Flow Measurements Research Articles

Aerodynamic efficiency explains flapping strategies used by birds

A faster cruising speed increases drag and thereby the thrust (T) needed to fly, while weight and lift (L) requirement remains constant. Birds can adjust their wingbeat in multiple ways to accommodate this change in aerodynamic force, but the relative costs of different strategies remain largely unknown. To evaluate the efficiency of several kinematic strategies, I used a robotic wing [E. Ajanic, A. Paolini, C. Coster, D. Floreano, C. Johansson, Adv. Intell. Syst. 5, 2200148 (2023)] and quantitative flow measurements. I found that, among the tested strategies, changing the mean wingbeat elevation provides the most efficient solution to changing thrust-to-lift ratio (T/L), offering insight into why birds tend to beat their wings with a greater ventral than dorsal excursion. I also found that although propulsive efficiency (ηp) may peak at a Strouhal number (St, measure of relative flapping speed) near 0.3, the overall efficiency of generating force decreases with St. This challenges the expectance of a specific optimal St for flapping flight and instead suggest the chosen St depends on T/L. This may explain variation in preferred St among birds and why bats prefer flying at higher St than birds [G. K. Taylor, R. L. Nudds, A. L. Thomas, Nature 425, 707-711 (2003)], since their body shape imposes relatively higher thrust requirements [F. T. Muijres, L. C. Johansson, M. S. Bowlin, Y. Winter, A. Hedenström, PLoS One 7, e37335 (2012)]. In addition to explaining flapping strategies used by birds, my results suggest alternative, efficient, flapping motions for drones to explore aiming to extend their flight range.

Experimental Validation of the Remote Sensing Method for River Velocity Measurement Using an Open-Source PIV Scheme—Case Study: Antisana River in the Ecuadorian Andes

This study presents the experimental validation of a remote sensing method for river flow velocity measurement, from which discharge is calculated, using Particle Image Velocimetry (PIV) combined with Unmanned Aerial Vehicles (UAVs). The case study focuses on the Antisana River in the Ecuadorian Andes, a region with challenging geography where accurate flow measurement is crucial for hydroelectric projects. The validation results demonstrate that the velocity measurements obtained through PIV closely align with those from standardized traditional methods. Furthermore, integrating technologies such as LiDAR for cross-sectional measurements, along with UAVs, would enable the accurate estimation of discharge in difficult-to-access areas. This approach has the potential to significantly enhance hydrological studies and water resource management in remote regions, especially for hydroelectric projects in the Ecuadorian Andes.

CSF flow measurement in the mesencephalic aqueduct using 2D cine phase-contrast MRI in dogs with communicating internal hydrocephalus, ventriculomegaly, and physiologic ventricular spaces

