Particle size range and average particle size of BMN powder calcined at various temperatures for 4 h with heating rates of 5 ºC/min.
\r\n\tUnstoppable progress in the technologies of synthesis of diamond, graphene, and its compounds with stable parameters will provide materials for the industry of devices for integrated, radio, Opto- and quantum electronics and photonics.
\r\n\tIn most electronic and optical properties, diamond and graphene are superior to traditional and perspective semiconductors. It is safe to say that silicon and gallium arsenide are materials for electronics and optoelectronics of the past, gallium nitride and silicon carbide are high-tech today, and diamond and graphene are the future of electronics and photonics.
A microwave communication system is important applications in the communication industry such as global communication satellites, cellular phones, radar detectors and wireless communication of the demands are rapidly rising in the present. Microwave dielectric ceramics were applied to the operation of filters and oscillators in several microwave systems as a small ceramic component. The general formula Ba(B’1/3B’’2/3)O3 (B’ = Mg, Zn, Ni or Co; B’’ = Ta or Nb) ceramics are one of microwave dielectric which have attracted a great deal of attention and are currently being used for microwave devices due to its very high quality factors. Barium magnesium niobate (Ba(Mg1/3Nb2/3)O3: BMN) compound is one of candidate materials of relative cheap and exhibits high performance microwave dielectric. Firstly, a high dielectric constant (εr = 32) is needed, so that the materials can be miniaturized (because the size of a dielectric resonator α 1/εr\n\t\t\t\t1/2). Secondly, a high quality factor (Q = 5600) is very important for radio frequency system to keep a better selectivity and noise reduction, and a small temperature coefficient of resonance frequency (τƒ = 33 ppm/ºC) is also required so that the microwave circuits remain stable (Dias et al., 2001; Lin et al., 2006; Lian et al., 2004; Lian et al., 2005; Chen et al., 2006; Zhong-qing et al., 2004; Tian et al., 2009). So far, there have been only a few studies on BMN system and most of them prepared by chemical route due to its high purity and small particle size. However, it’s expensive and complicated technique. Therefore, in this paper, BMN were prepared by conventional mixed-oxide technique which is the most economical and very simply consists of wet milling the individual oxides or other compounds that decompose to the oxides during calcining (Haertling, 1999). The characterizations of the phase formation, particle shape and particle size of all powders were investigated and experimental results are then discussed.
\n\t\tThe BMN powder was prepared by the convention mixed-oxide method. The reagent grades of BaCO3 (Fluka, >98.5% purity), MgO and Nb2O5 (Aldrich, >99% purity) were used as raw materials in this system. The raw materials were weighed and mixed by ball milling technique with alumina balls in ethanol for 24 h. The mixtures were then dried into mixed powder. The powder processing was shown schematically in Fig. 1.
\n\t\t\tPreparation route for the BMN powders.
The phase characterization process for all samples was examined using X-ray diffraction analysis (XRD) at room temperature in order to monitor phase evolution obtains calcination conditions that result in single phase BMN powder. The particle shape and particle size of powders were also observed using scanning electron microscopy (SEM).
\n\t\tThe TG-DTA curves of the BMN powders prepared by mixed-oxide method are illustrated in Fig. 2. In the temperature rang from room temperature to ~1250ºC. The TG curve shows two distinct weight losses. The first weight loss occurs at ~300ºC and the second one between 600-1000ºC. The both small endothermic and exothermic peaks are observed in the DTA curve which is related to the first weight loss (~1.0%). These DTA peaks can be attributed to the decomposition of the organic species from the milling process (\n\t\t\t\t\tWongmaneerung et al., 2006\n\t\t\t\t; Ananta, 2004). After the first weight loss demonstrate a much sharper fall in specimen weight with increasing temperature from ~600-1000ºC. This precursor also exhibits a significantly larger over all weight loss (~14.2%). Corresponding to the second fall in specimen weight by increasing the temperature up to ~1000ºC the solid-state reaction occurs the formation of some crystalline phase associated with BMN. A moderate exothermic peak at 930ºC could be related to the crystallization of BMN phase as indicated in XRD patterns shown in Fig. 3. The broad exothermic characteristic in the DTA curve is found at the temperature range of 1000-1250ºC, which has a maximum at ~1018ºC. It has been considered as the process of further crystallization in BMN phase (Lian et al., 2004). No further significant weight loss was observed for the temperatures above 1000ºC in the TG curve, indication that the minimum firing temperature to obtain BMN compound is in good agreement with XRD results (Fig. 3). These data were used to define the range of calcination temperatures for XRD investigation.
\n\t\t\tTG-DTA curves for the mixture of BMN powders.
The XRD patterns of the BMN powder calcined in the temperature range of 800-1400°C for 4 h in air are shown in Fig. 2. The uncalcined powder show only X-ray peaks of BaCO3, MgO and Nb2O5 precursors, which could be matched with JCPDS file no. 05-0378 (\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tPowder Diffraction, 2000\n\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t) 71-1176 (\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tPowder Diffraction, 2000\n\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t) and 80-2493 (\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tPowder Diffraction, 2000\n\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t), respectively. This result confirmed that no reaction had been initiated during the milling process. After calcination at 800ºC, the crystalline phase of Ba(Mg1/3Nb2/3)O3 was developed accompanying with BaCO3, MgO and Nb2O5 as separated phases. This observation agrees well with those derived from the TG-DTA results. As the temperature increased to 900ºC, the intensity of the BMN peaks was further enhanced. Whereas the traces of minor phases of unreacted Nb2O5 could not be completely eliminated at 1100ºC. This could be attributed to the poor reactivity of niobium species (Ananta et al., 1999). The peak of precursors gradually disappeared with increasing calcination temperature and reached to single BMN phase after calcination at 1200°C. This perovskite BMN powder can be matched exactly with JCPDS file no. 17-0173 for the hexagonal phase, in space group P3m1 with cell parameters of
The morphological evolution of the calcined BMN powders was also revealed by SEM and showed Fig. 3. In general, the particles are agglomerated and basically irregular in shape with a substantial variation in particle size. The smallest and the biggest particle size of powders were estimated from SEM micrographs and listed in Table 1. From the results, it is seen that average particle size increases with increasing calcination temperature of BMN which can be attributed to the occurrence of hard agglomeration with strong inter-particle bond within each aggregates resulting from firing process.
