Page 35 - Computational Modeling in Biomedical Engineering and Medical Physics
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Physical, mathematical, and numerical modeling  21


                   mechanical) is based on the response given by a substance to a certain form of stress.
                   The elemental such response is quantified through adequate materials properties. In
                   most biomedical applications, numerical modeling is performed at a macroscopic scale.
                   The numerical analysis is based on equations of classical physics, applied to compo-
                   nents of the human body up to the cellular level; characteristic dimensions might be as
                   small as the typical cells, that is, down to the micron range magnitudes and the move-
                   ment is very slow, that is, low speeds, like for Newton mechanics. The frequencies of
                   the electric and magnetic fields are within the nonionizing (Hertzian) range, that is,
                   lower than 300 GHz.
                      Specific macroscopic impact phenomena generated by the interactions of EMFs
                   and biological matter (tissues) could be classified in two large groups: stimulation of
                   excitable tissue, for low and medium frequency range, and heating, for medium and
                   high frequency domain.
                      Stimulation represents the electrical activation of excitable cells membranes (local
                   membrane depolarization, by the opening of transmembrane active channels for the
                   transfer of selected ion flows) (Chapter 4: Electrical Activity of the Heart). The stimu-
                   lus is an electrical signal (current), induced either by an applied external electric field
                   (electrical stimulation) or by a variable magnetic field through electromagnetic induc-
                   tion effect (magnetic stimulation). Biophysical effects of stimulation target the activa-
                   tion of nerves, muscles or sensitive tissue and it is macroscopically quantified by the
                   local distribution of the induced electric field or current density. Induced currents
                   could also produce interferences with natural electrophysiological phenomena and dis-
                   turbance of normal generation and transmission of biocurrents from various body
                   sources (heart, brain, peripheral nerves, sensor analyzers), which are commonly used in
                   medical diagnosis. Simulation of such phenomena requires specification of the tissue
                   dielectric properties: conductivity and permittivity that are highly dependent on the
                   electric field frequency. For the strengths of the electric field commonly associated to
                   nondestructive tissue applications (bioelectrical phenomena, medical procedures, or
                   environmental body exposure), the tissues show linear behavior to both dielectric
                   properties (Chapter 8: Hyperthermia and Ablation). Some tissues (like bone and mus-
                   cle) are anisotropic concerning dielectric properties in the low-medium frequency
                   spectrum, up to 100 kHz. The anisotropy is acknowledged in field equations by the
                   tensor representation of the dielectric property; however, in most applications an aver-
                   age value is considered as a constant dielectric property.
                      Heating occurs in conductive materials, which absorb the electromagnetic radiation
                   [Chapter 7: Magnetic Stimulation and Chapter 8: Hyperthermia and Ablation
                   (Thermotherapy Methods)]. This process is effective for high frequencies (radio waves and
                   microwaves); the energy transferred by the incident electromagnetic waves to the target
                   tissues is converted into heat. The higher the frequency, the lower is the penetration depth
                   of the radiation and the heating is more superficial, but heat is further transported inside
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