Properties of DME [15], methane [15], n-heptane [16] and iso-octane [16].
\\n\\n
These books synthesize perspectives of renowned scientists from the world’s most prestigious institutions - from Fukushima Renewable Energy Institute in Japan to Stanford University in the United States, including Columbia University (US), University of Sidney (AU), University of Miami (USA), Cardiff University (UK), and many others.
\\n\\nThis collaboration embodied the true essence of Open Access by simplifying the approach to OA publishing for Academic editors and authors who contributed their research and allowed the new research to be made available free and open to anyone anywhere in the world.
\\n\\nTo celebrate the 50 books published, we have gathered them at one location - just one click away, so that you can easily browse the subjects of your interest, download the content directly, share it or read online.
\\n\\n\\n\\n\\n"}]',published:!0,mainMedia:null},components:[{type:"htmlEditorComponent",content:'
IntechOpen and Knowledge Unlatched formed a partnership to support researchers working in engineering sciences by enabling an easier approach to publishing Open Access content. Using the Knowledge Unlatched crowdfunding model to raise the publishing costs through libraries around the world, Open Access Publishing Fee (OAPF) was not required from the authors.
\n\nInitially, the partnership supported engineering research, but it soon grew to include physical and life sciences, attracting more researchers to the advantages of Open Access publishing.
\n\n\n\nThese books synthesize perspectives of renowned scientists from the world’s most prestigious institutions - from Fukushima Renewable Energy Institute in Japan to Stanford University in the United States, including Columbia University (US), University of Sidney (AU), University of Miami (USA), Cardiff University (UK), and many others.
\n\nThis collaboration embodied the true essence of Open Access by simplifying the approach to OA publishing for Academic editors and authors who contributed their research and allowed the new research to be made available free and open to anyone anywhere in the world.
\n\nTo celebrate the 50 books published, we have gathered them at one location - just one click away, so that you can easily browse the subjects of your interest, download the content directly, share it or read online.
\n\n\n\n\n'}],latestNews:[{slug:"intechopen-supports-asapbio-s-new-initiative-publish-your-reviews-20220729",title:"IntechOpen Supports ASAPbio’s New Initiative Publish Your Reviews"},{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"}]},book:{item:{type:"book",id:"7461",leadTitle:null,fullTitle:"Management of Tinnitus - The Enriching Views of Treatment Options",title:"Management of Tinnitus",subtitle:"The Enriching Views of Treatment Options",reviewType:"peer-reviewed",abstract:"Tinnitus (\"ringing in the ears\") is a serious health condition that can negatively affect a patient's quality of life. Although there is presently no way to cure tinnitus, there are some good, well-established methods that can significantly reduce the burden of tinnitus. Importantly, the only way to success is to understand the detailed knowledge offered by clinicians and researchers. Based on these concepts, the book incorporates updated developments as well as future perspectives in the ever-expanding field of tinnitus. This book can also serve as a reference for persons involved in this field whether they are clinicians, researchers, or patients. Once we've integrated the views of various disciplines and treatment options, we can go forth to manage tinnitus well.",isbn:"978-1-78985-326-1",printIsbn:"978-1-78985-325-4",pdfIsbn:"978-1-78985-631-6",doi:"10.5772/intechopen.75486",price:100,priceEur:109,priceUsd:129,slug:"management-of-tinnitus-the-enriching-views-of-treatment-options",numberOfPages:86,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"9626e5a89247b934de503a3d08752e14",bookSignature:"Tang-Chuan Wang",publishedDate:"July 17th 2019",coverURL:"https://cdn.intechopen.com/books/images_new/7461.jpg",numberOfDownloads:5828,numberOfWosCitations:0,numberOfCrossrefCitations:1,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:2,numberOfDimensionsCitationsByBook:0,hasAltmetrics:1,numberOfTotalCitations:3,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"February 23rd 2018",dateEndSecondStepPublish:"March 16th 2018",dateEndThirdStepPublish:"May 15th 2018",dateEndFourthStepPublish:"August 3rd 2018",dateEndFifthStepPublish:"October 2nd 2018",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"201262",title:"Dr.",name:"Tang-Chuan",middleName:null,surname:"Wang",slug:"tang-chuan-wang",fullName:"Tang-Chuan Wang",profilePictureURL:"https://mts.intechopen.com/storage/users/201262/images/system/201262.gif",biography:"Dr. Tang-Chuan Wang is an otolaryngologist and head and neck surgeon in Taiwan. He is also a research scholar at Harvard Medical School and the University of Iowa hospital. He has extensive work experience in the United States, including at Stanford University, the University of Pennsylvania, Boston Children\\'s Hospital, and Massachusetts Eye and Ear. In addition to clinical and basic medicine, Dr. Wang is interested in public health. In recent years, he has devoted his time to innovation and telemedicine. Due to his contribution to biodesign, he was invited to join the executive committee of the Metal Industries R & D Center, Taiwan.",institutionString:"China Medical University Hsinchu Hospital",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"2",totalChapterViews:"0",totalEditedBooks:"3",institution:{name:"China Medical University",institutionURL:null,country:{name:"Taiwan"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"1099",title:"Otology",slug:"otology"}],chapters:[{id:"67805",title:"Introductory Chapter: Management of Tinnitus - The Views of Various Disciplines",doi:"10.5772/intechopen.87242",slug:"introductory-chapter-management-of-tinnitus-the-views-of-various-disciplines",totalDownloads:817,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:null,signatures:"Tang-Chuan Wang and Yi-Chien Ho",downloadPdfUrl:"/chapter/pdf-download/67805",previewPdfUrl:"/chapter/pdf-preview/67805",authors:[{id:"201262",title:"Dr.",name:"Tang-Chuan",surname:"Wang",slug:"tang-chuan-wang",fullName:"Tang-Chuan Wang"}],corrections:null},{id:"64341",title:"Audiological Tinnitus Management: An Essential Audiological Protocol for Elderly Patients with Comorbidity of Hypertension and Tinnitus",doi:"10.5772/intechopen.81854",slug:"audiological-tinnitus-management-an-essential-audiological-protocol-for-elderly-patients-with-comorb",totalDownloads:941,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Elderly population with comorbidity of hypertension and tinnitus is increasing across the world, and the dilemma in the management of such elderly patients across the neurology and audiology/otology clinics seems enormous due to the attendant effects of such health-related comorbid conditions and ageing. This has been observed to have negative effect on the general well-being of quite a number of the elderly patients identified with the comorbid health conditions. It has also increased the tinnitus severity and related psychosocial reactions of the elderly patients. Worse still, the situation causes undulating increase in the prevalence of the comorbid condition of advanced age both male and female irrespective of cultural differences. Due to the aforementioned, this chapter is written with the aim of highlighting the efficacy of audiological tinnitus management options considered essential in the rehabilitation of individuals with comorbidity of hypertension and tinnitus. The chapter also discusses the benefits of combined therapies in rehabilitating elderly patients with comorbidity of hypertension and tinnitus and concluded with some useful recommendations for effective management of the comorbid condition.",signatures:"Ayo Osisanya",downloadPdfUrl:"/chapter/pdf-download/64341",previewPdfUrl:"/chapter/pdf-preview/64341",authors:[{id:"247845",title:"Dr.",name:"Ayo",surname:"Osisanya",slug:"ayo-osisanya",fullName:"Ayo Osisanya"}],corrections:null},{id:"62554",title:"Temporomandibular Joint Disorders and Tinnitus",doi:"10.5772/intechopen.79453",slug:"temporomandibular-joint-disorders-and-tinnitus",totalDownloads:1365,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Tinnitus is defined as a sound a person hears that is generated by the body, rather than by outside source. The word tinnitus is derived from the Latin “tinnire” meaning “to ring” and is perceived as ringing, buzzing, or hissing in or around the ear(s). Approximately 50 million Americans are affected, while there is a prevalence of 10% in the United Kingdom among adult population. It has multiple etiologies and is sometimes idiopathic. Tinnitus may vary widely to pitch, loudness, description of sound, special localization, and temporal pattern. Most often, tinnitus is associated with other aural symptoms, such as hearing loss and hyperacusis. Tinnitus may result in sleep disturbances, work impairments, distress. Males are more likely to suffer from tinnitus. In the mechanically demanding and biochemically active environment of the temporomandibular joint (TMJ), therapeutic approaches are capable of restoring joint functionality. TMJ treatments including splints, occlusal adjustments, and jaw exercises have been shown to be more effective than no treatment. The following chapter presents a synopsis of etiology, current treatment methods, and the future of tissue engineering for repairing and/or replacing diseased joint components, specifically the mandibular condyle and TMJ disc.",signatures:"Henrique F. Pauna, Maria S.A. Amaral and Miguel Â. Hyppolito",downloadPdfUrl:"/chapter/pdf-download/62554",previewPdfUrl:"/chapter/pdf-preview/62554",authors:[{id:"88917",title:"Prof.",name:"Miguel",surname:"Hyppolito",slug:"miguel-hyppolito",fullName:"Miguel Hyppolito"},{id:"247573",title:"Dr.",name:"Henrique Furlan",surname:"Pauna",slug:"henrique-furlan-pauna",fullName:"Henrique Furlan Pauna"},{id:"256757",title:"Dr.",name:"Maria Stella",surname:"Arantes Amaral",slug:"maria-stella-arantes-amaral",fullName:"Maria Stella Arantes Amaral"}],corrections:null},{id:"64887",title:"Herbal Medicine in the Management of Tinnitus",doi:"10.5772/intechopen.81320",slug:"herbal-medicine-in-the-management-of-tinnitus",totalDownloads:1412,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:1,abstract:"Tinnitus, which is commonly defined as “ringing in the ears” by the patients, is a perception of an auditory sensation without any accompanying external stimulation. It accounts for a notable part of visits in otolaryngology clinics and has been estimated to involve about 5–15% of adult population making serious problems in 3–5% of patients. Tinnitus causes a lot of problems for patients, their family, and guardians and significantly decreases quality of life of patients. Many treatment methods have been proposed and presented for Tinnitus since the first year of diagnosis. These methods range from conservative management and chemical medications to surgical methods. As the other diseases and conditions, herbal medicine has been trying to treat Tinnitus and a variety of medications have been proposed. In this chapter, we aimed to have a comprehensive review on the current herbal medications of Tinnitus from all over the world.",signatures:"Mohammad Hossein Khosravi, Masoumeh Saeedi, Jaleh Yousefi, Ali Bagherihagh and Elnaz Ahmadzadeh",downloadPdfUrl:"/chapter/pdf-download/64887",previewPdfUrl:"/chapter/pdf-preview/64887",authors:[{id:"214323",title:"Dr.",name:"Mohammad Hossein",surname:"Khosravi",slug:"mohammad-hossein-khosravi",fullName:"Mohammad Hossein Khosravi"},{id:"214324",title:"Dr.",name:"Masoumeh",surname:"Saeedi",slug:"masoumeh-saeedi",fullName:"Masoumeh Saeedi"},{id:"263760",title:"Dr.",name:"Jaleh",surname:"Yousefi",slug:"jaleh-yousefi",fullName:"Jaleh Yousefi"},{id:"263761",title:"Dr.",name:"Ali",surname:"Bagherihagh",slug:"ali-bagherihagh",fullName:"Ali Bagherihagh"},{id:"263762",title:"BSc.",name:"Elnaz",surname:"Ahmadzadeh",slug:"elnaz-ahmadzadeh",fullName:"Elnaz Ahmadzadeh"}],corrections:null},{id:"65321",title:"Complementary and Alternative Treatments for Tinnitus",doi:"10.5772/intechopen.83465",slug:"complementary-and-alternative-treatments-for-tinnitus",totalDownloads:1293,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:"Tinnitus is described as the perception of sound without any external acoustic stimulation. Any pathology of auditory pathways or any system of the human body may result with tinnitus. The pathophysiology of tinnitus accompanying the disorders of auditory system is not fully understood. In researches, a lot of therapy modalities have been used many years but there is no definitive treatments for tinnitus. Pharmacological treatments of various pharmacological interventions have been investigated for the treatment of tinnitus. However, no drug has been approved by the US Food and Drug Administration (FDA) or the European Medicines Agency (EMA) for the treatment of tinnitus. The use of complementary and alternative medicine (CAM) is very popular in most countries, and several CAM products are often used by individuals with tinnitus with or without medical guidance. Nonconventional approaches for tinnitus have increased in prevalence and acceptance among both patients and practitioners. Many of these approaches have been shown to benefit some tinnitus sufferers. Complementary treatments may be particularly well suited for treating the dysfunction associated with tinnitus, as they specifically target aspects of tinnitus that are often overlooked in conventional medicine. CAM has frequently been used to treat tinnitus. The objective of this review was to assess complementary therapies as a treatment for the tinnitus.",signatures:"Ismail Aytaç",downloadPdfUrl:"/chapter/pdf-download/65321",previewPdfUrl:"/chapter/pdf-preview/65321",authors:[{id:"247703",title:"M.D.",name:"İsmail",surname:"Aytaç",slug:"ismail-aytac",fullName:"İsmail Aytaç"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"10529",title:"Hearing Loss",subtitle:"From Multidisciplinary Teamwork to Public Health",isOpenForSubmission:!1,hash:"a4b7dbb02ba00e7412422cd5dbffa029",slug:"hearing-loss-from-multidisciplinary-teamwork-to-public-health",bookSignature:"Tang-Chuan Wang",coverURL:"https://cdn.intechopen.com/books/images_new/10529.jpg",editedByType:"Edited by",editors:[{id:"201262",title:"Dr.",name:"Tang-Chuan",surname:"Wang",slug:"tang-chuan-wang",fullName:"Tang-Chuan 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This book presents recent achievements related to NMs such as graphene, carbon nanotubes, plasmonic materials, metal nanowires, metal oxides, nanoparticles, metamaterials, nanofibers, and nanocomposites, along with their physical and chemical aspects. Additionally, the book discusses the potential uses of these nanomaterials in photodetectors, transistors, quantum technology, chemical sensors, energy storage, silk fibroin, composites, drug delivery, tissue engineering, and sustainable agriculture and environmental applications.",isbn:"978-1-80355-085-5",printIsbn:"978-1-80355-084-8",pdfIsbn:"978-1-80355-086-2",doi:"10.5772/intechopen.94802",price:139,priceEur:155,priceUsd:179,slug:"21st-century-nanostructured-materials-physics-chemistry-classification-and-emerging-applications-in-industry-biomedicine-and-agriculture",numberOfPages:388,isOpenForSubmission:!1,isSalesforceBook:!1,isNomenclature:!1,hash:"72c67f97f9bef68200df115b5fd79884",bookSignature:"Phuong V. Pham",publishedDate:"April 20th 2022",coverURL:"https://cdn.intechopen.com/books/images_new/10779.jpg",keywords:null,numberOfDownloads:2936,numberOfWosCitations:0,numberOfCrossrefCitations:4,numberOfDimensionsCitations:8,numberOfTotalCitations:12,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"June 24th 2021",dateEndSecondStepPublish:"July 22nd 2021",dateEndThirdStepPublish:"September 20th 2021",dateEndFourthStepPublish:"December 9th 2021",dateEndFifthStepPublish:"February 7th 2022",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"a year",secondStepPassed:!0,areRegistrationsClosed:!0,currentStepOfPublishingProcess:5,editedByType:"Edited by",kuFlag:!1,biosketch:"A pioneering scientist in materials science, electronics devices, plasma engineering, chemical synthesis, transfer strategies of thin films, doping mechanism, plasma engineering appointed as Editorial Members/Academic Editor of Scientific Journal/IntechOpen, AAAS, and ACS member and holder of two registered patents.