numerical and experimental study on the human blood

47
血流循環と生体熱輸送現象に関する数値と実験的研究 --末梢の温度調節および温熱療法による腫瘍血流の変化-- Numerical and Experimental Study on the Human Blood Circulation and Heat Transport Phenomena-- Thermoregulation in the Periphery and Hyperthermia- induced Tumor Blood Flow-- Ying HE 1 , Shirazaki MINORU 1 , Hao LIU 2,1 , Ryutaro HIMENO 1 , and Tetuya KAWAMURA 3 1 Computational Biomechanics Unit, RIKEN 2 Department of Electronics & Mechanical Engineering, Chiba University 3 Graduate School of Humanities and Sciences, Ochanomizu University

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Page 1: Numerical and Experimental Study on the Human Blood

血流循環と生体熱輸送現象に関する数値と実験的研究--末梢の温度調節および温熱療法による腫瘍血流の変化--

Numerical and Experimental Study on the Human Blood Circulation and Heat Transport Phenomena--

Thermoregulation in the Periphery and Hyperthermia-induced Tumor Blood Flow--

Ying HE1 , Shirazaki MINORU1, Hao LIU2,1,

Ryutaro HIMENO1, and Tetuya KAWAMURA3

1Computational Biomechanics Unit, RIKEN2Department of Electronics & Mechanical Engineering, Chiba University

3Graduate School of Humanities and Sciences, Ochanomizu University

血流循環と生体熱輸送現象に関する数値と実験的研究--末梢の温度調節および温熱療法による腫瘍血流の変化--

Numerical and Experimental Study on the Human Blood Circulation and Heat Transport Phenomena--

Thermoregulation in the Periphery and Hyperthermia-induced Tumor Blood Flow--

Ying HE1 , Shirazaki MINORU1, Hao LIU2,1,

Ryutaro HIMENO1, and Tetuya KAWAMURA3

1Computational Biomechanics Unit, RIKEN2Department of Electronics & Mechanical Engineering, Chiba University

3Graduate School of Humanities and Sciences, Ochanomizu University

Page 2: Numerical and Experimental Study on the Human Blood

• Research Background

• Study on the thermoregulation in the periphery

♦Two-dimensional thermal model of the human finger

♦Two-dimensional FEM thermo-fluid model of the human finger

♦One-dimensional blood circulation model in the upper limb and the coupling analysis with the thermal model of the finger

♦Experimental observation

• Variation of tumor blood perfusion rate induced by hyperthermia

• Summary

• Research Background

• Study on the thermoregulation in the periphery

♦Two-dimensional thermal model of the human finger

♦Two-dimensional FEM thermo-fluid model of the human finger

♦One-dimensional blood circulation model in the upper limb and the coupling analysis with the thermal model of the finger

♦Experimental observation

• Variation of tumor blood perfusion rate induced by hyperthermia

• Summary

Page 3: Numerical and Experimental Study on the Human Blood

Temperature research range in biological system

Higher than the physiological temperature

of warm-blooded organisms: 40oC ~ 120oC

Physical range of warm-blooded

organisms: 36oC~40oC

Lower than the physiological

temperature of warm-blooded organisms:

36oC~-27oC

1. Use of high temperatures to treat undesirable tissue

Application of laser technique in surgery

hyperthermia: infrared, microwave, etc.

analysis of burn wound

1. Microscale: protein motors

2. Mesoscale: Effect of blood flow on tissues

3.macroscale:relationship between human body and thermal environment

1. Above freezing

2. Below freezing

Hypothermia

cryosurgery

cryobiology: preserve biological tissues and cells

Page 4: Numerical and Experimental Study on the Human Blood

Research Background (2)

● Circulatory system is not only related to the diseases of blood-vascular system, but also important for the development and treatment of diabetes, tumors, and so on.

●  Blood Circulation significantly affect body temperature. The factors to affect the blood circulation will cause the variation of body temperature (especially the peripheral part).

Aging , Exercising, mental stress, Smoking etc…

● Diagnosing blood circulation illness by measuring skin temperature (Finger skin temperature is widely used as a parameter for the investigation of cold-induced vasoconstriction )

●How to maintain hand dexterity and comfort , how to avoid cold injury during cold exposure when hand work is involved

● Circulatory system is not only related to the diseases of blood-vascular system, but also important for the development and treatment of diabetes, tumors, and so on.