\n\t\t\tXRD patterns of BMN powder calcined at various temperatures for 4 h with heating rates of 5º/min.
SEM micrographs of BMN powder at different a calcination temperature of (a) 1200ºC (b) 1300ºC and (c) 1400ºC for 4 h with heating rates of 5º/min.
\n\t\t\t\t\t\t\t | \n\t\t\t\t\t\t\n\t\t\t\t\t\t\t | \n\t\t\t\t\t\t\n\t\t\t\t\t\t\t | \n\t\t\t\t\t
\n\t\t\t\t\t\t\t | \n\t\t\t\t\t\t0.21 – 1.45 | \n\t\t\t\t\t\t0.65 | \n\t\t\t\t\t
\n\t\t\t\t\t\t\t | \n\t\t\t\t\t\t0.29 – 2.00 | \n\t\t\t\t\t\t1.19 | \n\t\t\t\t\t
\n\t\t\t\t\t\t\t | \n\t\t\t\t\t\t0.35 – 4.00 | \n\t\t\t\t\t\t1.56 | \n\t\t\t\t\t
Particle size range and average particle size of BMN powder calcined at various temperatures for 4 h with heating rates of 5 ºC/min.
The compound Ba(Mg1/3Nb2/3)O3 powders were successfully prepared by the conventional mixed-oxide technique. The effect of calcination condition on the phase formation and microstructural evolution of this system was investigated via X-ray diffractometer (XRD) and scanning electron microscope (SEM), respectively. From the results, it can be concluded that single phase of Ba(Mg1/3Nb2/3)O3 powder has been obtained by using a calcination temperature of 1200ºC for 4 h with heating rates of 5ºC/min with particle size ranging from 0.21 to 1.45 µm. Moreover, average particle size increases with increasing calcination temperature.
\n\t\tThis research was conceived by the support from the Thailand Research Fund (TRF), the Commission on Higher Education (CHE), the Synchrotron Light Research Institute (Public Organization), the Faculty of Science and Graduate School of Chiang Mai University.
\n\t\tImaging and quantifying various characteristics of blood flow throughout the heart is essential in modern-day cardiology. Accurate image representations help accurately identify many known types of cardiovascular diseases. Atrial fibrillation (AF) is one of the most common types of atrial arrhythmias encountered in adults, which can be characterized by an irregular and rapid heartbeat with uncoordinated atrial activation and ineffective atrial contraction [1, 2]. The Framingham Heart Study reported that AF developed in 37% of the population after the age of 55 years [3]. AF can be detected and/or confirmed through various image modalities since it originates in the atrial chambers of the heart. This arrhythmia causes multiple simultaneous electrical signals firing within the atria leading to irregular electrocardiogram (ECG) patterns and atrial activity, loss of coordinated atrial contractions, and inadequate ventricular filling [4]. A patient with AF may experience symptoms, the most common of which include palpitations, shortness of breath, fatigue, dizziness, and chest pain [4].
AF can be caused by various factors. Individuals with previously existing cardiovascular diseases show higher signs of developing AF [4]. A common cause can be atrioventricular (AV) dyssynchrony, in which the normal AV contraction experiences delays due to the irregular conduction of the AV node [5]. AV dyssynchrony can be the reason behind the more common symptoms of AF since it directly affects the atria, causing it to operate in a fast and disorganized matter. There is a small fraction of patients who do not have previously existing heart problems yet still show signs of AF [4]. For these patients, AF can be a result of lifestyle choices, such as diet, lack of exercise, and smoking [6]. A recent multi-institutional study reported that 19% of patients newly diagnosed with AF (41% women) had an acute AF precipitant including mainly cardiac surgery (22%) and pneumonia (20%) followed in minor portion by myocardial infarction, pulmonary embolism, thyrotoxicosis, or alcohol intoxication [7].
A common mechanism for developing AF involves thrombogenicity. An increase in thrombogenicity within the heart can be a result of AF or can further increase the incidence of AF in patients who do not yet have it [8]. Intracardiac thrombi can be found in the atrial walls among patients with AF since the fast and irregular contractions of the atria can cause stress on the endometrial walls, resulting in damage, which promotes a hemostatic pathway to induce thrombus formation [9]. Another mechanism in AF involves hemodynamics. Specifically, decreased left ventricular (LV) hemodynamics can be affiliated with AF [10]. Maintaining adequate blood flow is important for overall cardiovascular health. Patients with AF typically show decreased hemodynamics; their low cardiac output can be attributed to irregular atrial contractions, causing their blood to begin pooling in the atria.
Mechanisms like increased thrombogenicity and decreased LV hemodynamics in patients with AF can lead to manifestations like stroke and ischemia. Increased thrombogenicity in the heart could cause a decrease in blood flow to the brain, resulting in a stroke [11]. A stroke would be a severe outcome as it drastically reduces overall body function and ability. Individuals with AF are much more likely to have a stroke in their lifetime than others since they have repeated incidents of irregular heartbeat [11]. This key symptom is what drives the formation of thrombi and can obstruct cardiac output. AF is associated with an increased incidence of stroke by a factor of four in men and 5.7 in women [12]. The risk of death increases by a factor of 2.4 among men and by a factor of 3.5 among women [13]. Reduced left atrium (LA) function increases the risk of blood stasis and clot formation in the LA, especially the left atrial appendage (LAA), which is a small extension of the LA. The LAA structure has high anatomical variability and has an important endocrine function. Its separation from the LA body promotes a blood turnover dependent on the systolic contraction. The loss of the LAA contraction during AF contributes to the increment of blood stasis and thrombus formation [14]. The CHA2DS2-VASc score considers the patient’s history of congestive heart failure, hypertension, diabetes mellitus, stroke, vascular disease, age (between 65 and 74 years and >75 years), and sex. It is currently used for the stroke risk stratification of AF patients and for the recommendation of anticoagulant therapy [1, 2, 15]. However, the CHA2DS2-VASc score does not include individual physiologic factors, which limit its prediction power.
