chapter 10 heat transfer in living tissue 10.1 introduction examples hyperthermia cryosurgery ...

61
CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction Examples Hyperthermia Cryosurgery Skin burns Frost bite Body thermal regulation Modeling Modeling heat transfer in living tissue requires the formulation of a special heat equation 1

Upload: nathan-mccarthy

Post on 25-Dec-2015

225 views

Category:

Documents


6 download

TRANSCRIPT

Page 1: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

CHAPTER 10

HEAT TRANSFER IN LIVING TISSUE

10.1          Introduction    Examples    Hyperthermia    Cryosurgery    Skin burns    Frost bite    Body thermal regulation    Modeling

Modeling heat transfer in living tissue requiresthe formulation of a special heat equation

1

Page 2: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

VesselsArtery/veinAorta/vena cavaSupply artery/veinPrimary vesselsSecondary vesselsArterioles/venulesCapillaries

Key features

(1) Blood perfused tissue

(2) Vascular architecture

(3) Variation in blood flow rate and tissue properties

10.2 Vascular Architecture and Blood Flow

10.1 Fig.

vein

arterySAV

arteriolevenule s

s

P

tissue

c

dia. m 15-5 ,capillarie c

dia. m 300-100 vein, and arery primary P

dia. m 1000-003 vein, and arery supply main AVS

scapillarie

2

Page 3: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Tb

Blo

od te

mpe

ratu

re

temp. blood temp. tissue

temp. tissuetemp. blood

path flow blood

mixing

0aT

aortaprimaryarteries

scapillarieprimaryveins

cavavena

10.2 Fig. variation etemperatur blood of Schematic vessels in

10.3 Blood Temperature Variation

• Blood mixing from various sources brings temperature to 0aT

Equilibration with tissue: prior to arterioles and capillaries Metabolic heat is removed from blood near skin

• Blood leaves heart at 0aT

3

Page 4: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(4) Blood Temperature:

(1) Equilibration Site: Arterioles, capillaries & venules(2) Blood Perfusion:

10.4 Mathematical Modeling of Vessels-Tissue Heat Transfer 

10.4.1 Pennes Bioheat Equation (1948)

(a) Formulation

Assumptions:

(3) Vascular Architecture: No influence

4

Blood reaches capillary bed at

body temperature 0aT, leaves at tissue temperature T

Neglects flow directionality. i.e.isotropic blood flow

Page 5: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

10.3 Fig.

capillarybed

arteriole

venule

x

y

mq

Let bq net rate of energy added by the blood per unit

volume of tissue mq rate of metabolic energy production per unit

volume of tissue

dzdydxqqdzdydxqE mbg )( (a)

5

inE gE outE E (1.6)

Treat energy exchange due to blood perfusion as energy

generation

Conservation of energy for the

element shown in Fig. 10.3:

Page 6: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Formulation of bq: Blood enters at body temperature 0aT and exists at the tissue temperature T

)( 0 TTwcq abbbb (10.1)

bc specific heat of blood

Eq. (10.1) into (a)

bw blood volumetric flow rate per unit tissue volume b density of blood

)( 0 TTwcqq abbbm (10.2)

Eq. (1.6) leads to (1.7). Modify eq. (1.7): set 0 WVU , and use eq. (10.2),

t

TcqTTwcTk mabbb

)( 0 (10.3)

c specific heat of tissue 6

Page 7: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

k thermal conductivity of tissue density of tissue Tk conduction terms, form depends on coordinates:

Cartesian coordinates:

)()()(z

Tk

zy

Tk

yx

Tk

xTk

(10.3a)

cylindrical coordinates:

)()()(2

11

z

Tk

z

Tk

rr

Trk

rrTk

(10.3b)

spherical coordinates:

)()()(222

22 sin

1sin

sin

11

T

kr

Tk

rr

Trk

rrTk

( 1 0 .3 c )

7

Page 8: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Notes on eq. (10.3):

t

TcqTTwcTk mabbb

)( 0 (10.3)

(1) This is known as the Pennes Bioheat equation

(2) The blood perfusion term is mathematically identical to surface convection in fins, eqs. (2.5), (2.19), (2.23) and (2.24)

(3) The same effect is observed in porous fins with coolant flow (see problems 5.12, 5.17, and 5.18)

