Abstract
BACKGROUND:
Implantable medical sensors for monitoring and transmitting physiological signals like blood glucose, blood oxygen, electrocardiogram, and endoscopic video present a new way for health care and disease prevention. Nevertheless, the signals transmitted by implantable sensors undergo significant attenuation as they propagate through various biological tissue layers.
OBJECTIVE:
This paper mainly aims to investigate the power loss of an out-to-in body wireless radio frequency link at 2.45 GHz.
METHODS:
Two simulation models including the single-layer human tissue model and three-layer human tissue model were established, applying the finite element method (FEM). Two experiments using physiological saline and excised porcine tissue were conducted to measure the power loss of a wireless radio frequency link at 2.45 GHz. Various communication distances and implantation depths were investigated in our study.
RESULTS:
The results from our measurements show that each 2 cm increase in implantation depth will result in an additional power loss of about 10 dB. The largest difference in values obtained from the measurements and the simulations is within 4 dB, which indicates that the experiments are in good agreement with the simulations.
CONCLUSIONS:
These results are significant for the estimate of how electromagnetic energy changes after propagating through human tissues, which can be used as a reference for the link budget of transceivers or other implantable medical devices.
Introduction
It was reported by the World Health Organization (WHO) that the burden of chronic diseases is increasing at a sharp rate in the world. Statistics from WHO show that chronic diseases contributed about 60% of the 56.5 million total reported deaths worldwide in 2001. It has been predicted that nearly 75% of global deaths will be attributed to chronic diseases by 2020, such as hypertension, diabetes and cardiovascular disease [1]. It is essential to monitor the status of the patient’s health in real time, so that doctors can provide effective health care and disease prevention before the condition worsen. IEEE 802.15.6 is an efficient wireless body area network (WBAN) standard for connecting small devices deployed on the surface, inside or in the peripheral proximity of the human body. Combined with various biomedical sensors, monitoring and transmitting of various physiological signals in real time will become possible with this technology [2]. Physiological signals like blood glucose, blood oxygen, endoscopic video, electrocardiogram (ECG), and electroencephalograph (EEG) can provide useful information for doctors to diagnose and treat patients [3]. Currently, different implantable medical devices (IMD) such as implantable insulin pumps, cardiac defibrillators, pacemakers, and artificial cochlear have been widely applied in the human body [4].
To ensure optimal performance of such implantable devices, physiological signals should be transmitted outside the human body in an efficient and reliable manner. Microwave antenna and techniques have been widely used for monitoring and transmitting various physiological signals [5, 6]. Nevertheless, due to the dielectric properties of human tissues, the signals transmitted by implantable devices will sustain large power losses as they propagate through various biological tissue layers. To realize efficient performance of a wireless communication system, it is greatly important to study the attenuation characteristics of the radio channel. Software simulation provides a useful technique to estimate the power loss of a wireless communication link [7]. The power loss of a wireless communication link between an endoscopy capsule and a receiver outside the human body was investigated in [8]. All the work was performed in medical implant communication service (MICS) band and finished by a 3D electromagnetic solver, applying the finite difference time domain (FDTD) method. Similar investigation was presented in [9, 10, 11], but a path loss model of ultra-wideband (UWB) was investigated in the latter. A lot of work on channel attenuation characteristics of implantable human body communication have been done by many scholars, but most of them were focused on model simulation and mathematical calculation. To the best of our knowledge, very little attention was given to experimental measurement to verify the correctness and validity of the theory.
This paper mainly aims at investigating the power loss of an out-to-in body wireless radio frequency link by means of software simulation and experimental measurements. For this purpose, two simulation models including single-layer tissue model and three-layer tissue model were established, by applying the finite element method (FEM). Additionally, two experiments using saline solution and excised porcine tissue were conducted to validate the results of our simulations. All the investigations are performed in industrial, scientific, medical (ISM) bands at 2.45 GHz, which have the advantages of high data rate and low power consumption. Various communication distances from 10 cm to 70 cm and implantation depths from 1 cm to 6 cm are discussed in this paper.
The remaining sections of this paper are organized as follows: Section 2 mainly describes the finite element simulation models of human body tissues and the distribution of the power density in human body tissues. Two experimental measurements are conducted in Section 3. In Section 4, we analyze and discuss the results of the simulations and the experiments. Finally, we draw our conclusions in Section 5.
