踪 the vision视力.
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他们缺少成像技术
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It wasn't until直到 the invention发明 of the MR先生
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直到磁共振成像的发明
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and really the integration积分 of MR先生
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直到磁共振成像
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with focused重点 ultrasound超声
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与聚焦超声波的合二为一
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that we could get the feedback反馈 --
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我们才能在解剖学
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both the anatomical解剖 and the physiological生理
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和生理学上得到肯定答案
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in order订购 to have a completely全然 noninvasive无创, closed-loop闭环
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才可以执行完全无侵入、完全体内
04:03
surgical外科 procedure程序.
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进行的手术
04:06
So this is how it looks容貌, you know,
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这就是今天看到的未来
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the operating操作 room房间 of the future未来 today今天.
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手术室的样子
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This is an MR先生 suite套房 with a focused重点 ultrasound超声 system系统.
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这是配有聚焦超声波系统的磁成像成套设备
04:14
And I will give you several一些 examples例子.
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我会给大家看一些例子
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So the first one is in the brain.
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第一个位于大脑内部
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One of the neurological神经 conditions条件
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可以通过聚焦超声波治疗的
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that can be treated治疗 with focused重点 ultrasound超声
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一个神经性病症是
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are movement运动 disorders障碍,
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运动障碍
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like Parkinson's帕金森氏 or essential必要 tremor.
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比如帕金森氏症或者原发性颤抖症
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What is typical典型 to those conditions条件,
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这类疾病的典型症状就是
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to essential必要 tremor for example,
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比如原发性颤抖症
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is inability无力
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就是吃麦片
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to drink or eat cereal谷类 or soup
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或喝汤的时候
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without spilling溢出 everything all over you,
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会把汤洒得到处都是
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or write legibly易读地 so people can understand理解 it,
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或者写的字没人能识别
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and be really independent独立 in your life
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必须依赖别人的帮助
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without the help of others其他.
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才能生活
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So I'd like you to meet遇到 John约翰.
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让我介绍一下 约翰
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John约翰 is a retired退休 professor教授 of history历史
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约翰是一位退休的历史教授
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from Virginia弗吉尼亚州.
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来自维吉尼亚
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So he suffered遭遇 from essential必要 tremor for many许多 years年份.
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患原发性颤抖症多年
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And medication药物治疗 didn't help him anymore.
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药物治疗再无成效
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And many许多 of those patients耐心 refused拒绝 to undergo经历 surgery手术
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许多类似的病人拒绝手术
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to have people cut into their brain.
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因为需要开颅
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And about four or five months个月 ago,
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大概四五个月前
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he underwent后行 an experimental试验 procedure程序.
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他接受了一个实验性治疗
05:19
It is approved批准 under an FDAIDEFDAIDE
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这个治疗在夏洛特斯维尔的弗吉尼亚大学获得了
05:22
at the University大学 of Virginia弗吉尼亚州
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美国食品药物管理监督局的
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in Charlottesville夏洛茨维尔
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临床实验医疗器材许可
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using运用 focused重点 ultrasound超声
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使用聚焦超声
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to ablate消融 a point in his thalamus丘脑.
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切除他视丘里的一个点
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And this is his handwriting手写.
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这是他的字迹
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"On June六月 20th," if you can read it,
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如果大家看得请的话, “6月20日”
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"2011."
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“2011年”
05:42
This is his handwriting手写
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这是他的字迹
05:44
on the morning早上 of the treatment治疗
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接受磁共振治疗前的
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before going into the MR先生
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之前写下的
05:48
So now I'll take you through通过
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接下来我要带各位了解一下
05:50
[what] a typical典型 procedure程序 like that looks容貌 like,
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典型的手术流程
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[what] noninvasive无创 surgery手术 looks容貌 like.
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非侵入性手术的过程
05:56
So we put the patient患者 on the MR先生 table.
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我们将病人平置于磁共振的手术台上
05:59
We attach连接 a transducer传感器, in this case案件, to the brain,
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装上传感器,这里是针对大脑的
06:01
but if it will be a different不同 organ器官,
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如果是其他的器官
06:03
it will be a different不同 transducer传感器 attached to the patient患者.