(b) Shortcomings of the Pennes equation

Equilibration Site:(1)

• Does not occur in the capillaries

8

Page 9: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Occurs in the thermally significant pre-arteriole and post-venule vessels (dia. 70-500 m )

Thermally significant vessels: 1L

Le

eL = Equilibration length: distance blood travels for its temperature to equilibrate with tissue

Blood Perfusion:(2)

  Perfusion in not isotropic  Directionality is important in energy interchange

Vascular Architecture :(3)

•Local vascular geometry not accounted for•Neglects artery-vein countercurrent heat

exchange•Neglects influence of nearby large vessels 9

Page 10: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Blood Temperature:(4)

(c) Applicability

Surprisingly successful, wide applications

Reasonable agreement with some experiments

10

Blood does not leave tissue at local temperature T

0aTBlood does not reach tissue at body core temperature

Page 11: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Example 10.1: Temperature Distribution in the Forearm

0

rR

modelbw mq

forearm

bw mq

10.4 Fig.

Th,

Model forearm as a cylinder

Blood perfusion rate bw

Metabolic heat production mq

Convection at the surface

Heat transfer coefficient is h

Ambient temperature is T

Use Pennes bioheat equation to determine the 1-D temperature distribution

(1) Observations

11

Page 12: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

• Arm is modeled as a cylinder with uniform energy generation    Heat is conduction to skin and removed by convection    In general, temperature distribution is 3-D

(2) Origin and Coordinates. See Fig. 10.4

(3) Formulation

(i) Assumptions

(1)          Steady state (2)          Forearm is modeled as a constant radius cylinder (3)          Bone and tissue have the same uniform properties (4)          Uniform metabolic heat (5)          Uniform blood perfusion(6)          No variation in the angular direction(7)          Negligible axial conduction

12

Page 13: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(8) Skin layer is neglected(9) Pennes bioheat equation is applicable

(ii) Governing Equations

Pennes equation (10.3) for 1-D steady state radial heat transfer

0)(1

0)(

k

qTT

k

wc

dr

dTr

dr

d

rm

abbb

(a)

(iii) Boundary Conditions:

,0)0(

dr

dT or T(0) = finite (b)

TRThdr

RdTk )(

)( (c)

(4) Solution

13

Page 14: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Rewrite (a) in dimensionless form. Define

0

0

a

a

TT

TT

,

R

r (d)

(d) into (a)

0)(

1

0

22

)(

TTk

Rq

k

Rwc

d

d

d

d

a

mbbb

(e)

Define

k

Rwc bbb2

(f)

)( 0

2

TTk

Rq

a

m (g)

(f) and (g) into (e)14

Page 15: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

01

)(

d

d

d

d (h)

The boundary conditions become

,0)0(

d

d or )0( finite (i)

]1)1([)1(

Bi

d

d (j)

Bi is the Biot number

k

hRBi

Homogeneous part of (h) is a Bessel differential equation. The solution is

)()()( 0201 KCIC (k)

15

Page 16: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Boundary conditions give

)()(

])/(1[

011

IBiI

BiC

, 02C (m)

(m) into (k)

)/(])/(1[)(

)( 0010

0

)()(

RrIIBiI

Bi

TT

TrTr

a

a

( n )

(5) Checking

Dimensional check: Bi,and are dimensionless. The arguments of the Bessel functions are dimensionless.

16

Limiting check: If no heat is removed (),arm reaches a uniform temperature . All metabolic heat is transferred to the blood. Conservation of energy for the blood:

Limiting check:

Dimensional check:

Page 17: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

)( 0aobbbm TTwcq Solve for oT

bbb

mao wc

qTT

0 (o)

Set 0Bih

bbb

ma wc

qTrT

0)( (p)

which agrees with (o)

(6) Comments(i) Solution depends on 3 parameters: Bi, metabolic heat , and blood perfusion parameter (ii) Setting 0r and Rr in (n) gives center and surface temperatures

17

Page 18: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(iii) The solution for zero metabolic heat production is obtained by setting 0 mq

(iv) The solution for zero blood perfusion can not be deduced from (n). Setting 0 in (n) gives . Solution is obtained by setting 0 in (h) and then solving for T:

22

)/(14

1

2

1

)/(Rr

BikqR

TT

m

(q)

10.4.2 Chen-Holmes Equation

• First to show that equilibration occurs prior to reaching the arterioles• Accounts for blood directionality• Accounts for vascular geometry• The Pennes equation is modified to:

18

Page 19: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

t

TcqTkTucTTcwTk mpbbabbb

)( **

( 1 0 . 4 )

NOTE:

(1) *bw = local perfusion rate (2) *aT= blood temperature upstream of the arterioles 0aT

(3) u blood velocity vector, accounts for directionality (4) Tucbb . energy convected by equilibrated blood.

