BIOHEAT EQUATIONS BIOHEAT EQUATIONS Heat transfer in blood vessels and tissues Mihir Sen March 17, 2013 1/ 36 BIOHEAT EQUATIONS Outline Bioheat transfer problem Large blood vessels Tissues and microvasculature Pennes’s equation Other models Transient equations Multiscale problem 2/ 36 BIOHEAT EQUATIONS Bioheat transfer applications Body heat balance Thermoregulation Thermogeneration Heat transfer in muscles and tissues Skin burns Surgical procedures Ablative surgery Cryosurgery Therapeutic hyperthermia Therapeutic hypothermia Cryopreservation Organs for transplant Resuscitation medicine Extracorporeal equipment Measuring instruments 3/ 36 BIOHEAT EQUATIONS Properties Thermodynamic properties (density, compressibility, specific heat) Transport properties (thermal conductivity) Properties of frozen tissue Temperature dependence of properties Water and fat content dependence Convective heat transfer coefficient Rate of perfusion 4/ 36 BIOHEAT EQUATIONS Metabolism Chemical reactions in living organisms to generate heat Thermodynamically, metabolism maintains order by creating disorder Metabolic regulation 5/ 36 BIOHEAT EQUATIONS Allometry of metabolism Savage et al. (2004): 626 mammalian species BMR = basal metabolic rate [W], M = mass [g] BMR ∼ M 3/4 Heart and respiratory rates, stride frequencies ∼ M −1/4 Life spans, times to first reproduction ∼ M 1/4 6/ 36 BIOHEAT EQUATIONS Summary of heat transfer mechanisms Conduction (Fourier’s law) q̇′′ = −k∇T Advection q̇′′ = ρcV (T − Tref ) Convection (Newton’s law of cooling) q̇ ′′ = h (Tsurf − Tfluid ) Radiation (Stefan-Boltzmann’s law) ¢ ¡ 4 4 q̇ ′′ = ǫσ Tsurf − Tsurr q̇ ′′ ≈ 1 (Tsurf − Tsurr ) Rrad 7/ 36 BIOHEAT EQUATIONS Large blood vessels z Tw ′′ q̇w Wall boundary conditions (inner surface) Constant wall temperature, Tw = constant ′′ = constant Constant wall heat flux, q̇w Conjugate heat transfer Continuity of temperature at wall Continuity of heat flux at wall Matching with external heat transfer Bulk (mean, average or mixing cup) temperature R ρvcp T dA Tm = A ṁcp Z R 2 = v(r)T (r)r dr vm R 2 0 8/ 36 BIOHEAT EQUATIONS Large blood vessels: energy equation Integral approach ( ′′ P dz q̇w ṁc dTm = h (Tw − Tm ) P dz known wall heat flux known wall temperature Differential approach (cylindrical coordinates) ∂T ∂T vθ ∂T ∂T + vr + + vz ∂t ∂r r ∂θ ∂z " # 1 ∂2T k 1 ∂ ¡ ∂T ¢ ∂2T r + 2 2 + = +Φ ρcp r ∂r ∂r r ∂θ ∂z 2 Φ = viscous dissipation (conversion from mechanical to thermal energy) Nondimensional: Péclet number = V D/α 9/ 36 BIOHEAT EQUATIONS Large blood vessels: preliminaries Thermally fully developed if ½ ¾ ∂ Tw (z) − T (r, z) =0 ∂z Tw (z) − Tm (z) Entrance length Lthermal = Pr Lhydro ; for blood Pr = 10–25 Nusselt number Nu D = hD/k where q̇ ′′ = h(Tw − Tm ) Correlations Nu D = Nu D (Re, Pr ) 10/ 36 BIOHEAT EQUATIONS Large blood vessels: laminar flow Constant wall temperature Tw Nu D = 3.66 Tw − Tm (z) = e−z/Le Tw − Tm (0) ṁcp Le = (thermal equilibration length) Ph At the exit Tw − Tm (L) = e−L/Le Tw − Tm (0) Notice that Tm (L) = Tw for L ≫ Le . 