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就会用其他不一样的传感器
06:07
And the physician医师
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医生会
06:09
will then take a regular定期 MR先生 scan扫描.
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先进行常规磁共振扫描
06:12
And the objective目的 of that?
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扫描对象呢?
06:14
I don't have a pointer指针 here,
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我手头没有指示棒
06:16
but you see the green绿色, sort分类 of rectangle长方形 or trapezoid梯形?
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不过你看到这些绿色的类似矩形或梯形的部分吗?
06:21
This is the sort分类 of general一般 area of the treatment治疗.
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这可以说是治疗的大致区域
06:23
It's a safety安全 boundary边界
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这是目标周围的
06:25
around the target目标.
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安全区域
06:27
It's a target目标 in the thalamus丘脑.
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这是视丘中的手术对象
06:29
So once一旦 those pictures图片 are acquired后天
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只要获取这些图片
06:31
and the physician医师 has drawn
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并且医生也划出了
06:34
all the necessary必要 safety安全 limits范围 and so on,
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所有必要的安全限制范围等等,
06:37
he selects选择 basically基本上 a point --
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他就会选取一个点-
06:39
you see the round回合 point in the middle中间 where the cursor光标 is --
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就是正中间,箭头所指的那个圆点-
06:42
and he presses印刷机 this blue蓝色 button按键 called "sonicate超声处理."
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然后他按下这个叫“声处理”的按钮
06:45
We call this instance of injecting注射 the energy能源,
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我们把注射能量这一步
06:48
we call it sonication超声.
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叫做声波降解法
06:50
The only handwork手工 the physician医师 does here
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医生唯一的体力活就是
06:53
is moving移动 a mouse老鼠.
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移动鼠标
06:55
This is the only device设备 he needs需求 in this treatment治疗.
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鼠标是他在治疗过程中唯一需要的设备
06:58
So he presses印刷机 "sonicate超声处理," and this is what happens发生.
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他按下“声处理”,接下来
07:01
You see the transducer传感器, the light blue蓝色.
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请看传感器,就是淡蓝的部分
07:03
There's water in between之间 the skull头骨 and the transducer传感器.
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头颅和传感器之间是水
07:06
And it does this burst爆裂 of energy能源.
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传感器释放出能量
07:08
It elevates提升 the temperature温度.
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提高温度
07:10
We first need to verify校验
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我们首先得确认
07:12
that we are on target目标.
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是否命中目标
07:14
So the first sonication超声
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因此第一次超声波降解
07:16
is at lower降低 energy能源.
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发射能量较低
07:18
It doesn't do any damage损伤,
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不会产生任何伤害
07:20
but it elevates提升 the temperature温度
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只会把温度提高
07:22
by a few少数 degrees.
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几度而已
07:24
And one of the unique独特 capabilities功能
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磁共振的一个
07:26
that we leverage杠杆作用 with the MR先生
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独特功能就是
07:28
is the ability能力 to measure测量 temperature温度 noninvasively无创.
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非侵入性温度测量
07:32
This is really a unique独特 capability能力 of the MR先生.
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这是磁共振的特有功能
07:35
It is not being存在 used
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一般不会用于
07:37
in regular定期 diagnostic诊断 imaging成像.
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常规的造影诊断
07:39
But here we can get
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但我们可以使用它
07:41
both the anatomical解剖 imaging成像 and the temperature温度 maps地图 in real真实 time.
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取得实时的解剖影像和温度走势图
07:44
And you can see the points there on the graph图形.
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可以看到图像上的这些点
07:47
The temperature温度 was raised上调
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温度被暂时提升
07:49
to 43 degrees C temporarily暂时.
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至43摄氏度
07:51
This doesn't cause原因 any damage损伤.
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这不会造成任何伤害
07:53
But the point is we are right on target目标.
