* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Chapter 9 - Volume Conductor Theory
Survey
Document related concepts
List of unusual units of measurement wikipedia , lookup
Electromagnetism wikipedia , lookup
Magnetic monopole wikipedia , lookup
Circular dichroism wikipedia , lookup
Density of states wikipedia , lookup
Maxwell's equations wikipedia , lookup
Electrical resistance and conductance wikipedia , lookup
Electrical resistivity and conductivity wikipedia , lookup
Electromagnet wikipedia , lookup
Lorentz force wikipedia , lookup
Mathematical formulation of the Standard Model wikipedia , lookup
Electrostatics wikipedia , lookup
Superconductivity wikipedia , lookup
Transcript
Plonsey, R. “Volume Conductor Theory.” The Biomedical Engineering Handbook: Second Edition. Ed. Joseph D. Bronzino Boca Raton: CRC Press LLC, 2000 9 Volume Conductor Theory 9.1 9.2 9.3 9.4 Robert Plonsey Duke University Basic Relations in the Idealized Homogeneous Volume Conductor Monopole and Dipole Fields in the Uniform Volume of Infinite Extent Volume Conductor Properties of Passive Tissue Effects of Volume Conductor Inhomogeneities: Secondary Sources and Images This chapter considers the properties of the volume conductor as it pertains to the evaluation of electric and magnetic fields arising therein. The sources of the aforementioned fields are described by J i, a function of position and time, which has the dimensions of current per unit area or dipole moment per unit volume. Such sources may arise from active endogenous electrophysiologic processes such as propagating action potentials, generator potentials, synaptic potentials, etc. Sources also may be established exogenously, as exemplified by electric or magnetic field stimulation. Details on how one may quantitatively evaluate a source function from an electrophysiologic process are found in other chapters. For our purposes here, we assume that such a source function J i is known and, furthermore, that it has wellbehaved mathematical properties. Given such a source, we focus attention here on a description of the volume conductor as it affects the electric and magnetic fields that are established in it. As a loose definition, we consider the volume conductor to be the contiguous passive conducting medium that surrounds the region occupied by the source J i. (This may include a portion of the excitable tissue itself that is sufficiently far from J i to be described passively.) → → → → 9.1 Basic Relations in the Idealized Homogeneous Volume Conductor Excitable tissue, when activated, will be found to generate currents both within itself and also in all surrounding conducting media. The latter passive region is characterized as a volume conductor. The adjective volume emphasizes that current flow is three-dimensional, in contrast to the confined onedimensional flow within insulated wires. The volume conductor is usually assumed to be a monodomain (whose meaning will be amplified later), isotropic, resistive, and (frequently) homogeneous. These are simply assumptions, as will be discussed subsequently. The permeability of biologic tissues is important when examining magnetic fields and is usually assumed to be that of free space. The permittivity is a more complicated property, but outside cell membranes (which have a high lipid content) it is also usually considered to be that of free space. © 2000 by CRC Press LLC → A general, mathematical description of a current source is specified by a function J i(x, y, z, t), namely, a vector field of current density in say milliamperes per square centimeter that varies both in space and time. A study of sources of physiologic origin shows that their temporal behavior lies in a low-frequency range. For example, currents generated by the heart have a power density spectrum that lies mainly under 1 kHz (in fact, clinical ECG instruments have upper frequency limits of 100 Hz), while most other electrophysiologic sources of interest (i.e., those underlying the EEG, EMG, EOG, etc.) are of even lower frequency. Examination of electromagnetic fields in regions with typical physiologic conductivities, with dimensions of under 1 m and frequencies less than 1 kHz, shows that quasi-static conditions apply. That is, at a given instant in time, source-field relationships correspond to those found under static conditions.1 Thus, in effect, we are examining direct