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RABSTRAS: The application of supraphysiological temperatures (>40°C) to biological tissues causes changes at
the molecular, cellular, and structural levels, with corresponding changes in tissue function and in thermal, mechani-
cal, and dielectric tissue properties. This is particularly relevant for image-guided thermal treatments (e.g., hyper-
thermia and thermal ablation) delivering heat via focused ultrasound, radiofrequency, microwave, or laser energy;
monitoring during treatment, and evaluation of treatment results. This paper presents a literature survey of tempera-
ture dependence of electrical (electrical conductivity, resistivity, permittivity) and thermal tissue properties (thermal
-
adenocarcinoma, and ependymoblastoma in response to hyperthmic temperatures up to 46°C are presented. Where
appropriate, mathematical models to describe temperature dependence of properties are presented. The presented data
are valuable for mathematical models that predict tissue temperature during thermal therapies (e.g., hyperthermia
or thermal ablation), as well as for applications related to prediction and monitoring of temperature-induced tissue
changes.
KKY WTRB: thermal properties, dielectric properties, tissue properties, hyperthermia, ablation, perfusion
images are generated based on differences in elec- perfusion. The most widely used model of tissue
trical tissue properties. Although EIT is emerging 16
where a dis-
in preclinical applications to detect breast cancer -
by measuring differences in conductivity of normal fusion (note that for cryotherapies, perfusion would
and neoplastic tissue,13,14 recent studies suggest that represent a heat source term)
EIT is also potentially useful tool for measuring
temperatures based on conductivity changes during QP cbl(T – Tbl) (2)
hyperthermia treatment,15 but this requires accurate
information on temperature-dependent changes of where Q –3
] is the distributed heat source
electrical tissue conductivity. representing heat energy produced by any heating
bioheat equation16 for modeling perfusion is com- electromagnetic energy to achieve tissue heating.
monly employed. Since thermal and electrical tissue While both heating modalities may be used to apply
Q = JE (3)
II. THEORETICAL MODELING OF THERMAL
THERAPIES where J ], and E is the
–2
Mathematical modeling of thermal therapies has two vectors are evaluated using the Laplace equa-
- tion as
cal treatments and medical devices.19–22, 24–40 Re-
gardless of the method employed to achieve tissue V=0 (4)
heating, the heat transfer equation has to be solved
to model the temperature distribution T (°C) in bio- where V
logical tissues ]. By using the quasi-static ap-
–1
in tissue are in the cm range.33 The simulation of temperature dependence of thermal and electrical
microwave propagation is based on the fundamental properties of tissue.
- A commonly used approach for modeling the
- temperature dependence of thermal and electrical
scribes how conduction current as well as displace- properties for temperatures of <100°C is based on
linear equations and employs constant temperature
×H=J+ D (5)
t
T 0 (1 + k1 T) (10)
where H ],
–1
J ], D–2
T 0(1 + k2 T) (11)
–2
D t the displacement cur-
–2 k(T) = k0(1 + k3 T) (12)
B –2
]
E ]
–1 T 0 (1 + k4 T) (13)
An important factor to achieve realistic models as dielectric constant, varies with temperature and
is the use of mathematical functions to describe the
stored by applied voltage within the medium rela- vivo up to 100°C and found increasing conductivity
tive to vacuum. The dielectric properties of materi- with temperature; in addition, they found a depen-
dence on heating rate that could be modeled by an
Arrhenius relationship.53 54,55
and
McRae et al. measured electrical resistivity from
56
j ex vivo, and
mouse tumors ex vivo and in vivo, at hyperthermic
temperatures between 37 and 50°C.
