Critical Evaluation of Current Skin Thermal Property Measurements Anand Mani University of Notre Dame Department of Aerospace and Mechanical Engineering May 8, 2013 Abstract Burn treatment is an area of major importance in medicine, however, there is not currently an analytic method to determine the depth and magnitude of burns. Complications, such as a relative lack of knowledge of the specific thermal properties of skin and the relation between heat transfer and biological processes, have prevented a comprehensive model to explain the field of bioheat transfer. Research was conducted to estimate the relevant thermal and material properties in the field of bioheat transfer. Subsequently, an experiment was proposed, and a mathematical model was developed for the experiment, to allow for detection of burns through the use of heat transfer analysis. Burned skin and healthy skin differ in that there is no blood flow and thus no directionality to the heat transfer in burned skin. Thus, the experiment was designed to determine if there was a directionality was present in the heat transfer in the skin. Using the estimated skin properties, calculations were done to determine the viability of the proposed experiment. The experiment was refined to account for the findings and modified to more accurately detect burns in human skin. 1 Introduction The detection of burns in human skin is an important aspect of medicine. Currently, there are no analytical methods that allow for the detection of burns, for two main reasons. The first is a lack of knowledge about the specific properties and morphology of the skin. The thermal and material properties of skin are not well measured, and many of the values that are used currently are little more than estimates, based on knowledge of the composition of skin. Some properties are unable to be directly measured due to their dependence on living tissue. For example, it is impossible to directly measure the perfusive rate of blood, a measure of how much blood is flowing in a given volume of tissue, because perfusion depends on blood flow in living tissue. Thus, in vitro measurements are impossible because removal of flesh for study would stop any perfusion present in the tissue. In addition, thermal energy generation, through methods such as metabolism, vary greatly depending on location. For example, there is a much greater heat generation rate near the brain as opposed to the skin in the arm. The second reason for the lack of a comprehensive model is the complexity of the contribution of blood flow to heat transfer in skin. The different types of blood vessels, ranging from the main veins and arteries to the capillaries requires knowledge of the structure of the vessels to determine how each type contributes to the overall heat transfer. 2 Background Burned skin and healthy skin have vastly different properties by which they can be characterized. One of the major differences between burned and healthy skin is that blood flow is not present in burned skin. In the skin, there is both directional (anisotropic) and non-directional 1 (isotropic) heat transfer. The anisotropic heat transfer however, is dependent on blood flow, and therefore should not be present in burned skin. Burned skin also lacks heat generation due to metabolism, one of the major contributors to the overall heat transfer in skin. Our hope is that by searching for anisotropies in the skin, we can determine at what depth blood starts flowing again, and therefore, the depth of burns. If successful, this technique could be used to develop an analytic procedure that can be used to determine burned areas in human skin. Thus, a greater understanding and knowledge of the thermal and material properties of skin, and how they influence blood flow is required. To that end, a comprehensive analysis of currently available literature and studies was undertaken in an effort determine the necessary thermal and material properties of skin. Using the currently available values to estimate the material and thermal properties of skin allows for minimum and maximum possible values of the different heat transfer rates to be calculated to determine whether the proposed method of burn determination is viable. The goal was to find studies which determined the thermal or material properties of skin, either through experimentation or computationally, to find values that could be used in calculations to determine the viability of our proposed method of burn determination. In situations where the available values were fairly close to each other, minimum and maximum values were taken to be used in calculation. However, studies that provided greatly varying