●  Blood Circulation significantly affect body temperature. The factors to affect the blood circulation will cause the variation of body temperature (especially the peripheral part).

Aging , Exercising, mental stress, Smoking etc…

● Diagnosing blood circulation illness by measuring skin temperature (Finger skin temperature is widely used as a parameter for the investigation of cold-induced vasoconstriction )

●How to maintain hand dexterity and comfort , how to avoid cold injury during cold exposure when hand work is involved

Page 5: Numerical and Experimental Study on the Human Blood

A-A A-A

Arteries and the cross section structure of a finger (cited from Tachenatlas Der Anatomie )

Page 6: Numerical and Experimental Study on the Human Blood

The peripheral circulation system in the hand

(cited from Angiology and Taschenatlas der Anatomie)

Page 7: Numerical and Experimental Study on the Human Blood

1

3 4

2

5

1. Bone 2. Tendon 3. Dermis 4. Epidermis 5. Artery

The geometrical model of the middle finger

Page 8: Numerical and Experimental Study on the Human Blood

Pennes bioheat equation (1948)

volumetric specific heat of tissue

metabolic heat generation

volumetric specific heat of blood

thermal conductivity of tissue

blood perfusion rate

temperature of artery

temperature of vein, assumed to be equal to the local tissue temperature

)()( vabbmetttt

tt TTcqTktTc −++∇∇=∂∂ ωρρ

ttcρ

metq

bbcρ

ω

aT

vT

tk

Page 9: Numerical and Experimental Study on the Human Blood

       

Transient Temperature Distribution of the Middle Finger in the Air and Cold Water

Page 10: Numerical and Experimental Study on the Human Blood

480 600 720 8402223242526272829303132333435

120 240 360 480

time t, s

mea

n sk

in te

mpe

ratu

re T

, o C

time t, s

experimental result

Tw=10 oCTair=22 oC

4ωdermisωdermis

The variation of mean skin temperature

( the comparison between simulated results and the experimental result )

Page 11: Numerical and Experimental Study on the Human Blood

Summary

•Two dimensional temperature distribution of the human finger including the effect of main arteries was obtained

• The blood perfusion rate becomes larger after cold stimulus

• The re-warm speeds are different around the finger. The side part re-warms faster.

A FE thermo-fluid model to investigate the blood flow inside vessels and heat transfer in solid tissues

Page 12: Numerical and Experimental Study on the Human Blood

The geometric model of the finger in longitudinal direction

bone

Blood vessels

tendon

skin

Blood flow

x

y

x=0.0

d=1.0

20

x=80

tendon

skin

blood flow

d=1.0

bone

20

80 X

Y x=0

bone

Page 13: Numerical and Experimental Study on the Human Blood

Isotherm contour and temperature profile of model-B finger

0 10 2030

31

32

33

34

35

36

37

38

position in y direction, mm

Tem

pera

ture

, o C

u*m=20cm/s

C–C cross section

u*m=10cm/s

Page 14: Numerical and Experimental Study on the Human Blood

Summary and Discussion

• The effect of blood flow on the temperature distribution of the finger is investigated by FEM model. The results show that there is a temperature difference in veins with different blood velocities.

Problems:

• Long computation time

• Difficult to model the vascular structure

• The effects of blood pressure and blood vessels are not known

One-dimensional thermo-fluid model of blood circulation

Page 15: Numerical and Experimental Study on the Human Blood

The previous studies on the one-demensional model of blood flow

● Blood flow in arteries with structured –tree model (Olufsen, et al 2000)

● Blood flow in the cerebral circulation of man (Zagzoule, et al, 1986)

● Blood flow in the whole human circulation (Sheng, et al, 1995)

● The analyses of viscous resistance and viscoelasticity (Kitawaki et al. 2003)

● Multi-scale model of blood flow (Liu, 2002)

