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Sung D, Rejimon A, Allen JW, Fedorov AG, Fleischer CC. Predicting brain temperature in humans using bioheat models: Progress and outlook. J Cereb Blood Flow Metab 2023; 43:833-842. [PMID: 36883416 PMCID: PMC10196749 DOI: 10.1177/0271678x231162173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 01/31/2023] [Accepted: 02/02/2023] [Indexed: 03/09/2023]
Abstract
Brain temperature, regulated by the balance between blood circulation and metabolic heat generation, is an important parameter related to neural activity, cerebral hemodynamics, and neuroinflammation. A key challenge for integrating brain temperature into clinical practice is the lack of reliable and non-invasive brain thermometry. The recognized importance of brain temperature and thermoregulation in both health and disease, combined with limited availability of experimental methods, has motivated the development of computational thermal models using bioheat equations to predict brain temperature. In this mini-review, we describe progress and the current state-of-the-art in brain thermal modeling in humans and discuss potential avenues for clinical applications.
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Affiliation(s)
- Dongsuk Sung
- Department of Biomedical
Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA,
USA
- Department of Radiology and Imaging
Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Abinand Rejimon
- Department of Biomedical
Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA,
USA
- Department of Radiology and Imaging
Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Jason W Allen
- Department of Biomedical
Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA,
USA
- Department of Radiology and Imaging
Sciences, Emory University School of Medicine, Atlanta, GA, USA
- Department of Neurology, Emory
University School of Medicine, Atlanta, GA, USA
| | - Andrei G Fedorov
- Woodruff School of Mechanical
Engineering, Georgia Institute of Technology, Atlanta, GA, USA
- Petit Institute for Bioengineering
and Bioscience, Georgia Institute of Technology, Atlanta, GA, USA
| | - Candace C Fleischer
- Department of Biomedical
Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA,
USA
- Department of Radiology and Imaging
Sciences, Emory University School of Medicine, Atlanta, GA, USA
- Petit Institute for Bioengineering
and Bioscience, Georgia Institute of Technology, Atlanta, GA, USA
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Shrivastava D, Roemer RB. Readdressing the issue of thermally significant blood vessels using a countercurrent vessel network. J Biomech Eng 2006; 128:210-6. [PMID: 16524332 DOI: 10.1115/1.2165693] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
A physiologically realistic arterio-venous countercurrent vessel network model consisting of ten branching vessel generations, where the diameter of each generation of vessels is smaller than the previous ones, has been created and used to determine the thermal significance of different vessel generations by investigating their ability to exchange thermal energy with the tissue. The temperature distribution in the 3D network (8178 vessels; diameters from 10 to 1000 microm) is obtained by solving the conduction equation in the tissue and the convective energy equation with a specified Nusselt number in the vessels. The sensitivity of the exchange of energy between the vessels and the tissue to changes in the network parameters is studied for two cases; a high temperature thermal therapy case when tissue is heated by a uniformly distributed source term and the network cools the tissue, and a hypothermia related case, when tissue is cooled from the surface and the blood heats the tissue. Results show that first, the relative roles of vessels of different diameters are strongly determined by the inlet temperatures to those vessels (e.g., as affected by changing mass flow rates), and the surrounding tissue temperature, but not by their diameter. Second, changes in the following do not significantly affect the heat transfer rates between tissue and vessels; (a) the ratio of arterial to venous vessel diameter, (b) the diameter reduction coefficient (the ratio of diameters of successive vessel generations), and (c) the Nusselt number. Third, both arteries and veins play significant roles in the exchange of energy between tissue and vessels, with arteries playing a more significant role. These results suggest that the determination of which diameter vessels are thermally important should be performed on a case-by-case, problem dependent basis. And, that in the development of site-specific vessel network models, reasonable predictions of the relative roles of different vessel diameters can be obtained by using any physiologically realistic values of Nusselt number and the diameter reduction coefficient.