Simulation
The dielectric properties of human tissues
The dielectric properties of human body tissues, the conductivity and the relative permittivity, are related to the frequency of electric field, which can be represented by the complex relative permittivity. The four order Cole-Cole model provided by Gabriel et al. [12] describes both the conductivity and the relative permittivity of human body tissues in the frequency range from 10 Hz to 100 GHz. The model is given as Eq. (1), where
The dielectric properties of different human tissues at 2.45 GHz
The simulation model of single-layer human tissue.
Our electromagnetic simulations are conducted using the finite element method (FEM) with the COMSOL Multiphysics 5.2 simulation tool [13]. Two models are established in our simulations. The single-layer model is used to simulate the human muscle layer, as illustrated in Fig. 1. The three-layer model includes skin, fat, and muscle layer, as illustrated in Fig. 2. The thickness of each tissue layer corresponds to the porcine tissue of the following ex vivo experiment. The models are exposed to an incoming plane electromagnetic wave, which can approximate the far-field of a communication transmitter. The electric field intensity of the plane electromagnetic wave is set to 1 V/m, and the direction is normal incidence. The leftmost boundary of the model is defined as scattering boundary condition, and the remaining boundary is defined as perfect electric conductor. In addition, the perfect matched layer is used for the simulation model, thus the human body environment reflections can be disregarded. The materials of each region are represented with the conductivity and the relative permittivity according to the four order Cole-Cole model. After meshing, the distribution of different electromagnetic parameters such as the electric field intensity, the magnetic field intensity, the current density, and the power density in human tissues can be obtained by the solver.
The simulation model of three-layer human tissue.
Due to the dielectric properties of human tissues, the human body is not an ideal medium for electromagnetic wave propagating. Depending on the frequency of electric field, the human body will lead to large power losses caused by energy absorption, radiation pattern destruction, and central frequency shift [14, 15]. When the frequency of electric field is high, the signal strength received at the receiver is quite important since the transmitted power is usually small. The power loss is an important indicator to measure the communication quality from transmitter to receiver, which can be obtained from the distribution of the power density. The average power density in human tissues is usually expressed by the average Poynting vector, which describes both the direction and the power density of the electromagnetic wave propagation. The average Poynting vector is given by Eq. (2), in which
Experiments on real human bodies are the final tests to verify the correctness and validity of the theory. Due to a series of issues such as humanitarian and surgical techniques, it is not realistic to perform measurement campaigns directly inside living human bodies. Testing using physiological saline or excised animal tissue (ex vivo) before engaging in living human bodies (in vivo) can effectively reduce the risk from surgery [16]. Data measured from these tests can provide a useful reference for in vivo experiments and an estimate for the link budget of transceivers or implantable medical devices. In this paper, two test models, physiological saline and porcine tissue, are used to measure the power loss from the transmitting antenna to the receiving antenna.
The materials and mass percentage of the solution
The materials and mass percentage of the solution
The distribution of the power density in single-layer tissue model.
The distribution of the power density in three-layer tissue model.
For simulating the dielectric properties in the human body environment, we first prepared a 500 mL solution containing distilled water, sodium chloride (NaCl) and diethylene glycol butyl ether (DGBE). The conductivity and the relative permittivity of the solution are about 1.78 S/m and 52.5, respectively, which are very close to the dielectric parameters of the human muscle tissue. The materials and mass percentage of the solution are listed in Table 2 [17].
The measurement setup for our experiments consists of two dipole antennas connected to an Agilent Technology E5061B vector network analyzer (VNA), which is used to measure the S-parameters. The antenna has the characteristics of small size (3
The measurement setup for transmission in the saline solution.
The measurement setup for transmission in the porcine tissue.
The power received in free space versus implants (saline solution and porcine tissue).
The power loss in simulations versus experiments at various implantation depths from 1 cm to 6 cm.
