在一場由美國半導(dǎo)體協(xié)會(SIA)舉辦的一場年度餐會上，一位領(lǐng)導(dǎo)級心臟科醫(yī)師暨醫(yī)療研究學(xué)者表示，數(shù)字醫(yī)療可能會在某天讓醫(yī)院被淘汰。這位《The Creative Destruction of Medicine》一書的作者 Eric Topol 指出，人體內(nèi)與周遭的傳感器將實(shí)現(xiàn)實(shí)時性的、為個人量身打造的“移動醫(yī)療”；雖然實(shí)現(xiàn)的那一天還很遙遠(yuǎn)，但卻是非常實(shí)際可行的。 “我們的醫(yī)療技術(shù)還遠(yuǎn)遠(yuǎn)落后，但有一些大事件正要發(fā)生；”Topol對會場數(shù)百位芯片產(chǎn)業(yè)高層主管表示：“我們甚至還沒開始利用摩爾定律(Moore's Law)或是低成本的基因定序(gene sequencing)，但那些已經(jīng)開始發(fā)生，而且將永遠(yuǎn)改變醫(yī)療照護(hù)領(lǐng)域?！? 在眾多仍剛崛起的先進(jìn)技術(shù)中，Topol展示了一款名為AliveCor的裝置，能將他的心電圖實(shí)時顯示在智能手機(jī)上：“你能在3萬英尺高空上自己診斷出心臟病──然后我會收到病患的電子郵件，問說‘我的心律不整，現(xiàn)在該怎么辦？’” Topol還展示了加州理工大學(xué)(CalTech)所做的動物研究結(jié)果，一種放在血管內(nèi)的納米級傳感器能偵測到細(xì)胞在心臟病發(fā)生前的一些癥兆：“你能在心臟病發(fā)生之前的幾天或是幾周察覺到異狀，例如收到一個特殊的警告電話鈴聲…而希望這不會把你嚇到心臟病發(fā)！”他打趣道。

Eric Topol展示智能手機(jī)上顯示的實(shí)時心電圖
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基因定序能達(dá)到個人化，因此能針對個別惡性腫瘤患者提供更有效的癌癥治療方法。Topol對與會芯片業(yè)者表示：“我們對于疾病還停留在1960年代的觀點(diǎn)，所有與醫(yī)療相關(guān)的事物都停在那個時候；但你們所提供的技術(shù)將會改變一切?！? 美國半導(dǎo)體設(shè)備大廠應(yīng)用材料(Applied Materials)董事長Michael Splinter則表示，晶體管是“當(dāng)代最偉大的發(fā)明”，在他40年的職業(yè)生涯中，芯片業(yè)者將關(guān)鍵組件由10微米微縮到了10納米，使IC產(chǎn)業(yè)成為“地球史上最具生產(chǎn)力的產(chǎn)業(yè)”。他獲得了SIA的年度Robert Noyce獎。 “幾乎所有的系統(tǒng)都能藉由IC運(yùn)作得更好?！盨plinter針對那些預(yù)測摩爾定律已到盡頭的預(yù)測提出反駁：“我們將會繼續(xù)找到新方法來提升操作數(shù)件的密度， 因?yàn)檫@個世界需要它們──我并沒有看到有什么已經(jīng)走到盡頭?！苯衲暌呀?jīng)64歲的他，說他是在18歲仍是大學(xué)新鮮人時，第一次摸到晶體管。 即將接任SIA主席的IBM研發(fā)資深副總裁John Kelly III則認(rèn)為，產(chǎn)業(yè)界將創(chuàng)造來自“移動、云端、社交網(wǎng)絡(luò)、物聯(lián)網(wǎng)，以及聚合以上這些技術(shù)的新商機(jī)，產(chǎn)生我們前所未見的龐大資料”，他表示：“我們?nèi)栽谀硞€偉大時代重現(xiàn)的開端?！? 那天，筆者被那些產(chǎn)業(yè)菁英們的發(fā)言，以及餐會上的烤羊排、巧克力慕斯、白葡萄酒陶醉，離開現(xiàn)場時還覺得飄飄然…但在幾天之后的清醒時刻，我仍認(rèn)為CMOS制程微縮在10納米之下將會面臨到前所未有的挑戰(zhàn)，而到目前為止似乎并沒有太大突破。 但無論如何，盡管在過去21年擔(dān)任高科技產(chǎn)業(yè)媒體編輯的職業(yè)生涯中，我僅是一個站在旁邊看著半導(dǎo)體產(chǎn)業(yè)進(jìn)步的見證人，我仍感到萬分自豪。而今年已經(jīng)56歲的我，已經(jīng)準(zhǔn)備好讓那些實(shí)時性納米級傳感器來監(jiān)測我的心臟了！ 本文授權(quán)編譯自EE Times，版權(quán)所有，謝絕轉(zhuǎn)載 編譯：Judith Cheng 參考英文原文：Digital Medicine Could Eradicate Hospitals，by Rick Merritt

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{pagination} Digital Medicine Will Reshape Hospitals Rick Merritt, SiliconValley Bureau Chief SAN JOSE, Calif. — Digital healthcare will reshape hospitals, says a leading cardiologist and medical researcher. That's perhaps the brightest of many big promises from the ongoing revolution in semiconductors speakers shared at an annual industry gala here. Sensors in and around the body could enable real-time, mobile medicine tailored to the individual, said Eric Topol, author of The Creative Destruction of Medicine, speaking at the annual and routinely inspiring awards dinner of the Semiconductor Industry Association (SIA). The promise is far from the reality today, but it's still very