Note similarity with convection term in moving fins (eq.2.19) and with flow through porous media (eq. 5.6)

(5) Tk p conduction due to temperature fluctuations in

equilibrated blood

19

Page 20: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(6) pk “perfusion conductivity”, depends on blood velocity

and inclination relative to temperature gradient, vessel radius and number density

Limitations(1) Vessel diameter m300

(2) 6.0L

Le

(3) Requires detailed knowledge of the vascular network and blood perfusion

10.4.3 Three-Temperature Model for Peripheral Tissue

Rigorous Approach

• Accounts for vasculature and blood flow directionality20

Page 21: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

10.5 Fig.

artery vein

aT vT

x

0

tissueTlayer deep

teintermedialayer

cutaneous

layer

cbw skinsT plexus

cutaneous• Assign three temperature variables:

aT(1) Arterial temperature

vT(2)Venous temperature(3) Tissue temperature T

• Identify three layers:(1) Deep layer: thermally

significant counter-

current artery-vein pairs

(2) Intermediate layer:porous media

(3) Cutaneous layer: thin,independently supplied by counter-current artery-veinvessels called cutaneous plexus

• Regulates surface heat flux

21

Page 22: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

• Consists of two regions: (i) Thin layer near skin with negligible blood flow(ii) Uniformly blood perfused layer (Pennes model)

FormulationSeven equation: 3 for the deep layer 2 for the intermediate layer 2 for the cutaneous layer • Model is complex• Simplified form for the deep layer is presented in the next section• Attention is focused on the cutaneous layer: (i) Region 1, blood perfused. For 1-D steady state:

22

Page 23: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

0)( 1021

2

TTk

wc

dx

Tdc

cbbb (10.5)

1T temperature variable in the lower layer

0cT temperature of blood supplying the cutaneous pelxus

cbw cutaneous layer blood perfusion rate x coordinate normal to skin surface

(ii) Region 2, pure conduction , for 1-D steady state:

022

2

dx

Td (10.6)

The 3 eqs. for ,aT vT and T are replaced by one equation

10.4.3 Weinbaum-Jiji Simplified Bioheat Equation for Peripheral Tissue

23

Page 24: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

10.6 Fig.

tissueT

aTartery

vTvein volume control

•Effect of vasculature and heat exchange between artery, vein, and tissue are retained

•Added simplification narrows applicability of result

(a) Assumptions

Control VolumeContains artery-vein pairs Countercurrent flow, va TT Includes capillaries, arterioles

and venules

(1) Uniformly distributed blood bleed-off leaving artery is

equal to that returning to vein (2) Bleed-off blood leaves artery at aT and enters the vein at vT

24

Page 25: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(3) Artery and vein have the same radius

(4) Negligible axial conduction through vessels (5) Equilibration length ratio 1/ LLe

(6) Tissue temperatureT is approximated by

2/)( va TTT (10.7)

(7) One-dimensional: blood vessels and temperature gradient are in the same direction

(b) FormulationConservation of energy for tissue in control volume takes intoconsideration:

(1) Conduction through tissue(2) Energy exchange between vessels and tissue due to capillary blood bleed-off from artery to vein

25

Page 26: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(3) Conduction between vessel pairs and tissue Note: Conduction from artery to tissue not equal to conduction from the tissue to the vein (incomplete countercurrent exchange)

Conservation of energy for the artery, vein and tissue and conservation of mass for the artery and vein give

meff qx

Tk

xt

Tc

)( (10.8)

effk= effective conductivity, defined as

22

2 )(1 uack

nkk bbeff

( 10.9)

a vessel radius

n number of vessel pairs crossing surface of control volume per unit area

u average blood velocity in countercurrent artery or vein 26

Page 27: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

shape factor, defined as )2/cosh(al

(10.10)

l center to center spacing between two parallel and isothermal vessels

NOTE effk accounts for the effect of vascular geometry and blood

perfusion a, , n and u depend on the vascular geometry

Conservation of mass gives u in terms of inlet velocity ou to tissue layer and the vascular geometry. Eq. (10.9) becomes

