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  • People don't realize

  • that red light and benign near-infrared light

  • go right through your hand, just like this.

  • This fact could enable better, faster and cheaper health care.

  • Our translucence is key here.

  • I'm going to show you how we use this key and a couple of other keys

  • to see deep inside our bodies and brains.

  • OK, so first up ...

  • You see this laser pointer and the spot it makes on my hand?

  • The light goes right through my hand --

  • if we could bring the lights down, please --

  • as I've already shown.

  • But you can no longer see that laser spot.

  • You see my hand glow.

  • That's because the light spreads out, it scatters.

  • I need you to understand what scattering is,

  • so I can show you how we get rid of it

  • and see deep inside our bodies and brains.

  • So, I've got a piece of chicken back here.

  • (Laughter)

  • It's raw.

  • Putting on some gloves.

  • It's got the same optical properties as human flesh.

  • So, here's the chicken ... putting it on the light.

  • Can you see, the light goes right through?

  • I also implanted a tumor in that chicken.

  • Can you see it?

  • Audience: Yes.

  • Mary Lou Jepsen: So this means, using red light and infrared light,

  • we can see tumors in human flesh.

  • But there's a catch.

  • When I throw another piece of chicken on it,

  • the light still goes through,

  • but you can no longer see the tumor.

  • That's because the light scatters.

  • So we have to do something about the scatter

  • so we can see the tumor.

  • We have to de-scatter the light.

  • So ...

  • A technology I spent the early part of my career on

  • enables de-scattering.

  • It's called holography.

  • And it won the Nobel Prize in physics in the 70s,

  • because of the fantastic things it enables you to do with light.

  • This is a hologram.

  • It captures all of the light, all of the rays, all of the photons

  • at all of the positions and all of the angles, simultaneously.

  • It's amazing.

  • To see what we can do with holography ...

  • You see these marbles?

  • Look at these marbles bouncing off of the barriers,

  • as an analogy to light being scattered by our bodies.

  • As the marbles get to the bottom of the scattering maze,

  • they're chaotic, they're scattering and bouncing everywhere.

  • If we record a hologram at the bottom inside of the screen,

  • we can record the position and angle of each marble exiting the maze.

  • And then we can bring in marbles from below

  • and have the hologram direct each marble to exactly the right position and angle,

  • such as they emerge in a line at the top of the scatter matrix.

  • We're going to do that with this.

  • This is optically similar to human brain.

  • I'm going to switch to green light now,

  • because green light is brighter to your eyes than red or infrared,

  • and I really need you to see this.

  • So we're going to put a hologram in front of this brain

  • and make a stream of light come out of it.

  • Seems impossible but it isn't.

  • This is the setup you're going to see.

  • Green light.

  • Hologram here, green light going in,

  • that's our brain.

  • And a stream of light comes out of it.

  • We just made a brain lase of densely scattering tissue.

  • Seems impossible, no one's done this before,

  • you're the first public audience to ever see this.

  • (Applause)

  • What this means is that we can focus deep into tissue.

  • Our translucency is the first key.

  • Holography enabling de-scattering is the second key

  • to enable us to see deep inside of our bodies and brains.

  • You're probably thinking,

  • "Sounds good, but what about skull and bones?

  • How are you going to see through the brain without seeing through bone?"

  • Well, this is real human skull.

  • We ordered it at skullsunlimited.com.

  • (Laughter)

  • No kidding.

  • But we treat this skull with great respect at our lab and here at TED.

  • And as you can see,

  • the red light goes right through it.

  • Goes through our bones.

  • So we can go through skull and bones and flesh with just red light.

  • Gamma rays and X-rays do that, too, but they cause tumors.

  • Red light is all around us.

  • So, using that, I'm going to come back here

  • and show you something more useful than making a brain lase.

  • We challenged ourselves to see how fine we could focus through brain tissue.

  • Focusing through this brain,

  • it was such a fine focus, we put a bare camera die in front of it.

