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A feasible method for measuring the blood flow velocity in superficial artery
based on the laser induced dynamic thermography
Chao Jin a, Zhizhu He b, Shanshan Zhang b, Minchao Qi a, Ziqiao Sun b, Derui Di b, Jing Liu a,b,
a
b
Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing 100084, PR China
Key Laboratory of Cryogenics, Technical Institute of Physics and Chemistry, Chinese Academy of Sciences, Beijing 100190, PR China
h i g h l i g h t s
" We present laser induced dynamic infrared thermography for estimating blood flow velocity.
" Theoretical modeling and conceptual in vivo experiments on rabbit auricle artery were performed.
" The calibrated results fit well with the Doppler ultrasound measurement.
" Practicality and feasibility of the method was demonstrated.
a r t i c l e
i n f o
Article history:
Received 21 March 2012
Available online 26 July 2012
Keywords:
Blood flow velocity
Infrared thermography
Laser heating
Physiological measurement
Disease diagnostics
a b s t r a c t
Infrared thermography has been proved to be a useful tool to detect thermal physiologic changes associated with various diseases. However, static and single point temperature mapping on skin surface provided by the infrared thermography has not been able to meet the requirements for evaluating the
complicated physiological status of human body. In order to explore more physiological variables for possible disease diagnostics, the present paper has developed a laser induced dynamic thermographic
modality to estimate the average velocity of the superficial blood flow by means of tracking thermal
transport along blood flow direction. A conceptual in vivo experiment is designed to record dynamic temperature response of rabbit auricle skin by thermograph, which is then used to estimate the blood flow
velocity through a derived theoretical model. In addition, the lumped parameter model is developed to
calibrate the estimated error by compensating the thermal response time induced by the tissue temperature change that the current infrared thermal imaging system with limited thermal sensitivity may fail
to capture. The final calibrated results are fitting well with that from the Doppler ultrasound measurement, which indeed verified the practicality and feasibility of the method developed in this work.
! 2012 Elsevier B.V. All rights reserved.
1. Introduction
For decades, temperature has been established as a commonly
used and extremely important physiological indicator of health
in clinics [1]. With the advancement of modern medical technologies, a variety of the temperature measuring methods have been
developed for clinical disease diagnostics, such as mercury thermometer, thermocouple, thermochromic liquid crystal imaging,
infrared thermography and other thermal detection modalities.
Among these, infrared thermography has been more or less used
in clinics to detect changes in skin surface temperature associated
with various diseases, such as the early diagnosis of breast cancer,
inflammation detection, diabetic monitoring, rehabilitation assessment, fever screening, and erectile dysfunction evaluation [114].
It is worth mentioning that such method has been favored by clinicians due to its easy to operate, non-invasive, non-contact and
low-cost merits. However, traditional thermal diagnostics through
merely interpreting the single point temperature mapping or thermal distribution information on skin surface provided by the infrared thermography technique has not been able to fully meet the
requirements for evaluating the complicated health status of human body, let alone some major detrimental diseases with complex physiopathological characteristics and mechanisms, such as
CVD (cardiovascular disease). For CVD, the medical measurement
for human physiological parameter concerning the vascular blood
flow, including its velocity, viscosity, volume and pressure, is of
great significance to the clinical disease diagnostics, prevention
and treatment. It is obvious that heat and mass transfer have become a basic characteristic of life activity link closer with the
463
Fig. 1. Schematic illustration of the biological tissue model with a blood vessel.
the surface. The exposure of laser beam is toward the blood vessel
region.
In this model, the analyzed biological tissue spatial domain
composed of two main parts, the perfused tissue and blood vessel
domains. The well known Pennes bioheat transfer equation is
adopted to characterize the temperature field for the perfused tissue [27]:
Ct
@T t
rkt rT t # xb C b T b & T t Q X; t
@t
where Q(X, t) = Qm + Qr; C is the heat capacity; k is the thermal conductivity; x is blood perfusion from capillary blood; Qm and Qr denote the metabolic heat generation and spatial heat generation,
respectively; X contains the Cartesian coordinates x, y and z; subscript t and b denote tissue and blood.
For the blood vessel domain, the temperature field can be described by:
Cb
!
"
@T b
VrT b rkb rT b #
@t
@T b
@T b
V
0
@t
@y
dy Dy
(
dt Dt
where, Dy denotes the transfer distance of the same heat flux pulse
during the time interval of Dt. In fact, the heat flux pulse can be expressed by the temperature changes in skin surface which can be
recorded by thermal video. An additional remark must be pointed
out is that the heat transfer between tissue and blood vessel in
Eq. (3) has been ignored, which might produce a certain deviation
when evaluating the temperature distribution in blood vessel. It is
this heat loss that would weaken the amplitude of heat flux pulse
through the axis of vessel, nevertheless the calculation of the heat
flux pulse velocity cannot be affected significantly. In conclusion,
the average flow velocity can be estimated by the infinitesimal time
interval and travel distance of the heat flux pulse which could be
determined by the thermal response of the superficial artery during
the laser heating.
464
fraction of 3%. When vital signals became stable, the rabbit was
comfortably put on the operating table and fixed its test ear where
there specified the laser exposure spot at the vascular bifurcation,
meanwhile maintained a distance of 50 mm away from the laser
applicator as depicted in Fig. 2a and b. The focus distance between
rabbit ear and infrared camera was approximately set as 150 cm.
After all the above preparations, we start the diode laser system
and infrared camera to preheat, set and check all the measuring
parameters. And then the experiment was carried out which consisted of three parts, the steady state with duration time of 10 s, laser heating stimulation with exposure time of 30 s and thermal
physiological state recovering period with duration time of 80 s.