Page 16: Numerical and Experimental Study on the Human Blood

The objectives of the present study

• Apply the one-dimensional fluid model in the thermal analysis of blood flow

• Couple the blood-circulation model with the thermal model of the solid tissue

Page 17: Numerical and Experimental Study on the Human Blood

1

2 3

4

5

6

7

8

9

10

11

12

13

14

15

16

17 18

19

20

21

22 23

24 25 26 27 28 29

30

31

32

33

34

Schematic diagram of the circulation system in upper limb

Schematic diagram of the circulation system in upper limb

Page 18: Numerical and Experimental Study on the Human Blood

One dimensional model of elastic blood vessel

Continuity equation

momentum equation

state equation

0xq

tA

=∂∂

+∂∂

AqR

xPA

Aq

xtq

δπν

ρ22

−=∂∂

+⎟⎟⎠

⎞⎜⎜⎝

⎛∂∂

+∂∂

⎟⎟⎠

⎞⎜⎜⎝

⎛−=−

AA

rEhPtxP 0

00 1

34),(

1010

2/3

00 ≤≤

⎥⎥⎦

⎢⎢⎣

⎡⎟⎟⎠

⎞⎜⎜⎝

⎛−=−

AAwhile

AAkPP p

Page 19: Numerical and Experimental Study on the Human Blood

The Derivation of the Energy Equation

x direction heat exchange between artery and tissue

x enthalpy

x+dx enthalpy

artery blood

energy transfered from artery to capillaries

Energy Balance equation in Arteries

)()()(tasabb

abbabb TThAATcxuATc

tATc

−−−∂

∂−=

∂∂ ωρρρ

Page 20: Numerical and Experimental Study on the Human Blood

1

5 6

3

2 4

1. Bone 2. Tendon 3. Dermis 4. Epidermis 5. Artery 6.Vein

The schematic of the modeled finger

Page 21: Numerical and Experimental Study on the Human Blood

The Coupling Method for the BloodCirculation Model and the Thermal Model

Computation of

1D model for the

blood circulat ion

Computation of

2D thermal model

for the finger Ta, Tc, Tv, qc

Tt issue

Computation of

1D model for the

blood circulat ion

Computation of

2D thermal model

for the finger

waiting waiting

Ta, Tc, Tv, qc

Page 22: Numerical and Experimental Study on the Human Blood

Computed Pressure signals in different vessels

0 5 10

0

50

100

150

No.1

No.10

No.26

Time, s

Pres

sure

, mm

Hg

capillaries

proper palmar digital artery

ascending aorta

No. 30 ulnar vein

one period T=0.8s

Page 23: Numerical and Experimental Study on the Human Blood

Computed flow rate signals in different vessels

24 25 2668

1012

0102030

No. 10 simulated velocitiesmeasured velocities

0

0.2

0.4simulated velocities by present modelsimulated velocities by Zagzoule et al.[7]No. 26

0

20

40

60No. 1

No. 30

Time, s

Velo

city

, cm

/s

0 2 4 6 8 10048

0

150

300No. 1 ascending aorta

–0.1

0.1

0.3

No. 10proper palmar digital artery

–2

0

2

No. 26 capillaries

No. 30 ulnar vein

time ,s

Flow

rate

, cm

3 /s

one period T=0.8s

Page 24: Numerical and Experimental Study on the Human Blood

Computed temperature signals in different vessels

0 0.2 0.4 0.6 0.8 133.8533.8633.8733.88

36.6

36.8

37

No.1, ascending aorta

24 25 2634.634.8

3535.235.4

No.26, capillariesNo.10 proper palmar artery

Time, s

Tem

pera

ture

,o C

35.836

36.236.4

No.30, ulnar vein

Average tissue temperature of the finger

Time, s

Tem

pera

ture

, o C

a

b

0 10 20 3003690

20

40

60

0 10 20 3034

36

38

40data from reference [22]simulated blood temperature

number of the vessel

Aver

age

bloo

d flo

w ra

te, c

m3 /s

Aver

age

tem

pera

ture

, o C

a

b

c

Page 25: Numerical and Experimental Study on the Human Blood

Temperatures in Artery, Vein, Capillary, and Solid Tissues of the Modeled Finger

0 0.2 0.4 0.6 0.8 134.8

35

35.2

35.4

35.6

Time, s

Tem

pera

ture

, o C

terminal artery

capillary

terminal vein

one period T=0.8s

Page 26: Numerical and Experimental Study on the Human Blood

Blood Temperature and Pressure and Pressure

24 25 2640

70

100

130

160

35

35.1

35.2

35.3

No. 10

Tem

pera

ture

(o C)