11/ 36 BIOHEAT EQUATIONS Chen and Holmes (1980) Vessels of diameter ≈ 175µm have anatomical length ≈ thermal equilibration length (these are called thermally significant blood vessels) Temperature in smaller vessels are quickly equilibrated and do not contribute much to heat transfer. Larger vessels are sparse and do not contribute much to heat transfer. 12/ 36 BIOHEAT EQUATIONS Large blood vessels: laminar flow ′′ Constant wall heat flux q̇w Nu D = 4.36 Tm (z) = Tm (0) + ′′ P q̇w z ṁcp 13/ 36 BIOHEAT EQUATIONS Flow in porous media http://www.medphys.ucl.ac.uk/research/mle/images.htm Darcy’s law (1856) −∇p = µ v K K = permeability [m2 ] 14/ 36 BIOHEAT EQUATIONS Modifications Transient Darcy equation −∇p = µ ∂v v + ρc · K ∂t Darcy-Brinkman equation −∇p = µ v − µeff ∇2 v K Darcy-Forchheimer equation −∇p = µ cF ρ|v|v v+ √ K K Darcy-Brinkman-Forchheimer equation −∇p = µ cF ρ|v|v v+ √ − µeff ∇2 v K K 15/ 36 BIOHEAT EQUATIONS Porous medium heat transfer: single-temperature model ∂T ′′′ + (ρc)f v · ∇T = ∇ · (km ∇T ) + q̇m (ρc)m |{z} {z } | ∂t | {z } | {z } accumulation advection conduction generation (ρc)m = (1 − α)(ρc)s + α(ρc)f km = (1 − α)ks + αkf ′′′ = (1 − α)q̇ ′′′ + αq̇ ′′′ heat generation per unit volume q̇m s f 16/ 36 BIOHEAT EQUATIONS Porous medium heat transfer: two-temperature model ∂Ts = (1 − α)∇ · (ks ∇Ts ) + h(Tf − Ts ) +(1 − α)q̇s′′′ ∂t | {z } fluid to solid µ ¶ ∂Tf (ρc)f α + v · ∇Tf = α∇ · (kf ∇Tf ) + h(Ts − Tf ) +αq̇f′′′ ∂t | {z } (1 − α)(ρc)s solid to fluid α = porosity (fraction of fluid by volume) ′′′ = heat generation per unit volume q̇s,f s = solid f = fluid 17/ 36 BIOHEAT EQUATIONS Circulation tree Branching Rn+1 < Rn Pin Pout p Womersley number α = R ωρ/µ α → 0 as R → 0, so flow is steady (not pulsating) 18/ 36 BIOHEAT EQUATIONS Branching in human cerebral cortex Francis et al. (2009) Typical arteriole (right) and venule (left), scale bar = 1 mm 19/ 36 BIOHEAT EQUATIONS Murray’s law (1926) Applied to Circulatory system Respiratory system Water transport system in plants (xylem) Obtained from Minimization of energy expenditure by an organism. One parent branch of radius r with n daughter branches of radii ri r3 = n X ri3 i=1 20/ 36 BIOHEAT EQUATIONS Pennes’s bioheat equation (1948) tissue qx + qx artery Ta T ∂qx dx ∂x ∂T ′′′ = ∇ · (k∇T ) + q̇m + ωρb cb (Ta − T ) ρc {z } | ∂t perfusion T = tissue temperature ′′′ = metabolic heat source rate [W/m3 ] q̇m ω = perfusion rate, volumetric flow rate of blood per volume of tissue [s−1 ] Ta = arterial blood temperature 21/ 36 BIOHEAT EQUATIONS Experiments Wissler’s (1998) analysis of Pennes’s data (resting human forearm) Experimental data and Pennes’s theoretical values 22/ 36 BIOHEAT EQUATIONS Whole-body heat transfer