)(

)2(1

2

2

V

k

uackk

b

oobbeff (10.11)

27

Page 28: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

oa vessel radius at inlet to tissue layer, 0x

)(V dimensionless vascular geometry function (independent of blood flow)

Lx / dimensionless distance L tissue layer thickness ou blood velocity at inlet to tissue layer, 0x

NOTE: )/2( boobb kuac is independent of vascular geometry.

It represents the inlet Peclet number:

b

oobbo k

uacPe

2 (10.12)

Eq. (10.12) into eq. (10.11)

][ )(1 2 VPekk oeff (10.13)

Notes on effk : 28

Page 29: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(1) For the 3-D case, orientation of vessel pairs relative to the direction of local tissue temperature gradient gives rise to a tensor conductivity

(2) The second term on the right hand side of eqs. (10.11) and (10.13) represents the enhancement in tissue conductivity due to blood perfusion

Cutaneous layer: Use eqs. (10.5) and (10.6)

0)( 1021

2

TTk

wc

dx

Tdc

cbbb (10.12)

022

2

dx

Td (10.13)

Rewrite eq. (10.5) in terms of the Peclet number:0Pe

29

Page 30: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

L

uanw ooob

2 (10.14)

on = number of arteries entering tissue layer per unit area

Eq. (10.12) into eq. (10.14)

obb

boob Pe

cL

kanw

2

(10.15)

Define R

b

bc

wL

wLR

1 (10.16)

R = total rate of blood to the cutaneous layer to the total rate of blood to the tissue layer

1L = is the thickness of the cutaneous layer

Eqs. (10.15) and (10.16) into (10.5) 30

Page 31: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

0)(2 100

121

2

TTRPekL

kan

dx

Tdc

boo (10.17)

(c) Limitation and Applicability

Accurate tissue temperature prediction for: (1) Vessel diameter < μm200

(2) Equilibration length ratio 2.0/ LLe

(3) Peripheral tissue thickness < 2mm

31

Results are compared with 3- temperature model of Section 10.4.3

Page 32: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Example 10.2: Temperature Distribution in Peripheral Tissue

Peripheral tissue Skin surface at sT Blood supply temperature 0aT

Neglect blood flow through cutaneous layer

vascular geometry is described by )(V

2)( CBAV

555 1010109.15,1032.6 CandBA

.

5107

0 1

)(V

10.7 Fig.

effk)](1[ 2 VPek o

(i) Use the Weinbaum-Jiji equation determine temperature distribution

(ii) Express results in dimensionless form:

32

Page 33: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Lx/ , sa

s

TT

TT

0

, b

oobb

k

uacPe

20 ,

)(0

2

sa

m

TTk

Lq

mq

)( xkeff

10.8 Fig.

00aT

skin sT

x

(iii) Plot showing effect of blood flow & metabolic heat

(1) ObservationsVariation of k with distance is known Tissue can be modeled as a single

layer with variable effk

• Metabolic heat is uniform • Temperature increases as blood perfusion and/or metabolic heat are increased

(2) Origin and Coordinates. See Fig. 10.8

(3) Formulation33

Page 34: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(i) Assumptions(1) All assumptions leading to eqs. (10.8) and (10.9) are applicable(2) Steady state(3) One-dimensional

(5) Skin is maintained at uniform temperature

(6) Negligible blood perfusion in the cutaneous layer.

