Bioengineering, Biomedical Engineering, or Engineering in Medicine and Biology: which is it?
When I joined the Institute of Radio Engineers (IRE) as a student member in 1958, I also joined two specialty groups (called professional groups in that organization). One was the Professional Group on Audio, the other was the Professional Group on Medical Electronics. At the time, I believed that the newly emerging field of medical electronics would be a wonderful place for me to combine my love of electrical engineering with my love of physiology. Then, in 1961, the IRE merged with the AIEE (American Institute of Electrical Engineers) to form the IEEE (Institute of Electrical and Electronics Engineers). Within the AIEE was the Committee on Electrical Techniques in Medicine and Biology. At the time of the merger, that committee was merged with the IRE medical electronics group to form the current IEEE Engineering in Medicine and Biology Society. As I was beginning my postdoctoral studies that year, this new title was most appropriate-- engineering in biology described very well what I would be doing for the next 6 years and then, at Cal, for the rest of my professional life.
By the time I arrived at Cal, in the summer of 1967, a new wing had been approved for Etcheverry Hall; and Irv Fatt (ME) and Charles Susskind (EE) had convinced the University to dedicate one floor of that new wing to bioengineering. One of my assignments that first academic year was to design the layout of that floor. This task put me in close contact with each member of the college faculty involved in a biological or medical research project-- a great way to begin my career at Cal. At the time, Professors Susskind and Fatt were envisioning a department of bioengineering. I told them that I believed engineers would be more effective in bringing their skills to biology and medicine if they stayed in the departments of their traditional engineering disciplines. I was an electrical engineer, and I wanted to remain full time in the Department of Electrical Engineering. I also believed that no single department could cover the range of engineering disciplines applicable to medicine and biology, or the range of biological or medical areas to which those engineering disciplines would be applicable. The discussion became moot when, in 1968, the Governor of California, Ronald Reagan, removed the new wing of Etcheverry Hall from the budget he submitted to the state legislature.
The discussion reemerged in the mid-1990s. At that time I was torn. I still held those opinions about bioengineering departments, but I also knew that a bioengineering department would provide a reliable administrative and budgetary base for the Graduate Group. As far as graduate education was concerned, the organization of the Graduate Group was thoroughly consistent with my view of engineering in medicine and biology. It could accommodate an engineer from any field, a biomedical scientist from any field. At the undergraduate level, the Bioengineering Science option (as reformulated in 1983) also was consistent with my view. My view, however, was incomplete. It did not include the Dan Koshland type of bioengineering.
The Whitaker Foundation Governing Committee had been especially interested in the converging fields of molecular biology and nanotechnology. A bioengineering educational program with that sort of focus would include elements of traditional engineering (based on physical sciences and mathematics) in biology and medicine, and Dan Koshland's type of bioengineering (based, for example, on biochemistry and molecular biology). And such a program could evolve as those two areas evolved. That is the sort of program that Tom Budinger established in Cal's new Department of Bioengineering.
Considering just the medical side of bioengineering, one could estimate its current range of subfields by examining the list of areas covered by the 2016 meeting of the Biomedical Engineering Society and the list of areas covered by the 2014 anniversary issue of the Transactions on Biomedical Engineering (published by the IEEE Engineering in Medicine and Biology Society).
From the 2016 BMES meeting
Bioinformatics, Computational and Systems Biology
Biomaterials
Biomechanics
Biomedical Imaging and Optics
Cancer Technologies
Cardiovascular Engineering
Cellular and Molecular Engineering
Device Technologies and Biomedical Robotics
Drug Delivery
Nano and Micro Technologies
Neural Engineering
Orthopedic and Rehabilitation Engineering
Respiratory Bioengineering
Stem Cell Engineering
Tissue Engineering
Translational Biomedical Engineering
From the IEEE Trans Biomed Engrg
Biomedical Imaging
Neuroengineering
Cardiovascular Engineering
Cellular and Tissue Engineering
Biomedical Sensors and Instrumentation
Biomedical Signal Processing
Medical Robotics
Bioinformatics and Computational Biology
Interestingly, the two National Academy of Medicine inductees, Desai and Discher, both were (and are) pioneers in the areas of cellular and molecular engineering, nano and micro technologies, and drug delivery. In other words, long before Whitaker and Berkeley got together, the Graduate Group already was educating future leaders in the areas Whitaker was promoting. On the other hand, that's as far as the Group, on its own, could go. The added presence of the new bioengineering department at UCSF gave the UCSF/UCB bioengineering community the wherewithal to offer its star 1998 graduate a tenure-track faculty position. Professor Desai presently is chair of that department.