More data are available for frequencies in the
et al. studied frequency-dependent
dielectric properties of various tissues including liv-
(16)
0
line method, properties within the temperature and
0is the frequency ranges typically used for MRI-guided fo-
-
–1
]. Depending on the nature of the tis- were measured.57 Stauffer et al. developed equiva-
. It is important to
i in vivo and ex vivo human and animal tissues made
with a dielectric measurement probe for frequen-
frequency, temperature, and water content.
than 30 years presenting tabulated dielectric proper- presented for 10 to 90°C in more detail.58 Chin and
-
ied the changes of dielectric properties in ex vivo
have been reported by Gabriel et al.,43,44,46 et bovine liver and rat prostate during MW heating at
al.,47 and other researchers,48,49 however, the tem- 59,60
Key
perature dependence of these frequency-dependent
water content were found to be reversible with tem-
only been studied more recently. perature, while changes due to protein denaturation
Only few data on temperature-dependent di- were found to be permanent. Among others, the
electric properties are available in the frequency temperature dependence of the electrical param-
et al. eters of human blood was studied by Mohapatra
measured electrical conductivity of brain, muscle,
who found an decrease in resistivity (i.e., increase in
found increase of conductivity with temperature, conductivity) with temperature.61 -
and irreversible changes above ~60°C.23 Pop et al. et al., dielectric properties of
animal and human blood have been investigated via
heating within a temperature range between 48 and
- the temperature range 25–45°C and frequency range
versible temperature-dependent component and an 62
Results presented suggest a
50
and this -
ranges.63 They modeled the dielectric properties via comprehensive data are listed in Table 1. Data of
temperature-dependent Cole-Cole and second-order various tissues are presented; however, most data
polynomial parameters. To investigate the tempera- are available of liver tissue in the temperature range
ture dependence of dielectric properties of liver, from room temperature (20°C) up to ~80°C due
Brace et al. measured the changes in tissue properties to increasing research interests in understanding,
evaluating, and improving liver cancer treatments
with temperatures up to 100°C. They found that
relative permittivity and conductivity decrease sub-
stantially and irreversibly at high temperatures.64 In electrical conductivity of undamaged and unheated
agreement, Lopresto et al. tissues increases with temperature. At frequencies
-
and electrical conductivity as the temperature reached ductivity decreases with temperature, as presented
60°C, with further decreases up to 120°C.65,66 by Brace et al. and Lopresto et al.
A representative summary of these studies on Additional data are available from food industry
temperature-dependent dielectric properties (con- research presenting dielectric data of processed tis-
ductivity and permittivity) of biological tissues -
nuted meats at temperatures of 5–80°C.67–73 Zhuang
FIG. 1: Electrical conductivity of human and various animal tissues as a function of temperature. Colors indicate
FIG. 2: Electrical permittivity of various animal tissues as a function of temperature. Colors indicate frequencies
473
SRALK 1: Continued
474
Frequency Aoeff. Aoeff.
Tefs. (MHz) Sissue type
et al.57 468 0.72 2.78 60.16 –0.60 Uterus, porcine 36–60 within 2 h postmortem
et al.57 468 1.11 0.92 65.03 –0.30 Muscle, porcine 36–60 within 2 h postmortem
et al.57 468 1.04 1.30 58.36 –0.42 Kidney, porcine 36–60 within 2 h postmortem
et al.57 468 1.02 0.73 58.24 –0.48 Bladder, porcine 36–60 within 2 h postmortem
400 0.70 1.13 — –0.10 Blood, human 25–45 within 15 min
and Nadi62 postmortem
1000 0.70 0.98 — –0.11 Blood, human 25–45 within 15 min
and Nadi62 postmortem
915 0.99 1.33 49.50 –0.20 Liver, bovine/porcine 37–60 within 2 h postmortem
et al.63
2450 1.77 0.20 47.60 –0.17 Liver, bovine/porcine 37–60 within 2 h postmortem
et al.63
Lopresto 2450 1.74 –0.13 43.52 –0.15 Liver, bovine 15–80 Ex vivo
et al.65,*
Macchi et 0.48 0.28 1.45 — — Liver, porcine 20–80 Ex vivo
al.53
Pop et 0.46 0.27 1.30 3210.00 — Kidney, porcine 22–78
al.53,*
Critical Reviews™ in Biomedical Engineering
FIG. 3:
temperatures reached 100°C and continued to drop as temperature was maintained and the tissue became more
dehydrated.64, 65
in vivo et al.