values of a single parameter were critiqued to determine the cause of the differing values. Many of the studies that were evaluated used pig skin tissue or other animal tissues in their determination of thermal and material properties. As the proposed technique is to be utilized in human skin, only values which were derived for human skin were accepted. In addition, a number of studies not dealing directly with burn determination, such as studies regarding cancer treatment, were evaluated as some of them contained material relating to determination of thermal properties or location of temperature variances in the skin. 2.1 Bioheat Transfer Models Pennes Model The Pennes model was the first model developed to examine the process of heat transfer in the human skin. The model looks at metabolic heat generation and the effects of blood perfusion in heat transfer. Pennes developed a thermal diffusion equation incorporating the two terms for perfusion and metabolism, which is written below: ρc ∂T = ∇· k∇T + (ρc)b ωb (Ta − T ) + qm ∂t (1) Thus, the term (ρc)b ωb (Ta − T ) is the heat transfer rate due to perfusion, qp , which accounts for energy exchange between blood and the local tissue. In developing his model, Pennes made some assumptions about the heat transfer process and properties of the human body: • The metabolic heat rate is homogeneously distributed throughout the region. • Blood Perfusion is homogeneous and isotropic • Thermal equilibrium is reached in the microcirculatory bed • No energy transfer occurs before or after the blood passes through the capillary bed One of Pennes’ main assumptions, that thermal equilibrium is reached in the microcirculatory bed, was later disproved by the work of Chen, Chato, Holmes, et al. as well as by Wienbaum et al. They 2 showed that thermal equilibriation actually occurs in the precapillary arterioles, not the capillary bed. However, the Pennes model was found to be valid in the initial branchings of the largest microvessels, where the vasculature is comprised of many small, thermally significant vessels. Continuum Model The continuum model analyzes the larger vessels separately from the smaller vessels and tissue. The later group is modeled as a continuum. In this analysis, the solid tissue is further separated from the blood in an analysis of a differential element. Of all the continuum models, the Chen, Chato and Holmes (CCH) Model is the most developed. Their model replaced the perfusion term, (ρc)b ωb , with 3 terms, which represent the heat transfer in: 1) non-equilibrated blood in thermally significant vessels, 2) blood equilibrated with tissue and 3) nearly-equilibrated blood. The equation then becomes: ρc ∂T = ∇· k∇T + (ρc)b ω ∗ (Ta∗ − T ) − (pc)b u· ∇T + ∇· kp ∇T + qm ∂t (2) where kp is the perfusion conductivity term. Chen, Chato and Holmes also made some initial assumptions, namely: • Neglecting the mass transfer between the vessel and tissue space • Treating the thermal conductivity and temperature within the tissue-blood continuum as that of solid tissue, since the volume of solid tissue is far more than the vascular volume However, the CCH model requires much more detail than the Pennes model, which makes implementation difficult. Considering that, in the vast majority of situations, the CCH model yields similar results as the Pennes model, and can be applied to the exact same regions as the Pennes model, in most situations the Pennes model is better to use. Wienbaum-Jiji-Lemons Model The Wienbaum-Jiji-Lemons (WJL) Model is a vasculature-based model that looks at the countercurrent vasculature present in the skin. That is, it models artery-vein pairs as two parallel cylinders, in which the heat is transferred due to advection and convection of the blood flow in the cylinders. Metabolic heat transfer and collateral heat transfer are assumed to be normal to the plane of the cylinders. This model had one major assumption, namely heat transfer due to perfusion is treated as heat transfer in a porous medium, and its direction is perpendicular to the artery or vein Their analysis was performed on the different tissue layers (deep, intermediate and cutaneous) and yielded the finding that the majority of the heat transfer is due to heat exchange between artery-vein pairs. They developed their findings into one simple equation: ρc ∂T ∂ ∂T = (ke ) + qm ∂t ∂x ∂x (3) where ke is the effective conductivity term.Their model has one significant limitation though, which is that it is only valid in situations where the ratio of the length of the vessel required for the blood to reach thermal equilibrium with the surrounding tissue to the actual vessel length, is significantly