1. Introduction
In recent years, we have been witnessing the global proliferation of the “smart world,” the concept that interconnected smart environments enhance efficiency, connectivity, and automation across various sectors, including healthcare, transportation, and urban infrastructure [
1]. Wearable devices, defined in IEEE 802.15.6 [
2] as constitutive elements of wireless body area networks (WBANs), use communication protocols such as Bluetooth, ZigBee, and Bluetooth Low-Energy (BLE) at 2.45 GHz [
3]. These devices transmit data wirelessly to external gateways. As data exchange demand is constantly growing, enhancing bandwidth and communication frequency to the millimeter-wave spectrum (30–300 GHz) becomes essential. Fifth-generation NR is the technology that allows to utilize millimeter-wave bands for wireless communication, in particular for the implementation of “smart world” [
4].
The advent of such smart wearable and interconnected devices potentially impacts the level of exposure to electromagnetic fields because these devices are worn in contact with the body or, at most, at a distance equal to the minimum thickness of the clothing. Moreover, the use of novel mmWave bands changes the exposure scenario in which people are immersed and, in this regard, the key factors to be considered comprise, for example, the shape of the main beam, the frequency of the EMF, etc. Indeed, the use of mmWaves practically means that the power emitted by these smart interconnected devices is absorbed by the human body mainly at superficial tissues, i.e., the skin, given the inverse relationship between frequency (f) and EMF penetration depth (δ). This implies that, at such high frequencies, the skin becomes the primary tissue affected by EMF absorption and the modelling of this tissue is one of the issues that is still open in electromagnetic dosimetry above 6 GHz [
5].
From the point of view of EMF absorption, two skin layers play a significant role, namely the stratum corneum (SC) and the viable epidermis and dermis. As these two layers have different dielectric properties (
Table 1) [
6], this could generate reflection phenomena that might impact the way in which the power of the RF EMF is absorbed by the skin. Thus, in case of EMF exposure assessment, the skin model plays a crucial role in making assessments about the interaction between electromagnetic fields and the human body accurate, especially when working at mmWaves. Also, the thickness of the skin, and in particular the thickness of the SC, is not uniform across the whole body but varies with body region: on the palms and soles it ranges at around 0.02–0.7 mm (thick SC), whereas on the rest of the body it becomes thinner, ranging from 0.01 mm to 0.02 mm (thin SC) [
7].
However, from the regulatory point of view, there is no rigorous definition regarding the skin layer at which to calculate the absorbed power density (APD, W/m
2), and this reflects uncertainty about the skin model to be used in dosimetric studies. Indeed, the International Commission on Non-Ionizing Radiation Protection (ICNIRP) in its Guidelines [
8] did not specify the skin model to be employed nor, consequently, the skin layer for which to evaluate the APD, which is defined as the parameter of interest for frequencies > 6 GHz. On the other hand, the Institute of Electrical and Electronics Engineers (IEEE) in its IEEE C95.1-2019 [
9] mentioned the “epithelial power density” as the parameter of interest for frequencies > 6 GHz, referring to the stratum corneum as the layer to be considered. This uncertainty linked to the virtual model to be used in computational dosimetry is symptomatic of the need to develop reliable models to investigate and analyze in research areas such as product safety and human protection, which are of interest to electromagnetic compatibility (EMC) [
10]. In the literature, there are several studies that investigated how skin modelling affects the EMF dose of exposure. Christ et al. [
6] aimed to study the variation in temperature increase using a layered skin structure. The study involved a plane wave (S
inc = 10 W/m
2) at frequencies ranging from 6 to 100 GHz, impinging on a flat four-layer model of the most external human tissues. The stratum corneum (SC) was modelled as both a thin (i.e., 0.01 mm or 0.02 mm depending on the frequency) and thick layer (i.e., 0.02 mm or 0.7 mm). The study found that modelling the skin as a homogeneous layer led to an underestimation of the temperature increase compared to the multi-layer structure. In a follow-up study [
11], the same group of authors addressed the calculation of the power transmission coefficient with the same models of the previous study but also by varying the incidence angle of the impinging plane wave tuned to 6 GHz, 30 GHz, 60 GHz, and 300 GHz, with different polarizations. They found that the power transmission coefficient for the perpendicular component of the Poynting vector is affected by the stratification of the skin; specifically, modelling a thick SC, the power transmission coefficient was consistently higher than for the homogeneous layer model.
Furthermore, Alekseev et al. [
12] studied the reflection characteristics with four different flat models, ranging from a homogeneous dermis to a four-layer structure. The study focused on the forearm model made of thin-layer skin (i.e., 0.015 mm) and a palm model made of thick-layer skin (i.e., 0.42–0.43 mm). The results revealed that, in the range of 37–74 GHz, the thin SC did not significantly affect the reflection of millimeter waves (mmWaves), whereas the thick SC behaved as a matching layer, which caused a reduction in the reflection data. The same authors extended a previous study [
13] by estimating the specific absorption rate (SAR), penetration depth, and power density in the same forearm and palm models with plane waves in the range of 30–300 GHz. This latter study confirmed that the thin SC had minimal influence on the interactions between mmWaves and skin.