(ii) Governing Equations. Obtained from eq. (10.8)

)](1[ 20 VPekkeff (b)

34

(4) Tissue temperature at the base x = 0 is equal to 0aT

(a)0)( meff qdx

dTk

dx

d

Page 35: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

2)( CBAV (c)

(iii) Boundary Conditions

(d)0)0( aTT

sTLT )( (e) (4) Solution

Define

L

x , ,

0 sa

s

TT

TT

)(0

2

sa

m

TTk

Lq

(f)

Substituting (b), (c) and (f) into (a)

0)(1 220

d

dCBAPe

d

d (g)

Boundary conditions

35

Page 36: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

1)0( (h)

0)1( (i)

Integrating (g) once

1

220 )(1 C

d

dCBAPe

integrating again

2220

220

1)(1)(1

CCBAPe

d

CBAPe

dC

(j) integrals (j) are of the form

2

cba

d and 2

cba

d (k)

where 36

Page 37: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

,1 20APea ,2

0BPeb 20CPec (m)

Evaluate integrals, substitute into (j)

212

11

2tan)(ln

2

1

2tan

2

Cd

cb

d

bcba

c

d

cb

dC

(n)

24 bacd (o)

Boundary conditions (h) and (i) give the constants

1C and

2C

37

Page 38: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

where

Note:

(1) a, b, c and d depend on .0Pe Listed in Table 10.1

(2) 1C depends on both oPe and :

38

d

cb

d

cb

d

b

cba

cba

c

d

cb

d

cb

d

C

2tan

2tanln

2

1

2tan

2tan2

112

111

(p )

d

cb

d

b

d

d

cb

d

b

d

b

a

cba

cC

2tantan

2

2tantanln

2

11

11

11

1

(q)

Page 39: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

oPe

10.1 Table

a 1.2275 3.0477b -0.5724 -5.1516 c 0.36 3.24d 1.44 12.96

60 180

0 0.5

0.5

1.0

1.0

02.0

10.9 Fig.

60oPe 180oPe

0.20

0.60.81.0

1.441.131.060.41.011.001.02

3.052.151.511.121.021.14

10.2 Table

kkeff /6.0

180oPe

60oPe

600Pe and 02.0 : 047.11 C

1800Pe and 6.0 : 0176.11 C

(3) Table 10.2 lists enhancement in k

(4) Fig. 10.9 shows )(

39

Page 40: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(5) Checking

Boundary conditions (h) and (i)are satisfied

Tissue temperature increases as bloodperfusion and metabolic heat are increased

(6) Comments

(i) Enhancement in effk due to blood perfusion

(ii) Temperature distribution for 600 Pe and 02.0 is nearly linear. At 1800Pe and 6.0 the temperature is higher

40

, , 0Pe and the arguments of 1tan and ln are dimensionless Dimensional check:

Boundary conditions check:

Qualitative check:

Page 41: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(iii) The governing parameters are 0Pe and . The two are physiologically related

(iv) Neglecting blood perfusion in the cutaneous layer during vigorous exercise is not reasonable

10.4. 5 The s-Vessel Tissue Cylinder Model

Model Motivation

• Shortcomings of the Pennes equation• The Chen-Holmes equation and the Weinbaum-Jiji equation are complex and require vascular geometry data

(a) Basic Vascular Unit

Vascular geometry of skeletal muscles has common features

• Main supply artery and vein, SAV

41

Page 42: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

t

t

tdia. mm1

cylindermuscle

mm5.0P

PP

c

tc

t

t

ts

s

s

s

sdia. m10050

dia. m5020

dia. m300100 SAV

dia. m1000300

tarrangemenvascular tiverepresenta a of Schematic 10.10 Fig.

• Primary pairs, P

• Secondary pairs, s

• Terminal arterioles and venules, t

• Capillary beds, c42

Page 43: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

NOTE: Blood flow in the SAV, P and s is countercurrent

Each countercurrent s pair is surrounded by a cylindrical tissue which is approximately 1 mm

Diameter and typically 10-15 mm long

• The tissue cylinder is a repetitive unit consisting of arterioles, venules and capillary beds• This basic unit is found in most skeletal muscles• A bioheat equation for the cylinder represents the governing equation for the aggregate of all muscle cylinders

(b) Assumptions

(1) Uniformly distributed blood bleed-off leaving artery is equal to that returning to vein of the s vessel pair

43

Page 44: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(2) Negligible axial conduction through vessels and cylinder

(3) Radii of the s vessels do not vary along cylinder (4) Negligible temperature change between inlet to P vessels and inlet to the tissue cylinder (5) Temperature field in cylinder is based on conduction with a heat-source pair representing the s vessels(6) Outer surface of cylinder is at uniform temperature

(c) Formulation

• Capillaries, arterioles and venules are essentially in local thermal equilibrium with the surrounding tissue

