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 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 s Vessels s v a s Artery/vein P c Aorta/vena cava t Supply artery/vein v Primary vessels S c c , 5- 1 md a Secondary vessels P p a a v 1 -3 m d Arterioles/venules SA m s a a v 30 - 1 md Capillaries F 1 c V 2 10.3 Blood Temperature Variation b t t i Tb t Bloodtemperature T a0 t b a t b m i t f l p p l c s p v a F 1 S ob t v o c ev i v i 0 c • Blood leaves heart at Ta 0 Equilibration with tissue: prior to arterioles and capillaries Metabolic heat is removed from blood near skin • Blood mixing from various sources brings temperature to Ta 0 3 10.4 Mathematical Modeling of Vessels-Tissue Heat Transfer 10.4.1 Pennes Bioheat Equation (1948) (a) Formulation Assumptions: (1) Equilibration Site: Arterioles, capillaries & venules (2) Blood Perfusion: Neglects flow directionality. i.e. isotropic blood flow (3) Vascular Architecture: No influence (4) Blood Temperature: Blood reaches capillary bed at body temperature Ta 0 , leaves at tissue temperature T 4 Conservation of energy for the v c element shown in Fig. 10.3: E& in + E& g E& out E& b y (1.6) Treat energy exchange due to blood perfusion as energy generation q m x a r F 1 Let q b net rate of energy added by the blood per unit volume of tissue rate of metabolic energy production per unit qm volume of tissue E& g q dx dy dz ( q b + q m )dx dy dz (a) 5 Formulation of q b : Blood enters at body temperature Ta 0 and exists at the tissue temperature T qb b cb w& b (Ta 0 T ) (10.1) c b specific heat of blood w& b blood volumetric flow rate per unit tissue volume b density of blood Eq. (10.1) into (a) + b cb w& b (Ta 0 T ) q qm (10.2) Eq. (1.6) leads to (1.7). Modify eq. (1.7): set U V W 0, and use eq. (10.2), T (10.3) c kT + b c b w& b (Ta 0 T ) + q m t c specific heat of tissue 6 k thermal conductivity of tissue density of tissue kT conduction terms, form depends on coordinates: Cartesian coordinates: T T T kT ( k ) + ( k ) + (k ) (10.3a) x x y y z z cylindrical coordinates: 1 T 1 T T kT ( k r ) + 2 ( k ) + ( k ) (10.3b) r r r z z r spherical coordinates: 1 1 T 1 T 2 T kT 2 ( k r )+ 2 (k sin ) + 2 2 (k ) r r r r sin r sin (10.3c) 7 Notes on eq. (10.3): kT + b c b w& b (Ta 0 T c T ) + qm t (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 (1) Equilibration Site: • Does not occur in the capillaries 8 Occurs in the thermally significant pre-arteriole and post-venule vessels (dia. 70-500 m ) Thermally significant vessels: Le 1 L Le = Equilibration length: distance blood travels for its temperature to equilibrate with tissue (2) Blood Perfusion: Perfusion in not isotropic Directionality is important in energy interchange (3) Vascular Architecture : • • • Local vascular geometry not accounted for Neglects artery-vein countercurrent heat exchange Neglects influence of nearby large vessels 9 (4) Blood Temperature: Blood does not reach tissue at body core temperature Ta 0 Blood does not leave tissue at local temperature T (c) Applicability Surprisingly successful, wide applications Reasonable agreement with some experiments 10 Example 10.1: Temperature Distribution in the Forearm f w &b Model forearm as a cylinder Blood perfusion rate w& b Metabolic heat production qm Convection at the surface r R Heat transfer coefficient is h Ambient temperature is T Use Pennes bioheat equation to determine the 1-D temperature distribution (1) 0 q m h, T w &b qm m F 1 Observations 11 • 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) (2) (3) (4) (5) (6) (7) Steady state Forearm is modeled as a constant radius cylind Bone and tissue have the same uniform propert Uniform metabolic heat Uniform blood perfusion No variation in the angular direction Negligible