Another manifestation, ischemia, can be a result of decreased LV hemodynamics. Ischemia is a condition observed when there is an obstruction of blood flow to a part of the body or organ. An ischemic stroke, a combination of the two manifestations, could also be a possibility for individuals with AF as an obstruction in the circulatory system slows down cardiac output and causes low oxygen levels [16]. AF directly influences decreased cardiac output and can, therefore, be a leading factor in ischemic strokes seen in patients [1, 2]. At an early stage, an AF episode lasts <7 days of onset, and then, sinus rhythm is restored. This stage is known as paroxysmal AF. As severity progresses, AF episodes can last beyond 1 week. This stage is known as persistent AF. If the event does not terminate, it is considered as permanent AF. Persistent AF continues unless it is interrupted by electrical or pharmacological cardioversion, and it is associated with increased atrial fibrosis than paroxysmal AF [17]. Among patients undergoing cardioversion, up to 20% develop recurrent AF, and it becomes difficult to restore sinus rhythm [18].
There are many types of image modalities used to accurately diagnose several types of cardiovascular diseases. AF in patients can be identified using dedicated technology like electrocardiogram (ECG), echocardiogram (echo), cardiac computed tomography (CT), and cardiac magnetic resonance imaging (MRI). ECG is the best tool for recording electrical signals in the heart that correspond to the contraction and relaxation of the atria and ventricles. By performing ECG tests over long periods of time, a physician can recognize if there are any atrial arrhythmias like AF present by assessing the electrical patterns corresponding to the patient’s heartbeat [19]. In patients that do not display visible signs of arrhythmias, yet present with symptoms, a Holter monitor can be used to assess any irregular heartbeats the patient may experience in a 24-hour period [20]. In addition to an echo and ECG, a CT scan can be used for detecting AF in patients. Unlike an ECG, a cardiac CT is a scan of the heart that shows any calcium deposits in the coronary arteries and chambers of the heart. Used mainly on patients presenting with symptoms of coronary heart disease, a CT is a good indicator of any atherosclerotic plaque buildup. For a patient with AF, a CT angiogram is preferred as it accurately shows the interior of the heart [21]. Through this test, common AF manifestations like fast/disorganized atrial activation may be observed. An echo operates by implementing sound waves to create real-time images of the patient’s heart and can be useful in observing valve function and cardiac muscle health. In patients with AF, an echo will show how the heart contracts, and through that, observers will be able to notice how atrial contractions appear irregular and rapid [22]. An echo is accurate in displaying valve function and can show any abnormalities that may be associated with them, as well as with cardiac contractions.
Cardiac MRI has emerged as a valuable tool for interrogating the underlying substrate in AF patients. MRI uses a magnetic field to capture incoming radio waves from hydrogen atoms in various cells that respond to the magnification [23]. Like a CT scan, an MRI can provide highly accurate anatomical visualization. A cardiac MRI can additionally help analyze manifestations like atrial fibrosis and fat buildup around the heart walls. In addition to traditional MRI, four-dimensional flow (4D-flow) MRI is a very accurate and versatile way of visualizing and determining the size of biomarkers, including 3D stasis, vortices, changes in pressure, as well as flow distribution. 4D-flow MRI imaging helps achieve the precise visualization of the heart chambers, where manifestations of AF, including thrombus formations and hemodynamic efficiency, can be seen. The next section will introduce more in detail how new 4D-flow MRI approaches can accurately outline the progression of the AF.
In recent years, the innovation in interventional therapies and cardiac imaging for AF has motivated great interest and attention to a deeper understanding of the atrial anatomic structure and function. In addition, the innovations in 3D blood flow assessment have revealed a new light in the effect that AF has on heart hemodynamics. The standard cardiac magnetic resonance protocol for AF aims to provide a detailed assessment of LV/LA structure and function (Figure 1) [24].
Standard cardiac magnetic resonance imaging scan. Localizers facilitate the acquisition planning using anatomic images from the three directions of the heart. Heart landmarks are used to generate standard analysis planes views. Contrast-enhanced (CE) magnetic resonance angiogram (MRA) facilitates the assessment of the 3D LA structure and pulmonary veins anatomy. Standard cardiac cine imaging can be used for the assessment of the heart function and structure. Delayed enhancement images facilitate the tissue characterization of the heart. MRI: magnetic resonance imaging.