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"236073",title:"Dr.",name:"Phuong",middleName:"Viet",surname:"Pham",slug:"phuong-pham",fullName:"Phuong Pham",profilePictureURL:"https://mts.intechopen.com/storage/users/236073/images/system/236073.png",biography:"Phuong V. Pham is a pioneering scientist in materials science and electronic devices. He is currently a senior scientist at the School of Micro-Nano Electronics and Hangzhou Global Scientific and Technological Innovation Center (HIC), Zhejiang University, China. He earned a Ph.D. from SKKU Advanced Institute of Nanotechnology (SAINT), Sungkyunkwan University (SKKU), South Korea. Then, he spent a few years as a postdoctoral researcher and research fellow at the School of Advanced Materials Science and Engineering, SKKU and the Center for Multidimensional Carbon Materials (CMCM), Institute for Basic Science (IBS), South Korea, respectively. He is a recipient of the NSF Career Award and the National Postdoctoral Award for Excellent Young Scientists, China. His research interests include low-dimensional materials, 2D material synthesis, twistronics, straintronics, 2D heterostructures, doping technique development, nanocomposites, block copolymers, plasma engineering for flexible display, sensors, photodetectors, transistors, organic light-emitting diodes, and wearable electronics.",institutionString:"Zhejiang University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"4",totalChapterViews:"0",totalEditedBooks:"2",institution:{name:"Zhejiang University",institutionURL:null,country:{name:"China"}}}],coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"208",title:"Material Science",slug:"nanotechnology-and-nanomaterials-material-science"}],chapters:[{id:"79483",title:"Physics of Nanostructure Design for Infrared Detectors",slug:"physics-of-nanostructure-design-for-infrared-detectors",totalDownloads:162,totalCrossrefCites:0,authors:[{id:"428664",title:"Prof.",name:"Nibir K.",surname:"Dhar",slug:"nibir-k.-dhar",fullName:"Nibir K. 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Since their introduction around a century ago, internal combustion engines have played a key role in shaping of the modern world [1]. Because of their simplicity, ruggedness and high power/weight ratio, internal combustion engine has found wide application in transportation [2]. Though there are technologies that could theoretically provide more environmentally sound alternatives, internal combustion engines, such as fuel cells and electric vehicles, practically, cost, efficiency and power density issues, will prevent them displacing internal combustion engines in the near future. However, in recent decades, serious concerns have been raised with regard to the environmental impact of emissions arising from operation of internal combustion engines. Eventually, concerns about climate change lead to ever-stricter fuel-economy legislations [2-4]. In addition, concerns about the world’s finite oil reserves result in heavy taxation of road transport, mainly via on duty on fuel [5]. These two factors have led to massive pressure on vehicle manufacturers to research, develop and produce ever cleaner and more fuel-efficient vehicles. Ultimately, all legislations for emissions from vehicles are targeted to improve technologies to the point where an affordable, practical zero emissions vehicle (ZEV) with outstanding performance becomes a reality [6]. Even though there are many types of real ZEVs, operated by fuel cells that consume hydrogen generated from water by electricity produced from renewable sources, it is very unlikely that the resulting vehicles could even come close to meeting any of the other criteria listed above in the short and medium terms [1, 2]. For this reason, the bulk of vehicle research and development resources are still being applied to the internal combustion engines to increase their efficiency.
\nThe purpose of internal combustion engines is the production of mechanical power from the chemical energy contained in the fuel. This chemical energy is released by burning or oxidizing the fuel inside the engine. The fuel-air mixture before combustion and burned products after combustion are the actual working fluids. The work transfers, which provide the desired power output, occur directly between these working fluids and the mechanical components of the engine.
\nAs Figure 1 shows, there are three main types of internal combustion engines:
Spark ignition (SI) engine
Compression ignition (CI) engine
Homogeneous charge compression ignition (HCCI) engine
Illustration of the combustion characteristics for spark ignition (SI) engine (left), compression ignition (CI) engine (right) and homogeneous charge compression ignition (HCCI) engine (middle).
In a SI engine, the fuel and air are mixed together in the intake system, inducted through the intake valve into the cylinder. Then, the fuel-air mixture is compressed towards the end of the compression stroke, and the combustion is initiated by a spark discharge at the spark plug. By spark discharge, an inflammation is occurred, and then a turbulent combustion developed fully through the premixed fuel-air mixture until it reaches the combustion chamber walls, and then extinguishes [7]. For CI engine, fuel is injected by the fuel-injection system in the engine cylinder towards the end of the compression stroke, just before the desired start of combustion. The liquid fuel is usually injected at high velocity through small nozzles in the injector tip, and atomized into small drops while penetrating into the engine in-cylinder. Then, with the high-temperature high-pressure in-cylinder air, the fuel is vaporized and mixed. When the in-cylinder air temperature and pressure are increased above the fuel’s ignition point, the ignition of portions of the already-mixed fuel and air occurs spontaneously after a delay period of a few milliseconds. The consequent compression of the unburned portion of the charge shortens the delay before ignition for the fuel and air which has mixed within combustible limits, which then burns rapidly [8]. Fundamentally, the HCCI combustion is a controlled autoignition of the homogeneous mixture through compression by piston [9]. To a degree, the HCCI engine is able to combine the best feature of SI engine and CI engine [10]. Similar to the SI engine, the fuel and air are mixed together and inducted to obtain a homogenous mixture, which can eliminate fuel-rich diffusion combustion, and can thus dramatically reduce the particulate matter (PM) that is the main problem of CI combustion. With the ignition process, similar to that of CI combustion, HCCI combustion is achieved through the autoignition of the fuel-air homogeneous mixture around the top dead centre (TDC) as it is compressed via the piston, which can lead to very low nitrogen oxides (NOx) by reducing a high-temperature flames when compared to that of SI combustion. Furthermore, the unthrottled operation of HCCI engines with relatively high compression ratio is possible at a very low fuel/air equivalence ratio (
Combustion-phasing control
Excessive heat-release rate (HRR) at high loads
Narrow operating range
The successful operation of an HCCI engine depends on using mechanical means to control both the autoignition and the combustion processes. The heat-release rate (HRR) from HCCI combustion depends not only on the unique reaction chemistry of the fuel but also on the thermal conditions that the in-cylinder charge mixture goes through during compression by piston. To enable to control the start of combustion as well as the overall combustion rate for HCCI combustion, it is critically important to have a resolute understanding of the interaction between the chemical-kinetic mechanisms of the fuel-air mixture and the history of in-cylinder temperature and pressure during the compression and expansion strokes.
\nA zero-dimensional single-zone engine model (referred to here as ‘single-zone model’) of CHEMKIN [12] in Chemkin-Pro [13] was used for this work. Using an engine with a connecting-rod length to crank-radius ratio of 3.5 and a compression ratio of 13, the complete compression and expansion strokes (i.e. from compression bottom dead centre (BDC) to expansion BDC) were modeled according to the standard slider-crank relationship [14]. The crevices and boundary layers were not included. The numerical calculations were conducted under following assumptions:
The in-cylinder charge is treated as a single lumped mass with uniform mixture composition and thermodynamic properties (homogenous in-cylinder charge).
The in-cylinder charge is compressed and expanded adiabatically (adiabatic change).
All species present in the in-cylinder charge are considered as the ideal gas (following the ideal gas law).
The total energy of the in-cylinder charge remains constant (following the first law of thermodynamics).
For the in-cylinder charge, the total mass of products equal to the total mass of reactants (following the law of conservation of mass).
These are great oversimplification of a real engine in which the fuel-air mixture will never be completely mixed and there will always be residuals from the previous cycle (mixture inhomogeneity). In addition, there are at least four causes for temperature inhomogeneity: (1) heat transfer from the in-cylinder charge to the cylinder wall, (2) presence of hot residuals from the previous cycle as a result of incomplete mixing, (3) dynamic flow effects during the intake stroke and (4) vaporization of the fuel, especially if injected directly into the cylinder. Because both mixture and temperature inhomogeneities for the in-cylinder charge will significantly affect the heat-release rate, the burn duration, the peak in-cylinder charge pressure, the peak combustion temperature and the amount of emissions, the single-zone model cannot accurately predict these values. Nonetheless, the single-zone model can provide useful results in at least two ways. First, the single-zone model has an advantage for predicting the autoignition timing with a reasonable accuracy because the autoignition timing is dominated by the autoignition reactions of the hottest zone in the core of in-cylinder charge. It can be thought as representing the close-to-adiabatic core in the experiment because the single-zone model is adiabatic. This indicates that the changes in the autoignition timing with EGR addition and boosting, and the amount of initial in-cylinder charge temperature at BDC required to compensate for these changes in the autoignition timing are realistic values. Second, the single-zone model is a useful tool for investigating certain fundamental aspects of HCCI combustion, since eliminating the complexities of mixture-temperature inhomogeneities, heat transfer, blow-by, and crevices and boundary layers simplifies the analysis and allows cause-and-effect relationships to be more easily identified. This means that it allows the effects of the bulk-gas (gases not in crevices or boundary layers) chemical-kinetics and thermodynamics to be isolated in order to understand how they alone influence the autoignition and the combustion process.
\nSince HCCI engine has the capability of operating with a variety of fuels, HCCI operation has been demonstrated for various fuels that have autoignition reactivity spanning a wide range. Although each fuel exhibits different autoignition reactivity even for the same experiment conditions, the autoignition characteristics of fuels can be broadly divided into two types: those with single-stage ignition fuel and those with two-stage ignition fuel which exhibits the first heat-release ‘low-temperature heat release (LTHR)’ associated with cool-flame chemistry before the main heat-release ‘HTHR’. Many factors ultimately affect the choice of fuel, but each fuel-type has advantages for HCCI engines, respectively. A brief summary for the advantages of each fuel-type follows:
Advantages of single-stage ignition fuel for HCCI engine
The use of high compressions ratio is allowed, which leads to high thermal efficiency.
The ignition timing is much less sensitive to changes in speed and load than that of two-stage ignition fuel, which indicates that significantly less compensation will be required to maintain optimal ignition timing over the required load and speed range.
Advantages of two-stage ignition fuel for HCCI engine
Because the amount of LTHR produced by a two-stage ignition fuel increases with the local fuel/air equivalence ratio (
This local
For this work, methane and iso-octane are selected as the single-stage ignition fuel, and DME and n-heptane are selected as the two-stage ignition fuel. Methane and DME are classified as a gaseous fuel. On the other hand, iso-octane and n-heptane are classified as a liquid fuel. Figure 2 presents the chemical formula and the illustration of chemical structure, and Table 1 lists the properties for these four test fuels [15, 16].
\nChemical formula and illustration of chemical structure with reaction mechanism for methane, DME, n-heptane and iso-octane.