less than one. This condition is satisfied in analysis of heat transfer near the skin, where the ratio 3 is on the order of 10−4 . Even when considering its faults, the Pennes model is the most widely used model in bioheat transfer analysis today. There are two main reasons for this. The first is that subsequent models are significantly more complex and thus require much greater knowledge of the geometry and properties of the tissue being analyzed. Thus, as the Pennes model is simpler, it is much easier to use. Second, while subsequent models have developed and improved the Pennes model, these models are generally not much more accurate than the Pennes model except for very specific circumstances[1]. Thus, for general use, the added complexity of using these later models does not yield a noticeably more accurate result, and thus are not worth using in most circumstances. 3 Proposed Experimental Setup The goal of the proposed experiment is to determine whether or not the skin is burned, and how deep the burn is, using thermal imaging or a similar technique that graphically shows heat distribution and flow. In burned skin, since there will be no blood flow, the heat flow will be non-directional. In addition, there should not be any metabolic heat generation in burned skin either. Thus, the only heat transfer that would occur is the ”passive” heat transfer due to conduction, as seen in Equation 1. The experimental setup would use heated pads to create a temperature gradient across the skin. The directionality of this heat flow can be calculated by orienting the pads in different directions, as shown in Figure ??, to calculate the heat flow. Figure 1: Proposed Experiment Setup [15] A thermal image (such as a thermograph) would show the heat distribution in the skin. Any directional flow other than that being induced by the heating pads, would be due to blood flow, and thus would imply that the skin at that point is healthy. 4 Critique of Measurement and Calculation Methods Over the course of the literature review and analysis, there were some situations in which huge variations in the estimated values of certain parameters were encountered. These variations, sometimes differences of several orders of magnitude, were reviewed, and the studies that yielded them carefully analyzed and the methods and assumptions that yielded these differences critiqued. In such situations, there are multiple reasons that could have led to the studies yielding differing values. The major causes for the differing values are identified and discussed below. 4 • The experimentation process introduces the first area that could cause differing values. In any experiment, there are different types of data that are taken. The first classification is the type of quantity being measured, or measurand. An experiment generally has a goal of obtaining data about at least one measurand and its response to specific stimuli, which is determined by adjusting the variables of the experiment. In addition to a primary measurand, there are often also secondary measurands, which are measured quantities that vary in response to the changes in the primary measurand. There are often quantities being calculated from the measurands yielded during the experiment as well. These calculated quantities are termed results. These results must be calculated from the data yielded in the measurands, as well as a supposed relationship between the two quantities. The use of results calculated from an experiment creates a couple areas that cause problems. For example, if the goal of an experiment is to measure the heat rate change due to conduction in a given situation, and the method of doing so is taking temperature readings at certain points and then using Fourier’s Law to calculate the heat rate change, the primary measurand is the temperature that is being recorded. The heat rate that is being calculated is the result. In the case of the example that relationship that is assumed is that of Fourier conduction. The assumptions made during the experimentation process is of the main areas that can cause differences in the differing values. In every experiment, and the subsequent process of deriving data from the experiment, there are a multitude of assumptions that are made during the course of the experiment itself and the resulting calculations. These are listed and explained below, and will the throughly examined during the course of the literature analysis. – First, is the choice of relationship that is assumed to relate the quantities. In proposing a relationship, knowledge of the subject matter is required. If the subject matter is well understood, then then it is usually