Sasaki et al. [
14] focused their study on the interaction between a plane wave and a flat multi-layer model in which the SC was not included: the skin model consisted of the epidermis and dermis strata of different thicknesses. In a frequency range from 10 GHz to 1 THz, by comparing the skin thickness of the forearm, triceps, quadriceps, and abdomen, the authors of [
14] demonstrated that the transmittance and temperature elevation were affected by the thickness of the skin as a whole, without specifically addressing the SC layer.
Finally, Gallucci et al. [
15] estimated exposure levels in four different flat multi-layer models under two distinct exposure conditions: a wearable antenna and a plane wave, both operating at 28 GHz and 39 GHz. The skin was modelled as a two-layer structure with the first layer consisting of thin SC (i.e., 0.02 mm) and the innermost layer comprising a viable epidermis and dermis. The results revealed that the impact of the SC on exposure levels was more evident in exposures due to wearable antennas, whereas for exposure induced by the plane wave, the impact of skin thickness was less significant, and the differences compared to the homogeneous model were minimal. Although it is clear from this brief overview that the literature lacks a common consensus on the approach to be used for modelling the skin when studying its interaction with mmWaves, most of the cited works revealed that the introduction of skin stratification in the studied model provided different findings regarding the exposure dose, when compared with the single homogeneous layer model. These results were obtained from both computational and analytical studies, also showing how the computational and analytical methods are congruent with each other. However, all these studies share the common feature of employing a flat model where the human body is modelled as a planar phantom, so neglecting the actual shape of human bodies.
In this regard, there are studies affirming that the shape of anatomical districts affects the EMF power absorption; indeed, when an irregular skin model is employed, its shape influences the EMF energy absorption [
16]. Colella et al. [
17] investigated the power absorbed when using the common flat model and an adult virtual human model (‘Duke’ from the Virtual Population (ViP) [
18]), in three anatomical districts when exposed to mmWave frequencies. Both in the flat and in the anatomical model, the skin was modelled as a homogeneous layer. The paper showed that the differences in the exposure estimated with these two modelling approaches are non-negligible. Moreover, Sacco et al. [
19] and Kapetanovic et al. [
20] demonstrated that the absorbed power density estimated in realistic anatomical regions varies depending on the ratio between the radius of the curvature of the irradiated region and the wavelength of the field. Likewise, Diao et al. [
21] revealed that the averaged absorbed power density (APD) and the temperature rise in body models with non-planar surfaces were influenced by frequency and curvature, for electromagnetic field exposure above 6 GHz.
According to the abovementioned literature, the irregularities of human body geometry alter exposure levels, as the surface exposed to EMF is non-uniform, leading to variations in the interaction with the electromagnetic field. However, accounting for these irregularities presents computational challenges. Since exposure metrics are averaged over volumes or surfaces, this process compresses point-specific values into single approximations [
20], which become increasingly coarse with geometric discontinuities. Studies consistently demonstrate that anatomical irregularities affect exposure assessment results, revealing limitations in planar tissue modelling. This effect becomes particularly pronounced at high frequencies where the RF wavelength approaches the dimensions of anatomical curvatures and irregularities, necessitating realistic human models for accurate exposure assessment.
So far, the integration of the inner structure of the skin and the anthropomorphic shape of realistic human bodies has been considered costly and hard to implement [
22], so much so that it has never been addressed. As illustrated in
Table 2, the multi-layer skin structure and anthropomorphic shape have never been addressed in the same model in any previous study.
Instead, the present work aims to fill this gap, merging the realistic anthropomorphic shape of the human body and the inner structure of the skin by implementing for the first time a multi-layer skin model in virtual human models that retain the irregularities in the geometry of real human bodies. For the sake of completeness, this work assessed the dose absorbed at 28 GHz under two different exposure conditions: (i) exposure due to a wearable patch antenna, and (ii) exposure due to a plane wave. In both cases, the human body was modelled as geometrically realistic and with the inner stratification of the skin implemented, with particular focus on two anatomical regions related to the typical way wearable devices are used—the trunk and the wrist.
One of the innovative aspects of the present work is therefore the use of a two-layer skin model, in anatomically realistic models that comprise a 0.02 mm SC layer. The same exposure conditions were also applied to a homogeneous (dermis) and to four-layer (SC, dermis, fat, and muscle) flat models in order to comprehend the impact on the exposure levels due to a shape typical of the human body. Evaluation of the effect on the absorbed power density of the irregularities of actual human bodies due to their anthropomorphic shape and the effect of the skin stratification was performed by means of a computational approach that utilized the finite-difference time-domain (FDTD) method.