based on ex vivo dielectric properties of in vivo and ex vivo normal,
malignant, and cirrhotic human liver tissues from
measurement. Electrical tissue properties change as 79
Even though their results were not
soon as tissue is removed, and this change is par- -
Data are available on the change of electrical tissue tissue properties are 16% higher than normal), they
reported that conductivity of in vivo normal liver
-
pendent on carcass temperature and degree of tissue than ex vivo.
degradation.75–77 Haemmerich et al. measured swine
liver resistivity in vivo IV. TEMPERATURE DEPENDENCE OF THERMAL
78
PROPERTIES
After 2 h postmortem, resistivity decreases consid-
- Heat transport in biological tissues may occur due to
tors contributing to this decrease may include an in- conductive, convective, or radiative mechanisms.47
These heat transfer mechanisms can be charac-
integrity postmortem that allows continuity between
properties. The thermal conductivity of biological
and lysosomal agents are released within the cell, materials describes how well the material conducts
contributing to cell membrane damage.
At microwave frequencies, dielectric proper- –3
], transmitted due to a temperature gradient.
ties are primarily determined by water content and
are thus less affected by tissue removal than at steady state conditions by the Poisson equation
FIG. 5:
and circulating blood during heating. Several studies to normal tissues. Thus, heat cannot be removed as
have reviewed the effects of hyperthermia on tumors,
- higher temperatures in tumors during heating. This
- can lead to tumor vascular damage and alter the in-
perthermia varies considerably among different tu- -
mor types, where both higher and lower perfusion
relative to normal tissue have been reported.97–101 deprived at temperatures in the upper hyperthermic
-
-
geneous.98 number of studies in large animals and in humans.
- Bicher et al. studied the effects of microwave
hyperthermia and reported a dual effect of hyper-
that of surrounding normal tissues at hyperthermia thermia on local blood of mouse tumors.101 Tumor
temperature conditions. In general, the ability to in-
- whereas higher temperatures caused a collapse in
peratures appears to be limited in tumors compared
k k Aoeff. c c Aoeff.
2
Tefs. Sissue type
Bhattacharya and 0.563 0.626 — — — — Liver, bovine 25–80 Ex vivo
83
Choi et al.88 0.504 0.222 — — 3112* 0.35* Liver, porcine 25–80 >12–24 h
postmortem
Choi et al.88 0.503 0.092 — — 3499* 0.2* Liver, human 25–80 > 12–24 h
postmortem
Choi et al.88 0.550 0.257 — — — — Kidney, human 3–45
Choi et al.88 0.396 0.603 — — — — Lung, human 3–45
Choi et al.88 0.481 0.242 — — — — Liver, human 10–45
Guntur et al.87 0.521 0.615 1.424 × 10–07 0.462 3386 0.32 Liver, porcine 35–90 Samples
obtained
1 h before
c calculated as k
479
480 Rossmanna & Haemmerich
Within 24 h
Within 24 h
after biopsy
after biopsy
after biopsy
1–2 days
1–2 days
1–2 days
KHT tumor in male mice in response to hyperther-
mic temperatures (43–46°C) have been reported by
Brown et al.102 In agreement with other studies, they
measured an initial increase in clearance rate (which
correlates with perfusion) for all tissues and a higher
3–45
3–45
3–45
3–45
heat sensitivity (factor two) of the tumor resulting in
—
heated animal
97
Spleen, human
Sissue type
human
—
—
4533
3505
3576
3592
0.371
0.374
0.326
—
1.134 × 10–07
1.482 × 10–07
1.470 × 10–07
1.444 × 10–07
0.004
0.080
0.204
0.236
0.241
0.545
0.540
0.547
0.539
k
c calculated as k
et al.82
et al.82
et al.82
et al.82
et al.82
mast cell tumors during and after hyperthermia with temperatures during interstitial hyperthermia. No
temperatures up to 44°C. In contrast to normal tissue, change in perfusion during hyperthermic (up to
et
by ~5%, the mast cell sarcomas showed little change al.; they showed that perfusion in inoperable breast
109
A thermal pulse decay tumors may both increase and decrease after suc-
technique was used by Xu et al. to investigate the cessful hyperthermia and the average tumor blood
blood perfusion rate of canine prostate under normal 118
Overall,
and hyperthermic (41–43°C) conditions induced by studies in human patients suggest no reduction in
114
In agreement with other perfusion at temperatures up to at least 44ºC. Thus,
studies, perfusion increased about 3.5-fold relative in particular, small animal tumor models may not
to the baseline perfusion when the tissue was heated
from body temperature to 41.3°C and increased tumors in response to hyperthermia.