easy to find the correct relationship that is to be used. In the case where the subject matter is not fully understood, assuming the relationship can be a problem, because there is the added doubt about whether the proposed relationship is the correct relationship. If an incorrect relationship is assumed, then the calculated results may not be correct. – Another area where assumptions can cause differing values is the assumptions made during the design of the model that is to be used in the experiment. When an experiment is being designed, a process muse be created to accurately model whatever phenomenon is being investigated. During this process, assumptions are made about how the phenomenon behaves. These assumptions range from simple ones assuming the validity of a given equation, such as the Pennes Bioheat equation, to assumption of initial conditions and other values, such as the density of blood. – A third type of assumption that could be of concern is in the use of mathematical analysis to calculate a parameter as opposed to experimentation. Using a mathematical calculation to determine the various parameter values is extremely dependent on the assumptions made in creating the model and initial values used in the calculations. On the other hand, experimental determinations are subject to variations in the surroundings and ambient conditions which could affect the resulting values. Our literature critique will address these concerns where possible and attempt to determine what effect, if any, these conditions and assumptions had on the determination of parameters. • Another area that could explain the differing values is uncertainty in experimental measurements. In any experiment where data is taken, instrument uncertainty is present. Every measuring instrument has an uncertainty associated with it. This uncertainty is caused by the 5 degree of precision that the instrument is able to record data to. In experiments with multiple pieces of equipment, such as the majority of the experiments that this analysis focuses on, the uncertainty associated with all of the measuring instruments must be considered. • In addition to previously noted causes of the differing values found during the course of the literature analysis, there are a few complexities inherent to dealing with bioheat transfer. The first, and arguably one of the biggest issues in the area of bioheat transfer, is that of finding an appropriate model to explain bioheat transfer in humans. Heat transfer in tissues is a combined effect of conduction, convection, rediation, metabolic generation, evaporation and phase change [1]. To accurately model the total effect of heat transfer in human tissue, it is necessary to decouple and separately explain each component. This leads to the problem of developing an accurate model to use. As discussed previously, the Pennes bioheat equation is the most commonly used equation that separates the total effect of heat transfer into three distinct components: a conductive term, a metabolic generation term and a perfussive term [2]. The Pennes equation has been improved by many groups, (Chen, Chato and Holmes, et al. and Weinbaum and Jiji et al. for example) however, the original Pennes equation is still the most widely used equation due to its simplicity and the relatively small impacts that further development yields. • Another area that causes problems is the difference between in vivo and in vitro measurements. In vitro measurements have a few inherent problems. First, the problem of certain effects, such as perfusion, only appearing in vivo was discussed earlier. Second, in vitro measurements made using tissue must be done very carefully due to the sensitivity of tissue to ambient its surroundings. Improper handling of tissues can greatly affect the tissue, rendering unsuitable for use in experimental parameter determination [1]. Additionally, in in vitro experimentation, it is very hard to experimentally control and determine fluid flows and local metabolism in the tissue [1]. • Locational differences in tissue structure and therefore the material and thermal properties that accompany it also can cause problems. For example, in different areas of the body, the tissue structure varies to suit the purposes of that organ or area. The area that a tissue is from also influences the properties and processes that take place in that tissue, making specific determination of properties that can be generalized throughout the body difficult. • Finally, one last issue in experimental determinations of tissue properties is the sensitivity of the measuring instruments to the surrounding conditions. For example, in many cases, temperature measurements are made using thermocouple probes inserted into the skin. These probes are very sensitive to surrounding conditions. Therefore, the mechanical trauma that generally accompanies the insertion of the probe into the tissue can cause major variations in the surrounding area, such as blood pooling, and can significantly alter the results [1]. The literature analysis will attempt to comment on and critique the effects that these previously stated factors may have had on the estimation of parameter values. 