Property (unit) | \nMethane | \nDME | \nn-Heptane | \niso-Octane | \n
---|---|---|---|---|
Boiling point (°C) | \n−161.5 | \n−25.1 | \n98.4 | \n99.2 | \n
Liquid density (g/cm3@20°C) | \n— | \n0.67 | \n0.68 | \n0.6878 | \n
Relative gas density (air = 1) | \n0.55 | \n1.6 | \n3.46 | \n3.9 | \n
Vapor pressure (MPa) | \n— | \n0.61@25°C | \n0.0046@20°C | \n0.0051@20°C | \n
Ignition temperature (°C) | \n650 | \n235 | \n285 | \n417 | \n
Lower heat value (MJ/kg) | \n49.0 | \n28.8 | \n44.57 | \n44.31 | \n
An overall reaction includes very complex and sophisticated reactions that cannot be analyzed without a proposed chemical-kinetic mechanism, a series of steps that a reaction takes before reaching the final products. The chemical-kinetic mechanism is step-by-step descriptions of what happens on a molecular level in chemical reactions. Each step of the reaction mechanism for the overall reaction is known an elementary reaction. The term elementary reaction is used to describe a moment in the reaction when one or more molecules change geometry or perturbed by the addition or omission of another interacting molecule. For methane and DME, a detailed chemical-kinetic mechanism (Mech_56.54; 113 species and 710 reactions) by Burke et al. [17] was used, which has been developed to be capable of predicting the combustion of both methane and DME in common combustion environments such as compression ignition engines and gas turbines. For iso-octane and n-heptane, a detailed chemical-kinetic mechanism from Lawrence Livermore National Laboratory (LLNL; 1034 species and 4236 reactions) [18] was used, which has been developed for the oxidation of primary reference fuels (PRFs), iso-octane and n-heptane, for gasoline. This mechanism was developed by combining the iso-octane [19] and n-heptane [20] mechanisms.
\nAutoignition, the spontaneous ignition of a fuel and oxidizer mixture in the absence of any external ignition source, occurs when slow thermal reactions initially have a large chain branching component sufficiently to maintain and accelerate oxidation. The increasing radical concentration leads to the increase in reaction rate build on themselves, and eventually result in an ignition through a rapid explosive rise in radical concentration, oxidation rate and temperature. Most of these reactions typically release heat, and eventually increasing the temperature and pressure of the system, and at the same time, their rate is also strongly dependent on pressure, temperature and charge composition. These characteristics cause a complicated interaction of negative and positive feedback loops that determine when the ignition will happen. In fact, autoignition is very sensitive to details of chain branching and chain terminating in the initial reactions, and hence depends sensitively on the chemical structure of the fuel.
\nThe autoignition reactivity of the fuel is a very important parameter, impacting the design and the potential high-load performance of HCCI engines. The accurate prediction of autoignition times and their dependence on pressure, temperature and composition is essential for advanced engine technologies, such as HCCI, where the ignition event is timed by chemical kinetics. An autoignition delay time (
Comparison of autoignition delay times for methane, DME, n-heptane and iso-octane.
As discussed above, reactants in HCCI combustion begin at room temperature and are steadily heated during the compression stroke by piston. As the reactant temperature increases, the specific elementary reactions that contribute to fuel consumption in general and chain branching and autoignition in particular also change. The reactants pass through three distinct temperature ranges, each with its own unique chain branching reaction pathways that contribute to the eventual autoignition. With reference to Figure 4 as an example of HCCI combustion, this section explains the chemical reactions that play a role in the process, which are classified as low-temperature reactions (LTR), intermediate-temperature reactions (ITR) and high-temperature reactions (HTR).
\nAn example of HCCI combustion for (a) overall heat-release rate, (b) magnified view of heat-release rate, (c) in-cylinder temperature and (d) mole fraction.
Virtually, no significant reaction takes place until the reactant temperature reach about 550 K. As the reactant heats up during the compression stroke, chemistry becomes increasingly active at temperatures above 600 K. At these conditions, fuel dissociation is described by the following low-temperature mechanism [22].
\nRH + O2 | \n⇒ | \nR• + HO2 | \ninitiation | \nRe.(1) | \n
R• + O2 | \n⇔ | \nRO2• | \nfirst O2 addition | \nRe.(2) | \n
RO2• | \n⇒ | \n•R’OOH | \ninternal H-atom abstraction | \nRe.(3) | \n
•R’OOH | \n⇒ | \nR’O + OH• | \nchain propagation | \nRe.(4) | \n
•R’OOH + O2 | \n⇔ | \nHO2R’O2• | \nsecond O2 addition | \nRe.(5) | \n
HO2R’O2• + RH | \n⇒ | \nHO2R’O2H + R• | \nexternal H-atom abstraction | \nRe.(6) | \n
HO2R’O2H | \n⇒ | \nHO2R’O• + OH• | \nchain branching | \nRe.(7) | \n
HO2R’O• | \n⇒ | \nOR’O + OH• | \nchain propagation | \nRe.(8) | \n
HO2R’O2• | \n⇒ | \nHO2R”O2H | \ninternal H-atom abstraction | \nRe.(9) | \n
HO2R”O2H• | \n⇒ | \nHO2R”O + OH• | \nchain propagation | \nRe.(10) | \n
HO2R”O | \n⇒ | \nOR”O• + OH• | \nchain branching | \nRe.(11) | \n
In the initiation step, a hydrocarbon (RH) reacts with oxygen (O2) to make a hydrocarbon radical (R•), which reacts with oxygen to make a peroxy radical (RO2•). (Radical species are denoted by the ‘•’ symbol next to the character.) Next, an internal hydrogen-atom abstraction takes place (i.e. the abstraction of a hydrogen atom from the molecule itself). Following the internal abstraction, the radical •R′OOH reacts internally to eliminate (eject) OH and forms a compound without free valences (unpaired electrons) such as an aldehyde or ketone (Reaction (4)). The mechanism continues with a second O2 addition to the peroxy radical initially formed (Reaction (5); [23]). After a few steps, keto-hydroperoxide (HO2R”O) is formed (Reaction (10)). Keto-hydroperoxide decomposes at around 800 K, producing further hydroxyl (OH•) that consumes the fuel (Reaction (11)). In the hydrogen abstraction reaction (Reaction (3)), the molecule isomerizes by ‘reaching around’ and abstracting a hydrogen atom from somewhere on the hydrocarbon chain. Straight chain molecules such as n-heptane are long enough for flexible internal abstraction of hydrogen (Reaction (1)). In addition to this, H atoms in n-heptane are bound to ‘secondary sites’ (the -CH2- backbone), which makes them easier to abstract H atoms in primary sites, where the hydrogen is attached to the end of a chain (the -CH3 group). Iso-octane is actually a short pentane chain with three methyl groups attached to the chain. The short chain has difficulty ‘reaching around’ to abstract a hydrogen atom and furthermore, most of the H atoms in iso-octane are primary, thus harder to abstract. This flexibility and abstraction theory explains the higher reactivity and lower octane number of n-heptane (octane number = 0) with respect to iso-octane (octane number = 100). The theory further explains the high octane number of methane (octane number = 120) where no internal abstraction is possible. The mechanism from Reaction (1) to Reaction (11) listed above also explains the observation of so-called ‘two-stage ignition’, also called ‘negative temperature coefficient (NTC)’ zone. At low temperature, the oxygen addition (Reactions (2) and (5)) leads to a product ‘
As the temperature increases above about 850 K, where the equilibria of Reactions (2) and (5) have effectively extinguished the low-temperature chain branching pathways, the next reaction sequences involve consumption of fuel (RH), primarily by hydrogen (H) atom abstraction by OH and hydroperoxyl (HO2), and the temperature increases gradually, accompanied by a steady increase in the level of hydrogen peroxide (H2O2), as shown in Figure 4d. This new set of chemical reactions contributing to the increase in the level of H2O2 with the increase of temperature is called ‘intermediate-temperature reactions (ITR)’ and is described by the following main intermediate-temperature mechanism [24].
\nH2O2 + M + 216kJ | \n⇒ | \nOH + OH + M | \n\n | Re.(12) | \n
OH + CH2O | \n⇒ | \nHCO + H2O + 122kJ | \n\n | Re.(13) | \n
HCO + O2 | \n⇒ | \nCO + HO2 +138kJ | \n\n | Re.(14) | \n
HO2 + HO2 | \n⇒ | \nH2O2 + O2 + 168kJ | \n\n | Re.(15) | \n
These four reactions, which are also called ‘H2O2 loop reactions’, show similar activation energies and reaction rates. The rate constants of Reactions from (13) to (15) are significantly larger than that of Reaction (12), and their activation energies are very small. These suggest that Reactions from (12) to (15) compose a reaction loop in which the rate-determining process is Reaction (12), as schematically shown in Figure 5. On the assumption that 100% of OH, HCO and HO2 generated by ‘H2O2 loop reactions’ are consumed by the succeeding reactions, the overall reaction is to be Reaction (16).
\nSchematic of H2O2 reaction loop [
2CH2O + O2 | \n⇒ | \n2H2O + 2CO + 472kJ | \n\n | Re.(16) | \n
This is a reaction to release a considerable amount of heat from CH2O without consuming H2O2. In addition, following reactions support ‘H2O2 loop reactions’ by supplying the key species of formaldehyde, formyl (HCO) and OH.
\nC2H3 + O2 | \n⇒ | \nCH2O + HCO + 359kJ | \n\n | Re.(17) | \n
CH2CHO + O2 | \n⇒ | \nCH2O + CO + OH + 212kJ | \n\n | Re.(18) | \n
CH3 + O | \n⇒ | \nCH2O + H + 293kJ | \n\n | Re.(19) | \n
The sub intermediate-temperature mechanism, Reactions from (17) to (20), also participates in the process.
\nH + O2 + M | \n⇒ | \nHO2 + M + 202kJ | \n\n | Re.(20) | \n
H2O2 + OH | \n⇒ | \nH2O + HO2 + 130kJ | \n\n | Re.(21) | \n
HO2 + OH | \n⇒ | \nH2O + O2 + 297kJ | \n\n | Re.(22) | \n
HO2 + CH2O | \n⇒ | \nH2O2 + HCO - 7kJ | \n\n | Re.(23) | \n
Reaction (20) enhances ‘H2O2 loop reactions’ by supplying HO2 using H generated mainly by Reaction (19). In the real process, Reaction (23) and Reactions from (17) to (19) contribute to additional H2O2.
\nThe heat-release rate by intermediate-temperature reactions grows steadily, until at about 1000 K, four important events occur. The H2O2, which has been relatively stable due to the strength of its O–O bond and the correspondingly large value of the activation energy of its decomposition reaction, begins to decompose at ever-increasing rates by following reaction.
\nH2O2 + M | \n⇒ | \nOH• + OH• + M | \nchain branching | \nRe.(24) | \n
This decomposition causes the concentration of OH• to grow very quickly. The importance of Reaction (24) is clearly seen in Figure 4d for mole fraction, where the concentration of H2O2 decreases rapidly during HCCI combustion as OH radicals are being formed, increasing the temperature of the reacting mixture and setting in motion as effective chain branching sequence. As a result, the fuel is very rapidly consumed by reacting with this sudden source of OH•, and the temperature increases very rapidly, due to the production of significant amounts of water by reaction of ‘RH + OH ⇒ R• + H2O’, further accelerating the rate of H2O2 decomposition. All of these events occurring together create an autoignition event. The Reaction (24) sequence proceeds until the temperature has increased sufficiently that the high-temperature chain branching sequence take over, controlled by H• + O2 ⇒ O• + OH• which dominates the remainder of the overall HCCI combustion process. The decomposition of H2O2 (Reaction (24)) ‘triggers’ ignition in HCCI combustion. This reaction has a critical temperature for ignition that is also a function of the pressure of the reactive system. H2O2 decomposition can be written, ignoring for the moment all other reactions of H2O2, by the simple differential equation
\nwhere
The rate expression for this reaction is
\nso the characteristic decomposition time
As the temperature increases,
This section will compare the combustion characteristics of the test fuels in HCCI engine. As discussed in conjunction with Figure 3, each respective test fuel shows different autoignition delay times even for the same initial condition due to its fuel autoignition reactivity. Because of this, we should expect quiet different combustion phasing for each fuel depending on the resistance to autoignition under the constant initial condition. The combustion phasing is a critical parameter impacting the thermal efficiency of HCCI engine. If the combustion is too advanced, knocking combustion occurs easily, thus quickly increasing to the risk for engine damage and NOx emissions. On the other hand, excessive combustion-phasing retard leads to unacceptable coefficient of variation (COV) of HCCI combustion with partial-burn and/or misfire cycles. To facilitate comparison of the combustion characteristics in HCCI engine, the initial temperature is adjusted in the numerical simulation to set the 50% burn point (CA50) at 0degATDC (i.e. TDC). Effectively, the reported combustion phasing refers to CA50 for the main combustion event, starting at the crank angle of minimum heat-release rate between LTHR and HTHR. Presenting the data referring to the main combustion event alone is considered more relevant from the standpoint of quantifying the onset of the main combustion event.