BackgroundBrachycephalic dogs are overrepresented with ventricular enlargement. Cerebrospinal fluid (CSF) flow dynamics are not completely understood. MRI techniques have been used for the visualization of CSF dynamics including phase-contrast imaging.ObjectivesThis study aimed to determine a causality between CSF flow and ventriculomegaly or hydrocephalus and to compare CSF flow dynamics among dogs with ventriculomegaly, internal hydrocephalus, and physiologic ventricles.AnimalsA total of 51 client-owned dogs were included in the study.MethodsMagnetic resonance imaging (MRI)-based FLASH sequences and phase-contrast images of the brain were obtained, and the ROI was placed at the level of the mesencephalic aqueduct. ECG monitoring was performed parallel to MRI acquisition. Evaluation of flow diagrams and processing of phase-contrast images were performed using commercially available software (Argus VA80A, Siemens AG Healthcare Sector, Erlangen, Germany). Dogs were divided into three groups: Group 1 consisted of brachycephalic dogs with ventriculomegaly (group 1A) or internal hydrocephalus (group 1B), group 2 consisted of brachycephalic dogs with normal ventricles, and group 3 consisted of meso- to dolichocephalic dogs with normal ventricles.ResultsGroup 1 had a higher median Vrost (4.32 cm/s; CI: 2.94–6.33 cm/s) and Vcaud (−6.1 cm/s, CI: 3.99–9.33 cm/s) than group 2 (Vrost: 1.99 cm/s; CI 1.43–2.78 cm/s; Vcaud: 2.91 cm/s, CI: 2.01–4.21 cm/s; p = 0.008; p = 0.03) and group 3 (Vrost:1.85 cm/s, CI: 1.31–2.60 cm/s; Vcaud − 2.46 cm/s, CI 1.68–3.58 cm/s; p = 0.01; p = 0.02). The median Volcaud of group 1 (−0.23 mL/min, CI: 0.13–0.42 mL/min) was higher than that of group 2 (−0.09 mL/min, CI: 0.05 mL/min and 0.15 mL/min) (p = 0.03). Groups 1A and 1B did not differ in Vcaud, Vrost, Volcaud, and Volrost. Group 1A and 1B showed a higher median Vrost (4.01 cm/s, CI: 2.30–7.05 cm/s; 5.94 cm/s, CI: 2.16–7.88 cm/s) than group 2 (1.85 cm/s, CI: 1.24–2.80 cm/s.) (p = 0.03; p = 0.004).Conclusion and clinical importanceIncreased CSF flow velocities in rostral and caudal directions are present in dogs with ventriculomegaly and internal hydrocephalus compared to normal controls.

Unveiling the Dynamics of Canopy Transpiration: A Novel Model Integrating Stomatal and Aerodynamic Resistance in Semi-Humid Forests

Canopy–atmospheric water vapor output resistance (gs) is a key parameter in researching forest canopy transpiration. It is important for quantifying the water vapor exchange in forest ecosystems. However, the method by which gs is determined has been controversial, and it cannot precisely represent water vapor exchange. This study aimed to develop a model to quantify the water vapor resistance between the canopy and the atmosphere in Platycladus orientalis (P. orientalis) forests using sap flow and meteorological factors monitoring data. The resistance model was constructed using the relationship between canopy stomatal resistance (gc) and aerodynamic resistance (ga) from the mechanism perspective, and sap flow data and measurements of meteorological variables were used to model the stomatal and aerodynamic resistance of the canopy. The results indicate that the canopy-atmospheric water vapor output resistance was closer to the measured values and showed a unimodal curve in the diurnal scale, and this change could provide more accurate measurements of tree transpiration. At the same time, the canopy-atmospheric water vapor output resistance was strongly influenced by wind speed and PAR when 0.2 m/s < u < 0.4 m/s (R2 = 0.871, p < 0.01). The stomatal and aerodynamic resistance were also both strongly influenced by wind speed, with the proposed model achieving a high degree of fit (R2 = 0.949, p < 0.01), providing a new tool for analyzing forest transpiration. This research provides a new perspective and technical reference for clarifying the mechanism of forest canopy water output.

Intraoperative Invasive Coronary Angiography after Coronary Artery Bypass Grafting.

The aim of this study was to prospectively evaluate the feasibility and safety of intraoperative invasive coronary angiography (ICA) following coronary artery bypass grafting using a mobile angiography C-arm. Between August 2020 and December 2021, 18 patients were enrolled for intraoperative ICA following coronary artery bypass grafting. After skin closure, ICA was performed including angiography of all established bypass grafts via a mobile angiography system by an interventional cardiologist. Data on graft patency, stenosis, and kinking were assessed. Grafts were rated on an ordinal scale ranging from very poor (1) to excellent (5). Furthermore, the impact of ICA compared with flow measurement was assessed using the ordinal Likert scale ranging from (I) worse to (V) much better. The ICA was considered better (V) compared with transient flow measurement in 38 (93%) and comparable (III) in 3 (7%) distal anastomoses. ICA impacted clinical or surgical decision-making in three patients (17%). In one patient, dual antiplatelet therapy for 6 months was initiated and rethoracotomy was needed in two (11%) patients with bypass graft revision and additional bypass grafting for graft occlusion. There were no cerebral and distal embolic events or access vessel complications observed and no postoperative acute kidney injury occurred. Intraoperative angiography after coronary bypass grafting is safe. Using a mobile angiographic device, graft patency, and function assessment was superior to transit time flow measurement leading to further consequences in a relevant number of patients. Therefore, it has the potential to reduce postoperative myocardial injury and improve survival.