5 Literature Analysis A comparison of the values that were gathered from the various studies and papers is presented below in Table 1 in Section 5.1. Many of the values that are presented, such as the values for the 6 density and specific heat of blood and the skin conductivity coefficient are fairly standard values that are agreed upon in the field of bioheat transfer. These values are presented to give a representative sampling of the range of accepted values. Of note however, is the fact that while most 000 values are in a similar range, and seem to agree with each other, there are two quantities, qmet and ωb for which greatly differing values were observed. In the cases where the studies yielded values for these quantities, a special interest is taken to understand how these values were derived and any assumptions behind them. Henriques and Moritz Henriques and Moritz published a series of papers titled Studies of Thermal Injury[6] in 1947 . This series was the one of the first to to investigate burns in depth. In the study, the authors applied flowing water, heated to different temperatures, over porcine (pig) skin. Their goal was to measure the exposure time necessary to cause burns. From their work, Henriques and Moritz developed a single value, Ω, calculated through an Arrhenius integral, to quantify the damage done based on the temperature and exposure time, and categorize the different level of burns. While the study did not yield any data or values that were used in this report, Studies of Thermal Injury was a milestone in research relating to burns and tissue damage, and the Arrhenius integral and accompanying damage parameter is the basis of much of work that is being done today [8] [9] [10] . Jones The study by Jones [7] investigated the use of thermal imaging in medicine, including in an efforts to detect burns. Their primary goal was to asses what differences in emissivity, if any, existed between healthy and burnt skin, using infrared thermal imaging. Using thermographs of healthy and burnt skin, the author was unable to discern an innate difference in emissivity between the two types of skin. However, the author did find that there were other differences observed between healthy and burnt skin, and thus suggested that thermal imaging would still be useful for other uses regarding the investigation and treatment of burns. In addition, during the course of explaining some of the aspects of bioheat transfer that were discussed earlier, the study presented a range of values for the diameter of capillary vessels, which is presented in Table 1. Ng The study by Ng, et. al. [8] used heating pad analysis to determine the required temperature/time combination to necessary to cause certain types of burns. Our proposed study used the same type of heating pads, however, our goal is simply to detect burns, while their study was focused on finding the appropriate combination of factors to prevent certain types of damage. However, their study used many properties which were taken from the study by Diller and Hayes [14]. Diller and Hayes The study by Diller and Hayes from 1983, titled A Finite Element Model of Burn Injury in Blood Perfused Skin [14], is one of the most referenced studies in the area of bioheat transfer in the skin. Their study used a finite element model to numerically solve for the Arrhenius integral to determine tissue damage due to burns. In their study, they compiled a list of the quantities necessary to solve the Pennes equation and their values. While they do not provide the model or details on how they derived these values, their paper is often cited [5] [8] [11] qand the values that they used are accepted as the standard values for these quantities. Their data is shown Table 1 below. Upreti The paper by Upreti and Jeje proposes and evaluates a method to determine the blood flow rate 7 Table 1: Values taken from Literature Parameter [Units] W kd [ mK ] kg ρb [ m3 ] J cb [ kgK ] ωb [s−1 ] Ta [K] Tt [K] W 000 qmet [m 3] D [m] W ] kep [ mK Jones Upreti 0.3 1040 3300 2.175(10−4 ) 310 Wang 1050 3800 36.97 Yang 0.5* 1000 4200 2.6(10−3 ) 310 306 2148 Diller 1100 3300 4(10−4 ) 310 307 