Yoav Medan: Ultrasound surgery -- healing without cuts
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- čas přidán 7. 12. 2011
- www.ted.com Imagine having a surgery with no knives involved. At TEDMED, surgeon Yoav Medan shares a technique that uses MRI to find trouble spots and focused ultrasound to treat such issues as brain lesions, uterine fibroids and several kinds of cancerous growths.
TEDTalks is a daily video podcast of the best talks and performances from the TED Conference, where the world's leading thinkers and doers give the talk of their lives in 18 minutes. Featured speakers have included Al Gore on climate change, Philippe Starck on design, Jill Bolte Taylor on observing her own stroke, Nicholas Negroponte on One Laptop per Child, Jane Goodall on chimpanzees, Bill Gates on malaria and mosquitoes, Pattie Maes on the "Sixth Sense" wearable tech, and "Lost" producer JJ Abrams on the allure of mystery. TED stands for Technology, Entertainment, Design, and TEDTalks cover these topics as well as science, business, development and the arts. Closed captions and translated subtitles in a variety of languages are now available on TED.com, at www.ted.com/translate - Věda a technologie
It puts me in state of awe when I see how far we have brought technology. I wanted to stand and applaud here in my office!
Fantastic!! Very impressive and encouraging!!! Kudos to those countries that promote such advances!!
im an u.s tech and this is so very exciting to me. i watched it 3x. and now using it as a research paper topic! amazing
This is the amazing work that keeps my last threads of faith in humanity.
this is absolutely amazing
as a kid. I wondered if we can use ultrasound in surgery! i'm glad someone developed it!
my grandma is about to get this done. i pray everything goes good
This is truly impressive... I love science :)
Cool ...hoping this technology becomes easily available to everyone
This is fantastic
Yoav, amazing surgery options. I'm thankful for people like you who excel in their chosen field and look for ways to improve the human condition. I'm not sure why people comment the stupid way they do sometimes - no wonder world progress is slow sometimes. I mean really who cares private, public, money whatever....it makes life better for people....get it!
This video was published 8years ago but still this kind of treatment is not conventional today. Never heard of it till now. Seems so easy to apply and practical. I think big pharma didn't like it or is it just for some special part of humanity.
Brilliant Minds in this world...jeez! This is really helping picture the future as I'm just about to start University next year.
thank you for the response. Please keep me posted if the age requirement changes
i love TED, thanks
@prowled pre-clinical research work at Stanford and other universities has shown the feasibility of using MR for tracking Liver movement in real time and slaving the acoustic beam to the target continuously and accurately.
simply amazing!
wow, absolutely amazing.
Truly amazing...
@prowled Right now treating moving organs like Liver requires full general anesthesia but pre-clinical research has already shown the feasibility of tracking the organs in real-time and directing the ultrasonic beam to the target in a safe and accurate manner.
Wow, this is absolutely amazing. This is exactly what I want to do. Develop medical tools based on the fundamental laws of physics.
This is amazing. I hope the government/FDA endorses this treatment soon over radiation.
WHAT? NO ART NONESENSE? OH MY GOD!!!
i'm so happy to see a glimpse of the real TED one more time.
this is what you call an elegant solution
@ymedan @ymedan
Now they propose jaw bisection (essentially meant for patients with esthetical jaw problems) to get a direct insight and bone extraction from my hip and transplantation and metal plates to fix the whole "gestell". or another blindfolded surgery.
MR guided US surgery seems so soft compared to this butchery...
Anyway, thanks again for the wonderful work you do there at Matam, keep it up .
Joel
@missmollygrue there are ways to track the body and anticipate a sneeze.
For example there are robotic surgical techniques that track the movement of the heart muscle and automatically operate around it, thus forgoing the need to stop the heart for surgery.
Some groups are trying to use a mix of techniques (incl soft-body physics) to help anticipate the constant lower abdomen organ movement caused by breathing. Still early days though afaik.
@joelhajos Hi,
As a rule, any tissue will absorb. The harder the tissue is, the more it
will absorb. Cyst is not a tissue, it is a cavity filled with fluid
("water"). Water does not absorb ultrasound energy. It needs to be drained.
Yoav
Fantastic!