Impact of light polarization on laser speckle contrast imaging with a custom phantom for microvascular flow

Laser speckle contrast imaging (LSCI) is a non-invasive, powerful, and cost-effective imaging technique that has seen widespread adoption across various medical fields, particularly for blood flow imaging. While LSCI provides physicians with valuable insights into changes or occlusions in blood flow, the technique is susceptible to various factors and parameters that can impact measurement sensitivity and signal-to-noise ratio (SNR). These include the scattering of light, which can affect the quality and reliability of the LSCI data. The polarization of light holds significant promise to enhance the performance of LSCI. In this study, we employed polarization manipulation of light to investigate its impact on the performance of LSCI for measuring flow. Focusing on the application of LSCI in microcirculation within capillaries, we examined the effect of polarization control on the technique's flow measurement capabilities using a custom-designed phantom system. This phantom consisted of three tubes with inner diameters of 1.1 mm, 1.6 mm, and 2.8 mm, embedded in a polydimethylsiloxane (PDMS) matrix with optical properties similar to biological tissue. By manipulating the polarization of both the incident and reflected light, alternating between parallel and perpendicular states, we compared the performance of our LSCI system in detecting flow for different tube diameters and depths within the phantom. Our study revealed that while depth is a critical parameter influencing flow detection using LSCI, employing perpendicular polarization (between incident and reflected light) resulted in the lowest measurement error and highest SNR compared to parallel polarization and the absence of polarization control.

Quantification of contaminant mass discharge and uncertainties: Method and challenges in application at contaminated sites

Contaminant mass discharge (CMD) estimation involves combining multilevel concentration and flow measurements to quantify the contaminant mass passing through a control plane downgradient of a point source. However, geological heterogeneities and limited data introduce uncertainties that complicate CMD estimation and risk assessment. Although CMD is increasingly used in groundwater management, methods for quantifying and handling these uncertainties are still needed. This study develops and tests a CMD estimation method based on Bayesian geostatistics to quantify CMD uncertainties using data from a control plane perpendicular to the contaminant plume.By combining geostatistical conditional simulations of the spatial concentration distribution with the flow, an ensemble of CMD realizations is generated, from which a cumulative distribution function is derived. A key element of this approach is the use of a macrodispersive transport model to simulate the spatial concentration trend. This ensures that the estimated concentration reflects the expected physical behavior of the contaminant plume while also allowing the integration of site-specific conceptual information.The method is applicable to plumes with dissolved contaminants, such as chlorinated solvents, petroleum hydrocarbons, Per- and polyfluoroalkyl substances (PFAS) and pesticides. Site-specific conceptual understanding is used to inform the prior probability density functions of the structural model parameters and to define acceptable simulated concentration limits. We applied the method at three sites contaminated with chlorinated ethenes, demonstrating its robustness across varying information levels and data availability.Our results shows that strong site-specific conceptual knowledge and high sampling density constrain the CMD uncertainty (CV = 21 %) and results in estimated model parameters and a spatial concentration distribution that agrees well with the conceptual model. For a site with less data and limited conceptual knowledge, CMD and concentration distribution estimates are still feasible, though with higher uncertainty (CV = 41 %). Extending the method to account for multiple source zones and complex plume migration improved parameter identification and reduced the 95 % CMD confidence interval by 11 % ([4950–8750] to [5090–8480] g yr−1), while also providing a spatial concentration distribution in better agreement with the plume conceptualization.This study highlights the importance of integrating site-specific conceptual knowledge in CMD estimation, particularly for less-sampled sites. The method can furthermore assist in identifying remediation targets, evaluating remedial effectiveness, and optimizing sampling strategies.