100-300 3 − 10(10−6 ) 0.21 *: Combined Conductivity for dermal and epidermal layers and heat generation the arm. Essentially, they solved the improved Pennes equation developed by Chen, Chato and Holmes for radial coordinates (Equation 2) over an entire limb, where they assumed the tissue was homogeneous throughout the limb and the entire limb could be modeled as a cylindrical control volume. They used the condition that the conductive portion of heat loss ∇· k∇T is completely due to convective heat loss over the surface of the limb h(T − T∞ ) where was known and T and T∞ could be measured. For the material and thermal properties of blood and skin, they compiled a list of the values from various sources. These values are well within the accepted range of sources, and thus were deemed acceptable to be used. Using this approach, they found values for 000 and ωb , using an iterative numerical integration of the differential equation. These values are qmet shown in Table 1. Wang The paper by Wang, et. al.[12] deals with the cooling of brain temperature through the use of a colling device situated on the carotid artery. While the content of the study is not important to this analysis, their paper used a couple values, which they had compiled from other papers values shown in Table 1. Yang The study by Yang and Liu [13] focused on the effects of plaque in the carotid artery. While the subject is not relevant to this analysis, the study is important because, in their initial calculations, 000 they calculated values for qmet and ωb . Their approach to calculating these values was to solve the Pennes equation using the standard values for the thermal properties of skin, which are shown in Table 1. They assumed that the tissue was composed of large blood vessels, yielding the results for 000 qmet and ωb shown in Table 1. 5.1 6 Parameter Values taken from the literature Analysis In this section, three sets of calculations are explained and performed. First, The heat loss along a single capillary is analyzed in an effort to prove that blood flow creates a directionality of heat flow. Second, each of the terms in the Pennes equation are calculated to find their impact in the overall heat transfer in tissue. Finally, an example of the proposed experiment is shown and analyzed. 8 6.1 Heat Flow along a Vessel To prove that blood flow creates a directionality in the heat flow, the amount of heat lost between blood entering and exiting the capillary due to advection was examined. The control volume of a single capillary was modeled as a pipe, as shown in Figure 2. blood flow D T1 T2 dx Figure 2: Control Volume for blood flow through a capillary qint = ṁc(Tout − Ti ) (4) Clearly, the outlet temperature of blood is necessary to find this value. The outlet temperature, To can be derived using two equations, the simplified steady flow equation[3]: ∆u = ṁcdT (5) and the convective heat transfer equation[3]: dq = hP (Ts − T )dx (6) where ∆u is the change in internal energy in a control volume, ṁ is the mass flow rate of the blood, c and h the heat capacity and convection coefficient of blood, respectively, Ts the surface temperature of the capillary and P the perimeter of the control volume. Using the relation ∆u = −dq (7) ṁcdT = −hP (Ts − T )dx (8) or 2 and making the substitutions ṁ = ρπD4 U where D is the vessel diameter and U is the velocity of blood, and P = πD, yields the equation: dT h =− dx TS − T ρcU D (9) Solving the differential equation with the initial condition of T (0) = Ta , or the arterial temperature of blood, and the assumption that the surface temperature of the vessel is the tissue temperature, Tt , yields: −4hx T (x) = Tt + (Ta − Tt ) exp (10) ρcU D 9 Thus, the outlet temperature of the capillary, at x = Lcap is: Tout = T (Lcap ) = Tt + (Ta − Tt ) exp −4hLcap ρcU D (11) Using this term in Equation 4, and making the same substitutions used earlier, namely for ṁ and Ti , yields: −4hLcap ρπD2 U c[Tt + (Ta − Tt ) exp − Ta ] (12) qint = 4 ρcU D which can be rearranged to qint = ( ρπD2 U c −4hLcap )(Tt − Ta )(1 − exp ) 4 ρcU D (13) to yield the final expression for the amount of heat lost along a blood vessel. 6.2 Pennes Flow Heat Transfer Terms The Pennes Equation, Equation 1, has three terms, which represent heat transfer due to conduction, blood perfusion and metabolism. The sum of these three terms is the total amount of heat transfer in a given volume of tissue. 