real, he said. "Were so far behind in healthcare, but there's something big going on," Topol told several hundred chip executives. "We haven’t even begun to leverage Moore's Law or low-cost gene sequencing, but that’s going to happen, and it will change healthcare forever." Among a flood of still-emerging advances, Topol demonstrated the AliveCor device, displaying his cardiograph in real-time on his smartphone. "You can diagnose a heart attack at 30,000 feet -- I get emails from patients saying 'I have an arrhythmia, now what do I do?' " He showed the results of animal research at CalTech on nano-sensors in the blood stream that can detect cells that are precursors of a heart attack. "You could know days or weeks before having a heart attack, and get a special heart-attack ring tone that hopefully won't give you a heart attack," he quipped. Topol showed his real-time cardiograpm on a smartphone. Genome sequencing promises personalized and thus more effective cancer treatments for tumors that vary with each patient. "We've been stuck in a 1960s view of the disease. Everything in medicine is stuck in the 1960s, but your technology will change that," he told chipmakers. Michael Splinter, chairman of Applied Materials, called the underlying transistor "the greatest invention of the modern age." Chipmakers shrunk the key device from 10 microns to 10 nanometers in his 40-year career, making it "the most productive industry in the history of the planet," he said, picking up the SIA's annual Robert Noyce award. "Almost every system can be made better with ICs," said Splinter who advised against making predictions that Moore's Law scaling will end. "We will always come up with new ways to increase the density of computing because the world wants and needs it -- I don't see the end of anything," said the 64-year old who made his first transistor while a college freshman at the age of 18. The industry will spawn "huge new business opportunities from mobile, cloud, social, the Internet of Things, and the convergence of these technologies, creating data sizes we've never seen before," said John Kelly III, incoming SIA chairman and senior vice president of research at IBM. "We are just at the beginning of something great again." I walked out of the annual event a few inches off the ground, buoyed up by the rhetoric, the roast lamb, chocolate mousse, and chardonnay. Now, a few sober days later, I still think CMOS scaling faces unprecedented challenges getting to sub-10nm, and as far as I have heard there's nothing much beyond. That said, I'm damned proud to be even just a witness, standing on the sidelines for the past 21 years, watching the progress in this industry. And at 56 I'm ready for one of those real-time nano-sensors to monitor my heart.