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皮肤组织热疗法的参数研究。

A parametric study of thermal therapy of skin tissue.

作者信息

Nóbrega Simão, Coelho Pedro J

机构信息

LAETA, IDMEC, Dept. of Mechanical Engineering, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa, Portugal.

LAETA, IDMEC, Dept. of Mechanical Engineering, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa, Portugal.

出版信息

J Therm Biol. 2017 Jan;63:92-103. doi: 10.1016/j.jtherbio.2016.11.016. Epub 2016 Nov 25.

DOI:10.1016/j.jtherbio.2016.11.016
PMID:28010820
Abstract

A thermal therapy for cancer in skin tissue is numerically investigated using three bioheat conduction models, namely Pennes, thermal wave and dual-phase lag models. A laser is applied at the surface of the skin for cancer ablation, and the temperature and thermal damage distributions are predicted using the three bioheat models and two different modeling approaches of the laser effect. The first one is a prescribed surface heat flux, in which the tissue is assumed to be highly absorbent, while the second approach is a volumetric heat source, which is reasonable if the scattering and absorption skin effects are of similar magnitude. The finite volume method is applied to solve the governing bioheat equation. A parametric study is carried out to ascertain the effects of the thermophysical properties of the cancer on the thermal damage. The temperature distributions predicted by the three models exhibit significant differences, even though the temperature distributions are similar when the laser is turned off. The type of bioheat model has more influence on the predicted thermal damage than the type of modeling approach used for the laser. The phase lags of heat flux and temperature gradient have an important influence on the results, as well as the thermal conductivity of the cancer. In contrast, the uncertainty in the specific heat and blood perfusion rate has a minor influence on the thermal damage.

摘要

使用三种生物热传导模型,即彭尼斯模型、热波模型和双相滞后模型,对皮肤组织中的癌症热疗法进行了数值研究。在皮肤表面施加激光进行癌症消融,并使用这三种生物热模型以及两种不同的激光效应建模方法预测温度和热损伤分布。第一种是规定表面热通量,其中假设组织具有高吸收性,而第二种方法是体积热源,如果皮肤的散射和吸收效应大小相似,这种方法是合理的。应用有限体积法求解控制生物热方程。进行了参数研究以确定癌症热物理性质对热损伤的影响。尽管关闭激光时温度分布相似,但三种模型预测的温度分布仍存在显著差异。生物热模型的类型对预测的热损伤比用于激光的建模方法类型有更大影响。热通量和温度梯度的相位滞后对结果以及癌症的热导率有重要影响。相比之下,比热容和血液灌注率的不确定性对热损伤影响较小。

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