current (dc) flow in physiologic volume conductors, and these can be maintained only by the presence of a supply of energy (a “battery”). In fact, we may expect that wherever a physiologic current source J i arises, we also can identify a (normally nonelectrical) energy source that generates this current. In electrophysiologic processes, the immediate repository of energy is the potential energy associated with the varying chemical compositions encountered (extracellular ionic concentrations that differ greatly from intracellular concentrations), but the long-term energy source is the adenosine triphosphate (ATP) that drives various pumps that create and maintain the aforementioned concentration gradients. Based on the aforementioned assumptions, we consider a uniformly conducting medium of conductivity σ and of infinite extent within which a current source J i lies. This, in turn, establishes an electric field E and, based on Ohm’s law, a conduction current density σ E . The total current density J is the sum of the aforementioned currents, namely, → → → → → r r r J = σE + J i (9.1) Now, by virtue of the quasi-static conditions, the electric field may be derived from a scalar potential Φ [Plonsey and Heppner, 1967] so that r E = −∇Φ (9.2) → Since quasi–steady-state conditions apply, J must be solenoidal, and consequently, substituting Eq. (9.2) into Eq. (9.1) and then setting the divergence of Eq. (9.1) to zero show that Φ must satisfy Poisson’s equation, namely, ( ) r ∇2 Φ = 1 σ ∇ ⋅ J i (9.3) An integral solution to Eq. (9.3) is [Plonsey and Collin, 1961] ( ) 1 Φ p x ′, y ′, z ′ = − 4 πσ r ∇⋅ J i dv v r ∫ (9.4) where r in Eq. (9.4) is the distance from a field point P(x ′, y ′, z′) to an element of source at dv(x, y, z), that is, r= ( x − x ′) + ( y − y ′) + ( z − z ′) 2 2 2 (9.5) Note that while, in effect,→we consider relationships arising when ∂/∂t = 0, all fields are actually assumed to vary in time synchronously with J i. Furthermore for the special case of magnetic field stimulation, the source of the → → primary electric field, ∂ A /∂t, where A is the magnetic vector potential, must be retained. 1 © 2000 by CRC Press LLC Equation (9.4) may be transformed to an alternate form by employing the vector identity [( ) ] ( ) ( ) r r r ∇⋅ 1 r J i ≡ 1 r ∇⋅ J i +∇ 1 r ⋅ J i (9.6) → → Based on Eq. (9.6), we may substitute for the integrand in Eq. (9.4) the sum ·[(1/r) J i] – (1/r)· J i, giving the following: ( ) Φ p x ′, y ′, z ′ = − ∫ [( ) ] ∫ ( ) ri ri 1 ∇ ⋅ 1 r J dv − ∇ 1 r J dv v 4 πσ v (9.7) The first term on the right-hand side may be transformed using the divergence theorem as follows: ∫ ∇ ⋅ [(1 r ) J ] dv = ∫ (1 r ) J ri ri v r ⋅ dS = 0 (9.8) s The volume integral in Eq. (9.4) and (9.8) is defined simply to include all sources. Consequently, in Eq. (9.8),the surface S, which bounds V, necessarily lies away from J i. Since J i thus is equal to zero on S, the expression in Eq. (9.8) must likewise equal zero. The result is that Eq. (9.4) also may be written as → ( ) 1 Φ p x ′, y ′, z ′ = − 4 πσ r ∇⋅ J i 1 dv = v r 4 πσ ∫ → ∫ J ⋅ ∇ (1 r )dv ri (9.9) v We will derive the mathematical expressions for monopole and dipole fields in the next section, but based on those results, we can give a physical interpretation of the source terms in each of the integrals on the right-hand side of Eq. (9.9). In the first, we note that – · J i is a volume source density, akin to charge density in electrostatics. In the second integral of Eq. (9.9), J i behaves with the dimensions of dipole moment per unit volume. This confirms an assertion, above, that J i has a dual interpretation as a current density, as originally defined in Eq. (9.1), or a volume dipole density, as can be inferred from Eq. (9.9); in either case, its dimension are mA/cm2/ = /mA·cm/cm3. → → → 9.2 Monopole and Dipole Fields in the Uniform Volume of Infinite Extent The monopole and dipole constitute the basic source elements in electrophysiology. We examine the fields produced by each in this section. If one imagines an infinitely thin wire insulated over its extent except at its tip to be introducing a current into a uniform volume conductor of infinite extent, then we illustrate an idealized point source. Assuming the total applied current to be I0 and located at the coordinate origin, then by symmetry the current density at a radius r must be given by the total current I0 divided by the area of the spherical surface, or r I r J = 0 2 ar 4 πr (9.10) → and a r is a unit vector in the radial direction. This current source can be described by the nomenclature of the previous section as () r ∇ ⋅ J i = − I 0δ r where δ denotes a volume delta function. © 2000 by CRC Press LLC (9.11) One can apply Ohm’s law to Eq. (9.10) and obtain an expression for the electric field, and if Eq. (9.2) is also applied, we get r E = −∇Φ = I0 4 πσr 2 r ar (9.12) where σ is the conductivity of the volume conductor. Since the right-hand side of Eq. (9.12) is a function of r only, we can integrate to find Φ, which comes out φ= I0 . 