6.2.1 Conductive The first value calculated was the heat transfer due to conduction in a control volume of skin, as seen in Figure 3. The control volume in this case is a cube of side length L with a thermal conductivity of k, which represents a layer of dermal tissue. T2 T1 k L Figure 3: Control Volume for a Layer of Dermal Tissue The equation for this form of heat transfer is: qcond = V ∗ (∇(k∇(∆T )) 10 (14) where T1 and T2 are the temperatures at the entrance and exit of the control volume respectively, V is the volume of the control, and k is the thermal conductivity in watts per meter kelvin. This equation can be approximated to: k (15) qcond = V ( 2 (∆T )) L 6.2.2 Perfusive The second mode of heat transfer that was examined was the amount of heat transfer due to perfusion. This represents the amount of heat transfer due to blood and nutrient flow out of the capillaries and into the capillary bed and skin. The control volume investigated was identical to that of the previous section, namely a cube with sides of length, L. qperf = V ((ρc)b ωb (Ta − Tt )) (16) where ωb is the blood perfusion rate for the tissue, ρ and c are the density and heat capacity, respectively, Ta is the arterial temperature of the blood and Tt is is the temperature of the local tissue. 6.2.3 Generated Heat The generated heat is the amount of heat generated through natural body processes. In this case, the focus is on the heat generated by metabolism, qmet . 000 qmet = V qmet (17) 000 qmet is the basal metabolic volumetric heat generation rate and the control volume is taken where to be the same as in Sections 6.2.1 and 6.2.2. 6.3 Proposed Experimental Setup The heat transfer associated with the proposed experiment setup is shown below. The heat transfer due to conduction in a 2-Dimensional surface is given by the equation qpad = Sk k(Tp − Ts ) (18) where Tp is the temperature of the pad, k is the thermal conductivity of the mater the pad is on, and Sk is the shape factor for the given geometry. In this case, for a circular pad on a semi-infinite medium, as the epidermis is being modeled, as shown in Figure 4, is Sk = 2d where d is the diameter of the pad. Assuming the pad is 0.05 m in diameter and Ts = Tt , the equation is: Th Tc q in q out Figure 4: Picture of the Proposed Thermal Pad Setup qpad = (2)(0.05m)k(Tp − Tt ) 11 (19) Table 2: Blood Vessel and Blood Material Properties Parameter D U ρ c Value 8 × 10−6 0.025 m s kg 1060 m 3 J 3770 kgK Table 3: Assumed Quantities Parameter L ∆T h Lcap Dp 7 Value 0.005m 1K 1400 mW 2K 0.005m 0.05m Results Section 7.1 shows the other parameter values used in this analysis. In addition to the previously stated values derived from the literature, there were other values that were collected from various sources. Some of the parameters that were necessary had multiple values found for that quantity. In those cases, Table 4 shows the minimum and maximum values found for those parameters. Once values for the various quantities were determined, minimum and maximum values for the heat rate were calculated using the minimum and maximum parameter values 7.1 Values Used in Calculations In addition to the values previously noted, a few values for the properties of blood and structure of blood vessels were taken from a Human Physiology Textbook to use as a general reference. Those values are shown in Table 2. Some values were also assumed, such as the chosen control volume and vessel dimensions. These values, shown in Table 3 are primarily useful only for estimates, and thus in this case, there is no need for exact values. For quantities with more than one value presented in Tables 1, 2 and 3, the minimum and maximum values were compiled into a single table, shown below. 7.2 Heat Flow along a Vessel To find the minimum and maximum values for qint , the values from the previous section were used in Equation 13. This yielded: min qint = 2.33 × 10−3 mW (20) and max qint = 2.72 × 10−2 mW 12 (21) Table 4: Minimum and Maximum Parameter Values Parameter [Units] W ] kd [ mK kg ρb [ m 3 ] J cb [ kgK ] −1 ωb [s ] Ta [K] Tt [K] W 000 qmet [m 3] D [m] W kep [ mK ] 7.3 7.3.1 Jones Upreti 0.3 1040 3300 2.175(10−4 ) 310 Wang 1050 3800 36.97 Yang 0.5* 1000 4200 2.6(10−3 ) 310 306 2148 Diller 1100 3300 4(10−4 ) 310 307 100-300 3 − 10(10−6 ) 0.21 Pennes Flow Heat Transfer Terms Conductive Using the values from the previous section in Equation 15 yields min qcond = 1.5mW (22) max qcond = 2.5mW (23) and for the minimum and maximum values of the conductive component of the Pennes equation. 