• Three temperature variables are needed: T, aT and vT

• Three governing equations are formulated

44

s vessels within the cylinder are thermally significant: va TTT

Page 45: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

artery

vein

vein

arterytissue tissue

cylinder tissue (a)

section-cross enlarged (b)

10.11 Fig.

al

vll

R

localT

L L

x

• Navier-Stokes equations of motion give the velocity field in the s vessels (axially changing Poiseuille flow)

Boundary Conditions

(1)    Continuity of temperature at the surfaces of the vessels (2)    Continuity of radial flux at the surfaces of the vessels

45

Page 46: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(3) Tissue temperature at cylinder radius R is assumed uniform equal to localT (4) Symmetry at the mid-plane Lx gives 0

x

T

(5) Inlet artery bulk temperature at 0x is specified as 0abT

(6) At Lx the flow in the s vessels vanishes and the artery, vein and tissue are in thermal equilibrium at the local tissue temperature localT

(d) Solution

• The three eqs. for T, aT and vT are solved analytically • Solution gives 0vbT , the outlet bulk vein temperature at

0x

Simplified Case

Assume: 46

Page 47: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

localT

case simplified

lvl

al

vein

artery

tissue

R

(1) Artery and vein are equal in size

(2) Symmetrically positioned relative to center of cylinder, i.e., va ll

Results

Tat 0x is given by

11212

211

12

11

0

00

A

A

A

A

TT

TTT

localab

vbab (10.18)

24

111ln

4

1)(

2

2

11R

lRA a

(10.19)

47

Page 48: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

4

4

2

2

12cos2

1ln4

1

R

l

R

l

l

RA aa

(10.20)

(e) Modification of Pennes Perfusion Term

Eq. (10.18) gives

)( 000 localabvbab TTTTT (a)

Conservation of energy for blood at 0x gives the total energybqdelivered by blood to cylinder

)( 002

vbabaabbb TTuacq (10.21)

(a) into (10.21)

)( 02

localabaabbb TTTuacq

Dividing by the volume of cylinder

48

Page 49: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

)( 02

2

2 localabaa

bbb TTT

LR

uac

LR

q

(10.22)

Blood flow energy generation per unit tissue volume: bq

LR

qq bb 2 (10.23)

Blood flow per unit volume bw:

LR

uaw aab 2

2

(10.24)

(10.23) and 10.24) into (10.22)

)( 0 localabbbbb TTTwcq (10.25)

Since ,lRit follows that TTlocal

(10.25) becomes

)( 0 TTTwcq abbbbb (10.26)

49

Page 50: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Artery supply temperature (1) body core temperature 0aT

bqin Pennes equation is given by

)( 0 TTwcq abbbb ( 1 0 .1 )

Comparing (10.26) with (10.1):

(2) A correction factor, T, is added in (10.26)

Use (10.26) to replace the blood perfusion term in thePennes equation (10.3)

t

TcqTTTwcTk mabbbb

)( 0 (10.27)

NOTE:

(1) This is the bioheat equation for the s-vessel cylinder model

50

Page 51: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(2) is a correction coefficient defined in (10.18)T(a) It depends only on the vascular geometry of the tissue

cylinder(b) It is independent of blood flow rate (c) Its value for most muscle tissues ranges from 0.6 to 0.8 (d) This vascular structure parameter is much simpler

than that required by Chen-Holmes and Weinbaum- Jiji equations

(3) The model analytically determines the venous return temperature

(4) Accounts for contribution of countercurrent heat exchange in the thermally significant vessels.

(5) The artery temperature0abT appearing in eq. (10.27) is unknown

51

Page 52: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(a)        It is approximated by the body core temperature in the Pennes bioheat equation(b)        Its determination involves countercurrent heat exchange in SAV vessels

(6)    While equations (10.5) and (10.6) apply to the cutaneous layer of peripheral tissue, eq. 10.23 applies to the region below the cutaneous layer.