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但重点是我们命中目标了
07:55
So once一旦 the physician医师 verifies验证
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一旦医生确定
07:58
that the focus焦点 spot is on the target目标 he has chosen选择,
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聚焦点击中选定目标
08:01
then we move移动 to perform演出
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下一步便是
08:04
a full-energy全能量 ablation切除
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高能切除
08:06
like you see here.
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如图所示
08:08
And you see the temperature温度 rises上升
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温度上升到
08:11
to like 55 to 60 degrees C.
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55到66摄氏度
08:13
If you do it for more than a second第二,
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如果这种状态持续超过一秒
08:15
it's enough足够 to basically基本上 destroy破坏
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基本上就足够摧毁
08:18
the proteins蛋白质 of the cells细胞.
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细胞中的蛋白质了
08:22
This is the outcome结果 from a patient患者 perspective透视 --
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这是病人眼中的术后结果-
08:24
same相同 day after the treatment治疗.
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治疗结束的当天
08:27
This is an immediate即时 relief浮雕.
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症状立刻消失了
08:29
(Applause掌声)
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(掌声)
08:34
Thank you.
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谢谢
08:36
John约翰 is one of [about] a dozen
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约翰是众多
08:39
very heroic英勇, courageous勇敢 people
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有胆量和勇气参加这项研究的
08:43
who volunteered自告奋勇 for the study研究.
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志愿者之一
08:45
And you have to understand理解
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需要知道的是
08:47
what is in people's人们 mind心神
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当他们决定冒这个险时
08:49
when they are willing愿意 to take the risk风险.
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他们心里想的是什么
08:52
And this is a quote引用 from John约翰 after he wrote it.
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约翰写下这些之后
08:55
He said, "Miraculous神奇."
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他说:“太神奇了!”
08:57
And his wife妻子 said, "This is the happiest最幸福 moment时刻 of my life."
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他的妻子说:“这是我一生中最开心的时刻。“
09:01
And you wonder奇迹 why.
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也许你不理解
09:03
I mean, one of the messages消息 I like to carry携带 over
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我想说的是
09:06
is, what about defending卫冕 quality质量 of life?
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为什么我们要维护生活的质量?
09:09
I mean, those people lose失去 their independence独立.
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这些人失去独立生活的能力
09:11
They are dependent依赖的 on others其他.
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他们要依赖于别人
09:13
And John约翰 today今天 is fully充分 independent独立.
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而约翰现在完全不用依靠别人了
09:16
He returned to a normal正常 life routine常规.
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他恢复了正常人的生活
09:19
And he also plays播放 golf高尔夫球,
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他会去打高尔夫球
09:21
like you do in Virginia弗吉尼亚州
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就像很多人在
09:23
when you are retired退休.
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维吉尼亚的退休生活
09:28
Okay, so you can see here the spot.
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好,请看这里的雾状物
09:32
It's like three millimeters毫米 in the middle中间 of the brain.
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在大脑中间大约3毫米处
09:34
There's no damage损伤 outside.
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没有任何外部损伤
09:36
He suffers患有 from no neurodeficitneurodeficit.
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他没有任何神经损伤
09:39
There's no recovery复苏 needed需要, no nothing.
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没有康复期 什么都不用
09:42
He's back to his normal正常 life.
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他直接恢复到正常生活
09:44
Let's move移动 now
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下面我们要
09:46
to a more painful痛苦 subject学科.
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谈论一个痛苦的话题
09:48
Pain疼痛 is something
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疼痛可以让
09:50
that can make your life miserable.
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生活变得很悲惨
09:52
And people are suffering痛苦 from all kinds of pain疼痛
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人们承受着各种各样的痛苦
09:54
like neuropathic神经性 pain疼痛, lower-back下背部 pain疼痛
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比如神经痛、腰痛
09:58
and cancer癌症 pain疼痛 from bone metastases转移,
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骨转移带来的癌症疼痛
10:01
when the metastases转移 get to your bones骨头,
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当癌细胞转移进入你的骨髓
10:04
sometimes有时 they are very painful痛苦.