Three-Phase Flow Measurement by Dual-Energy Gamma ray Technique and Static-Equivalent Multi-Phase Flow Simulator

There is a strong desire to use three-phase flowmeters in upstream operations because of their small size, portability, and cost-effectiveness. Traditional three-phase flowmeterstypically employ two main strategies: fully separating the flow into liquid and gas streams and measuring them using common two- and single-phase meters, or simplifying the direct measurement requirements by homogenization.In order to achieve accurate measurements with these meters, it is necessary to first create a suitable simulator for generating various multiphase flow regimes with minimal systematic error. Developing such a simulator on a laboratory scale, rather than using expensive test loops is a crucial and practical option.In this research, SEMPF as a Static-Equivalent Multi-Phase Flow with flexibility in creating different multi-phase flow regimes is introduced. In the following, the mechanism of action is validated for both homogenous two- and three-phase mixtures by using dual-energy gamma ray attenuation technique in the Monte Carlo simulator environment. Finally, the three-phase component fraction measurement accuracy by dual-energy gamma meter in three different modes of gasoil-, water-, and air-continuous mixtures were investigated. The experimental results show the maximum accuracy of 2.03%, 7.23%, and 5.09% for gasoil phase measurement in three different conditions that the carrier phase is air, gasoil and water respectively.

Multi-directional blood flow in the femoral artery via vector flow imaging: Doppler ultrasound imaging insights.

The accuracy of femoral artery blood flow measurements via Doppler ultrasound hinges on assumptions of laminar flow upstream of the femoral bifurcation. Existing scanning guidelines recommend a minimum proximity of 2-3cm distal to the flow divider for avoiding multi-directional blood flow yet lack experimental evidence to support this recommendation. This study aimed to determine the minimum distance required to avoid multi-directional flow contamination near the femoral bifurcation and to assess the reliability of vector flow imaging (VFI) in these measurements. Twenty healthy adults (10 females, 25±4yrs) participated in this study. Ultrasound VFI was employed to visualize blood flow patterns, quantify flow uniformity via vector concentration coefficient (VCC), and multi-directional flow length was quantified at rest in triplicate (n=20), post-isometric contraction (n=20), and during thigh cuffing (n=10). At rest, the mean multi-directional flow length was 3.12±0.59cm, which decreased to 2.80±0.66cm post-contraction (P=0.02). Thigh cuffing (80mmHg) resulted in a multi-directional flow length of 2.75±0.64cm, not significantly different from rest (P=0.69). Males exhibited a shorter multi-directional flow length compared to females (mean difference: 0.31±0.71cm, P=0.05). The VCC increased from 0.39±0.08 at rest to 0.57±0.15 post-contraction (P<0.01), indicating increased flow uniformity. Reliability metrics demonstrated good-to-excellent reproducibility at rest, with ICC(3,1)=0.85 and 0.84 and CV%=7.1±6.2% and 7.5±4.5% for multi-directional flow length and VCC, respectively. Our data suggest a minimum scanning proximity of 3.5cm to the femoral bifurcation to ensure blood flow assessments are free of multi-directional flow, and invite further study in different body positions and arteries of interest to increase rigour in this area.