ν = 4.0e–6 m2/sν = 4.6e–6 m2/sν = 5.6e–6 m2/s

ν = 4.0e–6 m2/sν = 4.6e–6 m2/sν = 5.6e–6 m2s

No. 10

Time (s)

Pres

sure

(mm

Hg)

a

b

24 25 26

50

10035.05

35.1

35.15

35.2

Tem

pera

ture

(o C)

No. 10 Eh/r0 = 1.2 (Eh/r0)normal(Eh/r0)normal

36.1

36.2

36.3

36.4 No. 30 Eh/r0 = 1.2 (Eh/r0)normal(Eh/r0)normal

No. 10(Eh/r0)normal

Eh/r0 = 1.2 (Eh/r0)normal

Time (s)

Pres

sure

(mm

Hg)

a

b

0 0.2 0.4 0.6 0.8306.3

306.32

306.34

306.36

306.38

Time (s)Sk

in T

empe

ratu

re (K

) Skin Average Temperature for the normal case

Skin Average Temperature for larger viscosity

Skin Average Temperature for larger wall stiffness

Page 27: Numerical and Experimental Study on the Human Blood

Objectives of the Experiment

● The detail observation of temperature variation; especially near the blood-vessel areas

● Comparing the experimental results and the predicted results by the one-dimensional thermo-fluid model of blood circulation and the thermal model

Page 28: Numerical and Experimental Study on the Human Blood

The Experimental System

software for

analysis of

thermal images

connection cable

Automatic sphygmomanometer

HEM 770 Fuzzy

built in board to the

main body Capture board

on PC

TVS-600

thermography Lap top PC

Infrared

Page 29: Numerical and Experimental Study on the Human Blood

(a)Thermal Images of the Palm (b) Spectrum Analyses of the Temperature in the Palm before

and after Exercising

Page 30: Numerical and Experimental Study on the Human Blood

Summary

● A one-dimensional thermo-fluid model is developed to investigate the relationship of flow rate, pressure, and temperature in upper limb

● The temperature of the solid tissue is computed by coupling the 1D blood-circulation model and the thermal model. Thus, it becomes possible to simulate the temperature variation with the blood circulation

● The periodic skin temperature near the vessel was detected after exercising

Page 31: Numerical and Experimental Study on the Human Blood

レーザー照射による生体組織と血流の熱解析

Numerical Study of the Blood Flow and Living Tissue under Laser Irradiation

Page 32: Numerical and Experimental Study on the Human Blood

Microcirculation plays an important role in the growth, metastasis, detection, and treatment of tumors.

Radiotherapy

Immunotherapy

Chemotherapy

Hyperthermia Prevention of neoplastic vascularization+

Improve the efficiency of cancer treatment

Page 33: Numerical and Experimental Study on the Human Blood

Research Background

• Advantages of laser power

Low invasive

High power densities

Precise irradiated area

A wide range of wavelengths

• Response of the tissue to the laser Irradiation

Optical Response

Thermal Response

Laser Irradiation as a “cytotoxic measure”

Laser Irradiation as an adjuvant measure

Page 34: Numerical and Experimental Study on the Human Blood

Objective of the Study

How does the tumor blood flow respond to the Laser irradiation?

How does the tumor blood flow affect the laser-irradiated tissues?

Page 35: Numerical and Experimental Study on the Human Blood

Previous Studies

Makuuchi, M. et al.(1997): Study on development of multi-channel laser coagulation method using surface cooling

Majumdar and Sharma (2003): FE analysis on the thermal response of laser-irradiated tissue

He, Y. et al. (2003): Numerical and experimental study on the blood circulation and temperature distribution in the human upper limb

Page 36: Numerical and Experimental Study on the Human Blood

Schematics of laser irradiated tissues

X

Z

laser

Compu ta tiona l

Domain

Glan d layer

Skin

Tumo r

H

laser

beam

W

L

H = 4 .5 cm

rtumo r = 5 mm

L = 20 mm

W = 20 mm

Laser Type: Nd-Yag laser

Wave Length λ: 1064nm

Coolant Temperature: 10oC

Maximum Power: 100W

Laser Type: Nd-Yag laser

Wave Length λ: 1064nm

Coolant Temperature: 10oC

Maximum Power: 100W

Page 37: Numerical and Experimental Study on the Human Blood

Three Type of Geometric Relationship between Normal tissue and Tumor vascular bed ( C. W. Song):Three Type of Geometric Relationship between Normal tissue and Tumor vascular bed ( C. W. Song):