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有时候会非常非常痛
10:07
All those I've indicated指示
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我谈到的这些痛症
10:09
have already已经 been shown显示
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都已经被证实
10:11
to be successfully顺利 treated治疗
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可以通过聚焦超声技术
10:13
by focused重点 ultrasound超声
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非常快速地治愈
10:16
relieving缓解 the pain疼痛, again, very fast快速.
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可以一下子消除疼痛
10:19
And I would like to tell you
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下面我想介绍一下
10:21
about PJPJ.
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PJ
10:25
He's a 78 year-old farmer农民
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他是个农民 78岁了
10:29
who suffered遭遇 from -- how should I say it? --
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他的疼痛
10:32
it's called pain疼痛 in the butt屁股.
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来自臀部
10:34
He had metastases转移 in his right buttock臀部,
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他的癌细胞转移到了臀部右侧
10:37
and he couldn't不能 sit
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即使有药物治疗
10:39
even with medication药物治疗.
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他也无法坐下
10:41
He had to forgo放弃 all the farm农场 activities活动.
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他停止了任何劳作
10:48
He was treated治疗 with radiation辐射 therapy治疗,
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接受了放射治疗
10:50
state-of-the-art最先进的 radiation辐射 therapy治疗,
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最先进的放射治疗
10:52
but it didn't help.
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但毫无帮助
10:54
Many许多 patients耐心 like that favor偏爱 radiation辐射 therapy治疗.
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很多病人倾向于放射治疗
10:57
And again, he volunteered自告奋勇
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但他决定参与
10:59
to a pivotal关键的 study研究
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我们这个在世界范围内
11:01
that we ran worldwide全世界,
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进行的重大研究项目
11:04
also in the U.S.
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当然也包括美国
11:08
And his wife妻子 actually其实 took him.
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是他的妻子带他来的
11:11
They drove开车 like three hours小时
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他们从农场开了
11:13
from their farm农场 to the hospital醫院.
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大概三个小时的车
11:16
He had to sit on a cushion坐垫,
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他得坐在一个垫子上
11:19
stand still, not move移动,
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一动都不能动
11:21
because it was very painful痛苦.
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不然就会很痛
11:24
He took the treatment治疗,
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他接受了治疗
11:26
and on the way back,
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回家路上
11:29
he drove开车 the truck卡车 by himself他自己.
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他就能自己开卡车了
11:33
So again, this is an immediate即时 relief浮雕.
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这再次证明 治疗瞬间就消除了疼痛瞬间
11:36
And you have to understand理解
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你可以体会
11:38
what those people feel
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当病痛解除时
11:40
and what their family家庭 experiences经验
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这些病人和
11:43
when it happens发生.
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他们家人的感受
11:45
He returned again
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他又开始了
11:47
to his daily日常 routine常规 on the farm农场.
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每天在农场的劳作
11:49
He rides游乐设施 his tractor拖拉机.
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他开着他拖拉机
11:51
He rides游乐设施 his horse to their mountain cabin regularly经常.
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骑着马定期去山间小屋
11:55
And he has been very happy快乐.
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从此一直都很开心
11:58
But now, you ask me,
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但现在你会问我
12:01
but what about war战争, the war战争 on cancer癌症?
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那么对癌症的宣战呢?
12:03
Show显示 us some primary cancer癌症.
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我们要看看对于那些首要癌症
12:06
What can be doneDONE there?
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这个研究能做些什么呢?
12:08
So I have good news新闻 and bad news新闻.
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我这儿有好消息,也有坏消息
12:10
The good news新闻: there's a lot that can be doneDONE.
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好消息是:我们能做的有很多
12:13
And it has been shown显示 actually其实 outside of the U.S.
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这点美国以外地区已经得到证实
12:16
And doing that in the U.S.
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但是在美国的话
12:20
is very painful痛苦.
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非常棘手
12:22
I don't see, without this nation国家
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似乎没有全民为之请愿
12:26
taking服用 it as some collective集体 will
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或视其为国民目标来推进
12:30
or something that is a national国民 goal目标 to make that happen发生,
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事情就没法办成
12:33
it will not happen发生.
