Volume 13 - Year 2026 - Pages 71-83
DOI: 10.11159/jffhmt.2026.007

Studying Perfusion Effects on Heat Transfer in Tissue-Mimicking Phantoms for Cardiac Ablation: A Preliminary Experimental Investigation

Nooruldeen Essam Mustafa1, Brett Wrubleski1, Cristian A. Linte2, Satish G. Kandlikar1,*

1Rochester Institute of Technology, Department of Mechanical Engineering
1 Lomb Memorial Dr. Rochester, NY 14623 USA
bmw4992@rit.edu; nem6557@rit.edu; sgkeme@rit.edu*
2Rochester Institute of Technology, Department of Mechanical Engineering
1 Lomb Memorial Dr. Rochester, NY 14623 USA
calbme@rit.edu

Abstract - Cardiac arrhythmias are commonly treated using radiofrequency ablation, a minimally invasive technique that has become standard practice. Despite its widespread use, the mechanisms of heat transfer through cardiac tissue during ablation and the factors determining lesion geometry remain incompletely understood. This study investigates the thermal behaviour of tissue-mimicking phantoms with and without perfusion channels to quantify the perfusion-mediated cooling effects present in cardiac ablation. A controlled experimental apparatus was engineered to simulate the in vivo thermal conditions of cardiac tissue. The experiments were performed in a water bath at 37°C, simulating body temperature, and a copper heating element manufactured with high accuracy was used instead of a radiofrequency ablation electrode. Several thermocouples were inserted into the phantom to record temperature changes over time and space, allowing for accurate monitoring of temperature fluctuations. The experiments were carried out in polyacrylamide phantoms containing microchannels, and the flow rate through the channels was varied between 15 and 25 mL/min. The temperature of the heating element was varied between 324 K and 364 K, a range that is relevant for radiofrequency ablation applications. The temperature distribution was affected by the flow in the microchannels, as perfusion reduced the temperature increase in the phantom. The cooling effect exhibited spatial heterogeneity, with temperature distribution varying significantly based on position relative to the perfusion channels. The downstream measurement points (downstream according to the direction of flow in the microchannels) exhibited a higher mean temperature decrease (22%) than the upstream points (10%), and perfusion decreased the temperature gradient between these two regions, homogenizing the heat distribution. These findings provide quantitative benchmarks for incorporating perfusion effects into computational ablation models, potentially enabling more accurate lesion prediction and improved procedural planning in clinical practice.

Keywords: Bioheat transfer, tissue-mimicking phantom, radiofrequency ablation, cardiac arrhythmia, perfusion cooling.

© Copyright 2026 Authors - This is an Open Access article published under the Creative Commons Attribution License terms Creative Commons Attribution License terms. Unrestricted use, distribution, and reproduction in any medium are permitted, provided the original work is properly cited.

Date Received: 2025-05-26
Date Revised: 2025-09-04
Date Accepted: 2025-10-12
Date Published: 2026-01-26

References

[1] K. R. Diller, "Modeling of Bioheat Transfer Processes at High and Low Temperatures," in Advances in Heat Transfer, vol. 22, Y. I. Cho, Ed., in Bioengineering Heat Transfer, vol. 22. , Elsevier, 1992, pp. 157-357. doi: 10.1016/S0065-2717(08)70345-9. View Article

[2] A. Bhowmik, R. Singh, R. Repaka, and S. C. Mishra, "Conventional and newly developed bioheat transport models in vascularized tissues: A review," J. Therm. Biol., vol. 38, no. 3, pp. 107-125, Apr. 2013, doi: 10.1016/j.jtherbio.2012.12.003. View Article

[3] J. A. Pearce, "Comparative analysis of mathematical models of cell death and thermal damage processes," Int. J. Hyperth. Off. J. Eur. Soc. Hyperthermic Oncol. North Am. Hyperth. Group, vol. 29, no. 4, pp. 262-280, June 2013, doi: 10.3109/02656736.2013.786140. View Article

[4] "Focus on EP | HRS 2025: 5 Takeaways Impacting Practice," American College of Cardiology. Accessed: Sept. 12, 2025. [Online]. Available: View Article

[5] "Heart Rhythm 2025 Showcases New Advancements in Emerging Pulsed Field Ablation Technology - HRS," https://www.hrsonline.org/. Accessed: Sept. 12, 2025. [Online]. Available: View Article

[6] D. Miklavčič et al., "Biophysics and electrophysiology of pulsed field ablation in normal and infarcted porcine cardiac ventricular tissue," Sci. Rep., vol. 14, no. 1, p. 32063, Dec. 2024, doi: 10.1038/s41598-024-83683-y. View Article

[7] L. Seidabadi, I. Vandenbussche, R. Carter Fink, M. Moore, B. McCorkendale, and F. Esmailie, "Role of Computational Modelling in Enhancing Thermal Safety During Cardiac Ablation," Interdiscip. Cardiovasc. Thorac. Surg., vol. 40, no. 8, p. ivaf184, July 2025, doi: 10.1093/icvts/ivaf184. View Article