\nWith the effects of fuel autoignition reactivity isolated, Figure 6 compares (a) in-cylinder temperature, (b) heat-release rate, (c) magnified view of heat-release rate and (d) accumulated heat release for the test fuels. The required initial temperature (
Comparison of (a) in-cylinder temperature, (b) heat-release rate, (c) magnified view of heat-release rate and (d) accumulated heat release for methane, DME, iso-octane and n-heptane.
HCCI is an alternative engine combustion process with potential for efficiencies as high as compression ignition (CI) engines while producing ultra-low particulate matter (PM) and nitrogen oxides (NOx) emissions. HCCI engines operate on the principle of having a dilute premixed charge as like SI engines, which reacts and combusts throughout the in-cylinder as it is compressed by the piston. As stated above, HCCI incorporates the best features of both SI and CI engines. As like in SI engines, the charge is well mixed, which minimizes particulate emissions, and as like in CI engines, the in-cylinder charge is compression ignited by piston without the throttling losses, which leads to high thermal efficiency. Experiments and analysis to date suggest that chemical kinetics dominates thermal autoignition in HCCI. Detailed chemical-kinetics approaches have the advantage of directly simulating all the chemical processes leading to autoignition in HCCI engine. Detailed chemical-kinetic mechanisms have been developed for a wide variety of fuels, including methane, dimethyl ether (DME), iso-octane, n-heptane and many others. These mechanisms capture reaction rate information for elementary reaction steps. In other words, they capture the collisions that convert on molecule to another. The advantage of detailed chemical kinetics is that the processes leading to ignition are directly modeled and processes such as low-temperature reactions (LTR), intermediate-temperature reactions (ITR) and high-temperature reactions (HTR) can be solved. Numerical calculations for HCCI are often conducted with lumped (single-zone model) chemical-kinetics models, which assume spatially uniform temperature, pressure and composition in a fixed-mass, variable volume reactor. For this chapter, a zero-dimensional single-zone engine model of ‘CHEMKIN’ in Chemkin-Pro is applied to investigating the autoignition and chemical-kinetic mechanisms of HCCI combustion for the fuels with various autoignition reactivity. This is done for four fuels: methane, dimethyl ether (DME), iso-octane and n-heptane. Methane and iso-octane are selected as the single-stage ignition fuel, and DME and n-heptane are selected as the two-stage ignition fuel. A detailed chemical-kinetic mechanism for methane and DME is Mech_56.54 (113 species and 710 reactions). For iso-octane and n-heptane, a detailed chemical-kinetic mechanism from Lawrence Livermore National Laboratory (1034 species and 4236 reactions) is used. The results show that methane and iso-octane only exhibit the main heat release, ‘high-temperature heat release (HTHR)’ by HTR. In contrast, both DME and n-heptane exhibit the first heat-release ‘low-temperature heat release (LTHR)’ associated with LTR before HTHR. Because the LTHR accelerates the temperature rise towards the end of the compression stroke, the initial temperature has to be reduced to achieve the same combustion phasing. For a given initial pressure, a lower initial temperature leads to higher charge density and thus the higher amount of fuel when
BDC | Bottom dead centre |
CAI | Controlled auto ignition |
CI | Compression ignition |
CO | Carbon monoxide |
COV | Coefficient of variation |
DME | Di-methyl ether |
EGR | Exhaust gas recirculation |
HC | Hydrocarbon |
HCCI | Homogeneous charge compression ignition |
HRR | Heat-release rate |
HTHR | High-temperature heat release |
HTR | High-temperature reaction |
ITR | Intermediate-temperature reaction |
LTHR | Low-temperature heat release |
LTR | Low-temperature reaction |
NOx | Nitrogen oxides |
NTC | Negative temperature coefficient |
PM | Particulate matter |
RCM | Rapid compression machine |
PRF | Primary reference fuel |
SI | Spark ignition |
TDC | Top dead centre |
ZEV | Zero emissions vehicle |
CA50 | 50% Burn point |
To | Initial temperature |
Po | Initial pressure |
ϕ | Fuel/air equivalence ratio |
ϕo | Initial fuel/air equivalence ratio |
α | Characterisitic decomposition time |
τ | Ignition delay time |
Infection, preterm birth, and perinatal complications including asphyxia are among the leading causes of neonatal deaths worldwide [1, 2]. Neonatal and antenatal mortality and morbidity is most often associated with preterm birth that can result in respiratory complications, developmental abnormalities, and high-risk of infections [3, 4]. Infection has been reported in approximately 23% of worldwide neonatal deaths with an estimated 84% of instances being preventable with proper medical treatment [1, 5]. Preterm birth results in the majority of neonatal morbidity and mortality, is the direct cause of approximately 35% of neonatal deaths worldwide, and is the major risk factor for all types of neonatal deaths [1, 3, 4, 6]. Hypoxic birth asphyxia is expected to cause approximately 30% of worldwide neonatal mortality, identified by the inability to perform voluntary breathing at birth, can be observed intrapartum with techniques including Doppler ultrasound and auscultation, and can be diagnosed by an arterial pH in the umbilical cord less than 7.2 [7].
Some of the most common birth defects include congenital heart disease (CHD), down syndrome, and neural tube defects. Congenital cardiac complications are the most common form of congenital abnormalities, with an estimated worldwide prevalence in about 0.8% of all live births, resulting in approximately 1/3 of all congenital abnormalities that cause significant medical and social consequences [8, 9]. Down syndrome is expected in about 1 in 400–1500 births, is the most common chromosomal abnormality, can be diagnosed early in pregnancy with chorionic villus sampling or amniocenteses, and predominately results from trisomy of chromosome 21 [10]. Global neural tube defect prevalence is estimated at 0.05–1% of live births, are characterized by improper closure of the neural tube during fetal development, are commonly asymptomatic, with spina bifida being the most common type, of which the most severe is myelomeningocele [11, 12, 13].
The understanding of normal
MRI sequence for fetal brain analysis include functional imaging, structural imaging, and diffusion imaging [25]. The predominant sequences used in fetal MRI are single-shot T2W (SST2W) sequences, such as rapid acquisition with relaxation enhancement (RARE) sequences on Bruker, Single-Shot half-Fourier Turbo Spin Echo (SShTSE) on Philips, Single-shot Fast Spin Echo (SSFSE) on General Electric, and half-Fourier acquisition single-shot turbo spin echo (HASTE) sequences on Siemens, with protocols provided by the MRI vendor [22, 26]. These T2W sequences are quick enough to be acquired without sedation and are common for neuroanatomical fetal imaging; [9] with other common sequences being T1W to view hemorrhaging, perfusion MRI, diffusion MRI, and spectroscopy [9, 22]. Default SST2W sequences are generally capable of good image generation with 1x1x4 mm voxel size; using half-Fourier acquisitions, with refocusing pulses with flip angles between 120°-150° [22]. Though difficult to implement, diffusion-weighted imaging (DWI) allows identification of ischemic brain lesions, while T1W images can provide improvement over T2W for detection of calcifications, fat, and hemorrhaging [26].
Fetal cardiac sequences are often balanced steady state free precession (bSSFP) and HASTE to encompass small voxel size and reduce acquisition times needed to avoid motion artifacts, with bSSFP being particularly beneficial for imaging blood vessels and cavities containing fluid [26, 27]. Fetal cardiac MRI can be used to view structure, function, vasculature; in addition to performing quantitative MRI measurements including blood flow velocity and oxygen saturation [27]. Blood oxygen level-dependent (BOLD) functional MRI sequences have shown useful for illustrating the improvement of fetal oxygenation during maternal respiratory oxygen therapy for fetuses with impaired cerebral oxygenation resulting from certain types of CHD [28]. Abnormal placenta pathology has been linked with high rates of CHD and is a possible compounding factor for higher severity brain lesions [29]. Neurological implications are not distinct from CHD. Impaired cardiac development is linked with mild brain injury, delayed maturation, shorter gestational age, and smaller brain volumes [30, 31]. Fetal cardiac MRI complications include the smaller size of the fetal heart, lack of gating technologies, and higher heart rate [27].
The primary safety concerns in fetal MRI involve radiofrequency exposure in terms of specific absorption rate (SAR), high acoustic noise, and possibility of peripheral nerve stimulation [22]. MRI is generally considered safe during pregnancy with no evidence of harming the fetus, but is typically not recommended when the fetus is less than about 13 weeks gestational age, and gives best information after completion of organogenesis [22]. The United States Food and Drug Administration (FDA) fetal MRI SAR limit is set at 4 W.kg−1 [22, 32]. Fetal MRI scans are usually recommended to be performed at 1.5 T, and as a “golden rule”, remain below 25 seconds [20, 22]. 3 T fetal MRI is often used only within research settings because the SAR is four times higher than at 1.5 T; with the upper limit generally at 4 T for research applications [9]. Although, some institutions perform routine 3 T fetal imaging during the late second trimester and throughout the third trimester [33]. Contrast enhancement is not recommended in fetal MRI, thought to enter into the fetal vasculature, passing through the renal system, before emptying into the amniotic fluid [9, 34].
Prenatal MRI is most routine for neural abnormalities because of the improved capability for fetal brain scans. In addition to treatment planning of delivery complications, a variety of conditions have high diagnostic rates with fetal MRI, including diagnosis for mild to moderate ventriculomegaly, a variety of neural tube defects, posterior fossa malformations, and twin-to-twin transfusion syndrome [9, 35]. A USA retrospective study for fetal neurology consultations (n = 94) with diagnostic MRI over 14 months reported the most common conditions were posterior fossa malformations, agenesis or dysgenesis of the corpus callosum, congenital acqueductal stenosis, ventriculomegaly, isolated malformations of cortical development, and holoprosencephaly at 19%, 15%, 14%, 11%, 8.5%, and 6%, respectively [36].
Malformations of cortical development are a collection of developmental malformations resulting from disruption during one of the stages of cerebral cortex formation, often causing cognitive impairment, cerebral palsy, and epilepsy. The cortical development occurs in three major stages, including neuronal stem cell proliferation, neuronal migration along radial glial fibers or axons to the developing cerebral cortex, and neuronal organization [37]. Malformations due to abnormal neuronal stem cell proliferation include microcephaly, megalencephaly, and cortical dysplasia. Malformations during neuronal migration and failure for proper cessation of neuronal migration, include: periventricular heterotopia, subcortical band heterotopia, classic lissencephaly, and cobblestone lissencephaly. While, neuronal organization abnormalities include polymicrogyria and schizencephaly [37, 38]. Historically, autopsy or surgical tissue samples were used for diagnosis of these conditions, being difficult to diagnose with ultrasound. MRI has greatly improved the ability to diagnose these conditions during development, rather than in childhood [39]. Retrospective assessment of cortical development malformations has shown high diagnostic accuracy of fetal MRI when compared to postnatal MRI [40].
Ventrigulomegaly is characterized by dilation of the cerebral lateral ventricles during fetal development. Congenital hydrocephalus is a type of ventrigulomegaly that results specifically from increased cerebrospinal fluid pressure, which causes birth defects resulting in abnormally large head size and many other anomalies, and most frequently results from aqueductal stenosis from outlet obstruction in the third ventricle [41, 42]. An illustration of hydrocephalus is shown in Figure 1. Characteristic findings seen postnatally are not often observed prenatally, such as aqueduct funneling or obstruction. Fetal MRI diagnostic indicators, for disease severity from aqueductal stenosis, include the extent of enlargement in the lateral and third ventricle, increased size of the third ventricle of inferior recesses, and observance of diverticulum outpouching in the lateral ventricles [43]. A cohort at the national maternity hospital in the Republic of Ireland reported suspected ventriculomegaly as the most common indication for fetal MRI at the facility, with severe ventriculomegaly (exluding termination) showing a 72% survival rate (n = 74) and a 65% rate for cesarean delivery (n = 72) [44].
Illustration of hydrocephalus with MRI. Rumruay/
Failure of neural tube closure during development results in a variety of neural tube defects, causing spinal anomalies in cases of spinal dysraphism like spina bifida; or cranial anomalies like with anencephaly, characterized by absence of a major portion of the cranium. Though, anencephaly is less indicated for MRI [45]. Distinguishing characteristics of common types of spina bifida are shown in Figure 2. Worldwide incidence varies geographically, but estimated on average about 0.1–1% of live births, with anticonvulsants correlating with increased risk, and folic acid associated with reduced risk of neural tube defects [45]. Spinal dysraphism occurs from improper closure of the spinal cord and surrounding membranes during fetal development, and can be classified by open or closed. Closed spina bifida accounts for about 15% of instances, with spina bifida occulta as the most common form, and is usually asymptomatic [33]. Open spina bifida accounts for about 85% of open spinal dysraphisms with myelomenengocele (MMC) and myelocele being predominant, and nearly always presents with Chiari type II malformation [33]. The randomized MOMS trial compared spina bifida outcomes from fetal surgery compared to surgery after delivery, with fetal MRI playing a pivotal role in treatment planning. Outcomes showed fetal surgery for MMC allowed less need for cerebrospinal fluid shunt placement, improved cognitive function in early childhood, though higher risk of preterm birth was observed in the fetal surgery group [33, 46, 47].
