Reduced-order modeling of human body for brain hypothermia treatment

Brain hypothermia treatment (BHT) is an active therapy for severe brain injury. It makes the temperature of the brain track a given temperature input curve so as to reduce the risk of tissue damage. BHT requires a brain-temperature control system because of environmental disturbances and changes in the human body. The thermal models of the human body devised so far are usually of a very high order and are not suitable for controlling brain temperature. This paper presents a method of finding a reducedorder thermal model of the human body for use in BHT. It combines minimal realization and balanced realization. Unlike other methods, this method yields a reduced-order model that is based on system theory and that takes the frequency characteristics of human thermal sensation into account. It features high precision in the frequency band for BHT and is suitable for the control of brain temperature.

[1]  E Y-K Ng,et al.  Global bioheat model for quick evaluation of the human physiological thermal profiles under differing conditions , 2002, Journal of medical engineering & technology.

[2]  D. Menon,et al.  European society of intensive care medicine study of therapeutic hypothermia (32-35°C) for intracranial pressure reduction after traumatic brain injury (the Eurotherm3235Trial) , 2011, Trials.

[3]  F. Sadaka Therapeutic Hypothermia in Brain Injury , 2013 .

[4]  J.K. Potocki,et al.  Reduced-order modeling for hyperthermia control , 1992, IEEE Transactions on Biomedical Engineering.

[5]  Esra Neufeld,et al.  Simulation techniques in hyperthermia treatment planning , 2013, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[6]  Richard de Dear,et al.  Human thermal sensation: frequency response to sinusoidal stimuli at the surface of the skin , 1993 .

[7]  Gareth J. Monkman,et al.  Thermal tactile sensing , 1993, IEEE Trans. Robotics Autom..

[8]  Punit Prakash,et al.  Modelling of endoluminal and interstitial ultrasound hyperthermia and thermal ablation: Applications for device design, feedback control and treatment planning , 2013, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[9]  Kenneth R Foster,et al.  Modeling thermal responses in human subjects following extended exposure to radiofrequency energy , 2004, Biomedical engineering online.

[10]  M. Mattingly,et al.  Reduced-order modeling for hyperthermia: an extended balanced-realization-based approach , 1998, IEEE Transactions on Biomedical Engineering.

[11]  A. Laub,et al.  Computation of system balancing transformations and other applications of simultaneous diagonalization algorithms , 1987 .

[12]  P. Andrews,et al.  Therapeutic hypothermia, still “too cool to be true?” , 2013, F1000prime reports.

[13]  G. Clifton,et al.  Very early hypothermia induction in patients with severe brain injury (the National Acute Brain Injury Study: Hypothermia II): a randomised trial , 2011, The Lancet Neurology.

[14]  Hidetoshi Wakamatsu,et al.  Biothermal Model of Patient for Brain Hypothermia Treatment , 2003 .

[15]  Junta Nakano,et al.  DEVELOPMENT OF 65-NODE THERMOREGULATION-MODEL FOR EVALUATION OF THERMAL ENVIRONMENT , 2001 .

[16]  Z Rijnen,et al.  The clinical feasibility of deep hyperthermia treatment in the head and neck: new challenges for positioning and temperature measurement , 2010, Physics in medicine and biology.

[17]  F. Sadaka,et al.  Therapeutic Hypothermia in Traumatic Brain Injury , 2013 .

[18]  Min Wu,et al.  Construction of reduced-order biothermal model of human body for brain hypothermia , 2015, 2015 IEEE 24th International Symposium on Industrial Electronics (ISIE).

[19]  A. Davies Hypothermia improves outcome from traumatic brain injury. , 2005, Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine.

[20]  H Wakamatsu,et al.  Clinical system engineering of long-term automatic thermal control during brain hypothermia under changing conditions. , 2010, Technology and health care : official journal of the European Society for Engineering and Medicine.

[21]  H. H. Pennes Analysis of tissue and arterial blood temperatures in the resting human forearm. 1948. , 1948, Journal of applied physiology.

[22]  Hidetoshi Wakamatsu,et al.  Adaptive control of brain temperature for brain hypothermia treatment using Stolwijk-Hardy model , 2004, Artificial Life and Robotics.

[23]  P. Al-Rawi,et al.  Effect of hypothermia on brain tissue oxygenation in patients with severe head injury. , 2002, British journal of anaesthesia.

[24]  Satoru Takada,et al.  Thermal model of human body fitted with individual characteristics of body temperature regulation , 2009 .

[25]  R. Neumar,et al.  Part 9: post-cardiac arrest care: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. , 2010, Circulation.

[26]  Hidetoshi Wakamatsu,et al.  Experimental Qualification of Automatic Fuzzy Control Systems of Brain Temperature in Clinical Hypothermia Treatment Using a Human Thermal Model , 2006 .

[27]  K. Diller,et al.  Hypothermia therapy for brain injury. , 2009, Annual review of biomedical engineering.

[28]  B. Schutter,et al.  Minimal state-space realization in linear system theory: an overview , 2000 .

[29]  J. Doyle,et al.  Robust and optimal control , 1995, Proceedings of 35th IEEE Conference on Decision and Control.