another 0.5-fold with further heating to 43.1°C. In A summary of temperature-dependent perfusion
normal tissues such as canine brain tissue, Lyons et of biological tissues presently available are plotted
al.
rate that occurred gradually throughout the course of presented in Table 3.
heating with temperatures between 42 to 49°C and
heating durations ranging between 15 and 45 min.108 VI. MODELING OF TEMPERATURE DEPEN-
Waterman et al. studied the response of human DENCE OF TISSUE PROPERTIES
-
Computer simulations have increasingly been uti-
tumors (three adenocarcinomas, one melanoma)
during 60 min of local hyperthermia (40–44°C) and treatments and are used as an aid for planning, eval-
cases.115 In a later study, Waterman et al. presented obtain realistic models of thermal therapies, it is im-
- portant to use adequate mathematical functions to
mors (tumor volumes from 18 to 810 cm3) during 60 model the temperature dependence of tissue proper-
min of local hyperthermia (40–44°C) administered ties, or resort to using interpolation based on tabu-
lated data if necessary.
30 min and remained nearly constant afterward.116 functions most commonly used for modeling the
temperature dependence of the thermal and electri-
though data in one tumor suggest that a reduction cal conductivities (k
in perfusion may occur at temperatures above 44°C. modeling. Using models with constant values or
FIG. 6:
dependence of these parameters, and rapid change at time-temperature curve for relative permittivity and
effective conductivity and compared to simulations
that the different methods of piecewise modeling -
temperature dependence of k tal temperatures in liver tissue. They found from these
studies that a sigmoidal model of tissue dielectric prop-
thermal lesion diameter following ablation thera-
pies.18 Similarly, Lobo et al. used computer simula-
tion via the Bioheat equation coupled with temper-
Ahmed et al. 30
They demon-
strated that while tissue perfusion has the dominant
cooled electrode.123 They demonstrated that thermal
SRALK 3:
Tefs.
Total body heat to
Ardenne and Inhibition of tumor
DS carcinoma (rats) 39.5°C plus local heat
Reitnauer126 microcirculation
43°C/100 min
40–41°C Tumor pO2
C3H mammary increased
Bicher et al. 101
>41°C
carcinoma, mouse
42.0°C, 40 min
Decreased clearance rate,
vascular damage followed
mammary carcinoma,
43–46°C/60 min a 1°C chance equal
human mammary
Brown et al. 102 change in heating time
carcinomas, mouse
factor 2
Similar to initial clearance
Muscle tissue, mouse 43–46°C/60 min
rate
97
Yoshida sarcoma, rat 42.0°C/1 h
99
42.5°C, 40 min
43.0°C/30 min
Squamous cell carcinoma 43°C2, 15 min
Eddy103
43°C >15 min Mild stasis
45°C/30 min
40.5°C/40 min No change
BA1112 rats sarcoma 42.5°C/40 min Dilation and congestion
Emami et al.127 44.5°C/40 min Hemorrhage and necrosis
BA-1112
42.5°C/40 min
rhabdomyosarcoma, rat
40.0°C/1 h
BA-1112
Endrich et al.128 decreased
rhabdomyosarcoma, rat 41.3°C/1 h
Number of functional
capillaries
>43.0°C/1 h
No consistent or
Gullino et al.129 predictable Change
carcinoma 40–42°C/1 h
2
consumption
13762A carcinoma, rat 43.5°C/1 h
Rappaport and Song130
42–42.5°C/l h No change
Reinhold and van den BA-1112
42–42.5°C/2–3 h
131
rhabdomyosarcoma, rat vascular collapse
42.5°C/2.5 h
SRALK 3: Continued
Tefs.