WOW!!! THIS IS AWESOME
@michalchik I certainly agree, with the major obstacle of the game of interests which can slow down progress to a halt
Amazing technique being used on my son right now in America. And to the former commenter God is Good or Aloha ke Akua for you Hawaiians out there. We should do good as God intended and using science is one tool to do so. I do not understand why there is pain in this world but it is our duty to help others with the tools we have available
Amazing.
@ymedan @ymedan Hi, Thanks a lot again for the clear explanation.
The problem is that while draining the cyst the mandibular nerve might be damaged. This is what happened to me now, when they were taking a small biopsy, still before the main surgery, so I was left with local paresthesia. Again, these operations are not MRI guided and the surgeons just rely on their intuition and act blindfoldedly since they are unable to see the cyst and the nerve clearly. continued in a further msg
Joel
@Ko252 That has already been done. Ultrasound and focussed sound is used as a weapon :-)
This type of surgery will be revolutionary. For a patient to be able to go in, undergo surgery and see immediate results with no recovery time is amazing. I think that the use of this type of surgery for the relief of pain alone would be a huge asset to modern medicine. Millions of people suffer from chronic pain and would benefit from this type of surgery in multiple ways. This surgery boasts the possibility of eliminating the need for pain medication which would save patients hundreds, maybe even thousands, of dollars and would decrease the chances of developing a dependency on the medication. The surgery also shows immediate relief of pain and an immediate improvement on the patient's quality of life. Doctors everywhere should be scheduling patients for this type of surgery but as Medan suggests in the video there isn't enough evidence based research to allow these surgeries to be performed on a large scale. Continued research and increased funding should be funneled into ultrasound surgery. I would also like to see follow up studies performed to ensure that patients see long-term benefits or if this is a temporary fix. Although this technology is young in its development it has the potential to be a large part of modern medicine.
I had it done & I was in pain for about 2 weeks but felt like a new person after that
wow!!! I want one I mean this is great for all of human kind (but I would love to play with it)
Did they start this treatment? How much the treatment???? Fantastic treatment.....
Astonishing ……..TY
That was great
I can't wait to see advances in being ably to subtly tweak homeostatic systems in the body with long term effectiveness (now that would be impressive with the complex web of systems that interplay and their feedback systems)..
@belliebum12 we Israelis generally have a heavy and distinguishable accent when we speak English, because we use different vowels and some different consonants.
@prowled procedures that destroy tissue without prohibiting motion?
LASIK does that.
The camera tracks the eye with such speed that it anticipates even microcicade movements and adapts through every natural eye movement, the procedure is never interrupted.
congratulations for this tremendous achievement!
is it possible to use this procedure to treat large jaw cysts? are there any hospitals in israel that use it - and in what fields?
@missmollygrue mmm...he also said you can only do the ultrasound for less than one second, lest you damage the tissue.
@joelhajos Typically cysts do not absorb ultrasound energy.
Treatments of Uterine Fibroids and Bone Metastases are provided at the Sheba and Rambam Medical centers.
@vivi028 Tattoos are not affected by MRI machines, that´s a myth. Only old (and some underground and unlicensed) tattoo paint contains iron, but in so small amount that it is unaffected by the magnetic field :)
Great it is done in our local hospital in Melbourne,Australia,for ET , expensive , we need to bring the cost down and make it affordable
K
@Scottium Well...damaging tissue is the point. And I heard "about a second," but still. I'm just wondering if it's something they've considered. The odds are very low, but potentially tragic, unless they're convinced otherwise.
I'm plenty tttttired of ssssshhhhaking!!! I will definitely check into this treatment. I was just wondering about the after effects??
@TheFounderUtopia I'd say that we should want to have both.
Great! Now I can get that Lobotomy I've always wanted.
Good luck with everything as a sufferer of tremor I hope it will come to the UK.