3. Results
Figure 4 shows, for each model (i.e., Duke, Ella and flat models), the psAPD averaged over 1 cm
2 normalized to the psAPD of the SC (i.e., psAPD
SC), considering that it is the most external layer in the Enriched models. The source in this case is the wearable patch antenna positioned at the level of the trunk.
Firstly, by comparing the results across the human models, a common trend can be observed: the exposure levels obtained when using the homogeneous version of the human model (i.e., Original) are always lower than the levels in the stratified version (i.e., Enriched), for both the viable epidermis and dermis, and the SC. More specifically, the psAPD in the viable epidermis and dermis of the Duke Original was 16.5% lower than that estimated in the SC of its Enriched version. The same was observed in the female model, Ella, where the Original version exhibited a psAPD 30% lower than that of the Enriched version. The same trend was also found with the flat models, although the difference in the psAPD between the two model versions was lower than for the human models, being equal to 11%.
Similarly, the psAPD in the viable epidermis and dermis was lower in the Original versions of the two human models than in the Enriched ones, and in the homogeneous version of the flat model vs. the four-layer version. Furthermore, focusing on each single panel of
Figure 4: From panel (a) it is clear that Duke Original exhibits a lower psAPD in the viable epidermis and dermis when compared to Duke Enriched, and this difference is about 15%. The same observations can be made in panel (b), where the psAPD calculated for Ella Original in the viable epidermis and dermis was lower by 28% compared to when the same metric was estimated in Ella Enriched. Panel (c) reports the same trend in terms of a difference in the psAPD estimated in the viable epidermis and dermis in both versions of the studied models, including for the flat model: the exposure levels of the flat four-layer model are higher than the ones for the unique layer of the homogeneous model, and in this scenario this difference is about 11%.
Figure 5 shows the same type of data but obtained with the TEM-polarized plane wave. For the human models, the region of the body exposed to the plane wave was the trunk, as it was for the patch antenna. In the case of the plane wave, the differences in the psAPD values between the Enriched or Original versions of the human models and the flat model vs. the four-layer version (trunk exposure) were only marginal, of the order of 3–6%, revealing therefore the almost negligible impact of the skin model when plane wave exposure is considered. Indeed, the psAPD values in the SC of the stratified model (i.e., the Enriched one or the four-layer flat model) are almost the ones calculated in the viable epidermis and dermis of the homogenous human/flat model, with a maximum difference of about 6% in the case of Duke. The same trend can be observed in
Figure 6, where the psAPDs estimated in the case of the wrist are reported.
The APD was here reported also in terms of its spatial distributions both in the scenarios where the EMF is emitted by the wearable antenna and by the plane wave impinging perpendicularly at the trunk region.
Table 3 and
Table 4 report the percentages of the APD values greater than 90% of the psAPD, the amount of data between 70% and 90% of the psAPD, and the percentages of data below 70% of the psAPD, for both the human and flat skin-stratified models, i.e., the Enriched and the four-layer models, in order to compare versions with the same level of detail. Examining the data in
Table 3, at least the 97% of the data are below 70% of the psAPD for both the human and flat skin-stratified models. This is mainly related to the strong non-uniformity of the radiation pattern of the antenna, as expected. Moreover, in this scenario, the percentages of values > 90% of the peaks are always less than 1%, and the those of values between 70% and 90% of the peaks are at a maximum of 2.5%, revealing that these distributions are narrowed around their peak values. This trend is slightly more evident in Duke Enriched and in the flat four-layer model.
The same quantities were calculated in the scenarios with the plane wave and are collected in
Table 4. Here the percentage of values exceeding 90% of the peak in the flat model represents more than 80% of the data, indicating that the distribution of the APD in the flat phantom is almost homogeneous around its peak value. The reasons are the planarity of the phantom and the uniformity of the source in terms of incidence and amplitude in the analyzed domain, and this is consistent with the opposite trend found in the case of the wearable antenna, where the radiation pattern is confined to a limited region. Concerning Duke and Ella Enriched,
Table 4 clearly shows that most of the data are between 70% and 90% of the psAPD, indicating therefore that the data are more tightly gathered around the high values of the distributions but not at the peak. Moreover, Ella Enriched exhibits a higher number of values exceeding 90% of its psAPD (i.e., 35.3%), compared to Duke Enriched (i.e., 23.8%).