Unaltered vascular
39°C/45 min
SMT-2A mammary
Shrivastav et al.104
adenocarcinoma, rat 42°C/45 min
45°C/60 min
Song et al.132 SCK carcinoma, mouse 40.5°C/30 min
No change in tumor blood
43°C/1 h
Song et al. 133
>43.0°C/1 h
Song 98
42.5°C/1 h
42.5°C/1 h
CAMT, mouse 42.5°C/1 h
Stewart and Begg134
CANT, mouse 42.5°C/1 h
42.5°C/1 h
41/30 min
Sturesson et al.105 Rat liver parenchyma
44°C/30 min
Sutton135 Ependymoblastana, mo 42.0°C/1 h
42°C/30 min
42°C/>30 min
O2 consumption
dimensions and found that the choice of micro- In this paper, we reviewed temperature-dependent
vascular perfusion algorithm and baseline tissue thermal and electrical properties of biological tis-
14. Zou Y, Guo Z. A review of electrical impedance 24. Gasselhuber A, Dreher MR, Partanen A, Yarmo-
techniques for breast cancer detection. Med Eng
Phys. 2003 Mar;25(2):79–90. PubMed PMID: Targeted drug delivery by high intensity focused
12538062. Epub 2003/01/23. eng. ultrasound mediated hyperthermia combined with
15. temperature-sensitive liposomes: computational
in vivo modelling and preliminary in vivo
- Hyperthermia. 2012;28(4):337–48. PubMed PMID:
thermia. 1996;12(5):573–91. 22621735. Epub 2012/05/25. eng.
16. Pennes HH. Analysis of tissue and arterial blood 25.
-
Physiol. 1948 Aug;1(2):93–122. PubMed PMID: poral model of drug delivery from low temperature
18887578. Epub 1948/08/01. eng. sensitive liposomes during radiofrequency tumour
17. PubMed PMID: 20377363. Pubmed Central PM-
perfusion rates and of perfusion models in com- CID: 2958178. Epub 2010/04/10. eng.
putational models of radio frequency tumor abla-
tion. Med Phys. 2008 Aug;35(8):3462–70. PubMed 26.
PMID: 18777906. Pubmed Central PMCID:
2673648. Epub 2008/09/10. eng.
radio-frequency hepatic tumor ablation. IEEE Trans
18. -
cal functions used to model the temperature de- 11797653. Epub 2002/01/19. eng.
pendence of electrical and thermal conductivities
27.
of biological tissue in radiofrequency ablation. Int
Haemmerich D. An electrode array for limiting
PMID: 23841882. Epub 2013/07/12. eng.
19. - 2010;4:39–46. PubMed PMID: 20309395. Pubmed
Central PMCID: 2840609. Epub 2010/03/24. eng.
element modelling for radio frequency cardiac ab-
28. Paulides MM, Stauffer PR, Neufeld E, Maccarini
lation: effects of changes in myocardial properties.
-
Med Biol Eng Comput. 2000 Sep;38(5):562–8.
PubMed PMID: 11094815. Epub 2000/11/30. eng.
-
20.
- 23672453. Pubmed Central PMCID: 3711016.
- Epub 2013/05/16. eng.
cess Comput Biomed. 2012;1(1).
29.
21. - -
quency ablation: state-of-the-art and challenges for tebral and paraspinal tumours: parametric and pa-
the future. Biomed Eng Online. 2006;5:24.
PubMed PMID: 16620380. Pubmed Central PM-
CID: 1459161. Epub 2006/04/20. eng. 2014/07/16. eng.