A case study of canal seepage quantification using gain/loss method and electrical resistivity tomography in an intensively managed water resource system in the Treasure Valley, Idaho, United States

Monitoring groundwater-surface water (GW-SW) interactions is essential for effectively managing the available water resources in semi-arid and arid environments. The focus of this study was to quantify how much SW is being exchanged with the shallow GW aquifer in the Treasure Valley (TV), Idaho, USA. Previous water budgets estimated regional canal seepage without incorporating canal variability and flow measurement uncertainty. To address this, we applied both direct (gain/loss) and indirect (electrical resistivity tomography (ERT)) techniques. Direct seepage measurements were taken on canals capturing a range of different characteristics in the TV. The discrete measurements were then used to estimate the total seepage anticipated to be lost from these canals during the irrigation season. Our findings showed high seepage variability across the canals. The ERT inversion approach was utilized before and after the irrigation season by applying an advanced inversion scheme to better constrain the canal seepage spatial variability and uncertainty by quantifying changes in the saturated zone with 2D-ERT results. Temporal changes in the subsurface resistivity were observed due to the lateral flow from the nearby surface canal during the irrigation season. The combination of these approaches improves our understanding of SW-GW interactions in intensively managed irrigation systems.

The global flow state in a precessing cylinder

We examine the fluid flow forced by precession of a rotating cylindrical container using numerical simulations and experimental flow measurements with ultrasonic Doppler velocimetry. The analysis is based on the decomposition of the flow field into contributions with distinct azimuthal symmetry or analytically known inertial modes and the corresponding calculation of their amplitudes. We show that the predominant fraction of the kinetic energy of the precession-driven fluid flow is contained only within a few large-scale modes. The most striking observation shown by simulations and experiments is the transition from a flow dominated by large-scale structures to a more turbulent behaviour with the small-scale fluctuations becoming increasingly important. At a fixed rotation frequency (parametrized by the Reynolds number, $Re$ ) this transition occurs when a critical precession ratio is exceeded and consists of a two-stage collapse of the directly driven flow going along with a massive modification of the azimuthal circulation (the zonal flow) and the appearance of an axisymmetric double-roll mode limited to a narrow range of precession ratios. A similar behaviour is found in experiments which make it possible to follow the transition up to Reynolds numbers of $Re\approx 2\times 10^6$ . We find that the critical precession ratio decreases with rotation, initially showing a particular scaling ${\propto }Re^{-({1}/{5})}$ but developing an asymptotic behaviour for $Re\gtrsim 10^5$ which might be explained by the onset of turbulence in boundary layers.

The Evolution of Powell Basin (Antarctica)

Powell Basin is an ocean basin formed as a result of the Scotia Sea evolution. The existing tectonic models propose a variety of starting and ending ages for the spreading of the basin based on seafloor magnetic anomalies. Here, we use recent magnetic field data obtained from eight magnetic profiles in Powell Basin to provide insights into the oceanic spreading evolution. The differences found between the number of anomalies on both sides of the axis and the asymmetry in the spreading rates suggest different opening models for different parts of the basin. We propose a spreading model starting in the late Eocene (38.08 Ma) and ending in the early Miocene (21.8 Ma) for the northern part of Powell Basin. For the southern part, the opening started in the late Eocene (38.08 Ma) and ended in the middle Paleogene (25.2 Ma). The magnetic data have been combined with gravity and sediment thickness data to better constrain the age models. The gravity and sediment thickness information allow us to more accurately locate the position of the extinct spreading axis. Geothermal heat flow measurements are used to understand the relationship between the low amplitudes of the magnetic anomalies and the heat beneath them. Our proposed oceanic spreading models suggest that the initial incursions of the Pacific mantle outflow into the Powell Basin occurred in the Oligocene, and the initial incursions of oceanic currents from the Weddell Sea occurred in the Eocene.

Discharge estimation using a rating curve developed for the Upper Erer River, Wabisheble River Basin, Ethiopia

ABSTRACT The measurement of a stream flow is a vital component of water quality monitoring, geomorphology, and flooding investigations. However, the direct measurements of stream flow can be costly and challenging. To obtain a continuous record of discharge, typically the recorded stage and discharge are computed from the correlation of stage and discharge in the form of a rating curve. This study focused on the estimation of flow discharges using a rating curve equation based on data recorded at the Erer-Jijiga Bridge hydrometric station at the outlet of the upper Erer Sub-basin in Ethiopia for 2020–2021. The fitted rating curve was then used to estimate discharges from continuously recorded stages. The installation and operation of a gauging station in the Upper Erer Sub-basin will provide local and regional water sector administrators with more reliable estimates of discharge than would be available if the sub-basin was ungauged. This will also assist the local water sector to undertake water resource planning in the Upper Erer River Basin to better use the limited water resources in the region.