  • And the bare camera die ...

  • Could you turn down the spotlight?

  • OK, there it is.

  • Do you see that?

  • Each pixel is two-thousandths of a millimeter wide.

  • Two microns.

  • That means that spot focus -- full width half max --

  • is six to eight microns.

  • To give you an idea of what that means:

  • that's the diameter of the smallest neuron in the human brain.

  • So that means we can focus through skull and brain to a neuron.

  • No one has seen this before, we're doing this for the first time here.

  • It's not impossible.

  • (Applause)

  • We made it work with our system, so we've made a breakthrough.

  • (Laughter)

  • Just to give an idea -- like, that's not just 50 marbles.

  • That's billions, trillion of photons,

  • all falling in line as directed by the hologram,

  • to ricochet through densely scattering brain,

  • and emerge as a focus.

  • It's pretty cool.

  • We're excited about it.

  • This is an MRI machine.

  • It's a few million dollars, it fills a room,

  • many people have probably been in one.

  • I've spent a lot of time in one.

  • It has a focus of about a millimeter --

  • kind of chunky, compared to what I just showed you.

  • A system based on our technology could enable dramatically lower cost,

  • higher resolution

  • and smaller medical imaging.

  • So that's what we've started to do.

  • My team and I have built a rig, a lab rig

  • to scan out tissue.

  • And here it is in action.

  • We wanted to see how good we could do.

  • We've built this over the last year.

  • And the result is,

  • we're able to find tumors

  • in this sample --

  • 70 millimeters deep, the light going in here,

  • half a millimeter resolution,

  • and that's the tumor it found.

  • You're probably looking at this,

  • like, "Sounds good, but that's kind of a big system.

  • It's smaller than a honking-big MRI machine,

  • monster MRI machine,

  • but can you do something to shrink it down?"

  • And the answer is:

  • of course.

  • We can replace each big element in that system

  • with a smaller component --

  • a little integrated circuit,

  • a display chip the size of a child's fingernail.

  • A bit about my background:

  • I've spent the last two decades inventing, prototype-developing

  • and then shipping billions of dollars of consumer electronics --

  • with full custom chips --

  • on the hairy edge of optical physics.

  • So my team and I built the big lab rig

  • to perfect our architecture and test the corner cases

  • and really fine-tune our chip designs,

  • before spending the millions of dollars to fabricate each chip.

  • Our new chip inventions slim down the system, speed it up

  • and enable rapid scanning and de-scattering of light

  • to see deep into our bodies.

  • This is the third key to enable better, faster and cheaper health care.

  • This is a mock-up of something that can replace the functionality

  • of a multimillion-dollar MRI machine

  • into a consumer electronics price point,

  • that you could wear as a bandage, line a ski hat, put inside a pillow.

  • That's what we're building.

  • (Applause)

  • Oh, thanks!

  • (Applause)

  • So you're probably thinking,

  • "I get the light going through our bodies.

  • I even get the holography de-scattering the light.

  • But how do we use these new chip inventions, exactly,

  • to do the scanning?"

  • Well, we have a sound approach.

  • No, literally -- we use sound.

  • Here, these three discs represent the integrated circuits

  • that we've designed,

  • that massively reduce the size of our current bulky system.

  • One of the spots, one of the chips, emits a sonic ping,

  • and it focuses down,

  • and then we turn red light on.

  • And the red light that goes through that sonic spot

  • changes color slightly,

  • much like the pitch of the police car siren changes

  • as it speeds past you.

  • So.

  • There's this other thing about holography I haven't told you yet,

  • that you need to know.

  • Only two beams of exactly the same color can make a hologram.

  • So, that's the orange light that's coming off of the sonic spot,

  • that's changed color slightly,

  • and we create a glowing disc of orange light

  • underneath a neighboring chip

  • and then record a hologram on the camera chip.

  • Like so.