At the same time, the infrared camera kept on capturing the transient thermal response. After 5 min, the experimental procedure
would be repeated as described above. Besides the left ear of the
experimental rabbit, its right one was also measured by the same
procedure in this study.
3.2. Results
3.2.1. Thermal image analysis
As shown in Fig. 3, the infrared thermographs represented the
different states of the thermal response on the main auricle artery,
from which we can summarize the following preliminary
phenomenon and findings: (a) indicated the temperature distribution and temperature gradient along the blood flow direction at the
instant t = 0 s; (b) and (c) taken at t = 20 s and t = 40 s, showed that
when laser heating stimulation lasted for 10 s, the temperature of
the vascular region increased and the temperature gradient
obviously remained along the blood flow direction. At t = 40 s,
the transient temperature increased to the maximum at the laser
exposure spot, while other spots along the blood flow direction
Fig. 2. Schematic illustration of the experimental setup. (a) Denotes the experimental rabbit ear. (b) Indicates the distance of 50 mm between rabbit and the laser. (c) Denotes
the experimental devices, including the laser applicator and infrared camera.
Fig. 3. The thermal images of the rabbit ear during the laser heating and recovering process. (ac) and (d) represent the thermal image data at 0 s, 20 s, 40 s and 60 s,
respectively.
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Fig. 4. (a) Infrared thermal image of the blood vessel. (b) The edge detection result by the Canny algorithm, r = 2. (c) The edge detection result of the blood vessel.
(d) The segmentation result of the blood vessel with the size of 249 ) 121.
Spot1
Spot2
Spot3
Spot4
Spot5
Spot6
Spot7
Spot8
Spot9
Spot10
Spot11
44
Temperature, C
46
42
40
38
0
(b)
20
40
60
Time, s
80
46
100
120
Spot1
Spot2
Spot3
Spot4
Spot5
Spot6
Spot7
Spot8
Spot9
Spot10
Spot11
44
Temperature, C
(a)
42
40
38
36
34
0
20
40
60
80
100
120
Time, s
Fig. 5. The temperature response profile during the laser heating and recovering
period in blood vessel region. (a) and (b) denote the first and second experiment,
respectively.
1
L
Dy
L
PN
1 PNN
Dt
i1 Dt i
i1 Dt i
N
where Dti denote the time interval between ti and ti&1 which represent the moments when i and (i & 1) spots reached the maximum
value in the axis of the artery area during the laser heating, respectively (i = 1, . . . , N).
Through the above calculations, the average blood flow velocities of 36.94 mm/s and 38.74 mm/s have been estimated for the
left and right auricle artery, respectively.
466
hf A1 T f & T t hb A2 T b & T t MC
dT t
dt
2hf R2 T f hb R1 T b
dT t 2hf R2 hb R1
Tt
dt
qC t R22 & R21
qC t R22 & R21
Tt
B
exp&At C 0
A
Dt
!
"
1
T 1 & B=A
ln
A
T 1 DT & B=A
Fig. 6. (a) Denotes the schematic illustration of the biological tissue with one vascular model. (b) Denotes the simplified cylindrical model for lumped parameter model.
a
b
Lefta
Rightb
Tb ("C)
38
39
40
41
56.98
57.87
58.84
59.92
62.57
63.70
64.95
66.32
hb W/(m2 "C)
1920
2000
2080
2016
58.84
56.98
55.41
54.60
64.93
62.57
60.60
58.93
hf W/(m2 "C)
5
10
15
20
53.16
56.98
63.13
74.77
57.82
62.57
70.48
86.43
467
468
infrared thermography also guaranteed the stability of physiological state which may alter by contact device or other things.
Nowadays, the multi information integration in the process of
disease diagnosis indeed stimulates the conversion from the traditional medical mode to the new one, which would greatly improve
the efficiency of the disease diagnosis and benefit for the mankind.
The motivation of this study is to develop a blood flow velocity
evaluation approach which can further expand the field of infrared
imaging in medical applications. However, the transient thermal
response capturing would challenge the recent infrared imaging
system, such as imaging resolution and thermal sensitivity. To address the difficulties, the lumped parameter model has been introduced to calibrate the estimated error through compensating the
thermal response time for transient temperature change of rabbit
ear tissue. In addition, the final results verified the practicality
and feasibility of the correction model. It can be concluded that
an appropriate approach for compensating the transient thermal
response is emerging in the field of medical infrared thermal imaging, especially for evaluating the real-time physiologic state.
6. Conclusion
In this study, a laser induced dynamic infrared thermography
method for enhancing the thermal expression of the superficial
blood flow has been proposed to estimate the average velocity of
the blood flow. The blood flow velocity estimation modeling and
in vivo experiment have been performed concerning the superficial
artery of the rabbit ear. Through experimental thermal image data
acquiring, processing and model correcting, the relatively accurate
blood flow velocities of 56.98 mm/s and 62.57 mm/s have been
consequently obtained for the left and right auricle artery, respectively, which also verified the practicality and feasibility of the proposed method in the present work. In conclusion, this study
extends the field of infrared imaging in medical applications, and
the integration of multiple physiological parameters and information will greatly enhance the efficiency of disease diagnosis and
treatment.
Acknowledgements
The authors appreciate very much the help from Prof. Shangkai
Gao in conducting Doppler ultrasound experiments. This work is
supported by the National Natural Science Foundation of China under Grant No. 51006114 and the Handicapped Aided Research
Fund from Chinese Academy of Sciences.
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medicine, Infrared Phys. Technol. 49 (3) (2007) 297301.
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