4 πσr (9.13) In obtaining Eq. (9.13), the constant of integration was set equal to zero so that the point at infinity has the usually chosen zero potential. The dipole source consists of two monopoles of equal magnitude and opposite sign whose spacing approaches zero and whose magnitude during the limiting process increases such that the product of spacing and magnitude is constant. If we start out with both component monopoles at the origin, then the total source and field are zero. However, if we now displace the positive source in an arbitrary direction d , then cancellation is no longer complete, and at a field point P we see simply the change in monopole field resulting from the displacement. For a very small displacement, this amounts to (i.e., we retain only the linear term in a Taylor series expansion) → Φp = ∂ I0 d ∂d 4 πσr (9.14) The partial derivative in Eq. (9.14) is called the directional derivative, and this can be evaluated by taking the dot product of the gradient of the expression enclosed in parentheses with the direction of d [that is, ( )· a d , where a d is a unit vector in the d direction]. The result is → → → Φp = → ( ) I 0d r ad ⋅∇ 1 r 4 πσ (9.15) → By definition, the dipole moment m = I0 d in the limits as d → 0; as noted, m remains finite. Thus, finally, the dipole field is given by [Plonsey, 1969] Φp = ( ) 1 r m ⋅∇ 1 r . 4 πσ (9.16) 9.3 Volume Conductor Properties of Passive Tissue If one were considering an active single isolated fiber lying in an extensive volume conductor (e.g., an in vitro preparation in a Ringer’s bath), then there is a clear separation between the excitable tissue and the surrounding volume conductor. However, consider in contrast activation proceeding in the in vivo heart. In this case, the source currents lie in only a portion of the heart (nominally where Vm ≠ 0). The volume conductor now includes the remaining (passive) cardiac fibers along with an inhomogeneous torso containing a number of contiguous organs (internal to the heart are blood-filled cavities, while external are pericardium, lungs, skeletal muscle, bone, fat, skin, air, etc.). The treatment of the surrounding multicellular cardiac tissue poses certain difficulties. A recently used and reasonable approximation is that the intracellular space, in view of the many intercellular junctions, © 2000 by CRC Press LLC TABLE 9.1 Conductivity Values for Cardiac Bidomain S/mm Clerc [1976] Roberts [1982] gix giy gax gay 1.74 × 10–4 1.93 × 10–5 6.25 × 10–4 2.36 × 10–4 3.44 × 10–4 5.96 × 10–5 1.17 × 10–4 8.02 × 10–5 can be represented as a continuum. A similar treatment can be extended to the interstitial space. This results in two domains that can be regarded as occupying the same physical space; each domain is separated from the other by the membrane. This view underlies the bidomain model [Plonsey, 1989]. To reflect the underlying fiber geometry, each domain is necessarily anisotropic, with the high conductivity axes defined by the fiber direction and with an approximate cross-fiber isotropy. A further simplification may be possible in a uniform tissue region that is sufficiently far from the sources, since beyond a few space constants transmembrane currents may become quite small and the tissue would therefore behave as a single domain (a monodomain). Such a tissue also would be substantially resistive. On the other hand, if the membranes behave passively and there is some degree of transmembrane current flow, then the tissue may still be approximated as a uniform monodomain, but it may be necessary to include some of the reactive properties introduced via the highly capacitative cell membranes. A classic study by Schwan and Kay [1957] of the macroscopic (averaged) properties of many tissues showed that the