I got told I have a functioning tremor the other day. Getting worse. I looked this stuff up, you can get the ultrasound surgery done in the UK but it will cost you like 25k.
dont give up on anything I have been offered the deepbrain stimulation but refused it as my boy was doing his A levels and has just gone off to university, the drugs do work for me but not all the time. my condition is now called dystonia and i have it in upper body stomach and throat. I was retired of seven months ago and cant work. and yet I am now a 60 year old youtuber who makes videos about helicopter simulation. I have found all sorts of trick to enable me to do it. czcams.com/channels/LzHKadCw6OvJ5kv4U2tTGQ.html?view_as=subscriber
Just dont give up! Have you seen the gyroglove
gyrogear.co/gyroglove I an talking to them about this as a option that might help. ~good luck, I hope it all works out well for you.@@alanandconnielast
@@WonkyJoystickProductions I hear you Wonky - I cheaked out your channel as Im a PC gamer and looked at the game your playing. The SIM. Cool stuff.
i have heard of dystonia its very disabling from I saw. I here physical therapy is very good for which I have been booked in for myself.
I do not think they got it right with me, My tremor start very slight and has got worse with time in sections. With functioning tremor, it is meant to hit you with full forced and leave or stay.
I have mixed feelings with the NSH, never used it before but they seem to just throw you off.... And like the ultra sound treatment - No one can have it unless your wealthy which just stupid. You may as well make the NSH prvite with better standards.
@@alanandconnielast Did they give you a neurologist to see here in the uk. I have seen three in total all good but each with a slightly diferent view of my problems. But now it has come down to the operation ie deep brain stimulation or just stay on the medication. I have been lucky mine has been a very slow progress over twenty years plus. I wish you all the best with your own journey.
@@WonkyJoystickProductions Thanks - Seen one so far. Maybe you try get that ultrasound as its not mental health related.
I only got what he "thought" it was. So i asked to see another.
Where can someone go to get this done? This might help my mother.
I mean tumors are liquefied now or at least broken down........also treatment without knives just amazing!!!!!
@Scottium Do you always feel the need to sneeze before sneezing? I mean, sometimes I do, but sometimes I don't. I've sneezed mid-sentence and bitten my tongue.
@ymedan thanks for the answer. i will try find out why this is so. in the meantime i would be helpful for some references on which soft tissues can absorb US.
I sure wish my insurance would cover this, I can no longer do the things I love and I can’t do the jobs I once did because of essential tremors. ☹️😢
@prowled I understand that. Are you saying that the presenter is lying, then, when he says that general anesthesia is not necessary? Because that's what he said.
@prowled Yes, but the brain is not the only organ targeted for this technique. What if they're aiming it at your stomach, or your kidney?
@TheFounderUtopia Amen. btw, doesn't this remind you of star trek? You know when then point the light and heal you? This is soooooo cool!
When will this technology be available world wide? does someone know?
@nadavs123 Welcome to CZcams. I see you've notice our community.... enjoy your stay ^.^
Hi Yoav, truly groundbreaking inspiring work!
I hear you mention better than surgery results on breast cancer. I searched the world map for the MRgFUS studies but could not find the studies for the breast cancer. How can one seek to apply this to a breast cancer patient today?? You mentioned the challenges with a living breathing patient but it seems fMRI could help here.. in coordination with some clever software perhaps??. I would be very interested in your thoughts.
It would be great but the problem here in US is getting insurance to cover the expense.
@prowled Fair enough. Nice chatting with you, sorry about the spelling dig. I thought someone was trying to dupe me by copying an impressive-sounding word off of the internet and claiming to be an expert. Clearly I was mistaken, my apologies.
@14Bowser No one under 18 is currently allowed to be admitted to these studies
@SAsgarters Yes, but can it blend?
@Erbasis Unaffecting the person but introducing distortions and artifacts to the image
@rhl2008hotshot But he said, did he not, that the surgeon will need to be skilled in riding the motions of a person breathing or talking while in operation. It stands to reason, then, that they can't clamp your abdomen. I did ask the question lightly, but it's something worth considering.
Of course, the length of the pulse is quite short, so it would have to be terrible luck. But still. The fear of sneezing would fill me with dread while on the table.
I have essential tremors. I would jump at a chance to have this done to me.
+Robert Mattison Investigate through your physician to become a volunteer for the trials. One option may be to travel to Israel. Recently a non-invasive procedure was perform at Rambam hospital in Haifa. I dn't know the physicians personally, but would try to contact them for you if you want. Write back to zvi59 at yahoo
+Robert Mattison I just saw a comment from the lecturer that the procedure was also perform at Sheba hospital (coincidentally very close to me and where my sons were born) which is closer to the airport.