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我不这样认为
12:35
And it's not just because of regulation;
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这不仅是制度法规的问题
12:37
it's because of the amount of money needed需要
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还有现行的实证医学体系下
12:40
under the current当前 evidence-based循证 medicine医学
287
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要投入的巨额资金以及
12:44
and the size尺寸 of trials试验 and so on
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临床试验的规模等等
12:46
to make it happen发生.
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都成为实现目标的阻碍
12:48
So the first two applications应用
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研究的首要两项应用
12:50
are breast乳房 cancer癌症 and prostate前列腺 cancer癌症.
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是乳腺癌和前列腺癌
12:53
They were the first to be treated治疗 by focused重点 ultrasound超声.
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这两种是癌症中首先使用聚焦超声波治疗的
12:56
And we have better-than-surgery优于手术 results结果 in breasts乳房.
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乳腺癌的治疗结果显示比手术效果更好
13:01
But I have a message信息 for the men男人 here.
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不过有个消息提供给在场男士
13:03
We heard听说 here yesterday昨天 QuyenQuyen
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听说吉兰昨天在这里
13:06
talking about the adverse不利的 event事件 trait特征
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探讨了前列腺癌治疗的
13:09
in prostate前列腺 cancer癌症.
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不良症状
13:11
There is a unique独特 opportunity机会 now
298
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通过使用磁共振成像和聚焦超声波技术
13:13
with focused重点 ultrasound超声 guided引导 by MR先生,
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我们有一个全新的治疗前景
13:16
because we can actually其实 think about
300
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因为我们可以考虑
13:19
prostate前列腺 lumpectomy乳房肿瘤切除术 --
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前列腺肿瘤切除-
13:21
treating治疗 just the focal lesion病变
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治疗局部病变
13:23
and not removing去除 the whole整个 gland,
303
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而不用切除整个腺体
13:25
and by that, avoiding避免 all the issues问题
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这样就避免了
13:28
with potency效力 and incontinence失禁.
305
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性功能丧失和尿失禁问题
13:32
Well, there are other cancer癌症 tumors肿瘤 in the abdomen腹部 --
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其他的一些出现在腹腔的癌症-
13:38
quite相当 lethal致命, very lethal致命 actually其实 --
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相当致命,可以说很致命
13:40
pancreas胰腺, liver, kidney.
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胰脏,肝脏,肾脏里的
13:43
The challenge挑战 there
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治疗的困难是-
13:45
with a breathing呼吸 and awake苏醒 patient患者 --
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病人是完全清醒的
13:48
and in all our treatments治疗,
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在我们所有的治疗中
13:50
the patient患者 is awake苏醒 and conscious意识
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病人完全清醒
13:52
and speaks说话 with the physician医师 --
313
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可以和医生交谈-
13:56
is you have to teach the MR先生 some tricks技巧
314
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困难就是我们得让磁共振成像
13:59
how to do it in real真实 time.
315
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实现实时成像
14:02
And this will take time.
316
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这不容易
14:04
This will take two years年份.
317
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我们花了两年做到
14:06
But I have now a message信息 to the ladies女士们.
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现在有一个带给女士们的消息
14:09
And this is, in 2004,
319
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2004年
14:12
the FDAFDA has approved批准 MR-guidedMR引导 focused重点 ultrasounds超声
320
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美国食品药物管理局已经批准了磁共振成像引导聚焦超声波技术
14:15
for the treatment治疗 of symptomatic症状 uterine子宫的 fibroids肌瘤.
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应用于子宫肌瘤的临床治疗
14:20
Women妇女 suffer遭受 from that disease疾病.
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女性常受此病痛折磨
14:24
All those tumors肿瘤
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肿瘤会导致
14:26
have heavy bleeding流血的 during periods,
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经期大量出血
14:28
abdominal腹部的 pressure压力, back pain疼痛,
325
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腹部张痛 背痛
14:30
frequent频繁 urination排尿.