22. 30. Ahmed M, Liu Z, Humphries S, Goldberg SN. Com-
- puter modeling of the combined effects of perfusion,
tric tissue data for hyperthermia treatment planning. electrical conductivity, and thermal conductivity on
tissue heating patterns in radiofrequency tumor ab-
PubMed PMID: 11252357.
23. PubMed PMID: 18608580. Epub 2008/07/09. eng.
electrical properties as a function of thermal dose 31. -
-
Transfer Biotechnol. 1997;355:167–71.
Apr;9(2):247–61. PubMed PMID: 8468508. PubMed PMID: 22460062. Epub 2012/03/31. eng.
56. 66. -
in-vivo electrical impedance of EMT-6 tumours tal characterisation of the thermal lesion induced
during hyperthermia: correlation with morphology
Mar;30(2):110–8. PubMed PMID: 24571174.
67.
57.
dependent dielectric properties of biological tissues -
within the temperature and frequency ranges typi- magn Energy. 1987;22(1):29–33. PubMed PMID:
cally used for magnetic resonance imaging-guided 3598827. Epub 1987/01/01. eng.
68. Zhang H, Cheng S, He L, Zhang A, Zheng Y, Gao
D. Determination of thermal conductivity of bioma-
Epub 2014/01/15. eng. terials in the temperature range 233–313K using a
58. tiny detector made of a self-heated thermistor. Cell
Lee T. Phantom and animal tissues for modelling Preservation Technol. 2002;1(2):141–7.
- 69. -
enna B. Dielectric and thermophysical properties of
PMID: 12519714. Epub 2003/01/10. eng. meat batters over a temperature range of 5–85 de-
59. Chin L, Sherar M. Changes in dielectric properties grees C. Meat Sci. 2004 Oct;68(2):173–84. PubMed
of ex vivo PMID: 22062226. Epub 2004/10/01. eng.
70. -
PMID: 11197672. Epub 2001/02/24. eng. -
411. PubMed PMID: 23572764. Pubmed Central Goodman P, Sherar M. Radiotherapy with or with-
PMCID: 3551172. Epub 2011/08/01. eng. -
72.
conductivities of fruit purees during ohmic heating. controlled trials. International Collaborative Hyper-
90. -
-
- 1402130. Pubmed Central PMCID: A.
103. Eddy HA. Alterations in tumor microvascu-
15742879. lature during hyperthermia. Radiology. 1980
91. Nov;137(2):515–21.
CRC Press; 1995. 104. -
92. Marcotte M, Taherian AR, Karimi Y. Thermophysi- tle RL. Microwave hyperthermia and its effect
cal properties of processed meat and poultry prod-
Oct;43(10):4665–9. Pubmed Central PMCID: C.
93. - 105. Sturesson C, Ivarsson K, Andersson-Engels S, Tran-
mal conductivity of beef as affected by temperature berg KG. Changes in local hepatic blood perfusion
and composition. Trans ASABE. 1982;24:1118–22. during interstitial laser-induced thermotherapy of
94. Mohsenin NN. Thermal properties of food and ag- normal rat liver measured by interstitial laser Dop-
ricultural materials. Boca Raton: CRC Press; 1980.
95. 106. -
properties database provided for the thermal as- perature relationship for hyperthermia induced stop-
sessment of a human at rest. Biophys Rev Lett.
2010;05(03):129–51. Oncol Biol Phys. 1984 May;10(5):737–40.
96. - 107.
1991/06/01. eng.
117.
PubMed PMID: 15370815. Epub 2004/09/17. eng.
126. -
patients with locally advanced prostate carcinoma retical modelling of thermal ablation with catheter-
based ultrasonic sources: implications for treatment
Urol. 2002 Oct;168(4 Pt 1):1597–602. PubMed -
PMID: 12352464. Epub 2002/09/28. eng. mia. 2012;28(1):69–86. PubMed PMID: 22235787.
118. - Epub 2012/01/13. eng.
yses in advanced breast carcinoma during hyperther-