axial conduction 12 (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 qm 1 d dT b cb w& b (a) (r )+ (Ta 0 T ) + 0 r dr dr k k (iii) Boundary Conditions: dT (0) 0, or T(0) = finite dr (b) dT ( R) k hT ( R) T dr (c) (4) Solution 13 Rewrite (a) in dimensionless form. Define T Ta 0 r , T Ta 0 R (d) into (a) 2 R 2 1 d d b cb w& b R qm ( ) 0 d d k k (Ta 0 T ) Define b c b w& b R 2 k R 2 qm k (Ta 0 T ) (d) (e) (f) (g) (f) and (g) into (e) 14 1 d d ( ) 0 d d The boundary conditions become (h) d (0) 0, or (0) finite d (i) d (1) Bi [ (1) 1] d (j) Bi is the Biot number hR Bi k Homogeneous part of (h) is a Bessel differential equation. The solution is (k) ( ) C1 I 0 ( ) + C 2 K 0 ( ) 15 Boundary conditions give Bi [ 1 + ( / )] C1 , C 2 0 I1 ( ) + Bi I 0 ( ) (m) into (k) T ( r ) Ta 0 (r ) T Ta 0 (5) Checking (m) Bi [ 1 + ( / ) ] I 0 ( r / R) I 1 ( ) + Bi I 0 ( ) (n) Dimensional check: Bi,and are dimensionless. The arguments of the Bessel functions are dimensionless. 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: 16 bcb w& b (To Ta 0 ) qm Solve for To Set h Bi 0 qm To Ta 0 + b cb w& b (o) qm T ( r ) Ta 0 + b cb w& b (p) which agrees with (o) (6) Comments (i) Solution depends on 3 parameters: Bi, metabolic heat , and blood perfusion parameter (ii) Setting r 0 and r R in (n) gives center and surface temperatures 17 (iii) The solution for zero metabolic heat production is 0 obtained by setting qm (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: T T 1 1 2 (q) + 1 ( r / R ) 2 / k ) 2 Bi 4 ( R qm 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 kT + w& b* b cb (Ta* T T ) b cb u T + k pT + qm c t (10.4) NOTE: (1) w& b* = local perfusion rate (2) Ta* = blood temperature upstream of the arterioles Ta 0 (3) u blood velocity vector, accounts for directionality (4) b cb u .T 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) k pT conduction due to temperature fluctuations in equilibrated blood 19 (6) k p “perfusion conductivity”, depends on blood velocity and inclination relative to temperature gradient, vessel radius and number density Limitations (1) Vessel diameter 300 m Le 0.6 (2) L (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 directionality 20 • Assign three temperature variables: c s & (1) Arterial temperature Ta wc p Ts (2)Venous temperature Tv c l (3) Tissue temperature T i t l • Identify three layers: (1) Deep layer: thermally t T significant counterd l x current artery-vein pairs a v (2) Intermediate layer: 0 Ta Tv porous media (3) Cutaneous layer: thin, F 1 independently supplied by counter-current artery-vein vessels called cutaneous plexus • Regulates surface heat flux u n e 21 • Consists of two regions: (i) (ii) Thin layer near skin with negligible blood flow Uniformly blood perfused layer (Pennes model) Formulation Seven 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 d 2T1 b cb w& cb + (10.5) (Tc 0 T1 ) 0 2 k dx T1 temperature variable in the lower layer Tc 0 temperature of blood supplying the cutaneous pelxus w& cb cutaneous layer blood perfusion rate x coordinate normal to skin surface (ii) Region 2, pure conduction , for 1-D steady state: d 2T2 0 2 dx (10.6) 10.4.3 Weinbaum-Jiji Simplified Bioheat Equation for Peripheral Tissue The 3 eqs. for Ta , Tv and T are replaced by one equation 23 •Effect of vasculature and heat exchange between artery, vein, and tissue are retained •Added simplification narrows applicability of result Control Volume Contains artery-vein pairs Countercurrent flow, Ta Tv Includes capillaries, arterioles a and venules Ta (a) Assumptions t T r v Tv c v (1) Uniformly distributed blood F 1 bleed-off leaving artery is equal to that returning to vein (2) Bleed-off blood leaves artery at Ta and enters the vein at Tv 24 (3) Artery and vein have the same radius (4) Negligible axial conduction through vessels (5) Equilibration length ratio Le / L 1 (6) Tissue temperature T is approximated by T (Ta + Tv ) / 2 (10.7) (7) One-dimensional: blood vessels and temperature gradient are in the same direction (b) Formulation Conservation of energy for tissue in control volume takes into consideration: (1) Conduction through tissue (2) Energy exchange between vessels and tissue due to capillary blood bleed-off from artery to vein 25 (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 T T (10.8) c ( k eff ) + qm t x x keff = effective conductivity, defined as n 2 2 + p ( 10.9) k eff k 1 ( b cb a u) 2 k s 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 s shape factor, defined as s p cosh( l / 2a ) (10.10) l center to center spacing between two parallel and isothermal vessels NOTE k eff accounts for the effect of vascular geometry and blood perfusion a,s , n and u depend on the vascular geometry Conservation of mass gives u in terms of inlet velocity uo to tissue layer and the vascular geometry. Eq. (10.9) becomes k eff ( 2 b c b a o uo ) 2 k 1 + V ( ) 2 kb (10.11) 27 a o vessel radius at inlet to tissue layer, x 0 V ( ) dimensionless vascular geometry function (independent of blood flow) x / L dimensionless distance L tissue layer thickness uo blood velocity at inlet to tissue layer, x 0 NOTE: ( 2 b cb ao uo / kb ) is independent of vascular geometry. It represents the inlet Peclet number: 2 bcbao uo Peo kb Eq. (10.12) into eq. (10.11) keff k [1 + Peo2V ( )] (10.12) (10.13) Notes on keff : 28 (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) d 2T1 b cb w& cb + (Tc 0 T1 ) 0 2 k dx d 2T2 dx 2 0 (10.12) (10.13) Rewrite eq. (10.5) in terms of the Peclet number: Pe0 29 w& b p noao2 uo (10.14) L no = number of arteries entering tissue layer per unit area Eq. (10.12) into eq. (10.14) p noao kb w& b Peo 2 L bcb Define R L1w& bc R L w& b (10.15) (10.16) R = total rate of blood to the cutaneous layer to the total rate of blood to the tissue layer L1 = is the thickness of the cutaneous layer Eqs. (10.15) and (10.16) into (10.5) 30 d 2T1 p noao kb + RPe0 (Tc 0 T1 ) 0 2 2kL1 dx (10.17) (c) Limitation and Applicability Results are compared with 3 - temperature model of Section 10.4.3 Accurate tissue temperature prediction for: (1) Vessel diameter < 200 μm (2) Equilibration length ratio Le / L 0.2 (3) Peripheral tissue thickness < 2mm 31 Example 10.2: Temperature Distribution in Peripheral Tissue Peripheral tissue Skin surface at Ts Blood supply temperature Ta 0 Neglect blood flow through cutaneous layer vascular geometry is described by V ( ) V ( ) A + B + C 2 7 10 5 V ( ) keff k[1 + Peo2V ( )] 0 1 Fig. 10.7 5 5 5 A 6.32 10 , B 15.9 10 and C 10 10 (i) Use the Weinbaum-Jiji equation determine temperature . distribution (ii) Express results in dimensionless form: 32 2 b c b a o uo L2 qm T Ts , Pe 0 , x / L, k (Ta 0 Ts ) Ta 0 Ts kb (iii) Plot showing effect of blood flow & metabolic heat (1) Observations s Ts k q m Variation of k with distance is known ke ( x ) Tissue can be modeled as a single x layer with variable k eff Ta0 0 • Metabolic heat is uniform • Temperature increases as blood perfusion F 1 and/or metabolic heat are increased i (2) Origin and Coordinates. See Fig. 10.8 (3) Formulation 33 (i) Assumptions (1) All assumptions leading to eqs. (10.8) and (10.9) are applicable (2) Steady state (3) One-dimensional (4) Tissue temperature at the base x = 0 is equal to Ta 0 (5) Skin is maintained at uniform temperature (6) Negligible blood perfusion in the cutaneous layer. (ii) Governing Equations. Obtained from eq. (10.8) d dT 0 ( k eff ) + qm dx dx (a) k eff k [1 + Pe02 V ( )] (b) 34 V ( ) A + B + C 2 (iii) Boundary