Example 10.3: Surface Heat Loss from Peripheral Tissue sT

xbw

cbw

0abT 0cbT0

10.12 Fig.

1L

L tissue

cutaneos

Peripheral tissue of thickness LCutaneous layer of thickness 1L Blood perfusion bw Primary vessel supply temperature0abT

52

Page 53: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Cutaneous plexus:Perfusion rate bcw (uniformly distributed),

blood supply temperature 0cbT

Skin temperature sT

Specified correction coefficient T

Use the s-vessel tissue cylinder model, determine surfaceflux

(1)      Observations

• Temperature distribution gives surface flux• This is a two layer problem: tissue and cutaneous

(2) Origin and Coordinates. See Fig. 10.12

Metabolic heat mq

53

Page 54: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

((3) Formulation (i)     Assumptions (1) Apply all assumptions leading to (10.5) and (10.27) (2) Steady state (2) One-dimensional (3) Constant properties (4) Uniform metabolic heat in tissue layer (5) Negligible metabolic heat in cutaneous layer (7) Uniform blood perfusion in cutaneous layer (8) Tissue temperature at x = 0 is0abT (9) Specified surface temperature

(ii) Governing EquationsFourier’s law at surface:

54

Page 55: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(a)

x

LLTkqs

)( 11

k tissue conductivity sqsurface heat flux 1T temperature distribution in the cutaneous layer

Tissue layer temperature T: eq. (10.27):

0)( 0

*

2

2

k

qTT

k

wc

dx

Td mab

bbb T, Lx0 (b)

0)( 101

2

TTk

wc

dx

Tdcb

cbbb , 1LLxL (c)

(iii) Boundary Conditions55

Need 2 equations: one for tissue layer and one for cutaneous

Cutaneous layer temperature 1T: eq. (10.5):

Page 56: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

0)0( abTT (d)

))( 1LTLT (e)

dx

LdT

dx

LdT )()( 1 (f)

sTLLT )( 11 (g)

(4) Solution

Let,0

0

abs

ab

TT

TT

,0

01

abs

ab

TT

TT

L

x (h)

(b) and (c) become

0)( 0

2*

2

2

2

sab

bbbb

TTkLq

Tk

Lwc

d

d

, 10 (i)

56

Page 57: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

00

002

2

2

sTT

TT

k

Lwc

d

d

ab

cbabcbbb

, 011 (j)

Dimensionless parameters:

k

Lwc bbb2

,

k

Lwc cbbbc

2 , ,)( 0

2

sab

b

TTk

Lq

sTT

TT

ab

cboab

0

0

( k ) (k) into (i) and (j)

0*2

2

Td

d , 10 (m)

02

2

ccd

d, 011 (n)

L

L10 (o)

57

Page 58: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

Boundary conditions

0)0( (p)

)1()1( (q)

dx

d

dx

d )1()1( (r)

1)1( 0 (s)

Solutions to (m) and (n):

*

** coshsinhT

TBTA

( t )

cc DC coshsinh ( u )

Boundary conditions (p)-(s) give constants

58

Page 59: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

**

32*

321*

*

0

coshsinh

cosh1

)1(cosh

cosh)1(

TTCCT

CCCT

T

A c

c

(v)

*TB

(w)

21** cosh CCTTAC ( x )

)1(tanhcosh)1(cosh

101

**2

0

CTTACD

c

( y )

21,CCand3Care given by

)1(cosh

sinh)1(sinh

0

*

*1

c

ccTT

C

59

Page 60: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

102 1(tanhsinhcosh

ccccC

)1(tanhcoshsinh 03 cccC

Surface heat flux:

)1(sinh)1(cosh)( 00

0

ccc

sab

DCTTk

Lqs

( z ) (5) Checking

Limiting check:

01)()( abTxTxT and0sq

60

Parameters 0,,,, c are dimensionless

Special case: 00 acabs TTT and ,0bq solutions (t), (u) and (z) reduce to the expected results

Dimensional check:

Page 61: CHAPTER 10 HEAT TRANSFER IN LIVING TISSUE 10.1 Introduction  Examples  Hyperthermia  Cryosurgery  Skin burns  Frost bite  Body thermal regulation

(5) Comments

(i) Five governing parameters: ,,,,cand0 (ii) Use solution (z) to examine the effect of cutaneous

blood perfusion on surface heat flux

(iii) Changing blood flow rate through the cutaneous layer is a mechanism for regulating body temperature

(iv) The solution does not apply to the special case of zero blood perfusion rate sinceandcappear in the differential equations as coefficients of the variables and

61