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You see the transducer, the light blue.
Látják a transzducert, a világoskéket.
en-hu
There's water in between the skull and the transducer.
Između provodnika i lobanje se nalazi voda.
en-sr
And it does this burst of energy.
Και προκαλεί αυτή την έκρηξη ενέργειας.
en-el
It elevates the temperature.
Това повишава температурата.
en-bg
We first need to verify that we are on target.
Najpierw musimy zweryfikować, że namierzyliśmy w cel.
en-pl
So the first sonication is at lower energy.
De eerste sonicatie gebeurt bij lagere energie.
en-nl
It doesn't do any damage, but it elevates the temperature by a few degrees.
Elle ne cause aucun dommage, mais elle élève la température de quelques degrés.
en-fr
And one of the unique capabilities that we leverage with the MR is the ability to measure temperature noninvasively.
אחת מהיכולות המיוחדות שאנו ממנפים בעזרת הדימות המגנטי היא היכולת למדוד טמפרטורה באופן בלתי פולשני.
en-he
This is really a unique capability of the MR.
Das ist eine einzigartige Fähigkeit der MRT.
en-de
It is not being used in regular diagnostic imaging.
Nie jest używana w normalnym obrazowaniu diagnostycznym.
en-pl
But here we can get both the anatomical imaging and the temperature maps in real time.
Ekkor viszont megkapjuk az anatómiai képet és a hőmérsékleti térképet egyszerre valós időben.
en-hu
And you can see the points there on the graph.
Na grafu lahko vidite točke.
en-sl
The temperature was raised to 43 degrees C temporarily.
A temperatura foi elevada a 43ºC temporariamente.
en-pt-br
This doesn't cause any damage.
Αυτό δεν προκαλεί καμία ζημιά.
en-el
But the point is we are right on target.
Qëllimi është të dijmë që jemi në shenjë.
en-sq
So once the physician verifies that the focus spot is on the target he has chosen, then we move to perform a full-energy ablation like you see here.
Takže akonáhle lekár overí zameranie na cieľ, ktorý vybral, prejdeme k výkonu plnoenergetickej ablácie, ako môžete vidieť tu.
en-sk
And you see the temperature rises to like 55 to 60 degrees C.
Виждате как температурата се покачва до 55-60 градуса Целзий.
en-bg
If you do it for more than a second, it's enough to basically destroy the proteins of the cells.
Ja jūs to darāt ilgāk par sekundi, tas ir pietiekami, lai tikpat kā iznīcinātu šūnu olbaltumvielas.
en-lv
This is the outcome from a patient perspective -- same day after the treatment.
É isto que ocorre do ponto de vista do paciente -- no mesmo dia após a cirurgia.
en-pt-br
This is an immediate relief.
Een onmiddellijke verlichting.
en-nl
John is one of [about] a dozen very heroic, courageous people who volunteered for the study.
John je jedným z asi dvanástich veľmi hrdinských, odvážnych ľudí, ktorí sa stali dobrovoľníkmi tohto výskumu.
en-sk
And you have to understand what is in people's mind when they are willing to take the risk.
Je moet begrijpen wat er in mensen omgaat als ze bereid zijn om het risico te nemen.
en-nl
And this is a quote from John after he wrote it.
Dhe ky është një citat i Xhonit pasi e shkroi,
en-sq
He said, "Miraculous."
dejal, "Neverjetno."
en-sl
And his wife said, "This is the happiest moment of my life."
A njegova žena je rekla : „Ovo je najsretniji trenutak moga života.“
en-hr
And you wonder why.
なぜだろうと考えると
en-ja
I mean, one of the messages I like to carry over is, what about defending quality of life?
Voglio dire, uno dei messaggi che vorrei diffondere è, perché non difendiamo la qualità della vita?
en-it
I mean, those people lose their independence.
Αυτοί οι άνθρωποι χάνουν την ανεξαρτησία τους.
en-el
They are dependent on others.
Başkalarına muhtaçlardı.
en-tr
And John today is fully independent.
John pa je danes v celoti samostojen
en-sl
He returned to a normal life routine.
Wrócił do normalnego trybu życia.
en-pl
And he also plays golf, like you do in Virginia when you are retired.
他会去打高尔夫球 就像很多人在 维吉尼亚的退休生活
en-zh-cn
Okay, so you can see here the spot.
Bene, ora qui vedete questa macchiolina.
en-it
It's like three millimeters in the middle of the brain.
Примерно 3 миллиметра в середине мозга
en-ru
There's no damage outside.
Não há danos fora.
en-pt-br
He suffers from no neurodeficit.
Er leidet an keinerlei neurologischen Defiziten.
en-de
There's no recovery needed, no nothing.
Nije potreban oporavak, ništa.
en-hr
He's back to his normal life.
Ele voltou para a sua vida normal.
en-pt
Let's move now to a more painful subject.
Nu pievērsīsimies daudz sāpīgākai tēmai.
en-lv
Pain is something that can make your life miserable.