According to [18, 19], porcine tissues have great similarities to human tissues in terms of anatomical properties. To obtain more accurate experimental data, we performed an ex vivo experiment by using a piece of porcine tissue. The experiment setup of the porcine tissue test is the same as the physiological saline test, as illustrated in Fig. 6. Firstly, we placed a piece of excised porcine tissue (20-cm-long, 13-cm-wide, 7-cm-thick) behind the receiving antenna and positioned the transmitting antenna at multiple distances (10, 20, 30, …, 70 cm) in front of the receiver, and the corresponding values of the power received in free space were measured. After that, the receiving antenna was embedded in the porcine tissue at about 2 cm depth from the skin. The transmitting antenna was positioned at multiple distances (10, 20, 30, …, 70 cm) in front of the tissue, and the corresponding values of the power received in porcine tissue were measured. These measurement campaigns were repeated with implantation depths of 4 cm and 6 cm. The difference in values of the received power between porcine tissue and free space represents the power loss through the tissue.
Besides, the transmission of in-body to out-body was also considered in our experiments. In our measurement setup, we only exchanged the position of the transmitting antenna and the receiving antenna, the communication distances and implantation depths were kept the same.
All the measurement campaigns were performed in an electromagnetic shielded room, which effectively prevents interference from external electromagnetic or electronic devices. In addition, a large sheet of RF absorber used in our experiments substantially reduced radiated noise and internal electromagnetic interference.
In both physiological saline test and porcine tissue test, and for each measurement point, the measurements were repeated 10–14 times over 3–4 minutes to reveal and account for any significant change in the propagation medium over time.
Out-body to in-body propagation versus in-body to out-body propagation.
Various communication distances from 10 cm to 70 cm and implantation depths from 1 cm to 6 cm are investigated in this paper. In our measurement setup, the transmitting power is set to 0 dBm, and the average received power of different cases (free space, saline solution, and porcine tissue) is assessed, as shown in Fig. 7. Note that the additional 4 dB gains from the antennas are subtracted from the recorded values, which are the average of multiple measurements. The results from our measurements show that each 2 cm increase in implantation depth results in an additional power loss of about 10 dB. Additionally, the average power received both in free space and implants decreases by about 14 dBm as the communication distance increases from 10 cm to 70 cm. The differences of the received power between physiological saline test and porcine tissue test can be attributed to the fact that the solution model lacks a full set of biological tissue layers.
In addition, to obtain the power loss of electromagnetic waves propagating through various biological tissue layers, we compare the measurements in free space with those done in the implants. Given a fixed communication distance, we subtract the power received in free space from that in the implants, and the difference in values between two measurements represents the power loss through the implants. The result is given by Eq. (3), where
The simulation results of the power loss are also shown in the Fig. 8. The power density in human tissues at various implantation depths are obtained by the finite element simulations. We choose the skin surface as the reference plane and the power loss at various implantation depths away from the skin can be calculated by Eq. (4), where
In the end of our studies, we compare the measurement result of out-body to in-body propagation with that of in-body to out-body propagation. The communication distance is set to 50 cm, and the received power of the two measurements at various implantation depths from 1 cm to 6 cm are plotted in Fig. 9. The largest difference of the two measurements is within 2 dBm, which indicates that the direction of propagation of a wave (out-body to in-body and in-body to out-body) does not affect significantly the efficiency of receiving signals.
This paper mainly presents the investigations on the power loss of an out-to-in body wireless radio frequency link at 2.45 GHz by means of software simulation and experimental measurements. The finite element simulations incorporated with single-layer tissue model and three-layer tissue model were established to provide an estimate of the channel characteristics. Besides, two experiments using physiological saline and excised porcine tissue were conducted to validate the results of our simulations. The ex vivo experiments provide a rational basis before engaging living human bodies (in vivo), which can effectively reduce the risk from surgery.
The power loss of the transmission is quantified for various implantation depths inside the human body. The results from our measurements show that each 2 cm increase in implantation depth will result in an additional power loss of about 10 dB. The largest spread in the values obtained from the measurements and the simulations is within 4 dB, which indicates that the experiments are in good agreement with the simulations. Finally, we also make a comparison between out-body to in-body propagation and in-body to out-body propagation, and the result indicates that the direction of propagation of a wave (out-body to in-body and in-body to out-body) does not affect significantly the efficiency of RF communication. These investigations are significant for the estimate of how electromagnetic energy propagates through human tissues, which is essential for the link budget of transceivers or other implantable medical devices.
Footnotes
Acknowledgments
This work was supported by the National Natural Science Foundation of China (grant nos. U1505251 and 61201397), the Project of Chinese Ministry of Science and Technology (grant no. 2016YFE0122700), and the S&T Project of Fujian Province (grant no. 2018I0011).
Conflict of interest
None to report.