Conditions T (0) Ta 0 T ( L) Ts (c) (d) (e) (4) Solution Define L2 qm T Ts x , , k (Ta 0 Ts ) Ta 0 Ts L (f) Substituting (b), (c) and (f) into (a) d d 2 2 d 1 + Pe0 ( A + B + C ) d + 0 (g) Boundary conditions 35 ( 0) 1 (1) 0 Integrating (g) once 1 + Pe02 ( A + (h) (i) d C1 B + C ) d 2 integrating again d d C1 + C2 2 2 2 2 1 + Pe0 ( A + B + C ) 1 + Pe0 ( A + B + C ) (j) integrals (j) are of the form d and a + b + c 2 d a + b + c 2 (k) where 36 a 1 + APe02 , b BPe02 , c CPe02 (m) Evaluate integrals, substitute into (j) 2 1 b + 2c C1 tan d d 1 b 1 b + 2c 2 ln(a + b + c ) tan c2 d d d 4ac b 2 + C 2 (n) (o) Boundary conditions (h) and (i) give the constants C 1 and C 2 37 2 C1 d 1 b + 2c 1 b + 2c tan tan d d 1 a + b + c 2 b 1 b + 2c 1 b + 2c tan tan ln c 2 a+b+c d d d (p) where 1 a+b+c 1 ln + c2 a C1 2 1 tan d b 1 b 1 b + 2c tan tan d d d b b + 2c tan 1 d d (q) Note: (1) a, b, c and d depend on Pe 0 . Listed in Table 10.1 (2) C 1 depends on both Pe o and : 38 Pe 0 60 and 0.02 : C1 1.047 Pe0 180 and 0.6 : Table 10.1 Pe o C1 1.0176 60 (3) Table 10.2 lists enhancement in k (4) Fig. 10.9 shows ( ) 180 a 1.2275 b -0.5724 c 0.36 d 1.44 3.0477 -5.1516 3.24 12.96 1.0 0 0.2 0.4 0.6 0.8 1.0 k eff / k 0 .6 Pe o 60 Pe o 180 1.44 1.13 1.06 1.01 1.00 1.02 Table 10.2 3.05 2.15 1.51 1.12 1.02 1.14 Pe o 180 0.5 0 0.02 Pe o 60 0.5 Fig. 10.9 1.0 39 (5) Checking Dimensional check: , , Pe0 and the arguments of tan1 and ln are dimensionless Boundary conditions check: Boundary conditions (h) and (i) are satisfied Qualitative check: Tissue temperature increases as blood perfusion and metabolic heat are increased (6) Comments (i) Enhancement in k eff due to blood perfusion (ii) Temperature distribution for Pe0 60 and 0.02 is nearly linear. At Pe0 180 and 0.6 the temperature is higher 40 (iii) The governing parameters are Pe0 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 c t t t t t 1 mm dia. muscle cylinder s P P s t 20 50 m dia. t c P 0.5 mm 50 100 m dia. s s s 100 300 m dia. SAV 300 1000 m dia. Fig. 10.10 Schematic of a representative vascular arrangement • Primary pairs, P • Secondary pairs, s • Terminal arterioles and venules, t • Capillary beds, c 42 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 (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 s vessels within the cylinder are thermally significant: T Ta Tv • Three temperature variables are needed:T, Ta • Three governing equations are formulated and Tv 44 Tlocal L L R vein artery x tissue (a) tissue cylinder vein lv l tissue l a artery (b) enlarged cross - section Fig. 10.11 • 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 (3) Tissue temperature at cylinder radius R is assumed uniform equal to Tlocal T (4) Symmetry at the mid-plane x L gives 0 x (5) Inlet artery bulk temperature at x 0 is specified as Tab0 (6) At x L the flow in the s vessels vanishes and the artery, vein and tissue are in thermal equilibrium at the local tissue temperature Tlocal (d) Solution • The three eqs. for T, Ta andTv are solved analytically • Solution gives Tvb0, the outlet bulk vein temperature at x 0 Simplified Case Assume: 46 (1) Artery and vein are equal in size Tlocal (2) Symmetrically positioned relative to center of cylinder, i.e., l a l v R tissue Results T at x 0 is given by Tab 0 Tvb0 A11 T 1+ + Tab 0 T local A12 vein lv l la artery simplified case 2 A11 2 A12 1 la2 11 A11 ln R(1 2 ) + 4 R 24 1 (10.18) (10.19) 47 1 R 2la2 cos la4 A12 ln 1 + 4 2 4 l R R (10.20) (e) Modification of Pennes Perfusion Term Eq. (10.18) gives Tab 0 Tvb 0 T (Tab 0 Tlocal ) (a) Conservation of energy for blood at x 0 gives the total energy q b delivered by blood to cylinder qb b cbp aa2 ua (Tab 0 Tvb 0 ) (10.21) (a) into (10.21) qb b cbp aa2 ua T (Tab 0 Tlocal ) Dividing