Ferreira and Yanagihara (2009) 23/ 36 BIOHEAT EQUATIONS Heat transfer by conduction inside the body ∂T ′′′ = ∇(k · ∇T ) + q̇m ∂t Heat transfer to outside by radiation and convection ρc ′′ ′′ q̇rad + q̇rad = Crc (Tskin − Toutside ) Heat transfer to outside by evaporation (p = partial pressure) ′′ q̇evap = Ce (pskin − poutside ) Heat transfer between blood and tissue (Pennes’s bioheat equation) ∂T ′′′ = ∇(k · ∇T ) + ωρb cb (Ta − T ) + q̇m ∂t Thermoregulatory system ¡ ¢ 0 ∆ωskin = K1 (Th − Th0 ) +K2 Tskin − Tskin | {z } ρc hypothalamus 24/ 36 BIOHEAT EQUATIONS 25/ 36 BIOHEAT EQUATIONS Berkeley Comfort Model (2001) Huizenga et al. (2001) 26/ 36 BIOHEAT EQUATIONS Counterflow model for extremities 27/ 36 BIOHEAT EQUATIONS Thermal resistance For electrical resistance resistance = voltage difference electric current Thermal resistance R= ∆T q̇ q̇ = ∆T R or 28/ 36 BIOHEAT EQUATIONS Thermal resistance representation of human body Top: exposed skin Second: clothed skin Third: clothed skin with conductive contact Fourth: bare skin 29/ 36 BIOHEAT EQUATIONS Steady state (left) and transient from 28 to 4.7◦ C (right) 30/ 36 BIOHEAT EQUATIONS Tumor detection Thermography of skin (Agnelli et al., 2011) Healthy tissue and tumor region in three-dimensional domain. Temperature distribution (left), and temperature profile on the skin surface (right). 31/ 36 BIOHEAT EQUATIONS Limitations of Pennes’s model Assumption: leaving temperature = tissue temperature. Ignores Directional dependence of perfusion heat source. Different diameters of blood vessels (µm to mm range). Sharply varying material properties. Heat generation by necrosis. Vasculature geometry. Transvascular transport of energy and mass. 32/ 36 BIOHEAT EQUATIONS Continuum models: Chen-Holmes Single-temperature model ρc ∂T ′′′ = ∇ · (k∇T ) + ωρb cb (Ta − T ) − ρb cb V · ∇T + ∇ · (kp ∇T ) + q̇m ∂t Two-temperature model hA ∂Ts = (1 − α)∇ · (ks ∇Ts ) + (Tf − Ts ) + (1 − α)q̇s′′′ ∂t V ∂Tf hA αρf cf = α∇ · (kf ∇Tf ) + (Ts − Tf ) + αq̇f′′′ ∂t V (1 − α)ρs cs 33/ 36 BIOHEAT EQUATIONS Vasculature-based models Weinbaum-Jiji-Lemons dTa = −qa ds dTv ρb cb πrb2 V = −qv ds ∂T = ∇ · (k∇T ) + ngρb cb (Ta − Tv ) ρc ∂t d − n πrb2 ρb cb V (Ta − Tv ) + q̇m ds Simplified Weinbaum-Jiji ∂T = ∇ · (keff ∇T ) + q̇m ρc ∂t ( ¡ ¢2 ) n ρb cb πrb2 V cos γ keff = k 1 + σ∆ k 2 ρb cb πrb2 V 34/ 36 BIOHEAT EQUATIONS Non-Fourier heat transfer Conservation of energy ∂T + ∇ · q̇′′ = 0 ∂t Fourier =⇒ parabolic heat conduction ∂T = ∇ · (k∇T ) q̇′′ = −k∇T =⇒ ρc ∂t Cattaneo-Vernotte =⇒ hyperbolic heat conduction ρc ∂ q̇′′ + q̇′′ = −k∇T ∂t Dual phase lag τ =⇒ τ ρc ∂2T ∂T + ρc = ∇ · (k∇T ) 2 ∂t ∂t ∂2T ∂ q̇′′ + q̇′′ = −k∇T − kτT ∂t ∂t∂x µ ¶ 2 ∂ T ∂T ∂2T τq ρc 2 + ρc = ∇ · (k∇T ) + ∇ · kτT ∂t ∂t ∂t∂x τq =⇒ 35/ 36 BIOHEAT EQUATIONS Experiments with processed meat Mitra et al. (1995): Hyperbolic heat conduction Antaki (2005): Dual phase lag 36/ 36