Bolečina je nekaj, kar vam lahko zagreni življenje.
en-sl
And people are suffering from all kinds of pain like neuropathic pain, lower-back pain and cancer pain from bone metastases, when the metastases get to your bones, sometimes they are very painful.
Ľudia trpia rôznymi druhmi bolestí ako neuropatická bolesť, bolesť krížov a bolesť z rakoviny metastázovanej v kostiach. Keď sa metastázy dostanú do kostí, niekedy dokážu byť veľmi bolestivé.
en-sk
All those I've indicated have already been shown to be successfully treated by focused ultrasound relieving the pain, again, very fast.
Všetky, ktoré som vymenoval, už boli preukázané ako úspešne liečiteľné zaostreným ultrazvukom, veľmi rýchlo tým uľavujúc bolesti.
en-sk
And I would like to tell you about PJ.
Ik ga het hebben over PJ.
en-nl
He's a 78 year-old farmer who suffered from -- how should I say it? -- it's called pain in the butt.
E' un agricoltore di 78 anni che soffriva di - come dire? - dolori al fondoschiena.
en-it
He had metastases in his right buttock, and he couldn't sit even with medication.
Ai kishte metastaza në gluteusin e djathtë, e nuk mund të ulej as me mjekim.
en-sq
He had to forgo all the farm activities.
그는 모든 농사 업무들을 포기해야만 했습니다
en-ko
He was treated with radiation therapy, state-of-the-art radiation therapy, but it didn't help.
הוא טופל באמצעות קרינה, טיפול קרינה מהמתקדמים ביותר, אבל זה לא עזר.
en-he
Many patients like that favor radiation therapy.
Mnogi takvi bolesnici glasaju za radio-terapiju.
en-sr
And again, he volunteered to a pivotal study that we ran worldwide, also in the U.S.
Và ở ca này, ông xung phong tham gia một nghiên cứu quan trọng mà chúng tôi thực hiện trên khắp thế giới, ở cả nước Mỹ nữa.
en-vi
And his wife actually took him.
De hecho, su esposa lo llevó.
en-es
They drove like three hours from their farm to the hospital.
Ils ont roulé trois heures de leur ferme à l'hôpital.
en-fr
He had to sit on a cushion, stand still, not move, because it was very painful.
A trebuit să stea pe o pernă, nemișcat, să nu se miște, pentru că era foarte dureros.
en-ro
He took the treatment, and on the way back, he drove the truck by himself.
Megkapta a kezelést, és a visszaúton, maga vezette a teherautót.
en-hu
So again, this is an immediate relief.
Još jednom, ovo je momentalno olakšanje.
en-sr
And you have to understand what those people feel and what their family experiences when it happens.
你可以体会 当病痛解除时 这些病人和 他们家人的感受
en-zh-cn
He returned again to his daily routine on the farm.
On se ponovo vratio svom svakodnevnom ritmu na imanju.
en-sr
He rides his tractor.
Guida il trattore.
en-it
He rides his horse to their mountain cabin regularly.
Il monte régulièrement son cheval jusqu'à leur chalet de montagne.
en-fr
And he has been very happy.
Και είναι πολύ ευτυχισμένος.
en-el
But now, you ask me, but what about war, the war on cancer?
でも癌自体との闘いは どうなっているんだと 思うでしょう
en-ja
Show us some primary cancer.
我们要看看对于那些首要癌症
en-zh-cn
What can be done there?
Ç' mund të bëhet në kësi rastesh?
en-sq
So I have good news and bad news.
Vannak jó és rossz híreim.
en-hu
The good news: there's a lot that can be done.
Dobre vijesti: postoji puno toga što se može učiniti.
en-hr
And it has been shown actually outside of the U.S.
実際に米国外で実証されています
en-ja
And doing that in the U.S.
Делать это в США -
en-ru
is very painful.
allerdings sehr mühsam.
en-de
I don't see, without this nation taking it as some collective will or something that is a national goal to make that happen, it will not happen.
لا أرى، من دون أن تتّخذ هذه الأمة هذا الأمر كإرادة الجماعية أو كهدف وطني يجب تحقيقه، فإنّ هذا لن يحدث.
en-ar
And it's not just because of regulation; it's because of the amount of money needed under the current evidence-based medicine and the size of trials and so on to make it happen.
これは規制だけでなく 現在の科学的根拠に基づいた 医療において 実現させるのに必要な資金の額や 大規模な臨床試験などが 問題になるからです
en-ja
So the first two applications are breast cancer and prostate cancer.
Thế là hai ứng dụng đầu tiên là ung thư vú và ung thư tuyến tiền liệt.
en-vi
They were the first to be treated by focused ultrasound.
Onlar odaklı ultrasonla tedavi edilen ilk hastalardı.
en-tr
And we have better-than-surgery results in breasts.
Con il tumore al seno abbiamo risultati migliori della chirurgia.
en-it
But I have a message for the men here.