displacement current was normally negligible compared with the conduction current. It is not always clear whether a bidomain model is appropriate to a particular tissue, and experimental measurements found in the literature are not always able to resolve this question. The problem is that if the experimenter believes the tissue under consideration to be, say, an isotropic monodomain, measurements are set up and interpreted that are consistent with this idea; the inherent inconsistencies may never come to light [Plonsey and Barr, 1986]. Thus one may find impedance data tabulated in the literature for a number of organs, but if the tissue is truly, say, an anisotropic bidomain, then the impedance tensor requires six numbers, and anything less is necessarily inadequate to some degree. For cardiac tissue, it is usually assumed that the impedance in the direction transverse to the fiber axis is isotropic. Consequently, only four numbers are needed. These values are given in Table 9.1 as obtained from, essentially, the only two experiments for which bidomain values were sought. 9.4 Effects of Volume Conductor Inhomogeneities: Secondary Sources and Images In the preceding we have assumed that the volume conductor is homogeneous, and the evaluation of fields from the current sources given in Eq. (9.9) is based on this assumption. Consider what would happen if the volume conductor in which J i lies is bounded by air, and the source is suddenly introduced. Equation (9.9) predicts an initial current flow into the boundary, but no current can escape into the nonconducting surrounding region. We must, consequently, have a transient during which charge piles up at the boundary, a process that continues until the field from the accumulating charges brings the net normal component of electric field to zero at the boundary. To characterize a steady-state condition with no further increase in charge requires satisfaction of the boundary condition that ∂Φ/∂n = 0 at the surface (within the tissue). The source that develops at the bounding surface is secondary to the initiation of the primary field; it is referred to as a secondary source. While the secondary source is essential for satisfaction of boundary conditions, it contributes to the total field everywhere else. The preceding illustration is for a region bounded by air, but the same phenomena would arise if the region were simply bounded by one of different conductivity. In this case, when the source is first “turned on,” since the primary electric field Ea is continuous across the interface between regions of different conductivity, the current flowing into such a boundary (e.g., σ1 E a) is unequal to the current flowing → → → © 2000 by CRC Press LLC → away from that boundary (e.g., σ2 E a). Again, this necessarily results in an accumulation of charge, and a secondary source will grow until the applied plus secondary field satisfies the required continuity of current density, namely, − σ1∂ Φ1 ∂n = − σ 2∂Φ2 ∂n = J n (9.17) where the surface normal n is directed from region 1 to region 2. The accumulated single source density can be shown to be equal to the discontinuity of ∂Φ/∂n in Eq. (9.17) [Plonsey, 1974], in particular, Ks = J n(1/σ 1 – 1/σ 2)σ. The magnitude of the steady-state secondary source also can be described as an equivalent double layer, the magnitude of which is [Plonsey, 1974] ( ) r r K ki = Φk σ k′′− σ ′k n (9.18) where the condition at the kth interface is described. In Eq. (9.18), the two abutting regions are designated with prime and double-prime superscripts, and n is directed from the primed to the double-primed region. Actually, Eq. (9.18) evaluates the double-layer source for the scalar function ψ = Φσ, its strength being given by the discontinuity in ψ at the interface [Plonsey, 1974] [the potential is necessarily continuous at the interface with the value Φk called for in Eq. (9.18)]. The (secondary) potential field generated by K ik, since it constitutes a source for ψ with respect to which the medium is uniform and infinite in extent, can be found from Eq. (9.9) as → → ψ SP = σ P Φ SP = 1 4π ∑ ∫ Φ (σ′′− σ′ )n ⋅∇(1 r ) dS r k k k k k (9.19) where the superscript S denotes the secondary source/field component (alone). Solving Eq. (9.19) for Φ, we get Φ SP = 1 4 πσ P ∑ ∫ Φ (σ′′− σ′ )n ⋅∇(1 r ) dS r k k k k k (9.20) where σP in Eqs. (9.19) and (9.20) takes on the conductivity