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Affiliation(s)
- Devashish Shrivastava
- Department of Mechanical Engineering, University of Utah, Salt Lake City, UT 84102, USA
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He Q, Zhu L, Lemons DE, Weinbaum S. Experimental measurements of the temperature variation along artery-vein pairs from 200 to 1000 microns diameter in rat hind limb. J Biomech Eng 2002; 124:656-61. [PMID: 12596632 DOI: 10.1115/1.1517061] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Theoretical studies have indicated that a significant fraction of all blood-tissue heat transfer occurs in artery-vein pairs whose arterial diameter varies between 200 and 1000 microns. In this study, we have developed a new in vivo technique in which it is possible to make the first direct measurements of the countercurrent thermal equilibration that occurs along thermally significant vessels of this size. Fine wire thermocouples were attached by superglue to the femoral arteries and veins and their subsequent branches in rats and the axial temperature variation in each vessel was measured under different physiological conditions. Unlike the blood vessels < 200 microns in diameter, where the blood rapidly equilibrates with the surrounding tissue, we found that the thermal equilibration length of blood vessels between 200 microns and 1000 microns in diameter is longer than or at least equivalent to the vessel length. It is shown that the axial arterial temperature decays from 44% to 76% of the total core-skin temperature difference along blood vessels of this size, and this decay depends strongly on the local blood perfusion rate and the vascular geometry. Our experimental measurements also showed that the SAV venous blood recaptured up to 41% of the total heat released from its countercurrent artery under normal conditions. The contribution of countercurrent heat exchange is significantly reduced in these larger thermally significant vessels for hyperemic conditions as predicted by previous theoretical analyses. Results from this study, when combined with previous analyses of vessel pairs less than 200 microns diameter, enable one estimate the arterial supply temperature and the correction coefficient in the modified perfusion source term developed by the authors.
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Affiliation(s)
- Qinghong He
- Department of Mechanical Engineering, University of Maryland Baltimore County, Baltimore, MD 21250, USA
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Zhu L, Xu LX, He Q, Weinbaum S. A new fundamental bioheat equation for muscle tissue--part II: Temperature of SAV vessels. J Biomech Eng 2002; 124:121-32. [PMID: 11871598 DOI: 10.1115/1.1431263] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
In this study, a new theoretical framework was developed to investigate temperature variations along countercurrent SAV blood vessels from 300 to 1000 microm diameter in skeletal muscle. Vessels of this size lie outside the range of validity of the Weinbaum-Jiji bioheat equation and, heretofore, have been treated using discrete numerical methods. A new tissue cylinder surrounding these vessel pairs is defined based on vascular anatomy, Murray's law, and the assumption of uniform perfusion. The thermal interaction between the blood vessel pair and surrounding tissue is investigated for two vascular branching patterns, pure branching and pure perfusion. It is shown that temperature variations along these large vessel pairs strongly depend on the branching pattern and the local blood perfusion rate. The arterial supply temperature in different vessel generations was evaluated to estimate the arterial inlet temperature in the modified perfusion source term for the s vessels in Part I of this study. In addition, results from the current research enable one to explore the relative contribution of the SAV vessels and the s vessels to the overall thermal equilibration between blood and tissue.
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Affiliation(s)
- Liang Zhu
- Department of Mechanical Engineering, University of Maryland, Baltimore County, Baltimore 21227, USA.
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Abstract
Morphometric data of the tissue vasculature are fundamental to the development of models for blood perfused tissue mass and heat transfer. Vascular casts of six canine prostates were made and morphometry was performed on 14 transverse sections. The region sampled was restricted to the midsection within the parenchyma. General vascular features that were observed include the radially arranged arteries and veins within the parenchyma, the axially oriented periurethral venous plexae, and the parenchymal arteries ramifying less than the veins. The arterial and venous lumen diameters (mean +/- SD) are 84 +/- 31 (N = 42) and 125 +/- 51 (N = 117), respectively. The lengths for a single vessel generation are 2147 +/- 1196 microm (N = 14) and 1265 +/- 693 microm (N = 39) for the arteries and veins, respectively. Intervessel distances are 4056 +/- 2350 microm (N = 33) between arteries, 1526 +/- 982 microm (N = 330) between veins, and 1498 +/- 874 microm (N = 108) between arteries and veins. A simple vasculature model of evenly distributed vessels imbedded in tissue for heat transfer analysis was developed. The artery-artery distance being about three times that of the vein-vein distance suggested a rete-like configuration of arteries surrounded by veins. An effective distance of 1519 microm between vessels was used. Based upon this vasculature model, the vessel density was calculated to be 5.6 arteries/cm(2) and 44.5 veins/cm(2).