There is a clinical indication for pulmonary vein assessment preablation procedure [24, 25, 26]. The postablation imaging remains optional. The LA has a highly complex structure with close interaction between the anatomical, structural, and functional aspects. The LA imaging assessment aims to characterize the two parts of the LA: the posterior-superior inflow (venous) and the anteroinferior outflow (vestibular). Both the contrast-enhanced (CE) and noncontrast techniques can be used for the evaluation of the pulmonary veins. Noncontrast cardiac-triggered imaging with respiratory navigation-gating balanced steady-state free precession (bSSFP) can provide high-quality images in a short time for assessing the basic clinical questions [27]. CE can be performed with both the extracellular and blood pool contrast agents. The intravascular half-time life of the extracellular chelates ranges between 60 and 120 s [28]. The extracellular contrast agents have a rapid leakage into the interstitial space that reduces the enhancement of both arteries and veins shortly after injection. To obtain reasonable-quality images, it is recommended to initiate the acquisition immediately after the first pass of the contrast agent. A more recent strategy includes the use of ferumoxytol as blood pool agent, which has a much longer half-time life, facilitating ultrahigh spatial resolution of both the arterial and the venous systems [29]. The voxel size difference achieved with ferumoxytol is one order of magnitude smaller compared with traditional acquisitions [30]. It is recommended to perform the breath-held 3D CE angiogram in the coronal projection encompassing the pulmonary veins and LA [24]. The use of an oblique plane centering the pulmonary veins can reduce the slab thickness but will lead to less coverage of the LA. When the patient has irregular rhythm, the ECG gating should be synchronized with systole. Three volumetric acquisitions are recommended: (1) precontrast, (2) first pass, and (3) after contrast administration. The precontrast acquisition serves as a reference for subtraction. A time-resolved multiphase (acquisition and contrast started simultaneously) angiogram can provide an isolated pulmonary phase image for reconstruction and integration with common ablation mapping software. Contrast should be injected at a 2–3-mL/s rate for an optimal result. Image slice thickness can be 1–2 mm with an in-plane resolution of 1–1.5 mm. An isotropic configuration is preferred (i.e., 1 × 1 × 1 mm). A slab of 60–80 slices typically covers a normal heart, and the number of slices can be increased to encompass the volume of interest. Standard 2D phase-contrast acquisitions can be added to quantify flow through each pulmonary vein. Late-gadolinium enhancement can also be added to assess the LA wall for fibrosis [31].
Four-dimensional flow (4D-flow) has been developed to achieve a comprehensive acquisition of blood flow through the heart [32, 33]. Phase-contrast flow-encoding acquisitions are performed in all three spatial dimensions of space and time along the cardiac cycle (3D + time = 4D). This technique has existed since earlier 1990s; however, computational and hardware limitations limited its clinical applicability [34]. During the last decade, both computational power and hardware development have allowed for a realistic integration into clinical settings. In recent years, a scientific consensus and acquisition recommendations have been published with the purpose of standardizing the acquisition and analysis of 4D-flow data [35, 36, 37]. Acquisition parameters are optimized to provide the best possible imaging accuracy in each protocol. For AF imaging, the slab acquisition can be sagittal or axial with whole-heart coverage using isotropic spatial resolution (2–2.5 mm). Retrospectively ECG-gated acquisition with 30 phases is advised for adequate coverage of the cardiac cycle. A respiratory navigator can be used to reduce respiratory motion. Acceleration methods, such as parallel imaging or compressed sensing, can be used to achieve an acquisition time between 5 and 10 min. A sample of acquisition is illustrated in Figure 2.
Acquisition planning of 4D-flow. Region of interest covers the whole heart, as illustrated by the blue rectangle. The acquisition requires electrocardiogram gating and respiratory control, as it is shown by the small orange rectangle. Velocity encoding in each direction of the volume of interest is used to obtain velocity phases, which are subtracted from encoding reference to calculate blood flow velocities within the volume (X, Y, Z). The cardiac cycle average magnitude facilitates the anatomic visualization of the heart.
There have been efforts to quantify 4D-flow measurements to improve diagnosis and evaluation of disease and risk assessment of AF (Table 1).
Study | Cohorts size (n) | Flow parameters | Findings |
---|---|---|---|
Fluckiger et al. (2013) [38] | Paroxysmal AF (n = 6), Persistent AF (n = 4), Controls (n = 19) | Mean velocity | Mean velocity decrease in persistent AF. |
Markl et al. (2016) [39] | AF sinus rhythm (n = 42), AF in fibrillation (n = 39), Young controls (n = 10), Adult controls (n = 20) | LA peak velocity, LA time-to-peak velocity, LA flow stasis | LA peak velocity increases during fibrillation. LA flow stasis increases during sinus rhythm and fibrillation. |
Lee et al. (2016) [40] | AF (n = 40), Young controls (n = 24), Adult controls (n = 20) | LA mean velocity, LA median velocity, and LA peak velocity | LA mean and median velocities significantly decrease. CHA2DS2-VASc score inversely correlated with mean, median, and peak velocity. |
Markl et al. (2016) [41] | AF-sinus (n = 30), AF-afib (n = 30), Controls (n = 15) | Mean and peak velocity, LA and LAA Stasis | Individual variability of flow patterns in AF patients, despite the same CHA2DS2-VASc score. CHA2DS2-VASc is positively associated with LA flow stasis, but negatively with LA velocity. |
Garcia et al. (2020) [42] | Paroxysmal AF (n = 45), Adult controls (n = 15) | Mean, median, and peak LA velocities, pulmonary vein peak velocity, LA blood flow stasis, and vortex size | Mean and median LA velocity decreases. Pulmonary veins peak velocity decreases. LA blood flow stasis increases. LA vortex size increases and correlates with CHA2DS2-VASc score. |
Kim et al. (2020) [43] | Paroxysmal AF (n = 28), Controls (n = 10) | LA peak velocity, LV delayed ejection, LV residual volume, valve regurgitation | LV residual volume decreases. LV delayed ejection increases. |
Demirkiran et al. (2021) [44] | Paroxysmal AF (n = 10), Adult controls (n = 5) | LA velocity (mean and peak), LA and LAA blood flow stasis, LA KE (mean and peak) | LA mean/peak velocities decreases. LA and LAA blood flow stasis increases. Mean and peak KE decreases. |
Spartera et al. (2021) [45] | AF-afib (n = 22), AF-sinus (n = 64) | Mean and peak velocity, blood flow stasis, LA vorticity, LA vortex volume | LA peak velocity and vorticity showed reproducibility, stability, and demonstrated similar interval-scan variability |
Spartera et al. (2021) [46] | Persistent AF (n = 37), High risk controls (n = 35), Low risk controls (n = 23) | Velocity (mean and peak), vortex to LA volume ratio, vorticity | Regardless of a history of AF, the high-risk group display altered flow characteristics |
Summary of 4D-flow studies on AF. Flow parameter comparisons between healthy controls and AF patients have revealed consistent differences, such as reduced flow velocity and increased stasis. In recent years, the interest in novel flow parameters and association with risk factors are grown.
