Electrosurgery - Tissue Heating By Electric Current

Tissue Heating By Electric Current

When voltage is applied across the material it produces electric field which exerts force on charged particles. A flow of free charge carriers – electrons and ions - is called electric current. In metals and semiconductors the charge carriers are primarily electrons, whereas in liquids the charge is carried predominantly by ions. Electrical conduction in biological tissues is primarily due to the conductivity of the interstitial fluids, and thus is predominantly ionic. Transition between the electronic and ionic conduction is governed by electrochemical processes at the electrode–electrolyte interface. Value of electric current, I, is determined by the applied voltage, V, and material’s resistance, R, according to Ohm's law:

Electric current of a constant polarity is referred to as direct current (DC). A current of alternating polarity is referred to as alternating current (AC). Its frequency is measured in cycles per second or hertz (Hz).

Current flowing through a resistor causes the generation of Joule heating. In other words, the resistance of the tissue converts the electric energy of the voltage source into heat (thermal energy) which causes the tissue temperature to rise. The deposited electric power (energy per time) can be calculated using:

where P represents the electric power, typically measured in watts.

In absence of heat conduction, the rate of temperature rise, dT/dt, in a heated object is proportional to the deposited power P, and inversely proportional to which is in turn proportional to the mass m of the object and its specific heat capacity c:

Larger amount of heat is required to increase the temperature of a heavier object. Thus when heat is generated in a small region of an object, the temperature of that localized region will rise much faster than if the same amount of heat is evenly dispersed over the entire object.

Current density, j is a measure of the concentration of electric current. A higher current density results in a higher concentration of Joule heating. Power density generated by electric current in the material, p is proportional to the square of the current density, and to the material's resistivity, g:

In absence of heat conduction, the rate of local temperature rise is proportional to the power density, p, produced in that region of tissue, and inversely proportional to its specific heat capacity and density .

Read more about this topic:  Electrosurgery

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