at the field point. The total field is obtained from Eq. (9.20) by adding the primary field. Assuming that all applied currents lie in a region with conductivity σa , then we have Φ SP = 1 4 πσ a ∫ ( ) r J i ⋅∇ 1 r dv + 1 4 πσ P ∑ ∫ Φ (σ′′− σ′ )n ⋅∇(1 r ) dS r k k k k k (9.21) [if the primary currents lie in several conductivity compartments, then each will yield a term similar to the first integral in Eq. (9.21)]. Note that in Eqs. (9.20) and (9.21) the secondary source field is similar in form to the field in a homogeneous medium of infinite extent, except that σP is piecewise constant and consequently introduces interfacial discontinuities. With regard to the potential, these just cancel the discontinuity introduced by the double layer itself so that Φk is appropriately continuous across each passive interface. The primary and secondary source currents that generate the electrical potential in Eq. (9.21) also set up a magnetic field. The primary source, for example, is the forcing function in the Poisson equation for the vector potential A [Plonsey, 1981], namely, → © 2000 by CRC Press LLC r r ∇2 A = − J i (9.22) From this it is not difficult to show that, due to Eq. (9.21) for Φ, we have the following expression for the magnetic field H [Plonsey, 1981]: → r 1 H= 4π ∫ ( ) r 1 J i × ∇ 1 r dv + 4π ∑ ∫ Φ (σ′′− σ′ )n × ∇(1 r ) dS r k k k (9.23) k A simple illustration of these ideas is found in the case of two semi-infinite regions of different conductivity, 1 and 2, with a unit point current source located in region 1 a distance h from the interface. Region 1, which we may think of as on the “left,” has the conductivity σ1, while region 2, on the “right,” is at conductivity σ2. The field in region 1 is that which arises from the actual point current source plus an image point source of magnitude (ρ2 – ρ1)/(ρ2 + ρ1) located in region 2 at the mirror-image point [Schwan and Kay, 1957]. The field in region 2 arises from an equivalent point source located at the actual source point but of strength [1 + (ρ2 – ρ1)/(ρ2 + ρ1). One can confirm this by noting that all fields satisfy Poisson’s equation and that at the interface Φ is continuous while the normal component of current density is also continuous (i.e., σ1∂Φ1/∂n = σ2∂Φ2 /∂n). The potential on the interface is constant along a circular path whose origin is the foot of the perpendicular from the point source. Calling this radius r and applying Eq. (9.13), we have for the surface potential Φs ΦS = ρ2 − ρ1 1 + 4 π h2 + r 2 ρ2 + ρ1 ρ1 (9.24) → and consequently a secondary double-layer source K s equals, according to Eq. (9.18), r KS = ρ2 − ρ1 r 1 + ρ + ρ σ 2 − σ1 n 2 2 4π h + r 2 1 ( ρ1 ) (9.25) → → where n is directed from region 1 to region 2. The field from Ks in region 1 is exactly equal to that from a point source of strength (ρ2 – ρ1)/(ρ2 + ρ1) at the mirror-image point, which can be verified by evaluating and showing the equality of the following: ΦP = ( )( ρ2 − ρ1 ρ2 _ ρ1 r 1 K S ⋅∇ 1 r dS = 4 πσ1 4 πσ1R ∫ ( ) ) (9.26) where R in Eq. (9.26) is the distance from the mirror-image point to the field point P, and r in Eq. (9.26) is the distance from the surface integration point to the field point. References Clerc L. 1976. Directional differences of impulse spread in trabecular muscle from mammalian heart. J Physiol (Lond) 255:335. Plonsey R. 1969. Bioelectric Phenomena. New York, McGraw-Hill. Plonsey R. 1974. The formulation of bioelectric source-field relationship in terms of surface discontinuities. J Frank Inst 297:317. © 2000 by CRC Press LLC Plonsey R. 1981. Generation of magnetic fields by the human body (theory). In S-N Erné, H-D Hahlbohm, H. Lübbig (eds), Biomagnetism, pp 177–205. Berlin, W de Gruyter. Plonsey R. 1989. The use of the bidomain model for the study of excitable media. Lect Math Life Sci 21:123. Plonsey R, Barr RC. 1986. A critique of impedance measurements in cardiac tissue. Ann Biomed Eng 14:307. Plonsey R, Collin RE. 1961. Principles and Applications of Electromagnetic Fields. New York, McGraw-Hill. Plonsey R, Heppner D. 1967. Consideration of quasi-stationarity in electrophysiological systems. Bull Math Biophys 29:657. Roberts D, Scher AM. 1982. Effect of tissue anisotropy on extracellular potential fields in canine myocardium in situ. Circ Res 50:342. Schwan HP, Kay CF. 1957. The conductivity of living tissues. NY Acad Sci 65:1007. © 2000 by CRC Press LLC