11/15/2015 Thanks you for the information, I'll check with physician 11/16/2015
"Look to the sky to see whats coming."
Robert Mattison asteroid or rain ? :-) Hope to hear from you if I can help.
Peace (and justice)
@@robertmattison1282 ive had it done to my leg (thigh/knee) because of a tumor was walking right after surgery kinda
My 9 year old son was just found to have a non germ germanoma tumor on his Pineal gland.
Would he be a good candidate?
Is it permanent or temporary? How many times per person do you do the ultra sound?
@prowled haha, yes it's advisable to relocate the tracked area of interest to what you wish to see. Unless you think the results of a barium enema are best observed by x-raying the eye? haha.
Obviously one tracks the body area of interest, not the eye. The fact that the eye can be tracked with sufficient precision shows that the technique currently can work in specific surgeries. Dismissing the notion of advancement in this regard to OTHER surgeries seems unwise.
How does the surgeon know that’s the spot in the thalamus that’s causing the tremors?
Could this help a patient with costochondritis
I need the surgery 😓
All these advances in tech. are great, but when the average person can easily get access to even an MRI without pretty much nearly dying from say cancer and then being lucky enough to have medical insurance.. I collapsed and was paralysed all day, and I was refused any investigative/diagnotic interpretation (public system in Australia)
@melaniejaynecampen I mean (to edit and balance previous comment) it is an amazing advancement, and thank god, but while there are people starving in the world, and the majority of the population has a hard time even getting access to an MRI (even in Australia) due to the expense of the equipment and the cheapness with which we treat life, and the average doctor in a bulk bill clinic will see you for 2 minutes and tell you to keep your fluids up when you come to him for having been paralysed..
@dumbnetworks the point of my comment was to point out that while the rest of your comment did have a point, to add "correct from my point of view" is completely pointless.
Once they have treated one side of the body for essential tremors can they treat the other side?
@prowled No, the presenter said that patients are awake and talking to the surgeon during this procedure -- he points to this as a benefit vis-a-vis traditional surgery. Based on that, and the fact that you can spell "nasopharynx" but not "anesthesia" or "apparently," I don't believe you.
Where can I do this therapie?
Could vasuclar dementia be treated with this method. thanks
@prowled how is the difference relevant?
@missmollygrue You press the stop button if you feel you need to move.
will this work with AVM or AFM in the brain?
@BrownCookieBoy The Intro and Outro sound effects for TED are bone-jarringly loud compared with the volume of the speakers, I skip them too.
@luckychucky60
I am not sure what is the exact medical condition. You may search at clinicaltrials.gov for MRgFUS and the indication you are looking for
@quosmo1 yea he could have spent time discussing that.... then again he is only given a certain amount of minutes to speak.
@quosmo1 True but I find it hard to believe that they haven't incorporated this. The talk is only 16 minutes, so he probably won't mention "trivial" stuff like this to people who often know little about this subject. This is all based on assumptions of course.
did you treat breath cancer
But...what happens if you sneeze?
Essential Tremor, possible early onset Parkinsons sufferer here at age 34, can barely get a credit card out of my wallet at a cashier station on some days. Hopefully it will be more greatly tested in 2 years as he said, by which time I might be grasping at straws for a solution, if it's as bad in 2 years as the deterioration has been compared to now from 2 years ago. Keeping an eye on this =)
@nadavs123 welcome.....to youtube :(
@kebakent >"I do not wish to "debate" this any further."
hehe, hindsight eh.
you'll get the hang of social media eventually.
@kebakent Just like you have the right to voice your opinion, he has the right to do the same and debate upon your claims.
Fine and all, but does it cure cancer?
@ricande don't need goggles, build a projector into it. Project directly onto the patient.
@ry7ky I like art non-sense on TED, too. :P But I'm happy for ya :D
Amazing!
@KaiTendo174 @Enuvrack Thanks. I like art too, in moderation.
Skip to 16:08 for an audio demonstration of focused ultrasound.