7.3.2 Perfusive The minimum and maximum values of the perfusive term of the Pennes equation is based on Equation 16, and are: min qperf = 0.66mW (24) and max qperf = 4.5mW 7.3.3 (25) Metabolic The metabolic heat generation rate of human tissue is given by Equation 17. Using the values found previously, the minimum and maximum values for qmet are: min qmet = 4.62 × 10−3 mW (26) max qmet = 0.269mW (27) and 13 7.4 Proposed Experimental Setup Using the proposed experimental setup, as described in Section 6.3, the heat transfer rate is given by Equation 18. Assuming a 5◦ C temperature difference, the minimum and maximum heat rates are given by: min qpad = 105mW (28) and max qcond = 126mW (29) For easy reading, the values in Sections 7.2-7.4 have been compiled into one table, Table 5, below: Table 5: Summary of Minimum and Maximum Calculated Heat Rates Quantity Symbol Minimum [mW] Maximum [mW] Internal Flow along a Vessel qint 2.33 × 10−3 2.72 × 10−2 Pennes Conductive qcond 1.5 2.5 Pennes Perfussive qperf 0.66 4.5 Pennes Metabolic qmet 4.62 × 10−3 0.269 Proposed Setup qpad 105 126 8 Conclusion The goal of this analysis was to determine if it is possible to detect burned skin through thermal imaging by detecting anisotropies in the skin. The viability of this proposal depends on the quantities of qperf and qpad , the heat rate due to blood perfusion and the conductive heat rate in the skin when the temperature is increased using heated pads. If there is a measurable difference in the total heat rate with and without the perfussive heat rate, then this proposal should be successful. The first step in determining whether the proposed experiment would be viable was to find values for the various quantities necessary in calculation of the heat rates. This was done through a literature analysis and evaluation of the values found, to explain any discrepancies from various studies. Once suitable values were found, the minimum and maximum possible heat rates were found for the various modes of heat transfer. To find best-case scenario, the maximum possible perfusive heat rate was compared to the minimum possible heat rate for the proposed setup. The ratio of max min qperf yields a value of 0.043, or a 4.3% difference. Similarly, the worst-case scenario is given by /qpad the ratio of the minimum possible perfussive heat rate to the maximum proposed experiment heat min max rate , or qperf /qpad . This yields a value of 0.0052 or 0.52%. While we feel that this field merits further research, and would like to begin testing our proposed idea, the low values of the ratio of perfusive heat rate to the proposed experiment heat rate does pose a problem. The low values, at best about a 5% difference, at worst 0.5%, means that any slight variations in the testing procedure or uncertainty in the heat rate measurement could skew the results of the test. We think that this problem could be solved by refining the proposed experiment to measure temperatures rather than heat rates. We propose to use two pads, that could be alternately heated or cooled, attached to thermocouples. The pads would be alternately heated or cooled for a given period of time, with one pad being hot while the other is cold, and vice-versa. Due to the temperature gradient created by the two pads, heat should flow from the hot one to the cold one. In the case of isotropic heat flow, the heat flow rate from one pad to the other should be the same in one direction as another. Thus, if there is no blood flowing, and thus no directional heat transfer, 14 the pads will heat and cool at the same rate. However, if blood is flowing, there will be added heat flow in a given direction, and thus there will be greater resistance of conductive heat flow in that direction. In other words, if blood is flowing, implying healthy skin, one pad will cool faster than the other when they are both exposed to an alternating heating and cooling cycle. Thus, we believe that the information from this shows that it should be possible to detect burns through analyzing heat transfer and in particular, detecting anisotropies. We believe that with our refined proposed experiment, we should be able to detect the directionality of heat transfer, and thus blood flow in human skin, which would indicate whether the skin is burned or healthy. 15 References [1] Diller, Kenneth R., Valvano, Jonathan W, and Pearce, John A. ”Bioheat Transfer”. The CRC Handbook of Thermal Engineering. Ed; Frank Kreith. CRC Press. 2000. [2] Pennes, Harry H. Analysis of Tissue and Arterial Blood Temperatures in the Resting Human Forearm. Journal of Applied Physiology, Vol 1, No 2 (1948), pp 93- 122. [3] Bergman, Lavine, Incropera and Dewitt Fundamentals of Heat and Mass Transfer. John Wiley & Sons. 2011. [4] Silverthorn, Dee Unglab. Human Physiology. Pearson. 2013 [5] Datta, Ashim; Rakesh, Vineet (2010). Introduction to Modeling of Transport Processes - Applications to Biomedical Systems. Cambridge University Press. [6] Henriques, F. C. and Moritz A. R. Studies of Thermal Injury, I. 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