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尿频
14:32
And sometimes有时, they cannot不能 even conceive构想 and become成为 pregnant
327
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有时甚至会导致
14:36
because of the fibroid子宫肌瘤.
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无法受孕
14:38
This is Frances弗朗西丝.
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这位女性住在法国
14:40
She was diagnosed确诊 with a grapefruit-sized柚子大小 fibroid子宫肌瘤.
330
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她被诊断出长有一个柚子大小的子宫肌瘤
14:42
This is a big fibroid子宫肌瘤.
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这是很大的子宫肌瘤
14:44
She was offered提供 a hysterectomy子宫切除术,
332
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医生建议她切除子宫
14:46
but this is an inconceivable不可思议 proposition主张
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但对于期望怀孕的人来说
14:48
for someone有人 who wants to keep her pregnancy怀孕 option选项.
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这是无法接受的选择
14:51
So she elected当选 to undergo经历 a focused重点 ultrasound超声 procedure程序
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她在2008年选择了接受
14:55
in 2008.
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聚焦超声波治疗
14:57
And in 2010, she became成为 a first-time第一次 mother母亲 to a healthy健康 baby宝宝.
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2010年她成了一个健康宝宝的妈妈
15:01
So new life was born天生.
338
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就这样一个新生命诞生了
15:03
(Applause掌声)
339
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(掌声)
15:05
So in conclusion结论,
340
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最后
15:08
I'd like to leave离开 you with actually其实 four messages消息.
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我想要给各位留下四个信息
15:11
One is, think about the amount
342
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首先试想一下
15:13
of suffering痛苦 that is saved保存
343
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非侵入式手术
15:15
from patients耐心 undergoing经历 noninvasive无创 surgery手术,
344
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4000
可以让多少病人脱离苦海
15:19
and also the economical经济 and emotional情绪化 burden负担
345
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可以帮助他们的家人、社区
15:23
removed去除 from their families家庭 and communities社区
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还有社会减轻多少
15:26
and the society社会 at large --
347
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经济和情感上的负担-
15:30
and I think also from their physicians医师, by the way.
348
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我想应该也减轻了医生的负担
15:36
And the other thing I would like you to think about
349
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另外请想象一下
15:39
is the new type类型 of relationship关系
350
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医患之间形成了
15:42
between之间 physician医师 and patients耐心
351
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一种新的关系
15:44
when you have a patient患者 on the table
352
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当病人躺着手术台上
15:47
[who] is awake苏醒 and can even monitor监控 the treatment治疗.
353
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他是完全清醒的甚至可以监督治疗
15:50
In all our treatments治疗,
354
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在我们的治疗中
15:52
the patient患者 holds持有 a stop sonication超声 button按键.
355
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病人握着一个解除手术的按钮
15:54
He can stop the surgery手术 at any moment时刻.
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病人可以随时中止手术
15:58
And with that note注意,
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带着这些讯息,
16:01
I would like to thank you for listening.
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最后我想感谢各位的聆听
16:04
(Applause掌声)
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(掌声)
Translated by Chunxiang Qian
Reviewed by Zhiyi Chen

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ABOUT THE SPEAKER
Yoav Medan - Medical inventor
With his team, Yoav Medan is developing a tool for incision-less surgery via focused ultrasound.

Why you should listen

Yoav Medan is the Chief Systems Architect at InSightec Ltd. in Israel, where he works on MRI-guided guided focused ultrasound technology. Before this, he spent 17 years in research and management at the IBM Research Division and was elected to the IBM Academy of Technology. Medan has taught at the EE department at the Technion, Israel Institute of Technology, in addition to serving as a lecturer for Avionic Systems at the Aeronautical Engineering faculty, and mentors young enterpreneurs as part of the Technion Alumni "Technion for Life" program. He plans a 2012 sabbatical as an associate professor at the BioMedical Engineering department of the Technion and its Autonomous Systems Program.

Medan is also the inventor of the QR-code enabled tombstone. Read Adam Ostrow's Q&A with Yoav Medan at TEDGlobal >>

More profile about the speaker
Yoav Medan | Speaker | TED.com