Comparison of spina bifida subtypes. Rumruay/
Posterior fossa anomalies are characterized by neurodevelopmental malformations in the posterior fossa of the skull cranial cavity. Posterior fossa anomalies are some of the most frequent indications for fetal MRI, occurring in approximately 1 in 5000 live births, encompass a broad spectrum of conditions, and can be categorized as developmental disruptions and malformations [48, 49]. Posterior fossa anomalies include: mega cisterna magna, Blake’s pouch cyst, Dandy-Walker malformation, arachnoid cyst, Joubert syndrome, rhombencephalosynapsis, and Chiari malformation [50]. The malformations can present with either an enlarged cyst appearing with abnormally high retrocerebellar fluid, such as in Dandy-Walker malformation, mega cisterna magna, and Blake’s pouch cyst. Or the malformations cause an unusually small posterior fossa such as in Dandy-Walker variant [51, 52]. The most common reported malformation is generally Dandy-Walker malformation, presenting with macrocephaly in 90–100% of children within months of delivery [49]. Comparison of fetal MRI and fetal ultrasound images in the diagnosis of Dandy-Walker malformation is shown in Figure 3. Prognosis of these conditions is highly influenced by concomitant anomalies, with co-occurring conditions like agenesis and cerebral hypoplasia often resulting in cognitive impairment. Other conditions like mega cisterna magna without hydrocephalus typically result in normal development [50]. In a USA retrospective cohort for ultrasonography referrals for fetal MRI involving posterior fossa anomalies (n = 180), the most common indications for fetal MRI were Dandy-Walker continuum (Dandy-Walker malformation in addition to Dandy-Walker variant) at 42%, mega cisterna magna at 22%, with a change in diagnosis in 70% of cases, and 60% agreement between fetal MRI and postnatal MRI [54].
Dandy-Walker malformation in a 26 week fetus, first suspected as Dandy-Walker variant with ultrasonography, and confirmed as Dandy-Walker malformation with T2W HASTE MRI. A) Ultrasonography illustrating mild ventriculomegaly B) ultrasonography image illustrating cisterna magna that is abnormally large. C) MRI image illustrating direct connection between the cisterna magna and 4th ventricle. D) Sagittal MRI of abnormally large posterior fossa. Reprint Sohn et al., 2008 under CC BY-NC 3.0 [
The corpus callosum is a white matter commissural nerve tract, connecting cortical regions of left and right hemispheres, and composed of myelinated axons that allow action potential propagation [55]. The corpus callosum forms between gestational weeks 11–22, is composed of five distinct regions, and hyperplasia or hypoplasia of these regions is termed callosal dysgenesis, while total absence is deemed callosal agenesis [56]. Agenesis of the corpus callosum rarely occurs in complete isolation, and generally occurs in combination with other disorders. MRI can provide more detail for the extent of the condition than ultrasonography alone [55]. This allows confirmation that the corpus callosum is intact and visualization of co-occurring and associated malformations [9]. Diffusion tensor imaging and fiber tractography in developing research applications has greatly improved the understanding of the neuronal tracts of the corpus callosum, and complications associated with different degrees of agenesis [55]. Tractography has allowed characterization of normal developmental patterns for the nerve bundles of the corpus callosum with increasing gestational age, showing an increase in volume and fractional anisotropy, with a decrease in apparent diffusion coefficient [57].
In twin-to-twin transfusion syndrome, unequal blood supply to the fetuses leads to demise of one twin. Untreated cases have dismal survival rates [58]. The condition indicates diagnostic fetal MRI due to improved capabilities over ultrasonography for identifying ischemic lesions and neurodevelopmental abnormalities. The condition often warrants intervention including serial amniocentesis or
Ultrasonography is the primary imaging modality for monitoring and diagnosis in both congenital and acquired pediatric heart disease and antenatal complications [61]. Ultrasonography and MRI have been determined safe for fetal imaging, but suggested to be used prudently, with common concerns and power limits due to potential tissue heating and acoustic damage [62]. Fetal cardiac MRI can improve outcomes by allowing earlier preparation of treatment procedures [63]. The American Heart Association (AHA) and British Association of Perinatal Medicine (BAPM) suggest neonatal MRI for newborn patients with high-risk CHD in combination of evidence for intracranial hemorrhaging or parenchymal brain trauma, though not recommended for routine use for CHD [9].
CHD is the most common form of congenital abnormalities, occurring in about 0.6–0.8% of live births, with as much as half of the patients requiring open-heart surgery, and is associated with high rates of neurodevelopmental problems [9]. CHD is associated with high neonatal morbidity, particularly in preterm infants [64]. Some of the most common congenital heart abnormalities include atrial septal defects, ventricular septal defects, Tetralogy of Fallot, patent ductus arteriosus, and pulmonary stenosis [65, 66]. A depiction of several types of congenital heart defects is shown in Figure 4. Ventricular septal defects are the most common congenital cardiac anomaly, often requiring surgical repair, though a high percentage will also spontaneously close with age [66, 67, 68].
Illustration of common congenital heart defects. N.Style/
Prenatal cardiac MRI for CHD has generally been limited to a research setting [69]. This has been due to factors including inability to perform electrocardiogram gating, fetal motion, insufficient safety data, and the relatively small size of the features of the fetal heart [70, 71]. Prenatal cardiac MRI allows evaluation of cardiac anatomy, cardiac function, vascular anatomy, flow quantification, and oxygen content [69].
Recent advances has allowed image reconstruction techniques to obtain high-resolution 3D MRI of the fetal heart to assess for congenital heart defects. 3D MRI with motion-corrected image registration was shown in a cohort study to significantly increase visualization and diagnosis of major fetal vascular heart defects in late-gestational age fetuses, when compared to 2D MRI [72]. Additionally, Doppler ultrasonography has shown capable of performing cardiac gating of the fetal heart to generate high-quality bSSFP cine images [73].
A cohort study reported the use of a non-contrast velocity-selective arterial spin labelling (VSASL) sequence to assess placental perfusion in fetuses with CHD compared to fetuses without CHD [74]. The study found decreased global perfusion and increased variation of regional perfusion were linked to increasing gestational age in CHD fetuses. The results also suggest that early placental perfusion may increase to compensate for the heart defect.
A Chinese retrospective study reported findings in 1379 confirmed cases for fetal cardiac MRI from 2005 to 2019, referred after echocardiography could not show the four cardiac chambers in addition to ventricular outflow [75]. Imaging sequences were SSFP, real-time cine SSFP, non-gated phase contrast sequences, and SSTSE. The findings were normal in 92.5% of cases, 5.1% presented with CHD, and 2.4% were diagnosed with an alternative heart condition. In the CHD cases, 56% received correct diagnosis with MRI, which was similar to other studies, as prenatal detection rates for CHD for patients that eventually underwent congenital heart surgery, have tended to be low and less than 50% [76].
Most conditions are best treated when the fetus is delivered at term; however, certain instances warrant the use of
Again, ultrasonography is recommended as the first imaging modality, but MRI is often indicated in a variety of maternal obstetric and non-obstetric complications during pregnancy, including placental adhesive disorders, placental abruption, prognosis of uterine rupture, restricted circulation in placental bed disorders, placental insufficiency, acute appendicitis during pregnancy, prediction of preterm labor, ovarian cysts, and urolithiasis [18, 81]. Additionally, MRI is indicated in treatment planning for difficult deliveries, such as those that require the EXIT procedure due to fetal airway obstruction [9]. Moreover, the technique has proved useful in risk scoring for massive intraoperative hemorrhage in patients with previous cesarean sections and exhibiting placenta previa and accreta [82]. Fetal MRI was recently used in a randomized control trial to assess fetal neurodevelopmental improvement for supplemental pomegranate juice in pregnancies with intrauterine growth restriction [83].
Prenatal MRI is useful for diagnosis of complications associated with maternal viral infections, including the more recent complications associated with SARS-CoV-2 infection.
A variety of fetal complications arising from viral infection can be imaged with MRI, particularly for identifying neurological sequelae, but also for conditions including fetal ascites, hydrops, cardiomegaly, and pericardial effusion [84]. Fetal MRI can be indicated for diagnosis of suspected neurotropic pathogens, such as cytomegalovirus, Zika virus, and toxoplasmosis [85, 86, 87, 88]. Cytomegalovirus is a member of the Herpesviridae family, the most common vertically transmitted congenital viral infection, and the most common infection that results in deafness and intellectual disability in children [89, 90]. MRI and ultrasonography can identify fetal brain lesions resulting from cytomegalovirus infection. MRI diagnosis of infection-related complications allows the possibility of treatment planning for investigational therapies, including antiviral therapy such as Valaciclovir or hyperimmunoglobulin therapy, in the neonates and in fetuses [18, 91, 92].
SARS-CoV-2 is a positive sense, lipid-enveloped, single-stranded, RNA coronavirus that causes both upper and lower respiratory tract infection, which can result in severe pulmonary inflammation and pneumonia, in a condition denoted human coronavirus disease or more recently COVID-19 [93, 94, 95].
SARS-CoV-2 relies upon two types of entry pathways to enter cells through the interaction of the virion spike (S) protein with angiotensin-converting enzyme 2 (ACE2), with release of internal RNA within the cell occurring after cleavage of the S-protein subunits [95]. After binding to ACE2, if transmembrane protease serine 2 (TMPRSS2) is present on the cell surface, the cleavage event occurs through TMPRSS2 and furin, initiating membrane fusion and fusion pore formation on the cell membrane, and release of viral RNA into the cellular cytoplasm [95]. Alternatively, if little or no TMPRSS2 is present on the surface, the clathrin-mediated endocytosis occurs and the virus is internalized intracellularly within endolysosomes, followed by a cathepsin-cleavage event within the endosome, resulting in membrane fusion and release of the viral RNA into the cell cytoplasm [95].
The BNT162b2 (Pfizer, BioNTech) and Spikevax (Moderna, NIAID) are both mRNA-based vaccines that encompass an mRNA strand encoding the spike protein for the original Wuhan-Hu-1 strain, in a liposomal mRNA-lipid nanoparticle, which has a notable ability for large-scale production [95, 96]. The vaccine causes cells to encode the vaccine mRNA to produce spike proteins that are then expressed into the cell membrane. This causes an antibody response that identify these spike protein antigens as a foreign body, stimulating a B-cell and T-cell lymphocyte response to produce antibodies that will tag future spike proteins from SARS-CoV-2 viremia [97]. The viral mutations of these spike protein antigens result in reduced efficacy of the vaccines to induce a immunogenic response. Because mRNA vaccines require antibody neutralization of viremia, mutations in the spike proteins can allow variants to exhibit resistance to the vaccines, potentially causing more severe infections, higher transmissibility, and the possibility of re-infection in vaccinated individuals [98, 99].
A prospective U.K. cohort found 0.5% incidence of SARS-CoV-2 infection during pregnancy that required hospital admission (n = 427) [100]. Of the patients that delivered or experienced pregnancy loss at the time of the article (n = 262), 10% required intensive care unit (ICU) admission and death occurred in 1.2%. From the SARS-CoV-2 positive pregnancies with live born births, 59% had cesarean deliveries and 25% of neonates were admitted to the neonatal intensive care unit (NICU). Preterm delivery occurred in 25% of cases, most of which were induced labor due to COVID-19 complications, and 5% of neonates were COVID-19 positive within 12 hours of birth.
Pregnant women are at high risk of developing severe COVID-19 compared to non-pregnant women, in terms of adjusted risk. Comparing COVID-19 positive pregnancies with non-COVID-19 pregnancies, studies have observed a factor of 3 increase in ICU admissions and invasive intubation with mechanical ventilation, a factor of 2.4 increase in odds for extracorporeal membrane oxygenation, and 70% increase in death [101]. Severe COVID-19 complications are linked with increased rates of preterm birth, hypertensive disorders, and cesarean births [101]. Studies have linked COVID-19 with significant increased mortality for mothers post-delivery and in neonates; particularly for symptomatic patients and those with underlying comorbidities [102, 103]. Neonatal outcomes have been reported as generally favorable, with about half of cases being asymptomatic; though, neonates and children less than one year of age are thought to possibly exhibit higher risk of acute respiratory failure than other children [104].
Risk of vertical transmission of SARS-CoV-2 from mother to fetus is considered low, with the primary transmission to the neonate being through horizontal transmission [101, 105]. Although, at least one case study has confirmed vertical transplacental transmission [106]. There is little evidence for transmission of SARS-CoV-2 through breast milk to the neonate, but pasteurization has been shown to inactivate the SARS-CoV-2 virus and might be considered in specific cases for positive SARS-CoV-2 mothers [101, 105, 107]. Transmission between members of the same family cluster is the primary means of infection from SARS-CoV-2 in children [108]. Infection in children and adolescents has tended to result in milder symptoms and good prognosis, in general [109].
The American College of Radiology (ACR) has suggested limiting the use of MRI to only cases that are absolutely necessary, for COVID-19 positive patients and those suspected of infection [110]. The use of fetal MRI for COVID-19 positive mothers does not have a common indication for routine use and has mostly been reported as case studies or small cohorts. Fetal MRI has been used in cohorts to assess possible neurodevelopmental damage in the fetuses of mothers with SARS-CoV-2 infection during early pregnancy, with results showing no abnormal findings [111]. However, a case study of
A significant increase in obstetrical complications in COVID-19 has been observed, compared to non-COVID-19 pregnancies. Studies have shown higher rates of fetal deaths, maternal deaths, ICU admissions, preterm births, and cesarean deliveries. These outcomes highlight the benefit of vaccination during pregnancy, to reduce the risk of maternal and fetal complications [101].