LA: left atrium; LAA: left atrial appendage; AF: atrial fibrillation; AF-sinus: previous history of AF, but in sinus rhythm at time of imaging; AF-afib: in AF at the time of imaging; KE: kinetic energy; CHA2DS2-VASc: stroke risk stratification system that accounts for the patient history of congestive heart failure, hypertension, age > 75 years, diabetes mellitus, stroke, vascular disease, age between 64 and 75 years, and sex.
An initial application of 4D-flow is the generation of phase-contrast angiogram (PC MRA), which can be obtained by multiplying the velocity magnitude and the cine magnitude volumes. One of the advantages of PC MRA versus the CE MRA is that it can be obtained without contrast and allow us to obtain comparable anatomic characterization for the pulmonary veins (Figure 3). One limitation is the limited characterization of the LAA. The primary method of characterizing hemodynamics in LA, from 3D blood flow velocities, is to take an average from all voxels through a whole cardiac cycle or peak velocity. Although there is some contradiction between studies, most of the recent studies characterizing AF blood flow with relatively large cohorts agree that there is a significant decrease in mean and peak flow velocity in LA, even in paroxysmal AF patients with sinus rhythm [39, 40, 41, 42, 44]. Most notably, the increase in CHA2DS2-VASc score has been associated with reduced mean LA velocity [40, 41], which suggests that 4D-flow measurement may be able to improve risk assessment.
Comparison of contrast-enhanced angiogram and phase-contrast angiogram in a patient with atrial fibrillation. Contrast-enhanced (CE) acquisition requires the use of an agent to depict the left atrial anatomy. Phase-contrast (PC) angiograms derived from 4D-flow do not require the use of a contrast agent. CE angiogram benefits from a higher spatial resolution (1 mm isotropic) than PC angiogram (~2.5 mm isotropic). Both the acquisitions are useful to characterize the pulmonary vein structure.
Kinetic energy, which is proportional to the mean square of velocity, was also markedly lower in AF patients than in controls [44]. Similarly, energy loss is also reduced (Figure 4). Left atrial flow stasis map proposed by Markl et al. [39] focuses on the flow stagnation at individual voxel. This method counts the number of time frames under threshold velocity (0.1 m/s) at each voxel, which is supposed to increase the chance of thrombosis. The result can be shown as a map projected on the MRA image as well as the average ratio relative to the one whole heart cycle. Several studies have consistently reported flow stasis to be elevated in AF patients both in sinus rhythm and in fibrillation [39, 41, 42, 45]. An example of flow stasis is displayed in Figure 5.
Kinetic energy and energy loss. On the left, a control quantification sample of energy loss (EL) and kinetic energy (KE) in the left atrium (LA). On the right, a preablation atrial fibrillation (AF) patient. Local energy differences are mostly generated from the pulmonary veins during inflow, as it is showed by the red regions. RA: right atrium; RV: right ventricle; LV: left ventricle.
Left atrial stasis maps. Sample of a patient 3D stasis map pre- and postablation showing regions with elevated stasis (red arrows). Larger stasis regions are indicators of possible thrombus formation. The region near the left atrial appendage typically shows elevated stasis after ablation.
In addition, flow patterns through the pulmonary vein into the LA have been studied [42]. The 3D asymmetrical configuration of the systemic pulmonary veins allows the development of vortical flow patterns during early diastolic LV filling while avoiding/reducing blood stasis [42]. AF patients often show LA inflow fragmentation and vortex formation in the LA (see Figure 6). Increment of vortex size can be observed in paroxysmal AF, and it is associated with higher risk score. Similarly, decreased LA velocity and increased LA blood flow stasis have also been reported in the LAA [41, 44]. However, 4D-flow MRI special resolution may not facilitate the accurate segmentation the LAA [35]. Despite the latter, 4D-flow parameters have shown excellent reliability and reproducibility in AF patients [45]. LA peak velocity and vorticity were found to be more reproducible and independent of physiological biomarkers than LA mean velocity, LA vortex volume, and blood flow stasis.
Evolution of atrial vortex formation in atrial fibrillation. A vortex typically forms during left atrial inflow and tends to disappear during ejection. However, in atrial fibrillation patients, small vortices remain in the atrium during the cardiac cycle.
There was an approach to associate risk factors with LA flow characteristics [46]. This study presented patients with moderate to high CHA2DS2-VASc scores have impaired LA flow parameters even though they have restored from arrhythmia or have no AF history. Recently, a novel sequence to evaluate 3D hemodynamics with a fully self-gated and free-running sequence, called 5D flow, has been proposed [47]. This method extracts cardiac and respiratory signals from SI projection signals, eliminating the need for ECG gating, and adds the respiratory phase as the fifth dimension by sorting acquired scan lines according to respiratory signal. This method can be extended to be used in AF patients by replacing the respiratory dimension with the RR length dimension to tackle the variability of arrhythmic heartbeats [48]. The study successfully found a correlation between flow parameters and AF burden with reasonable scan time (<10 min).
In conclusion, advances in cardiac magnetic resonance imaging can facilitate the assessment of cardiac function and left atrial structure. This chapter aimed to introduce a standard cardiac MRI protocol for atrial fibrillation. Advanced hemodynamics using 4D-flow can improve the assessment of the left atrium flow patterns and efficiency throughout the cardiac cycle. Novel flow biomarkers such as 3D stasis, kinetic energy, or vortex formation may unmask the presence of LA/LV disease in atrial fibrillation.
The authors were supported by The University of Calgary, URGC SEM #1054341 and JG start-up funding. Research unrestricted funding was also provided by The Libin Cardiovascular Institute and Siemens Healthineers. JG acknowledges the Natural Science and Engineering Research Council of Canada, grants RGPIN-2020-04549 and DGECR-2020-00204.
The authors have no conflict of interest.