To me it was most enlightening to examine the website of Professor Desai's department ( the Department of Bioengineering and Therapeutic Sciences ). The department focusses on four areas-- (1) Computational biology and systems pharmacology, (2) Drug development and regulatory sciences, (3) Pharmacogenomics and Genomics, and (4) Therapeutic Bioengineering. Reading about the current research projects in that last area, I was struck by two things: (1) they conform much more to what I consider traditional bioengineering than they do to Dan Koshland's type of bioengineering, and (2) they are spectacularly beautiful, bringing, for example, cutting-edge submicron-technology and chemistry to bear on biological systems. The therapeutic structures they are designing, fabricating and employing are extraoridinarily tiny. I was taken back to my student days, the mid-1950s. Stanford's EE faculty included Karl Spangenberg-- world authority on the physics and design of vacuum tubes. Professor Spangenberg retired just as physical electronics was moving into the era of solid-state electronics, integrated circuits and the dawn of submicron technology. In a few decades, functional circuits incorporating the equivalents of many millions of Professor Spangenberg's vacuum tubes would be fabricated on small silicon chips. Nearly fifty years later, I too had retired from research just as bioengineering was moving into its era of nanotechnology.
Then it occurred to me that my collaborators and I had been immersed in a sub-micron world for a very long time. In fact, submicron silicon technology actually had been employed by neurobiologists since the late 1940s, when Gilbert Ning Ling and Ralph W. Gerard introduced the glass micropipette electrode. When I arrived at Berkeley, I inherited a device (electrode puller) for fabricating such electrodes. At first we used it largely for work on invertebrate neurons and sensory cells. About a decade later, my colleagues and I began using it for our work in the vertebrate VIIIth nerve. We adjusted the puller's parameters to yield hollow glass electrodes with tip diameters of approximately 80 nanometers, and with these we observed and recorded the neural signals being sent from the vertebrate inner ear to the auditory or vestibular brainstem. Actually, when we first began using these glass electrodes, we wanted to do more than merely observe and record signals-- we wanted to create detailed functional maps of inner-ear sensory surfaces. For that purpose, we needed to position the electrode tips inside VIIIth-nerve afferent axons with diameters as small as two microns. That would allow us to observe each axon's signals, then inject dye molecules into it through the hollow tip of the electrode. For observation and recording alone, we would merely have needed to penetrate the larger-diameter myelin sheath surrounding the axon. Injected into the sheath, the dye would spread only through one segment, from node to node. Injected into the interior of the axon, the dye could spread from end to end-- to the axon's target hair cells in the ear and to its target neurons in the brainstem. Thinking about these things reminded me of lines attributed to Bernard of Chartres at the dawn of the Renaissance and echoed later by Isaac Newton in a letter to Hooke. In the Lewis Lab, we definitely were making small advances with tools and concepts given us by giants, including Ling and Gerard. Click here for more on our adventures in the submicron world.
As for the question that is the title of this footnote, let's consider some sets: the set A of endeavors commonly included in bioengineering, including Koshland's type of bioengineering, the set B of endeavors commonly included in engineering in medicine which seem to be the same as those in biomedical engineering, the set C of endeavors in engineering in (applied to) biology, where biology in this case comprises those areas of biology that are not part of either clinical medicine or the basic medical sciences and engineering includes both physics/math-based engineering and Koshland-type bioengineering, and the set D of endeavors in the application of Koshland-type bioengineering to non-biological areas-- such as environmental cleanup, agriculture, energy. In common, current practice, the set B seems to be a proper subset of set A, the set C is very large but the intersection of sets A and C seems to be very small and perhaps shrinking, and the intersection of sets D and A seems to be small but growing. The Joint Graduate Group at any time can accomodate not only endeavors over set B but also over large areas of sets C and D both inside and outside their intersections with set A.