Prenatal MRI offers useful complementary diagnostic information to ultrasonography, particularly for neurodevelopmental complications. The technique can be used for diagnosis, for guiding treatment decisions, and to counsel parents for scenarios like potential termination. MRI has been determined safe for fetal health, though low field strengths and non-contrast imaging are generally used, as these scenarios are lower risk to the fetus. MRI can improve diagnostic accuracy for neurodevelopmental and cardiac anomalies when used in conjunction with ultrasonography, but factors like additional cost limits the number of indications for prenatal diagnosis. Studies have shown increased rates of pregnancy-related complications in patients infected with SARS-CoV-2 during pregnancy. Although, studies with fetal MRI for assessing fetal developmental complications due to maternal COVID-19 has been limited, but results have been reported in case studies and small cohorts.
Thanks to the Center for Biomedical Imaging and the Image-guided Interventions Laboratory for supporting the development of this manuscript. Thanks to Dr. Daniela Dumitriu LaGrange for reviewing the manuscript and suggesting improvements.
This is a brief overview of the main steps involved in publishing with IntechOpen Compacts, Monographs and Edited Books. Once you submit your proposal you will be appointed a Author Service Manager who will be your single point of contact and lead you through all the described steps below.
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\\n\\nIf you feel that IntechOpen Compacts, Monographs or Edited Books are the right publishing format for your work, please fill out the publishing proposal form. For any specific queries related to the publishing process, or IntechOpen Compacts, Monographs & Edited Books in general, please contact us at book.department@intechopen.com
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\n\nPlease complete the publishing proposal form. The completed form should serve as an overview of your future Compacts, Monograph or Edited Book. Once submitted, your publishing proposal will be sent for evaluation, and a notice of acceptance or rejection will be sent within 10 to 30 working days from the date of submission.
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\n\nAfter approval, you will proceed in submitting your full-length manuscript. 50-130 pages for compacts, 130-500 for Monographs & Edited Books.Your full-length manuscript must follow IntechOpen's Author Guidelines and comply with our publishing rules. Once the manuscript is submitted, but before it is forwarded for peer review, it will be screened for plagiarism.
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\n\nWe will send you your price quote and after it has been accepted (by both the author and the publisher), both parties will sign a Statement of Work binding them to adhere to the agreed upon terms.
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\n\nIf you feel that IntechOpen Compacts, Monographs or Edited Books are the right publishing format for your work, please fill out the publishing proposal form. For any specific queries related to the publishing process, or IntechOpen Compacts, Monographs & Edited Books in general, please contact us at book.department@intechopen.com
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Radiotherapy and Nuclear Medicine Technology has always been my aspiration and my life. As years passed I accumulated a tremendous amount of skills and knowledge in Radiotherapy and Nuclear Medicine, Conventional Radiology, Radiation Protection, Bioinformatics Technology, PACS, Image processing, clinically and lecturing that will enable me to provide a valuable service to the community as a Researcher and Consultant in this field. My method of translating this into day to day in clinical practice is non-exhaustible and my habit of exchanging knowledge and expertise with others in those fields is the code and secret of success.",institutionString:null,institution:{name:"Majmaah University",country:{name:"Saudi Arabia"}}},{id:"313277",title:"Dr.",name:"Bartłomiej",middleName:null,surname:"Płaczek",slug:"bartlomiej-placzek",fullName:"Bartłomiej Płaczek",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/313277/images/system/313277.jpg",biography:"Bartłomiej Płaczek, MSc (2002), Ph.D. (2005), Habilitation (2016), is a professor at the University of Silesia, Institute of Computer Science, Poland, and an expert from the National Centre for Research and Development. His research interests include sensor networks, smart sensors, intelligent systems, and image processing with applications in healthcare and medicine. 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Several international research projects has been performed with European partners from France, Netherlands, Norway and the UK. He is currently Professor of Communications Systems at the Harz University of Applied Sciences, Germany.\n\nPublications and Publishing\nHe has edited one book, a special interest book about ‘Optoelectronic Packaging’ (VDE, Berlin, Germany), and has published over 100 papers and is owner of several international patents for WDM over POF key elements.\n\nKey Research and Consulting Interests\nUlrich’s research activity has always been related to Spectroscopy and Optical Communications Technology. Specific current interests include the validation of complex instruments, and the application of VR technology to the development and testing of measurement systems. He has been reviewer for several publications of the Optical Society of America\\'s including Photonics Technology Letters and Applied Optics.\n\nPersonal Interests\nThese include motor cycling in a very relaxed manner and performing martial arts.",institutionString:null,institution:{name:"Charité",country:{name:"Germany"}}},{id:"341622",title:"Ph.D.",name:"Eduardo",middleName:null,surname:"Rojas Alvarez",slug:"eduardo-rojas-alvarez",fullName:"Eduardo Rojas Alvarez",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/341622/images/15892_n.jpg",biography:null,institutionString:null,institution:{name:"University of Cuenca",country:{name:"Ecuador"}}},{id:"215610",title:"Prof.",name:"Muhammad",middleName:null,surname:"Sarfraz",slug:"muhammad-sarfraz",fullName:"Muhammad Sarfraz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/215610/images/system/215610.jpeg",biography:"Muhammad Sarfraz is a professor in the Department of Information Science, Kuwait University. 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Prof. Sarfraz is also an editor-in-chief and editor of various international journals.",institutionString:"Kuwait University",institution:{name:"Kuwait University",country:{name:"Kuwait"}}},{id:"32650",title:"Prof.",name:"Lukas",middleName:"Willem",surname:"Snyman",slug:"lukas-snyman",fullName:"Lukas Snyman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/32650/images/4136_n.jpg",biography:"Lukas Willem Snyman received his basic education at primary and high schools in South Africa, Eastern Cape. He enrolled at today's Nelson Metropolitan University and graduated from this university with a BSc in Physics and Mathematics, B.Sc Honors in Physics, MSc in Semiconductor Physics, and a Ph.D. in Semiconductor Physics in 1987. After his studies, he chose an academic career and devoted his energy to the teaching of physics to first, second, and third-year students. After positions as a lecturer at the University of Port Elizabeth, he accepted a position as Associate Professor at the University of Pretoria, South Africa.\r\n\r\nIn 1992, he motivates the concept of 'television and computer-based education” as means to reach large student numbers with only the best of teaching expertise and publishes an article on the concept in the SA Journal of Higher Education of 1993 (and later in 2003). The University of Pretoria subsequently approved a series of test projects on the concept with outreach to Mamelodi and Eerste Rust in 1993. In 1994, the University established a 'Unit for Telematic Education ' as a support section for multiple faculties at the University of Pretoria. In subsequent years, the concept of 'telematic education” subsequently becomes well established in academic circles in South Africa, grew in popularity, and is adopted by many universities and colleges throughout South Africa as a medium of enhancing education and training, as a method to reaching out to far out communities, and as a means to enhance study from the home environment.\r\n\r\nProfessor Snyman in subsequent years pursued research in semiconductor physics, semiconductor devices, microelectronics, and optoelectronics.\r\n\r\nIn 2000 he joined the TUT as a full professor. Here served for a period as head of the Department of Electronic Engineering. Here he makes contributions to solar energy development, microwave and optoelectronic device development, silicon photonics, as well as contributions to new mobile telecommunication systems and network planning in SA.\r\n\r\nCurrently, he teaches electronics and telecommunications at the TUT to audiences ranging from first-year students to Ph.D. level.\r\n\r\nFor his research in the field of 'Silicon Photonics” since 1990, he has published (as author and co-author) about thirty internationally reviewed articles in scientific journals, contributed to more than forty international conferences, about 25 South African provisional patents (as inventor and co-inventor), 8 PCT international patent applications until now. Of these, two USA patents applications, two European Patents, two Korean patents, and ten SA patents have been granted. A further 4 USA patents, 5 European patents, 3 Korean patents, 3 Chinese patents, and 3 Japanese patents are currently under consideration.\r\n\r\nRecently he has also published an extensive scholarly chapter in an internet open access book on 'Integrating Microphotonic Systems and MOEMS into standard Silicon CMOS Integrated circuitry”.\r\n\r\nFurthermore, Professor Snyman recently steered a new initiative at the TUT by introducing a 'Laboratory for Innovative Electronic Systems ' at the Department of Electrical Engineering. The model of this laboratory or center is to primarily combine outputs as achieved by high-level research with lower-level system development and entrepreneurship in a technical university environment. Students are allocated to projects at different levels with PhDs and Master students allocated to the generation of new knowledge and new technologies, while students at the diploma and Baccalaureus level are allocated to electronic systems development with a direct and a near application for application in industry or the commercial and public sectors in South Africa.\r\n\r\nProfessor Snyman received the WIRSAM Award of 1983 and the WIRSAM Award in 1985 in South Africa for best research papers by a young scientist at two international conferences on electron microscopy in South Africa. He subsequently received the SA Microelectronics Award for the best dissertation emanating from studies executed at a South African university in the field of Physics and Microelectronics in South Africa in 1987. In October of 2011, Professor Snyman received the prestigious Institutional Award for 'Innovator of the Year” for 2010 at the Tshwane University of Technology, South Africa. This award was based on the number of patents recognized and granted by local and international institutions as well as for his contributions concerning innovation at the TUT.",institutionString:null,institution:{name:"University of South Africa",country:{name:"South Africa"}}},{id:"317279",title:"Mr.",name:"Ali",middleName:"Usama",surname:"Syed",slug:"ali-syed",fullName:"Ali Syed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/317279/images/16024_n.png",biography:"A creative, talented, and innovative young professional who is dedicated, well organized, and capable research fellow with two years of experience in graduate-level research, published in engineering journals and book, with related expertise in Bio-robotics, equally passionate about the aesthetics of the mechanical and electronic system, obtained expertise in the use of MS Office, MATLAB, SolidWorks, LabVIEW, Proteus, Fusion 360, having a grasp on python, C++ and assembly language, possess proven ability in acquiring research grants, previous appointments with social and educational societies with experience in administration, current affiliations with IEEE and Web of Science, a confident presenter at conferences and teacher in classrooms, able to explain complex information to audiences of all levels.",institutionString:null,institution:{name:"Air University",country:{name:"Pakistan"}}},{id:"75526",title:"Ph.D.",name:"Zihni Onur",middleName:null,surname:"Uygun",slug:"zihni-onur-uygun",fullName:"Zihni Onur Uygun",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/75526/images/12_n.jpg",biography:"My undergraduate education and my Master of Science educations at Ege University and at Çanakkale Onsekiz Mart University have given me a firm foundation in Biochemistry, Analytical Chemistry, Biosensors, Bioelectronics, Physical Chemistry and Medicine. After obtaining my degree as a MSc in analytical chemistry, I started working as a research assistant in Ege University Medical Faculty in 2014. In parallel, I enrolled to the MSc program at the Department of Medical Biochemistry at Ege University to gain deeper knowledge on medical and biochemical sciences as well as clinical chemistry in 2014. In my PhD I deeply researched on biosensors and bioelectronics and finished in 2020. Now I have eleven SCI-Expanded Index