by the volume of cylinder 48 qb p aa2 ua c T (Tab 0 Tlocal ) (10.22) b b 2 2 pR L pR L Blood flow energy generation per unit tissue volume: qb qb qb (10.23) 2 pR L Blood flow per unit volume w& b : p aa2 ua w& b p R2 L (10.23) and 10.24) into (10.22) qb b cb w& b T (Tab 0 Tlocal ) (10.25) Since R l , it follows that Tlocal T (10.25) becomes qb b cb w& b T (Tab 0 T ) (10.26) (10.24) 49 qb in Pennes equation is given by qb b cb w& b (Ta 0 T ) (10.1) Comparing (10.26) with (10.1): (1) Artery supply temperature body core temperature Ta 0 (2) A correction factor, T , is added in (10.26) Use (10.26) to replace the blood perfusion term in the Pennes equation (10.3) T c kT + b cb w& b T (Tab 0 T ) + qm (10.27) t NOTE: (1) This is the bioheat equation for the s-vessel cylinder model 50 (2) T is a correction coefficient defined in (10.18) (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 WeinbaumJiji 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 temperatureTab 0 appearing in eq. (10.27) is unknown 51 (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 Ts cutaneos Tissue L1 w& cb Peripheral tissue of thickness L Cutaneous layer of thickness L1 Blood perfusion w& b Primary vessel supply temperature Tab0 L w& b tissue x Tab 0 0 Tcb0 Fig. 10.12 52 Cutaneous plexus:Perfusion rate w& bc (uniformly distributed), blood supply temperature Tcb0 Skin temperature Ts Metabolic heat qm Specified correction coefficient T Use the s-vessel tissue cylinder model, determine surface flux (1) Observations • Temperature distribution gives surface flux • This is a two layer problem: tissue and cutaneous (2) Origin and Coordinates. See Fig. 10.12 53 ((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 is Tab 0 (9) Specified surface temperature (ii) Governing Equations Fourier’s law at surface: 54 q s k T1 ( L + L1 ) x (a) k tissue conductivity qs surface heat flux T1 temperature distribution in the cutaneous layer Need 2 equations: one for tissue layer and one for cutaneous Tissue layer temperature T: eq. (10.27): d 2T b cb w& b T * qm + (Tab 0 T ) + 0, 0 x L 2 k k dx (b) Cutaneous layer temperature T1: eq. (10.5): d 2T1 b cb w& cb + (Tcb0 T1 ) 0 , L x L + L1 dx k (c) (iii) Boundary Conditions 55 T (0) Tab 0 T ( L) T1 L) (d) (e) dT ( L) dT1 ( L) dx dx (f) T1 ( L + L1 ) Ts (g) (4) Solution Let x T Tab 0 T1 Tab 0 , , L Ts Tab 0 Ts Tab 0 (h) (b) and (c) become 2 d 2 b cb w& b L2 q L * b T 0, 0 1 2 k k (Tab 0 Ts ) d (i) 56 d 2 b cb w& cb L2 Tab 0 Tcb 0 0, 1 1 + 0 2 k Tab 0 Ts d (j) Dimensionless parameters: b cb w& b L2 k , c b cb w& cb L2 k (k) into (i) and (j) qbL2 Tab0 Tcbo , , k (Tab0 Ts ) Tab0 Ts (k) d 2 * T 0, 2 d d 2 c + c 0 , 2 d 0 1 1 1 + 0 L1 0 L (m) (n) (o) 57 Boundary conditions (0) 0 (p) (1) (1) (q) d (1) d (1) dx dx (r) (1 + 0 ) 1 (s) Solutions to (m) and (n): A sinh T + B cosh T T * C sinh c + D cosh c + * * (t) (u) Boundary conditions (p)-(s) give constants 58 A * (1 ) cosh c 1 cosh T + + + C 1C 2 C 3 * cosh c (1 + 0 ) T sinh T * C 2 C 3 T * cosh T * (v) B T * (w) C A T * cosh T * + C 1 C 2 (x) 1 D C 2 A T * cosh T * cosh c (1 + 0 ) (y) C 1 , C 2 and C 3 are given by C1 (1 ) c sinh c sinh T * cosh c (1 + 0 ) T * 59 C 2 c cosh c sinh c tanh c (1 + 0 1 C 3 sinh c cosh c tanh c (1 + 0 ) Surface heat flux: q L c C cosh c (1 + 0 ) + D sinh c (1 + 0 ) k (Tab 0 Ts ) (z) s (5) Checking Dimensional check: Parameters , c , , , 0 are dimensionless Limiting check: Special case: Ts Tab 0 Tac 0 and q b 0, solutions (t), (u) and (z) reduce to the expected results T ( x ) T1 ( x ) Tab 0 and q s 0 60 (5) Comments (i) Five governing parameters: , c , , , and 0 (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 since and c appear in the differential equations as coefficients of the variables and 61