[8] "Artificial intelligence for individualized treatment of persistent atrial fibrillation: a randomized controlled trial | Nature Medicine." Accessed: Sept. 12, 2025. [Online]. Available: View Article

[9] S. Tungjitkusolmun, E. J. Woo, H. Cao, J. Z. Tsai, V. R. Vorperian, and J. G. Webster, "Thermal--electrical finite element modelling for radio frequency cardiac ablation: effects of changes in myocardial properties," Med. Biol. Eng. Comput., vol. 38, no. 5, pp. 562-568, Sept. 2000, doi: 10.1007/BF02345754. View Article

[10] H. H. Pennes, "Analysis of tissue and arterial blood temperatures in the resting human forearm. 1948," J. Appl. Physiol. Bethesda Md 1985, vol. 85, no. 1, pp. 5-34, July 1998, doi: 10.1152/jappl.1998.85.1.5. View Article

[11] C. A. Linte et al., "Lesion modeling, characterization, and visualization for image-guided cardiac ablation therapy monitoring," J. Med. Imaging Bellingham Wash, vol. 5, no. 2, p. 021218, Apr. 2018, doi: 10.1117/1.JMI.5.2.021218. View Article

[12] C. A. Linte, J. J. Camp, D. R. Holmes, M. E. Rettmann, D. L. Packer, and R. A. Robb, "Toward modeling of radio-frequency ablation lesions for image-guided left atrial fibrillation therapy: model formulation and preliminary evaluation," Stud. Health Technol. Inform., vol. 184, pp. 261-267, 2013.

[13] C. A. Linte, J. J. Camp, D. R. Holmes, M. E. Rettmann, and R. A. Robb, "Toward online modeling for lesion visualization and monitoring in cardiac ablation therapy," Med. Image Comput. Comput.-Assist. Interv. MICCAI Int. Conf. Med. Image Comput. Comput.-Assist. Interv., vol. 16, no. Pt 1, pp. 9-17, 2013, doi: 10.1007/978-3-642-40811-3_2. View Article

[14] E. J. Berjano, "Theoretical modeling for radiofrequency ablation: state-of-the-art and challenges for the future," Biomed. Eng. Online, vol. 5, p. 24, Apr. 2006, doi: 10.1186/1475-925X-5-24. View Article

[15] H. Arkin, L. X. Xu, and K. R. Holmes, "Recent developments in modeling heat transfer in blood perfused tissues," IEEE Trans. Biomed. Eng., vol. 41, no. 2, pp. 97-107, Feb. 1994, doi: 10.1109/10.284920. View Article

[16] S. Weinbaum and L. M. Jiji, "A new simplified bioheat equation for the effect of blood flow on local average tissue temperature," J. Biomech. Eng., vol. 107, no. 2, pp. 131-139, May 1985, doi: 10.1115/1.3138533. View Article

[17] M. A. Ezzat, A. A. El-bary, and N. S. Al-sowayan, "Tissue responses to fractional transient heating with sinusoidal heat flux condition on skin surface," Anim. Sci. J., vol. 87, no. 10, pp. 1304-1311, 2016, doi: 10.1111/asj.12568. View Article

[18] L. L. Ferrás, N. J. Ford, M. L. Morgado, J. M. Nóbrega, and M. S. Rebelo, "Fractional Pennes' Bioheat Equation: Theoretical and Numerical Studies," Fract. Calc. Appl. Anal., vol. 18, no. 4, pp. 1080-1106, Aug. 2015, doi: 10.1515/fca-2015-0062. View Article

[19] H. Calkins et al., "2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation," Heart Rhythm, vol. 14, no. 10, pp. e275-e444, Oct. 2017, doi: 10.1016/j.hrthm.2017.05.012. View Article

[20] D. E. Haines, "The Biophysics of Radiofrequency Catheter Ablation in the Heart: The Importance of Temperature Monitoring," Pacing Clin. Electrophysiol., vol. 16, no. 3, pp. 586-591, 1993, doi: 10.1111/j.1540-8159.1993.tb01630.x. View Article

[21] S. Nath, C. Lynch, J. G. Whayne, and D. E. Haines, "Cellular electrophysiological effects of hyperthermia on isolated guinea pig papillary muscle. Implications for catheter ablation.," Circulation, vol. 88, no. 4, pp. 1826-1831, Oct. 1993, doi: 10.1161/01.CIR.88.4.1826. View Article

[22] F. H. m. Wittkampf and H. Nakagawa, "RF Catheter Ablation: Lessons on Lesions," Pacing Clin. Electrophysiol., vol. 29, no. 11, pp. 1285-1297, 2006, doi: 10.1111/j.1540-8159.2006.00533.x. View Article