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The CC BY 3.0 and CC BY 4.0 license permits Works to be freely shared in any medium or format, as well as the reuse and adaptation of the original contents of Works (e.g. figures and tables created by the Authors), as long as the source Work is cited and its Authors are acknowledged in the following manner:
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\\n"}]'},components:[{type:"htmlEditorComponent",content:'Copyright is the term used to describe the rights related to the publication and distribution of original Works. Most importantly from a publisher's perspective, copyright governs how Authors, publishers and the general public can use, publish, and distribute publications.
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\n\nAll Works published on the IntechOpen platform and in print are licensed under a Creative Commons Attribution 3.0 Unported and Creative Commons 4.0 International License, a license which allows for the broadest possible reuse of published material.
\n\nCopyright on the individual Works belongs to the specific Author, subject to an agreement with IntechOpen. The Creative Common license is granted to all others to:
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\n\nDISCLAIMER: Neither the CC BY 3.0 license, CC BY 4.0, nor any other license IntechOpen currently uses or has used before, applies to figures and tables reproduced from other works, as they may be subject to different terms of reuse. In such cases, if the copyright holder is not noted in the source of a figure or table, it is the responsibility of the User to investigate and determine the exact copyright status of any information utilised. Users requiring assistance in that regard are welcome to send an inquiry to permissions@intechopen.com.
\n\nAll rights to Books and Journals and all other compilations published on the IntechOpen platform and in print are reserved by IntechOpen.
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\n\nCopyright to the individual Works (Chapters) belongs to their specific Authors, subject to an agreement with IntechOpen and the Creative Common license granted to all others to:
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\n\nAll Book cover design elements, as well as Video image graphics are subject to copyright by IntechOpen.
\n\nEvery reproduction of a front cover image must be accompanied by an appropriate Copyright Notice displayed adjacent to the image. The exact Copyright Notice depends on who the Author of a particular cover image is. Users wishing to reproduce cover images should contact permissions@intechopen.com.
\n\nAll Video Lectures under IntechOpen's production are subject to copyright and are property of IntechOpen, unless defined otherwise, and are licensed under the Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license. This grants all others the right to:
\n\nShare — copy and redistribute the material in any medium or format
\n\nUnder the following terms:
\n\nUsers wishing to repost and share the Video Lectures are welcome to do so as long as they acknowledge the source in the following manner:
\n\n© {year} IntechOpen. Published under CC BY-NC-ND 4.0 license. Available from: {DOI}
\n\nUsers wishing to reuse, modify, or adapt the Video Lectures in a way not permitted by the license are welcome to contact us at permissions@intechopen.com to discuss waiving particular license terms.
\n\nAll software used on the IntechOpen platform, any used during the publishing process, and the copyright in the code constituting such software, is the property of IntechOpen or its software suppliers. As such, it may not be downloaded or copied without permission.
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Hydrocarbon gases (natural gas and flue gas) used for miscible oil displacement in some large reservoirs. These displacements may simply amount to “pressure maintenance” in the reservoir. In such flooding techniques, the minimum miscibility pressure determined through multiple contact experiments and swelling test to determine the optimum injection conditions.",book:{id:"6804",slug:"carbon-capture-utilization-and-sequestration",title:"Carbon Capture, Utilization and Sequestration",fullTitle:"Carbon Capture, Utilization and Sequestration"},signatures:"Abdelaziz Nasr El-hoshoudy and Saad Desouky",authors:[{id:"201556",title:"Dr.",name:"Abdelaziz",middleName:"Nasr",surname:"El-Hoshoudy",slug:"abdelaziz-el-hoshoudy",fullName:"Abdelaziz El-Hoshoudy"},{id:"253401",title:"Prof.",name:"Saad",middleName:null,surname:"Desouky",slug:"saad-desouky",fullName:"Saad Desouky"}]},{id:"62458",doi:"10.5772/intechopen.79336",title:"Enhancing Carbon Sequestration Using Organic Amendments and Agricultural Practices",slug:"enhancing-carbon-sequestration-using-organic-amendments-and-agricultural-practices",totalDownloads:1933,totalCrossrefCites:8,totalDimensionsCites:13,abstract:"Carbon sequestration (CS) is an important strategy for the mitigation of climate change (CC) as well as for improving the soil fertility of agricultural soils. Carbon sequestration in crop lands and rangelands requires a certain amount of organic matter (OM) presence in the soil called soil organic matter (SOM). Organic amendments like animal and poultry manures, the incorporation of different crop residues, different types of compost, sugarcane bagasse, peat soils, different wood chips, biochar and good agricultural practices like cover crops, nutrient management, mulching, zero and no-tillage techniques, soil biota management and mulching are effectively used for this purpose. These enhance the SOM and improve the soil’s physical and chemical properties which help to sequester more C in soil which ultimately contributes towards CS and CC mitigation.",book:{id:"6804",slug:"carbon-capture-utilization-and-sequestration",title:"Carbon Capture, Utilization and Sequestration",fullTitle:"Carbon Capture, Utilization and Sequestration"},signatures:"Zia Ur Rahman Farooqi, Muhammad Sabir, Nukshab Zeeshan,\nKhurram Naveed and Muhammad Mahroz Hussain",authors:[{id:"250964",title:"Mr.",name:"Zia Ur