Taču man ir ziņa klātesošajiem vīriešiem.
en-lv
We heard here yesterday Quyen talking about the adverse event trait in prostate cancer.
Juče je Kvijen govorila o nepoželjnim, sporednim efektima pri lečenju raka prostate.
en-sr
There is a unique opportunity now with focused ultrasound guided by MR, because we can actually think about prostate lumpectomy -- treating just the focal lesion and not removing the whole gland, and by that, avoiding all the issues with potency and incontinence.
而使用磁振造影引導進行聚焦超音波治療 有著獨一無二的契機, 因為我們可以改良原有的 前列腺腫瘤切除術 -- 只針對聚焦點進行治療, 而不是將整個腺體移除, 藉此,避開所有 性能力或尿失禁的問題。
en-zh-tw
Well, there are other cancer tumors in the abdomen -- quite lethal, very lethal actually -- pancreas, liver, kidney.
Naja, es gibt noch weitere Tumorarten im Bauchraum – eigentlich sogar sehr wenige – Pankreas, Leber, Niere.
en-de
The challenge there with a breathing and awake patient -- and in all our treatments, the patient is awake and conscious and speaks with the physician -- is you have to teach the MR some tricks how to do it in real time.
Die Herausforderung dabei liegt beim wachen und atmenden Patienten. In sämtlichen Behandlungen ist der Patient bei vollem Bewusstsein und redet mit dem Arzt. Also muss man die MR-Tomographie verfeinern, sodass das in Echtzeit klappt.
en-de
And this will take time.
وهذا سوف يستغرق وقتا.
en-ar
This will take two years.
זה יארך שנתיים.
en-he
But I have now a message to the ladies.
ولكن لدي الآن رسالة للسيدات.
en-ar
And this is, in 2004, the FDA has approved MR-guided focused ultrasounds for the treatment of symptomatic uterine fibroids.
E é, em 2004, o FDA aprovou o foco de guiado pelo RM para o tratamento de fibroma uterino com síntomas.
en-pt-br
Women suffer from that disease.
Mnoge žene boluju od ove bolesti.
en-hr
All those tumors have heavy bleeding during periods, abdominal pressure, back pain, frequent urination.
Todos esos tumores causan sangrado abundante durante la menstruación, presión abdominal, dolor de espalda, necesidad frecuente de orinar.
en-es
And sometimes, they cannot even conceive and become pregnant because of the fibroid.
Và đôi khi, họ không thể thụ thai vì u xơ.
en-vi
This is Frances.
این فرانسیس است.
en-fa
She was diagnosed with a grapefruit-sized fibroid.
Egy grapefruit-nagyságú miómával lett diagnosztizálva.
en-hu
This is a big fibroid.
Це - великий фіброїд.
en-uk
She was offered a hysterectomy, but this is an inconceivable proposition for someone who wants to keep her pregnancy option.
Zaproponowano jej histerektomię, ale to propozycja nie do przyjęcia dla kogoś, kto chce pozostać płodny.
en-pl
So she elected to undergo a focused ultrasound procedure in 2008.
E così si decise a sottoporsi al trattamento con ultrasuoni nel 2008.
en-it
And in 2010, she became a first-time mother to a healthy baby.
Y en 2010, fue madre por primera vez de un bebé sano.
en-es
So new life was born.
Byl zrozen nový život.
en-cs
(Applause) So in conclusion, I'd like to leave you with actually four messages.
(Applaus) Als conclusie wil ik jullie vier boodschappen meegeven.
en-nl
One is, think about the amount of suffering that is saved from patients undergoing noninvasive surgery, and also the economical and emotional burden removed from their families and communities and the society at large -- and I think also from their physicians, by the way.
Először is, gondoljunk arra a sok szenvedésre, amitől megkíméltük a pacienseket egy noninvazív operációval, és a gazdasági és érzelmi teherre, amitől megszabadítottuk a családjukat és közösségüket és a társadalmat általában -- és én mellesleg gondolok az orvosaikra is.
en-hu
And the other thing I would like you to think about is the new type of relationship between physician and patients when you have a patient on the table [who] is awake and can even monitor the treatment.
L'altra cosa a cui vorrei che pensaste è il nuovo tipo di rapporto tra medico e paziente, quando il paziente sta sul lettino in modo cosciente, potendo seguire tutta la procedura.
en-it
In all our treatments, the patient holds a stop sonication button.
Trong mọi ca điều trị của chúng tôi, bệnh nhân giữ một nút "dừng sonication."
en-vi
He can stop the surgery at any moment.
Он может установить операцию в любой момент.
en-ru
And with that note, I would like to thank you for listening.
Sa tim bih završio. Hvala na pažnji.
en-sr
Okay, I have no idea what we're going to play.
Also, ich habe keine Ahnung, was wir spielen werden.
en-de
I won't be able to tell you what it is until it happens.
Não serei capaz de vos dizer o que é, até que aconteça.
en-pt
I didn't realize there was going to be a little music before.
Neuvědomil jsem si, že tu bude ta znělka.
en-cs