published papers, 6 international book chapters, referee assignments for different SCIE journals, one international patent pending, several international awards, projects and bursaries. In parallel to my research assistant position at Ege University Medical Faculty, Department of Medical Biochemistry, in April 2016, I also founded a Start-Up Company (Denosens Biotechnology LTD) by the support of The Scientific and Technological Research Council of Turkey. Currently, I am also working as a CEO in Denosens Biotechnology. The main purposes of the company, which carries out R&D as a research center, are to develop new generation biosensors and sensors for both point-of-care diagnostics; such as glucose, lactate, cholesterol and cancer biomarker detections. My specific experimental and instrumental skills are Biochemistry, Biosensor, Analytical Chemistry, Electrochemistry, Mobile phone based point-of-care diagnostic device, POCTs and Patient interface designs, HPLC, Tandem Mass Spectrometry, Spectrophotometry, ELISA.",institutionString:null,institution:{name:"Ege University",country:{name:"Turkey"}}},{id:"267434",title:"Dr.",name:"Rohit",middleName:null,surname:"Raja",slug:"rohit-raja",fullName:"Rohit Raja",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/267434/images/system/267434.jpg",biography:"Dr. Rohit Raja received Ph.D. in Computer Science and Engineering from Dr. CVRAMAN University in 2016. His main research interest includes Face recognition and Identification, Digital Image Processing, Signal Processing, and Networking. Presently he is working as Associate Professor in IT Department, Guru Ghasidas Vishwavidyalaya (A Central University), Bilaspur (CG), India. He has authored several Journal and Conference Papers. He has good Academics & Research experience in various areas of CSE and IT. He has filed and successfully published 27 Patents. He has received many time invitations to be a Guest at IEEE Conferences. He has published 100 research papers in various International/National Journals (including IEEE, Springer, etc.) and Proceedings of the reputed International/ National Conferences (including Springer and IEEE). He has been nominated to the board of editors/reviewers of many peer-reviewed and refereed Journals (including IEEE, Springer).",institutionString:"Guru Ghasidas Vishwavidyalaya",institution:{name:"Guru Ghasidas Vishwavidyalaya",country:{name:"India"}}},{id:"246502",title:"Dr.",name:"Jaya T.",middleName:"T",surname:"Varkey",slug:"jaya-t.-varkey",fullName:"Jaya T. Varkey",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/246502/images/11160_n.jpg",biography:"Jaya T. Varkey, PhD, graduated with a degree in Chemistry from Cochin University of Science and Technology, Kerala, India. She obtained a PhD in Chemistry from the School of Chemical Sciences, Mahatma Gandhi University, Kerala, India, and completed a post-doctoral fellowship at the University of Minnesota, USA. She is a research guide at Mahatma Gandhi University and Associate Professor in Chemistry, St. Teresa’s College, Kochi, Kerala, India.\nDr. Varkey received a National Young Scientist award from the Indian Science Congress (1995), a UGC Research award (2016–2018), an Indian National Science Academy (INSA) Visiting Scientist award (2018–2019), and a Best Innovative Faculty award from the All India Association for Christian Higher Education (AIACHE) (2019). She Hashas received the Sr. Mary Cecil prize for best research paper three times. She was also awarded a start-up to develop a tea bag water filter. \nDr. Varkey has published two international books and twenty-seven international journal publications. She is an editorial board member for five international journals.",institutionString:"St. Teresa’s College",institution:null},{id:"250668",title:"Dr.",name:"Ali",middleName:null,surname:"Nabipour Chakoli",slug:"ali-nabipour-chakoli",fullName:"Ali Nabipour Chakoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/250668/images/system/250668.jpg",biography:"Academic Qualification:\r\n•\tPhD in Materials Physics and Chemistry, From: Sep. 2006, to: Sep. 2010, School of Materials Science and Engineering, Harbin Institute of Technology, Thesis: Structure and Shape Memory Effect of Functionalized MWCNTs/poly (L-lactide-co-ε-caprolactone) Nanocomposites. Supervisor: Prof. Wei Cai,\r\n•\tM.Sc in Applied Physics, From: 1996, to: 1998, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Determination of Boron in Micro alloy Steels with solid state nuclear track detectors by neutron induced auto radiography, Supervisors: Dr. M. Hosseini Ashrafi and Dr. A. Hosseini.\r\n•\tB.Sc. in Applied Physics, From: 1991, to: 1996, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Design of shielding for Am-Be neutron sources for In Vivo neutron activation analysis, Supervisor: Dr. M. Hosseini Ashrafi.\r\n\r\nResearch Experiences:\r\n1.\tNanomaterials, Carbon Nanotubes, Graphene: Synthesis, Functionalization and Characterization,\r\n2.\tMWCNTs/Polymer Composites: Fabrication and Characterization, \r\n3.\tShape Memory Polymers, Biodegradable Polymers, ORC, Collagen,\r\n4.\tMaterials Analysis and Characterizations: TEM, SEM, XPS, FT-IR, Raman, DSC, DMA, TGA, XRD, GPC, Fluoroscopy, \r\n5.\tInteraction of Radiation with Mater, Nuclear Safety and Security, NDT(RT),\r\n6.\tRadiation Detectors, Calibration (SSDL),\r\n7.\tCompleted IAEA e-learning Courses:\r\nNuclear Security (15 Modules),\r\nNuclear Safety:\r\nTSA 2: Regulatory Protection in Occupational Exposure,\r\nTips & Tricks: Radiation Protection in Radiography,\r\nSafety and Quality in Radiotherapy,\r\nCourse on Sealed Radioactive Sources,\r\nCourse on Fundamentals of Environmental Remediation,\r\nCourse on Planning for Environmental Remediation,\r\nKnowledge Management Orientation Course,\r\nFood Irradiation - Technology, Applications and Good Practices,\r\nEmployment:\r\nFrom 2010 to now: Academic staff, Nuclear Science and Technology Research Institute, Kargar Shomali, Tehran, Iran, P.O. Box: 14395-836.\r\nFrom 1997 to 2006: Expert of Materials Analysis and Characterization. Research Center of Agriculture and Medicine. Rajaeeshahr, Karaj, Iran, P. O. Box: 31585-498.",institutionString:"Atomic Energy Organization of Iran",institution:{name:"Atomic Energy Organization of Iran",country:{name:"Iran"}}},{id:"248279",title:"Dr.",name:"Monika",middleName:"Elzbieta",surname:"Machoy",slug:"monika-machoy",fullName:"Monika Machoy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/248279/images/system/248279.jpeg",biography:"Monika Elżbieta Machoy, MD, graduated with distinction from the Faculty of Medicine and Dentistry at the Pomeranian Medical University in 2009, defended her PhD thesis with summa cum laude in 2016 and is currently employed as a researcher at the Department of Orthodontics of the Pomeranian Medical University. She expanded her professional knowledge during a one-year scholarship program at the Ernst Moritz Arndt University in Greifswald, Germany and during a three-year internship at the Technical University in Dresden, Germany. She has been a speaker at numerous orthodontic conferences, among others, American Association of Orthodontics, European Orthodontic Symposium and numerous conferences of the Polish Orthodontic Society. She conducts research focusing on the effect of orthodontic treatment on dental and periodontal tissues and the causes of pain in orthodontic patients.",institutionString:"Pomeranian Medical University",institution:{name:"Pomeranian Medical University",country:{name:"Poland"}}},{id:"252743",title:"Prof.",name:"Aswini",middleName:"Kumar",surname:"Kar",slug:"aswini-kar",fullName:"Aswini Kar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252743/images/10381_n.jpg",biography:"uploaded in cv",institutionString:null,institution:{name:"KIIT University",country:{name:"India"}}},{id:"204256",title:"Dr.",name:"Anil",middleName:"Kumar",surname:"Kumar Sahu",slug:"anil-kumar-sahu",fullName:"Anil Kumar Sahu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204256/images/14201_n.jpg",biography:"I have nearly 11 years of research and teaching experience. I have done my master degree from University Institute of Pharmacy, Pt. Ravi Shankar Shukla University, Raipur, Chhattisgarh India. I have published 16 review and research articles in international and national journals and published 4 chapters in IntechOpen, the world’s leading publisher of Open access books. I have presented many papers at national and international conferences. I have received research award from Indian Drug Manufacturers Association in year 2015. My research interest extends from novel lymphatic drug delivery systems, oral delivery system for herbal bioactive to formulation optimization.",institutionString:null,institution:{name:"Chhattisgarh Swami Vivekanand Technical University",country:{name:"India"}}},{id:"253468",title:"Dr.",name:"Mariusz",middleName:null,surname:"Marzec",slug:"mariusz-marzec",fullName:"Mariusz Marzec",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/253468/images/system/253468.png",biography:"An assistant professor at Department of Biomedical Computer Systems, at Institute of Computer Science, Silesian University in Katowice. Scientific interests: computer analysis and processing of images, biomedical images, databases and programming languages. He is an author and co-author of scientific publications covering analysis and processing of biomedical images and development of database systems.",institutionString:"University of Silesia",institution:{name:"University of Silesia",country:{name:"Poland"}}},{id:"212432",title:"Prof.",name:"Hadi",middleName:null,surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/212432/images/system/212432.jpeg",biography:"Dr. Hadi Mohammadi is a biomedical engineer with hands-on experience in the design and development of many engineering structures and medical devices through various projects that he has been involved in over the past twenty years. Dr. Mohammadi received his BSc. and MSc. degrees in Mechanical Engineering from Sharif University of Technology, Tehran, Iran, and his PhD. degree in Biomedical Engineering (biomaterials) from the University of Western Ontario. He was a postdoctoral trainee for almost four years at University of Calgary and Harvard Medical School. He is an industry innovator having created the technology to produce lifelike synthetic platforms that can be used for the simulation of almost all cardiovascular reconstructive surgeries. He’s been heavily involved in the design and development of cardiovascular devices and technology for the past 10 years. He is currently an Assistant Professor with the University of British Colombia, Canada.",institutionString:"University of British Columbia",institution:{name:"University of British Columbia",country:{name:"Canada"}}},{id:"254463",title:"Prof.",name:"Haisheng",middleName:null,surname:"Yang",slug:"haisheng-yang",fullName:"Haisheng Yang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/254463/images/system/254463.jpeg",biography:"Haisheng Yang, Ph.D., Professor and Director of the Department of Biomedical Engineering, College of Life Science and Bioengineering, Beijing University of Technology. He received his Ph.D. degree in Mechanics/Biomechanics from Harbin Institute of Technology (jointly with University of California, Berkeley). Afterwards, he worked as a Postdoctoral Research Associate in the Purdue Musculoskeletal Biology and Mechanics Lab at the Department of Basic Medical Sciences, Purdue University, USA. He also conducted research in the Research Centre of Shriners Hospitals for Children-Canada at McGill University, Canada. Dr. Yang has over 10 years research experience in orthopaedic biomechanics and mechanobiology of bone adaptation and regeneration. He earned an award from Beijing Overseas Talents Aggregation program in 2017 and serves as Beijing Distinguished Professor.",institutionString:null,institution:{name:"Beijing University of Technology",country:{name:"China"}}},{id:"89721",title:"Dr.",name:"Mehmet",middleName:"Cuneyt",surname:"Ozmen",slug:"mehmet-ozmen",fullName:"Mehmet Ozmen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/89721/images/7289_n.jpg",biography:null,institutionString:null,institution:{name:"Gazi University",country:{name:"Turkey"}}},{id:"265335",title:"Mr.",name:"Stefan",middleName:"Radnev",surname:"Stefanov",slug:"stefan-stefanov",fullName:"Stefan Stefanov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/265335/images/7562_n.jpg",biography:null,institutionString:null,institution:{name:"Medical University Plovdiv",country:{name:"Bulgaria"}}},{id:"242893",title:"Ph.D. Student",name:"Joaquim",middleName:null,surname:"De Moura",slug:"joaquim-de-moura",fullName:"Joaquim De Moura",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/242893/images/7133_n.jpg",biography:"Joaquim de Moura received his degree in Computer Engineering in 2014 from the University of A Coruña (Spain). In 2016, he received his M.Sc degree in Computer Engineering from the same university. He is currently pursuing his Ph.D degree in Computer Science in a collaborative project between ophthalmology centers in Galicia and the University of A Coruña. His research interests include computer vision, machine learning algorithms and analysis and medical imaging processing of various kinds.",institutionString:null,institution:{name:"University of A Coruña",country:{name:"Spain"}}},{id:"294334",title:"B.Sc.",name:"Marc",middleName:null,surname:"Bruggeman",slug:"marc-bruggeman",fullName:"Marc Bruggeman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/294334/images/8242_n.jpg",biography:"Chemical engineer graduate, with a passion for material science and specific interest in polymers - their near infinite applications intrigue me. \n\nI plan to continue my scientific career in the field of polymeric biomaterials as I am fascinated by intelligent, bioactive and biomimetic materials for use in both consumer and medical applications.",institutionString:null,institution:null},{id:"255757",title:"Dr.",name:"Igor",middleName:"Victorovich",surname:"Lakhno",slug:"igor-lakhno",fullName:"Igor Lakhno",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255757/images/system/255757.jpg",biography:"Igor Victorovich Lakhno was born in 1971 in Kharkiv (Ukraine). \nMD – 1994, Kharkiv National Medical Univesity.