4. Discussion
Assessing human exposure to RF EMF from wearable devices is crucial given their direct contact with the body, particularly for 5G mmWave technology used in advanced wearable antennas. At these high frequencies, skin becomes the primary tissue affecting RF power absorption as the outermost organ encountering EMF. Accurate skin modelling is therefore essential for dose estimation. Two approaches exist for exposure assessment: experimental and numerical. The experimental approach uses tissue-equivalent phantoms that reproduce geometric, dielectric, and mechanical properties [
26], offering significant advantages for characterizing tissue–EMF interactions [
27]. However, this method has resolution limitations—current skin phantoms achieve minimum thicknesses of approximately 1 mm, which are insufficient for modelling the skin’s stratified sub-millimetric structures. Given these constraints, this work focuses on the numerical approach, which enables the implementation of very thin structures like the stratum corneum (SC). Specifically, we analyze how the absorbed power density (APD) varies with different skin modelling approaches. While the literature suggests that both two-layer skin modelling and anthropomorphic volume shape impact exposure levels, these factors have not been simultaneously investigated. Addressing this gap represents the core challenge of this study. In the present study, several scenarios were investigated, comprising the following:
- (1)
Two adult human models (Duke and Ella) and a flat human model, where the skin was modelled, for the first time, both as a two-layer and a homogeneous structure;
- (2)
Two sources of RF EMF—a realistic wearable patch antenna and a TEM-polarized plane wave with perpendicular incidence—both operated at 28 GHz;
- (3)
Two human body regions were exposed to the TEM-polarized plane wave to mimic different uses of wearable devices.
Overall, regarding the exposure to the wearable antenna, the psAPD estimated in the two human models was lower for the Original version (without the SC) with respect to the Enriched version. The same was observed in the flat phantoms, and this trend is consistent with the findings of Gallucci et al. [
15] according to whom the variations between the APD in several multi-layer models and the homogeneous one range from 8 to 12%. Nevertheless, the effect of the skin model is evident to a lesser extent in the flat phantom than in the anthropomorphic models, and this might indicate that the actual shape of the human body has a higher impact on APD estimation. This impact of the morphology of the model on the exposure levels is in line with the results of Colella et al. [
17] who estimated differences in terms of electric field induced in morphologically different models with homogeneous skin up to 2 dB; defined as not negligible.
Among the two human models, Ella exhibited the highest difference in the APD between the Original and Enriched versions, most probably because of the different shape of the chest, which is more irregular in the female model than in the male model, due to the presence of the woman’s breast. In order to quantify the irregularity of the model, the geometric excursion in the models employed was calculated as the difference between the maximum and the minimum geometric coordinates of the SC layer in the transverse plane. This difference for the Ella model is 0.15, and for Duke it is 0.11, revealing that the geometric leap is greater for Ella than for Duke; therefore, the female model is slightly more irregular than the male one. Furthermore, analyzing the data in
Table 3, containing the percentages of values of the APD distribution greater or less than two thresholds, i.e., 70% and 90% of the psAPD, it is clear that these distributions are very narrowed around their peak values, regardless of the nature of the model, since the radiation pattern that affects the distribution of APD values involves a very small portion of the irradiated human body.
Regarding plane wave exposure, the psAPDs of both versions of each model (Duke, Ella, and the flat models) exhibited a high degree of similarity. This finding is consistent with the existing literature, which indicates that the presence of a thin stratum corneum (SC) (i.e., between 0.01 and 0.02 mm) has a small impact on peak exposure levels under plane wave exposure conditions [
6,
11]. However, these studies predominantly focus on far-field exposure, as they assume a plane wave as the source. Expanding on this evidence, the present study provides evidence that when the human body is modelled with an anatomically realistic shape and exposed to a near-field source, such as a wearable antenna, even a thin SC layer can influence exposure levels.
In order to assess the exposure in terms of the distribution of exposure metrics, the spatial distributions of the APD in the most superficial tissue of each enhanced model were studied. The data in
Table 4 clearly show that the flat four-layer model reported the highest value of homogeneity, with most of the data being greater than 90% of the psAPD. Comparing the data obtained from the actual human bodies enhanced by the stratum corneum layer, Duke Enriched presented a higher level of homogeneity with respect to Ella Enriched, with 76% of the data falling between 70% and 90% of its own psAPD. Moreover, the analysis of APD distributions under the plane wave exposure conditions revealed again the influence of anatomical shape. Specifically, the female model was the one with the least uniform APD distribution. This could be due to the presence of the breast, which leads to the greater geometric irregularity of the model. This evidence is in line with the paper by Dolciotti et al. [
28]: with a plane wave at 2.45 GHz, the Ella modelled with a more realistic breast in terms of volume and shape revealed a greater electric field values than in the original one.
To summarize, the comparison of the results obtained when the source was a wearable antenna and when it was a plane wave evidenced that exposure assessments obtained with a TEM plane wave are always lower than those obtained with a wearable antenna, and this is consistent with the literature [
15] where this discrepancy is motivated by the fact that the plane wave is a simplification with respect to the complex radiation pattern of an antenna, and the effect of the backscattering contributing to power absorption by the biological tissue being absent when the source is a plane wave.