  • From that hologram, we can extract information just about that sonic spot,

  • because we filter out all of the red light.

  • Then, we can optionally focus the light back down into the brain

  • to stimulate a neuron or part of the brain.

  • And then we move on to shift the sonic focus to another spot.

  • And that way, spot by spot, we scan out the brain.

  • Our chips decode holograms

  • a bit like Rosalind Franklin decoded this iconic image of X-ray diffraction

  • to reveal the structure of DNA for the first time.

  • We're doing that electronically with our chips,

  • recording the image and decoding the information,

  • in a millionth of a second.

  • We scan fast.

  • Our system may be extraordinary at finding blood.

  • And that's because blood absorbs red light and infrared light.

  • Blood is red.

  • Here's a beaker of blood.

  • I'm going to show you.

  • And here's our laser, going right through it.

  • It really is a laser, you can see it on the -- there it is.

  • In comparison to my pound of flesh,

  • where you can see the light goes everywhere.

  • So let's see that again, blood.

  • This is really key: blood absorbs light,

  • flesh scatters light.

  • This is significant,

  • because every tumor bigger than a cubic millimeter or two

  • has five times the amount of blood as normal flesh.

  • So with our system, you can imagine detecting cancers early,

  • when intervention is easy,

  • or tracking the size of your tumor as it grows or shrinks.

  • Our system also should be extraordinary at finding out where blood isn't,

  • like a clogged artery,

  • or the color change in blood

  • as it carries oxygen versus not carrying oxygen,

  • which is a way to measure neural activity.

  • There's a saying that "sunlight" is the best disinfectant.

  • It's literally true.

  • Researchers are killing pneumonia in lungs by shining light deep inside of lungs.

  • Our system could enable this noninvasively.

  • Let me give you three more examples of what this technology can do.

  • One: stroke.

  • There's two major kinds of stroke:

  • the one caused by clogs

  • and another caused by rupture.

  • If you can determine the type of stroke within an hour or two,

  • you can give medication to massively reduce the damage to the brain.

  • Get the drug wrong,

  • and the patient dies.

  • Today, that means access to an MRI scanner within an hour or two of a stroke.

  • Tomorrow, with compact, portable, inexpensive imaging,

  • every ambulance and every clinic can decode the type of stroke

  • and get the right therapy on time.

  • (Applause)

  • Thanks.

  • Two:

  • two-thirds of humanity lacks access to medical imaging.

  • Compact, portable, inexpensive medical imaging can save countless lives.

  • And three:

  • brain-computer communication.

  • I've shown here onstage our system focusing through skull and brain

  • to the diameter of the smallest neuron.

  • Using light and sound, you can activate or inhibit neurons,

  • and simultaneously, we can match spec by spec

  • the resolution of an fMRI scanner,

  • which measures oxygen use in the brain.

  • We do that by looking at the color change in the blood,

  • rather than using a two-ton magnet.

  • So you can imagine that with fMRI scanners today,

  • we can decode the imagined words, images and dreams of those being scanned.

  • We're working on a system that puts all three of these capabilities

  • into the same system --

  • neural read and write with light and sound,

  • while simultaneously mapping oxygen use in the brain --

  • all together in a noninvasive portable

  • that can enable brain-computer communication,

  • no implants, no surgery, no optional brain surgery required.

  • This can do enormous good

  • for the two billion people that suffer globally with brain disease.

  • (Applause)

  • People ask me how deep we can go.

  • And the answer is: the whole body's in reach.

  • But here's another way to look at it.

  • (Laughter)

  • My whole head just lit up, you want to see it again?

  • Audience: Yes!

  • (Laughter)

  • MLJ: This looks scary, but it's not.

  • What's truly scary is not knowing about our bodies,

  • our brains and our diseases

  • so we can effectively treat them.

  • This technology can help.

  • Thank you.

  • (Applause)

  • Thank you.

  • (Applause)

People don't realize

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