\nOb&Gyn; – 1997, master courses in Kharkiv Medical Academy of Postgraduate Education.\nPh.D. – 1999, Kharkiv National Medical Univesity.\nDSC – 2019, PL Shupik National Academy of Postgraduate Education \nProfessor – 2021, Department of Obstetrics and Gynecology of VN Karazin Kharkiv National University\nHead of Department – 2021, Department of Perinatology, Obstetrics and gynecology of Kharkiv Medical Academy of Postgraduate Education\nIgor Lakhno has been graduated from international training courses on reproductive medicine and family planning held at Debrecen University (Hungary) in 1997. Since 1998 Lakhno Igor has worked as an associate professor in the department of obstetrics and gynecology of VN Karazin National University and an associate professor of the perinatology, obstetrics, and gynecology department of Kharkiv Medical Academy of Postgraduate Education. Since June 2019 he’s been a professor in the department of obstetrics and gynecology of VN Karazin National University and a professor of the perinatology, obstetrics, and gynecology department. He’s affiliated with Kharkiv Medical Academy of Postgraduate Education as a Head of Department from November 2021. Igor Lakhno has participated in several international projects on fetal non-invasive electrocardiography (with Dr. J. A. Behar (Technion), Prof. D. Hoyer (Jena University), and José Alejandro Díaz Méndez (National Institute of Astrophysics, Optics, and Electronics, Mexico). He’s an author of about 200 printed works and there are 31 of them in Scopus or Web of Science databases. Igor Lakhno is a member of the Editorial Board of Reproductive Health of Woman, Emergency Medicine, and Technology Transfer Innovative Solutions in Medicine (Estonia). He is a medical Editor of “Z turbotoyu pro zhinku”. Igor Lakhno is a reviewer of the Journal of Obstetrics and Gynaecology (Taylor and Francis), British Journal of Obstetrics and Gynecology (Wiley), Informatics in Medicine Unlocked (Elsevier), The Journal of Obstetrics and Gynecology Research (Wiley), Endocrine, Metabolic & Immune Disorders-Drug Targets (Bentham Open), The Open Biomedical Engineering Journal (Bentham Open), etc. He’s defended a dissertation for a DSc degree “Pre-eclampsia: prediction, prevention, and treatment”. Three years ago Igor Lakhno has participated in a training course on innovative technologies in medical education at Lublin Medical University (Poland). Lakhno Igor has participated as a speaker in several international conferences and congresses (International Conference on Biological Oscillations April 10th-14th 2016, Lancaster, UK, The 9th conference of the European Study Group on Cardiovascular Oscillations). His main scientific interests: are obstetrics, women’s health, fetal medicine, and cardiovascular medicine. \nIgor Lakhno is a consultant at Kharkiv municipal perinatal center. He’s graduated from training courses on endoscopy in gynecology. He has 28 years of practical experience in the field.",institutionString:null,institution:null},{id:"244950",title:"Dr.",name:"Salvatore",middleName:null,surname:"Di Lauro",slug:"salvatore-di-lauro",fullName:"Salvatore Di Lauro",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0030O00002bSF1HQAW/ProfilePicture%202021-12-20%2014%3A54%3A14.482",biography:"Name:\n\tSALVATORE DI LAURO\nAddress:\n\tHospital Clínico Universitario Valladolid\nAvda Ramón y Cajal 3\n47005, Valladolid\nSpain\nPhone number: \nFax\nE-mail:\n\t+34 983420000 ext 292\n+34 983420084\nsadilauro@live.it\nDate and place of Birth:\nID Number\nMedical Licence \nLanguages\t09-05-1985. Villaricca (Italy)\n\nY1281863H\n474707061\nItalian (native language)\nSpanish (read, written, spoken)\nEnglish (read, written, spoken)\nPortuguese (read, spoken)\nFrench (read)\n\t\t\nCurrent position (title and company)\tDate (Year)\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. Private practise.\t2017-today\n\n2019-today\n\t\n\t\nEducation (High school, university and postgraduate training > 3 months)\tDate (Year)\nDegree in Medicine and Surgery. University of Neaples 'Federico II”\nResident in Opthalmology. Hospital Clinico Universitario Valladolid\nMaster in Vitreo-Retina. IOBA. University of Valladolid\nFellow of the European Board of Ophthalmology. Paris\nMaster in Research in Ophthalmology. University of Valladolid\t2003-2009\n2012-2016\n2016-2017\n2016\n2012-2013\n\t\nEmployments (company and positions)\tDate (Year)\nResident in Ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl.\nFellow in Vitreo-Retina. IOBA. University of Valladolid\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. \n\t2012-2016\n2016-2017\n2017-today\n\n2019-Today\n\n\n\t\nClinical Research Experience (tasks and role)\tDate (Year)\nAssociated investigator\n\n' FIS PI20/00740: DESARROLLO DE UNA CALCULADORA DE RIESGO DE\nAPARICION DE RETINOPATIA DIABETICA BASADA EN TECNICAS DE IMAGEN MULTIMODAL EN PACIENTES DIABETICOS TIPO 1. Grant by: Ministerio de Ciencia e Innovacion \n\n' (BIO/VA23/14) Estudio clínico multicéntrico y prospectivo para validar dos\nbiomarcadores ubicados en los genes p53 y MDM2 en la predicción de los resultados funcionales de la cirugía del desprendimiento de retina regmatógeno. Grant by: Gerencia Regional de Salud de la Junta de Castilla y León.\n' Estudio multicéntrico, aleatorizado, con enmascaramiento doble, en 2 grupos\nparalelos y de 52 semanas de duración para comparar la eficacia, seguridad e inmunogenicidad de SOK583A1 respecto a Eylea® en pacientes con degeneración macular neovascular asociada a la edad' (CSOK583A12301; N.EUDRA: 2019-004838-41; FASE III). Grant by Hexal AG\n\n' Estudio de fase III, aleatorizado, doble ciego, con grupos paralelos, multicéntrico para comparar la eficacia y la seguridad de QL1205 frente a Lucentis® en pacientes con degeneración macular neovascular asociada a la edad. (EUDRACT: 2018-004486-13). Grant by Qilu Pharmaceutical Co\n\n' Estudio NEUTON: Ensayo clinico en fase IV para evaluar la eficacia de aflibercept en pacientes Naive con Edema MacUlar secundario a Oclusion de Vena CenTral de la Retina (OVCR) en regimen de tratamientO iNdividualizado Treat and Extend (TAE)”, (2014-000975-21). Grant by Fundacion Retinaplus\n\n' Evaluación de la seguridad y bioactividad de anillos de tensión capsular en conejo. Proyecto Procusens. Grant by AJL, S.A.\n\n'Estudio epidemiológico, prospectivo, multicéntrico y abierto\\npara valorar la frecuencia de la conjuntivitis adenovírica diagnosticada mediante el test AdenoPlus®\\nTest en pacientes enfermos de conjuntivitis aguda”\\n. National, multicenter study. Grant by: NICOX.\n\nEuropean multicentric trial: 'Evaluation of clinical outcomes following the use of Systane Hydration in patients with dry eye”. Study Phase 4. Grant by: Alcon Labs'\n\nVLPs Injection and Activation in a Rabbit Model of Uveal Melanoma. Grant by Aura Bioscience\n\nUpdating and characterization of a rabbit model of uveal melanoma. Grant by Aura Bioscience\n\nEnsayo clínico en fase IV para evaluar las variantes genéticas de la vía del VEGF como biomarcadores de eficacia del tratamiento con aflibercept en pacientes con degeneración macular asociada a la edad (DMAE) neovascular. Estudio BIOIMAGE. IMO-AFLI-2013-01\n\nEstudio In-Eye:Ensayo clínico en fase IV, abierto, aleatorizado, de 2 brazos,\nmulticçentrico y de 12 meses de duración, para evaluar la eficacia y seguridad de un régimen de PRN flexible individualizado de 'esperar y extender' versus un régimen PRN según criterios de estabilización mediante evaluaciones mensuales de inyecciones intravítreas de ranibizumab 0,5 mg en pacientes naive con neovascularización coriodea secunaria a la degeneración macular relacionada con la edad. CP: CRFB002AES03T\n\nTREND: Estudio Fase IIIb multicéntrico, randomizado, de 12 meses de\nseguimiento con evaluador de la agudeza visual enmascarado, para evaluar la eficacia y la seguridad de ranibizumab 0.5mg en un régimen de tratar y extender comparado con un régimen mensual, en pacientes con degeneración macular neovascular asociada a la edad. CP: CRFB002A2411 Código Eudra CT:\n2013-002626-23\n\n\n\nPublications\t\n\n2021\n\n\n\n\n2015\n\n\n\n\n2021\n\n\n\n\n\n2021\n\n\n\n\n2015\n\n\n\n\n2015\n\n\n2014\n\n\n\n\n2015-16\n\n\n\n2015\n\n\n2014\n\n\n2014\n\n\n\n\n2014\n\n\n\n\n\n\n\n2014\n\nJose Carlos Pastor; Jimena Rojas; Salvador Pastor-Idoate; Salvatore Di Lauro; Lucia Gonzalez-Buendia; Santiago Delgado-Tirado. Proliferative vitreoretinopathy: A new concept of disease pathogenesis and practical\nconsequences. Progress in Retinal and Eye Research. 51, pp. 125 - 155. 03/2016. DOI: 10.1016/j.preteyeres.2015.07.005\n\n\nLabrador-Velandia S; Alonso-Alonso ML; Di Lauro S; García-Gutierrez MT; Srivastava GK; Pastor JC; Fernandez-Bueno I. Mesenchymal stem cells provide paracrine neuroprotective resources that delay degeneration of co-cultured organotypic neuroretinal cultures.Experimental Eye Research. 185, 17/05/2019. DOI: 10.1016/j.exer.2019.05.011\n\nSalvatore Di Lauro; Maria Teresa Garcia Gutierrez; Ivan Fernandez Bueno. Quantification of pigment epithelium-derived factor (PEDF) in an ex vivo coculture of retinal pigment epithelium cells and neuroretina.\nJournal of Allbiosolution. 2019. ISSN 2605-3535\n\nSonia Labrador Velandia; Salvatore Di Lauro; Alonso-Alonso ML; Tabera Bartolomé S; Srivastava GK; Pastor JC; Fernandez-Bueno I. Biocompatibility of intravitreal injection of human mesenchymal stem cells in immunocompetent rabbits. Graefe's archive for clinical and experimental ophthalmology. 256 - 1, pp. 125 - 134. 01/2018. DOI: 10.1007/s00417-017-3842-3\n\n\nSalvatore Di Lauro, David Rodriguez-Crespo, Manuel J Gayoso, Maria T Garcia-Gutierrez, J Carlos Pastor, Girish K Srivastava, Ivan Fernandez-Bueno. A novel coculture model of porcine central neuroretina explants and retinal pigment epithelium cells. Molecular Vision. 2016 - 22, pp. 243 - 253. 01/2016.\n\nSalvatore Di Lauro. Classifications for Proliferative Vitreoretinopathy ({PVR}): An Analysis of Their Use in Publications over the Last 15 Years. Journal of Ophthalmology. 2016, pp. 1 - 6. 01/2016. DOI: 10.1155/2016/7807596\n\nSalvatore Di Lauro; Rosa Maria Coco; Rosa Maria Sanabria; Enrique Rodriguez de la Rua; Jose Carlos Pastor. Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study. Journal of Ophthalmology. 2015:821864, 2015. DOI: 10.1155/2015/821864\n\nIvan Fernandez-Bueno; Salvatore Di Lauro; Ivan Alvarez; Jose Carlos Lopez; Maria Teresa Garcia-Gutierrez; Itziar Fernandez; Eva Larra; Jose Carlos Pastor. Safety and Biocompatibility of a New High-Density Polyethylene-Based\nSpherical Integrated Porous Orbital Implant: An Experimental Study in Rabbits. Journal of Ophthalmology. 2015:904096, 2015. DOI: 10.1155/2015/904096\n\nPastor JC; Pastor-Idoate S; Rodríguez-Hernandez I; Rojas J; Fernandez I; Gonzalez-Buendia L; Di Lauro S; Gonzalez-Sarmiento R. Genetics of PVR and RD. Ophthalmologica. 232 - Suppl 1, pp. 28 - 29. 2014\n\nRodriguez-Crespo D; Di Lauro S; Singh AK; Garcia-Gutierrez MT; Garrosa M; Pastor JC; Fernandez-Bueno I; Srivastava GK. Triple-layered mixed co-culture model of RPE cells with neuroretina for evaluating the neuroprotective effects of adipose-MSCs. Cell Tissue Res. 358 - 3, pp. 705 - 716. 2014.\nDOI: 10.1007/s00441-014-1987-5\n\nCarlo De Werra; Salvatore Condurro; Salvatore Tramontano; Mario Perone; Ivana Donzelli; Salvatore Di Lauro; Massimo Di Giuseppe; Rosa Di Micco; Annalisa Pascariello; Antonio Pastore; Giorgio Diamantis; Giuseppe Galloro. Hydatid disease of the liver: thirty years of surgical experience.Chirurgia italiana. 59 - 5, pp. 611 - 636.\n(Italia): 2007. ISSN 0009-4773\n\nChapters in books\n\t\n' Salvador Pastor Idoate; Salvatore Di Lauro; Jose Carlos Pastor Jimeno. PVR: Pathogenesis, Histopathology and Classification. Proliferative Vitreoretinopathy with Small Gauge Vitrectomy. Springer, 2018. ISBN 978-3-319-78445-8\nDOI: 10.1007/978-3-319-78446-5_2. \n\n' Salvatore Di Lauro; Maria Isabel Lopez Galvez. Quistes vítreos en una mujer joven. Problemas diagnósticos en patología retinocoroidea. Sociedad Española de Retina-Vitreo. 2018.\n\n' Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor Jimeno. iOCT in PVR management. OCT Applications in Opthalmology. pp. 1 - 8. INTECH, 2018. DOI: 10.5772/intechopen.78774.\n\n' Rosa Coco Martin; Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor. amponadores, manipuladores y tinciones en la cirugía del traumatismo ocular.Trauma Ocular. Ponencia de la SEO 2018..\n\n' LOPEZ GALVEZ; DI LAURO; CRESPO. OCT angiografia y complicaciones retinianas de la diabetes. PONENCIA SEO 2021, CAPITULO 20. (España): 2021.\n\n' Múltiples desprendimientos neurosensoriales bilaterales en paciente joven. Enfermedades Degenerativas De Retina Y Coroides. SERV 04/2016. \n' González-Buendía L; Di Lauro S; Pastor-Idoate S; Pastor Jimeno JC. Vitreorretinopatía proliferante (VRP) e inflamación: LA INFLAMACIÓN in «INMUNOMODULADORES Y ANTIINFLAMATORIOS: MÁS ALLÁ DE LOS CORTICOIDES. 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