Rahman",middleName:null,surname:"Farooqi",slug:"zia-ur-rahman-farooqi",fullName:"Zia Ur Rahman Farooqi"},{id:"261006",title:"Mr.",name:"Muhammad",middleName:null,surname:"Sabir",slug:"muhammad-sabir",fullName:"Muhammad Sabir"},{id:"261007",title:"Mr.",name:"Nukshab",middleName:null,surname:"Zeeshan",slug:"nukshab-zeeshan",fullName:"Nukshab Zeeshan"}]},{id:"63073",doi:"10.5772/intechopen.79347",title:"Carbon Sequestration in Soils: The Opportunities and Challenges",slug:"carbon-sequestration-in-soils-the-opportunities-and-challenges",totalDownloads:3898,totalCrossrefCites:4,totalDimensionsCites:11,abstract:"Recently, the contributions of the soil in various ecosystems have become more prominent with the recognition of its role as a carbon sink and the potential of that in reducing the concentration of carbon dioxide (CO2), which is a vital greenhouse gas, from the atmosphere. Conversely, the soil capacity to increase the concentration of CO2 in the atmosphere through mineralization of organic matter is also a source of concern. Mineralization of only 10% of the soil organic carbon pool globally is believed to be equivalent to about 30 years of anthropogenic emissions. This underscores the need to preventing carbon loss (emission) from the soil resource. Globally, the soil contains a large carbon pool estimated at approximately 1500Gt of organic carbon in the first one meter of the soil profile. This is much higher than the 560 Gt of carbon (C) found in the biotic pool and twice more than atmospheric CO2. By holding this huge carbon stock, the soil is preventing carbon dioxide build up in the atmosphere which will confound the problem of climate change. There are a lot of strategies used in sequestering carbon in different soils, however, many challenges are being encountered in making them cost effective and widely acceptable.",book:{id:"6804",slug:"carbon-capture-utilization-and-sequestration",title:"Carbon Capture, Utilization and Sequestration",fullTitle:"Carbon Capture, Utilization and Sequestration"},signatures:"Ahmed Chinade Abdullahi, Chamhuri Siwar, Mohamad Isma’il\nShaharudin and Isahak Anizan",authors:[{id:"242472",title:"Dr.",name:"Ahmed",middleName:"Chinade",surname:"Abdullahi",slug:"ahmed-abdullahi",fullName:"Ahmed Abdullahi"},{id:"243316",title:"Prof.",name:"Chamhuri",middleName:null,surname:"Siwar",slug:"chamhuri-siwar",fullName:"Chamhuri Siwar"},{id:"243317",title:"Dr.",name:"Anizan",middleName:null,surname:"Isahak",slug:"anizan-isahak",fullName:"Anizan Isahak"},{id:"243318",title:"Mr.",name:"Shaharuddin",middleName:null,surname:"Mohamad",slug:"shaharuddin-mohamad",fullName:"Shaharuddin Mohamad"}]},{id:"705",doi:"10.5772/5307",title:"Assessment of Air Quality in an Urban Area of Belgrade, Serbia",slug:"assessment_of_air_quality_in_an_urban_area_of_belgrade__serbia",totalDownloads:5169,totalCrossrefCites:2,totalDimensionsCites:11,abstract:null,book:{id:"3597",slug:"environmental_technologies",title:"Environmental Technologies",fullTitle:"Environmental Technologies"},signatures:"Mirjana Tasic, Slavica Rajsic, Milica Tomasevic, Zoran Mijic, Mira Anicic, Velibor Novakovic, Dragan M. 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How much carbon becomes stored long term or buried to become genuinely sequestered varies with a wide range of factors, e.g. geography, history, substratum etc. The Arctic and Antarctic are dynamic and in a phase of rapid but contrasting, complex physical change and marine organismal carbon capture and storage is altering in response. For example, an ice shelf calving a 5000 km2 iceberg actually results in 106 tons of additional blue carbon per year. Polar blue carbon increases have resulted from new and longer climate-forced, phytoplankton blooms driven by sea ice losses and ice shelf collapses. Polar blue carbon gains with sea ice losses are probably the largest natural negative feedback against climate change. Here the current status, variability and future of polar blue carbon is considered.",book:{id:"6804",slug:"carbon-capture-utilization-and-sequestration",title:"Carbon Capture, Utilization and Sequestration",fullTitle:"Carbon Capture, Utilization and Sequestration"},signatures:"David Keith Alan Barnes",authors:[{id:"244831",title:"Dr.",name:"David",middleName:"K A",surname:"Barnes",slug:"david-barnes",fullName:"David Barnes"}]}],mostDownloadedChaptersLast30Days:[{id:"75768",title:"Introductory Chapter: Green Computing Technologies and Industry in 2021",slug:"introductory-chapter-green-computing-technologies-and-industry-in-2021",totalDownloads:511,totalCrossrefCites:0,totalDimensionsCites:0,abstract:null,book:{id:"10455",slug:"green-computing-technologies-and-computing-industry-in-2021",title:"Green Computing Technologies and Computing Industry in 2021",fullTitle:"Green Computing Technologies and Computing Industry in 2021"},signatures:"Albert Sabban",authors:[{id:"16889",title:"Dr.",name:"Albert",middleName:null,surname:"Sabban",slug:"albert-sabban",fullName:"Albert Sabban"}]},{id:"62098",title:"CO2 Miscible Flooding for Enhanced Oil Recovery",slug:"co2-miscible-flooding-for-enhanced-oil-recovery",totalDownloads:2002,totalCrossrefCites:8,totalDimensionsCites:13,abstract:"Carbon capture aims to mitigate the emission of CO2 by capturing it at the point of combustion then storing it in geological reservoirs or applied through enhanced oil recovery (EOR) in a technology known as miscible flooding, so reduce CO2 atmospheric emissions. Miscible CO2-EOR employs supercritical CO2 to displace oil from a depleted oil reservoir. CO2 improve oil recovery by dissolving in, swelling, and reducing the oil viscosity. Hydrocarbon gases (natural gas and flue gas) used for miscible oil displacement in some large reservoirs. These displacements may simply amount to “pressure maintenance” in the reservoir. In such flooding techniques, the minimum miscibility pressure determined through multiple contact experiments and swelling test to determine the optimum injection conditions.",book:{id:"6804",slug:"carbon-capture-utilization-and-sequestration",title:"Carbon Capture, Utilization and Sequestration",fullTitle:"Carbon Capture, Utilization