[23] K. Yokoyama et al., "Novel Contact Force Sensor Incorporated in Irrigated Radiofrequency Ablation Catheter Predicts Lesion Size and Incidence of Steam Pop and Thrombus," Circ. Arrhythm. Electrophysiol., vol. 1, no. 5, pp. 354-362, Dec. 2008, doi: 10.1161/CIRCEP.108.803650. View Article

[24] F. Bourier et al., "High-power short-duration versus standard radiofrequency ablation: Insights on lesion metrics," J. Cardiovasc. Electrophysiol., vol. 29, no. 11, pp. 1570-1575, 2018, doi: 10.1111/jce.13724. View Article

[25] H. Nakagawa et al., "Comparison of In Vivo Tissue Temperature Profile and Lesion Geometry for Radiofrequency Ablation With a Saline-Irrigated Electrode Versus Temperature Control in a Canine Thigh Muscle Preparation," Circulation, vol. 91, no. 8, pp. 2264-2273, Apr. 1995, doi: 10.1161/01.CIR.91.8.2264. View Article

[26] IT'IS Foundation, "Tissue Properties Database V4.0." IT'IS Foundation, 2018. doi: 10.13099/VIP21000-04-0. View Article

[27] D. Schutt, E. J. Berjano, and D. Haemmerich, "Effect of electrode thermal conductivity in cardiac radiofrequency catheter ablation: A computational modeling study," Int. J. Hyperthermia, vol. 25, no. 2, pp. 99-107, Jan. 2009, doi: 10.1080/02656730802563051. View Article

[28] A. Dabbagh, B. J. J. Abdullah, C. Ramasindarum, and N. H. Abu Kasim, "Tissue-Mimicking Gel Phantoms for Thermal Therapy Studies," Ultrason. Imaging, vol. 36, no. 4, pp. 291-316, Oct. 2014, doi: 10.1177/0161734614526372. View Article

[29] G. Menikou, M. Yiannakou, C. Yiallouras, C. Ioannides, and C. Damianou, "MRI-compatible bone phantom for evaluating ultrasonic thermal exposures," Ultrasonics, vol. 71, pp. 12-19, Sept. 2016, doi: 10.1016/j.ultras.2016.05.020. View Article

[30] A. S. Mikhail, A. H. Negussie, C. Graham, M. Mathew, B. J. Wood, and A. Partanen, "Evaluation of a tissue-mimicking thermochromic phantom for radiofrequency ablation," Med. Phys., vol. 43, no. 7, p. 4304, July 2016, doi: 10.1118/1.4953394. View Article

[31] P. H. Pretorius, M. A. King, B. M. W. Tsui, K. J. LaCroix, and W. Xia, "A mathematical model of motion of the heart for use in generating source and attenuation maps for simulating emission imaging," Med. Phys., vol. 26, no. 11, pp. 2323-2332, 1999, doi: 10.1118/1.598746. View Article

[32] A. Tejo-Otero et al., "Soft-Tissue-Mimicking Using Hydrogels for the Development of Phantoms," Gels, vol. 8, no. 1, p. 40, Jan. 2022, doi: 10.3390/gels8010040. View Article

[33] S. R. Guntur and M. J. Choi, "An Improved Tissue-Mimicking Polyacrylamide Hydrogel Phantom for Visualizing Thermal Lesions with High-Intensity Focused Ultrasound," Ultrasound Med. Biol., vol. 40, no. 11, pp. 2680-2691, Nov. 2014, doi: 10.1016/j.ultrasmedbio.2014.06.010. View Article

[34] J. W. Valvano, J. R. Cochran, and K. R. Diller, "Thermal conductivity and diffusivity of biomaterials measured with self-heated thermistors," Int. J. Thermophys., vol. 6, no. 3, pp. 301-311, May 1985, doi: 10.1007/BF00522151. View Article

[35] T. L. Bergman, A. S. Lavine, F. P. Incropera, and D. P. DeWitt, Fundamentals of Heat and Mass Transfer. Hoboken, NJ: Wiley, 2011.

[36] B. Cappon, "Modeling Impact of Simulated Myocardial Perfusion on Cardiac Ablation for Arrhythmia," Theses, Dec. 2024, [Online]. Available: View Article

[37] W. M. Chilian, S. M. Layne, E. C. Klausner, C. L. Eastham, and M. L. Marcus, "Redistribution of coronary microvascular resistance produced by dipyridamole," Am. J. Physiol.-Heart Circ. Physiol., vol. 256, no. 2, pp. H383-H390, Feb. 1989, doi: 10.1152/ajpheart.1989.256.2.H383. View Article

[38] "K-Type Thermocouples," https://www.dwyeromega.com/en-us/. Accessed: Sept. 09, 2025. [Online]. Available: View Article

[39] A. González-Suárez, E. Berjano, J. M. Guerra, and L. Gerardo-Giorda, "Computational Modeling of Open-Irrigated Electrodes for Radiofrequency Cardiac Ablation Including Blood Motion-Saline Flow Interaction," PLoS ONE, vol. 11, no. 3, p. e0150356, Mar. 2016, doi: 10.1371/journal.pone.0150356. View Article