Thermal modelling of controlled scalp hypothermia using a thermoelectric cooling cap

J Therm Biol. 2018 Aug:76:8-20. doi: 10.1016/j.jtherbio.2018.06.008. Epub 2018 Jun 25.

Abstract

This study presents a novel, thermoelectric cryotherapy cap that aims to provide effective and controlled scalp cooling to prevent hair loss for chemotherapy patients. The cap's design consists of multiple thermoelectric coolers (TECs) evenly spaced and bonded to a soft thermal interface material, tightly fitted to a patient's head. A numerical model is developed to assess the performance of alternative cap designs in relation to their ability to achieve hair follicle hypothermia. Under ideal conditions, 26.5 W of heat removal from the scalp is required to achieve the clinically-significant follicle temperature target of 22 °C. Temperature maps of the subcutaneous tissue are generated to visualise the development of hypothermic follicles, and thereby assess the effectiveness of the cap design. Transient studies show that cooling to the therapeutic temperature can be achieved within 40 min. To avoid the possibility of cold-induced tissue damage, individual thermoelectric cooling modules should not be operated at a cooling flux beyond approximately 3175 W/m2. This may be achieved with 38 modules evenly spaced in a checkerboard arrangement, each providing 0.7 W of cooling to the scalp.

Keywords: Alopecia; Chemotherapy; Numerical model; Peltier; Scalp cooling; Thermoelectric.

MeSH terms

  • Alopecia / chemically induced
  • Alopecia / prevention & control*
  • Antineoplastic Agents / adverse effects*
  • Body Temperature
  • Female
  • Hair Follicle / drug effects
  • Hair Follicle / physiopathology
  • Humans
  • Hypothermia, Induced / instrumentation*
  • Hypothermia, Induced / methods*
  • Male
  • Models, Biological*
  • Scalp / drug effects
  • Scalp / physiopathology*
  • Thermography / methods*
  • Wearable Electronic Devices

Substances

  • Antineoplastic Agents