and Sequestration"},signatures:"Abdelaziz Nasr El-hoshoudy and Saad Desouky",authors:[{id:"201556",title:"Dr.",name:"Abdelaziz",middleName:"Nasr",surname:"El-Hoshoudy",slug:"abdelaziz-el-hoshoudy",fullName:"Abdelaziz El-Hoshoudy"},{id:"253401",title:"Prof.",name:"Saad",middleName:null,surname:"Desouky",slug:"saad-desouky",fullName:"Saad Desouky"}]},{id:"62458",title:"Enhancing Carbon Sequestration Using Organic Amendments and Agricultural Practices",slug:"enhancing-carbon-sequestration-using-organic-amendments-and-agricultural-practices",totalDownloads:1915,totalCrossrefCites:8,totalDimensionsCites:13,abstract:"Carbon sequestration (CS) is an important strategy for the mitigation of climate change (CC) as well as for improving the soil fertility of agricultural soils. Carbon sequestration in crop lands and rangelands requires a certain amount of organic matter (OM) presence in the soil called soil organic matter (SOM). Organic amendments like animal and poultry manures, the incorporation of different crop residues, different types of compost, sugarcane bagasse, peat soils, different wood chips, biochar and good agricultural practices like cover crops, nutrient management, mulching, zero and no-tillage techniques, soil biota management and mulching are effectively used for this purpose. These enhance the SOM and improve the soil’s physical and chemical properties which help to sequester more C in soil which ultimately contributes towards CS and CC mitigation.",book:{id:"6804",slug:"carbon-capture-utilization-and-sequestration",title:"Carbon Capture, Utilization and Sequestration",fullTitle:"Carbon Capture, Utilization and Sequestration"},signatures:"Zia Ur Rahman Farooqi, Muhammad Sabir, Nukshab Zeeshan,\nKhurram Naveed and Muhammad Mahroz Hussain",authors:[{id:"250964",title:"Mr.",name:"Zia Ur Rahman",middleName:null,surname:"Farooqi",slug:"zia-ur-rahman-farooqi",fullName:"Zia Ur Rahman Farooqi"},{id:"261006",title:"Mr.",name:"Muhammad",middleName:null,surname:"Sabir",slug:"muhammad-sabir",fullName:"Muhammad Sabir"},{id:"261007",title:"Mr.",name:"Nukshab",middleName:null,surname:"Zeeshan",slug:"nukshab-zeeshan",fullName:"Nukshab Zeeshan"}]},{id:"63073",title:"Carbon Sequestration in Soils: The Opportunities and Challenges",slug:"carbon-sequestration-in-soils-the-opportunities-and-challenges",totalDownloads:3893,totalCrossrefCites:3,totalDimensionsCites:10,abstract:"Recently, the contributions of the soil in various ecosystems have become more prominent with the recognition of its role as a carbon sink and the potential of that in reducing the concentration of carbon dioxide (CO2), which is a vital greenhouse gas, from the atmosphere. Conversely, the soil capacity to increase the concentration of CO2 in the atmosphere through mineralization of organic matter is also a source of concern. Mineralization of only 10% of the soil organic carbon pool globally is believed to be equivalent to about 30 years of anthropogenic emissions. This underscores the need to preventing carbon loss (emission) from the soil resource. Globally, the soil contains a large carbon pool estimated at approximately 1500Gt of organic carbon in the first one meter of the soil profile. This is much higher than the 560 Gt of carbon (C) found in the biotic pool and twice more than atmospheric CO2. By holding this huge carbon stock, the soil is preventing carbon dioxide build up in the atmosphere which will confound the problem of climate change. There are a lot of strategies used in sequestering carbon in different soils, however, many challenges are being encountered in making them cost effective and widely acceptable.",book:{id:"6804",slug:"carbon-capture-utilization-and-sequestration",title:"Carbon Capture, Utilization and Sequestration",fullTitle:"Carbon Capture, Utilization and Sequestration"},signatures:"Ahmed Chinade Abdullahi, Chamhuri Siwar, Mohamad Isma’il\nShaharudin and Isahak Anizan",authors:[{id:"242472",title:"Dr.",name:"Ahmed",middleName:"Chinade",surname:"Abdullahi",slug:"ahmed-abdullahi",fullName:"Ahmed Abdullahi"},{id:"243316",title:"Prof.",name:"Chamhuri",middleName:null,surname:"Siwar",slug:"chamhuri-siwar",fullName:"Chamhuri Siwar"},{id:"243317",title:"Dr.",name:"Anizan",middleName:null,surname:"Isahak",slug:"anizan-isahak",fullName:"Anizan Isahak"},{id:"243318",title:"Mr.",name:"Shaharuddin",middleName:null,surname:"Mohamad",slug:"shaharuddin-mohamad",fullName:"Shaharuddin Mohamad"}]},{id:"62027",title:"Chemical Absorption by Aqueous Solution of Ammonia",slug:"chemical-absorption-by-aqueous-solution-of-ammonia",totalDownloads:1208,totalCrossrefCites:0,totalDimensionsCites:2,abstract:"Carbon capture is proposed as a viable way of exploiting the fossil resources for power plants and industrial processes. The post-combustion capture by chemical absorption in amine aqueous solutions has been in use in chemical and petrochemical areas for decades. As an alternative, the absorption in aqueous ammonia has received great attention recently. The carbon capture by aqueous ammonia is based on the conventional absorption-regeneration scheme applied to the ternary system CO2–NH3–H2O. It can be implemented in a chilled and a cooled process, depending upon the temperatures in the absorber and, hence, the precipitation of salts. The process simulation can be conducted in two manners: the equilibrium and the rate-based approaches. The specific heat duty is as low as 3.0, for the cooled process, and 2.2 MJ/kgCO2, for the chilled one. Moreover, the index SPECCA is as low as 2.6, for the cooled, and 2.9 MJ/kgCO2, for the chilled one. The overall energy performances from the simulations in the rate-based approach, compared against those in the equilibrium approach, result only slightly penalized. 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Behind these definitions are hidden all the aspects of normal and pathological functioning of all processes that the topic ‘Metabolism’ will cover within the Biochemistry Series. 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Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. 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