Parallel

Series

Parallel and Series

Page 38: Numerical and Experimental Study on the Human Blood

Tumor and Normal Tissue Vascular Bed in the Laser Irradiation Model

arterioles 2

vessels in

a tumor 4

vessels in normal

tissues 3

venules 5

arteries

1 veins 6

Page 39: Numerical and Experimental Study on the Human Blood

Heat Generation

))((0 )(),( zHsaexIzxI ++−=

)(0 )( zHaexaI

dzdIQ +−=−=

laser I(z)

laser I(z)+dI(z)

kI(z)dz

x

z

Lambert - Beer’s law

Page 40: Numerical and Experimental Study on the Human Blood

Assumption of vessel response to the temperature variation

)(0

0TTbeAA −=

A0 T0 cross sectional area and blood temperature before heating

b variation coefficient

CTb o42~391.0 ==

CTb o421.0 >−=

Page 41: Numerical and Experimental Study on the Human Blood

Two-step Lax-Wendroff Method

CG method (Conjugate Gradient Method)

Continuity and Momentum

Equation

FE equations for Tissue

Temperatures

Tumor average temperature

Tumor blood perfusion rate

Energy equation for blood flow

Upwind differencing

Numerical Solution and Data Transfer

Thermal Model of Solid Tissue

Blood Circulation Model

Page 42: Numerical and Experimental Study on the Human Blood

材料分割

Page 43: Numerical and Experimental Study on the Human Blood

Temperature Distribution inside Living Tissues under the Laser Irradiation

0 4 8 12 16 20295

300

305

310

315

320

depth, mm

Tem

pera

ture

, K

laser irradiation time: 120slaser power: 3Wlaser irradiation time: 120slaser power: 3.8W

Page 44: Numerical and Experimental Study on the Human Blood

Predicted Tumor Blood Perfusion Rate Under Different Laser Power

18 19 20

0.05

0.1

0.15

0.2

0.25

Time,s

Tum

or B

lood

Per

fusi

on R

ate,

m3 /m

3 /min laser power: 3.8W

no laser irradiationlaser power: 3W

Page 45: Numerical and Experimental Study on the Human Blood

Acknowledgements

• I would like to thank Dr. Zhi Gang Sun for his kind assistance with the investigation of tumor blood flow.

• I would like to thank Dr. Zhi Gang Sun for his kind assistance with the investigation of tumor blood flow.

Page 46: Numerical and Experimental Study on the Human Blood

Summary

 Detailed work has conducted to investigate the mechanism of thermoregulation in the periphery. The results show that coupling of the one-dimensional blood circulation model and thermal model of the solid tissue is a valid way to investigatethe thermal characteristics of biological system.

An initial study is carried out to investigate the tumor bloodperfusion rate using the similar method as that of work for the thermoregulation in the human finger.

Further experimental and numerical work may be carried out in the investigation of tumor vasculature and blood flow as well as peripheral blood perfusion rate.

Page 47: Numerical and Experimental Study on the Human Blood

Representative Papers

•He, Y., Shirazaki, M., and Himeno, R., “Two dimensional FEM model to investigate the effect of distal blood flow on the human finger”, Thermal Science and Engineering, Vol. 10(2002), No. 3, pp.19-24.

•He, Y., Liu, H., and Himeno, R., “A One-dimensional Thermo-fluid Model of Blood Circulation in Upper Limb of Man”, International Journal of Heat and Mass Transfer, Vol. 47(2004), Issues 12-13, June, pp.2735-2745.

•He, Y., Liu, H., Himeno, R., and Shirazaki, M., Numerical and Experimental Study on the Relationship between Blood Circulationand Peripheral Temperature, Conference Proceedings of 13th

International Conference on Mechanics in Medicine and Biology, pp.94-95,12-15 Nov. 2003, Tainan.

•He, Y., Shirazaki, M., Liu, H., and Himeno, R., “Numerical Study of the Blood Flow and Living Tissue under Laser Irradiation”,The 16th Bioengineering Conference by JSME, Jan. 22-23, 2004, pp.192-193, Kitakyushu, Japan.