In modern surgery, a multitude of minimally intrusive operational techniques are used which are based on the punctual heating of target zones of human tissue via laser or radio-frequency currents. Traditionally, these processes are modeled by the bioheat equation introduced by Pennes, who considers Fourier's theory of heat conduction. We present an alternative and more realistic model established by the hyperbolic equation of heat transfer. To demonstrate some features and advantages of our proposed method, we apply the obtained results to different types of tissue heating with high energy fluxes, in particular radiofrequency heating and pulsed laser treatment of the cornea to correct refractive errors. Hopefully, the results of our approach help to refine surgical interventions in this novel field of medical treatment. (M. M. Tung), matrugui@mat.upv.es (M. Trujillo), jalopez@mat.upv.es (J.A. López Molina), mjrivera@mat.upv.es (M.J. Rivera), eberjano@eln.upv.es (E.J. Berjano).

To date, all radiofrequency heating (RFH) theoretical models have employed Fourier's heat transfer equation (FHTE), which assumes infinite thermal energy propagation speed. Although this equation is probably suitable for modeling most RFH techniques, it may not be so for surgical procedures in which very short heating times are employed. In such cases, a non-Fourier model should be considered by using the hyperbolic heat transfer equation (HHTE). Our aim was to compare the temperature profiles obtained from the FHTE and HHTE for RFH modeling. We built a one-dimensional theoretical model based on a spherical electrode totally embedded and in close contact with biological tissue of infinite dimensions. We solved the electrical-thermal coupled problem analytically by including the power source in both equations. A comparison of the analytical solutions from the HHTE and FHTE showed that (1) for short times and locations close to the electrode surface, the HHTE produced temperatures higher than the FHTE, however, this trend became negligible for longer times, when both equations produced similar temperature profiles (HHTE always being higher than FHTE); (2) for points distant from the electrode surface and for very short times, the HHTE temperature was lower than the FHTE, however, after a delay time, this tendency inverted and the HHTE temperature increased to the maximum; (3) from a mathematical point of view, the HHTE solution showed cuspidal-type singularities, which were materialized as a temperature peak traveling through the medium at a finite speed. This peak rose at the electrode surface, and clearly reflected the wave nature of the thermal problem; (4) the differences between the FHTE and HHTE temperature profiles were smaller for the lower values of thermal relaxation time and locations further from the electrode surface.

In this paper, we solve in an analytical way the thermal-optic coupled problem associated with a 1D model of non-perfused homogeneous biological tissue irradiated by a laser beam. We consider a laser pulse duration of 200 micros and study the temperatures of areas very close to the point of laser beam application. We consider that these values of the temporal and spatial variables mean that the problem has to be solved by means of the hyperbolic heat conduction model instead of the classic or parabolic model. We therefore obtain the solution using both models and apply the temperature profiles obtained to a specific biological tissue for comparison. Finally, we theoretically study the effect of the thermal relaxation time on the temperature profiles in the tissue for both heating and cooling phases (i.e. during and after laser application).

We improve Benci and Rabinowitz's Linking theorem for strongly indefinite functionals, giving estimates for a suitably defined relative Morse index of critical points. Such abstract result is applied to the existence problem of periodic orbits and homoclinic solutions of first order Hamiltonian systems in cases where the Palais-Smale condition does not hold.

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