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Affiliation(s)
- D Y Yuan
- Biomedical Engineering Program, The University of Texas at Austin, Austin, Texas, 78712, USA
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Song J, Xu LX, Lemons DE, Weinbaum S. Enhancement in the effective thermal conductivity in rat spinotrapezius due to vasoregulation. J Biomech Eng 1997; 119:461-8. [PMID: 9407286 DOI: 10.1115/1.2798294] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
This study was undertaken to gain a better understanding of the countercurrent heat exchange of thermally significant blood vessels in skeletal muscle by measuring the vascular structure and flow in an exteriorized rat spinotrapezius muscle and estimating the enhancement in the effective thermal conductivity of the muscle. Detailed anatomic measurements of the number density and length of countercurrent vessel pairs between 45 and 165 microns diameter were obtained. Moreover, diameter and blood flow in the 1A to 3A vessels were measured for muscles in which pharmacological vasoactive agents were introduced, allowing one to vary the local blood flow Peclet number from 1 to 18 in the major feeding arteries. These combined measurements have been used to estimate the range of possible enhancement in the effective thermal conductivity of the tissue. The newly derived conduction shape factor in Zhu et al. for countercurrent vessels in two-dimensional tissue preparations was used in this analysis. Our experimental data indicated that the value of this conduction shape factor was about one-third to two-thirds the value for two countercurrent vessels of the same size and spacing in an infinite medium. The experiment also revealed that the Weinbaum-Jiji expression for keff was valid for the spinotrapezius muscle when the largest vessels were less than 195 microns diameter. A fivefold increase in keff was predicted for 195 microns diameter vessels. Vasoregulation was also shown to have a dramatic effect on keff. A tissue that exhibits only small increases in keff due to countercurrent convection in its vasoconstricted state can exhibit a more than fivefold increase in keff in its vasodilated state.
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Affiliation(s)
- J Song
- Department of Mechanical Engineering, City College/CUNY, NY 10031, USA
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Weinbaum S, Xu LX, Zhu L, Ekpene A. A new fundamental bioheat equation for muscle tissue: Part I--Blood perfusion term. J Biomech Eng 1997; 119:278-88. [PMID: 9285341 DOI: 10.1115/1.2796092] [Citation(s) in RCA: 72] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
A new model for muscle tissue heat transfer has been developed using Myrhage and Eriksson's [23] description of a muscle tissue cylinder surrounding secondary (s) vessels as the basic heat transfer unit. This model provides a rational theory for the venous return temperature for the perfusion source term in a modified Pennes bioheat equation, and greatly simplifies the anatomical description of the microvascular architecture required in the Weinbaum-Jiji bioheat equation. An easy-to-use closed-from analytic expression has been derived for the difference between the inlet artery and venous return temperatures using a model for the countercurrent heat exchange in the individual muscle tissue cylinders. The perfusion source term calculated from this model is found to be similar in form to the Pennes's source term except that there is a correction factor or efficiency coefficient multiplying the Pennes term, which rigorously accounts for the thermal equilibration of the returning vein. This coefficient is a function of the vascular cross-sectional geometry of the muscle tissue cylinder, but independent of the Peclet number in contrast to the recent results in Brinck and Werner [8]. The value of this coefficient varies between 0.6 and 0.7 for most muscle tissues. In part II of this study a theory will be presented for determining the local arterial supply temperature at the inlet to the muscle tissue cylinder.
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Affiliation(s)
- S Weinbaum
- Department of Mechanical Engineering, City College of The City University of New York, NY 10031, USA
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Zhu L, Weinbaum S. A model for heat transfer from embedded blood vessels in two-dimensional tissue preparations. J Biomech Eng 1995; 117:64-73. [PMID: 7609487 DOI: 10.1115/1.2792272] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Two-dimensional microvascular tissue preparations have been extensively used to study blood flow in the microcirculation, and, most recently, the mechanism of thermal equilibration between thermally significant countercurrent artery-vein pairs. In this paper, an approximate three-dimensional solution for the heat transfer from a periodic array of blood vessels in a tissue preparation of uniform thickness with surface convection is constructed using a newly derived fundamental solution for a Green's function for this flow geometry. This approximate solution is exact when the ratio K' of the blood to tissue conductivity is unity and a highly accurate approximation when K' not equal to 1. This basic solution is applied to develop a model for the heat transfer from a countercurrent artery-vein pair in an exteriorized rat cremaster muscle preparation. The numerical results provide important new insight into the design of microvascular experiments in which the axial variation of the thermal equilibration in microvessels can be measured for the first time. The solutions also provide new insight into the design of fluted fins and microchips that are convectively cooled by internal pores.
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Affiliation(s)
- L Zhu
- Department of Mechanical Engineering, City College of the City University of New York, NY 10031, USA
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