A chip thermal management method realizing integrated applications of cooling, power generation and heat flow measurement based on thermoelectric effect

Thermoelectric cooling, power generation and heat flow measurement are widely used in frontier domains while each of them is still in an isolated state. They are now widely used in fields such as electronic cooling, wearable device, sensors and so on. This paper proposes a method of thermoelectric effect combined with pulse width modulation (PWM) to achieve integrating thermoelectric applications. In a PWM cycle, the integration of thermoelectric applications makes it possible to realize three different operations of temperature control, energy recovery and heat flow measurement through a single thermoelectric module. The experimental results indicate that increasing the input voltage of the thermoelectric module extends the duration for power generation and heat flow measurement, while also enhancing the energy recovery rate. When the target temperature is higher than the ambient temperature, although the temperature control accuracy slightly decreases with the increase of the target temperature, the average temperature fluctuation range of the whole experimental group is −0.09∼+0.1℃ and energy recovery rate increases by 79.9 %. When the target temperature is lower than the ambient temperature, the system can still achieve efficient energy recovery. Applying the method to the computer central processing unit(CPU), the experimental results present that the heat dissipation of CPU can be monitored by measuring heat flow. Compared with the CPU + FPU working, the total power generation is increased by 0.285 W and energy recovery rate is increased by 78.3 % when the CPU is idle.

Recent Advances of PDMS In Vitro Biomodels for Flow Visualizations and Measurements: From Macro to Nanoscale Applications

Polydimethylsiloxane (PDMS) has become a popular material in microfluidic and macroscale in vitro models due to its elastomeric properties and versatility. PDMS-based biomodels are widely used in blood flow studies, offering a platform for improving flow models and validating numerical simulations. This review highlights recent advances in bioflow studies conducted using both PDMS microfluidic devices and macroscale biomodels, particularly in replicating physiological environments. PDMS microchannels are used in studies of blood cell deformation under confined conditions, demonstrating the potential to distinguish between healthy and diseased cells. PDMS also plays a critical role in fabricating arterial models from real medical images, including pathological conditions such as aneurysms. Cutting-edge applications, such as nanofluid hemodynamic studies and nanoparticle drug delivery in organ-on-a-chip platforms, represent the latest developments in PDMS research. In addition to these applications, this review critically discusses PDMS properties, fabrication methods, and its expanding role in micro- and nanoscale flow studies.

Good agreement between cardiac magnetic imaging protocols using free-breathing and breath-holding techniques for flow quantification in valvular heart disease

Abstract Background Cardiac magnetic resonance (CMR) evaluation of valvular heart disease is an important diagnostic tool when echocardiography is inconclusive. Flow quantification is usually performed during breath hold, which can be challenging in valvular heart disease patients often suffering from dyspnea and heart failure. Purpose The purpose of the present study is to evaluate a free-breathing protocol of flow measurement in the aortic, pulmonary and tricuspid valves in healthy subjects (HS) and patients with tricuspid regurgitation (TR). Methods Phase contrast flow volume measurements were performed in 20 HS and 25 patients with TR using standard breath-holding (BH) and a free-breathing (FB) technique. Two venc-adjusted volume acquisition were acquired in the aortic, pulmonary and tricuspid valve during BH and one during FB. Mean, standard deviation (SD) and limits of agreement (LoA) for aortic forward flow volume (AoFF), pulmonary forward flow volume (PuFF) and tricuspid inflow volume (TrIF) were evaluated. Results Figure 1 presents flow volume (ml) of AoFF, PuFF and TrIF during BH (mean of 2 measurements) and FB. Conclusions The present study demonstrated good agreements between phase contrast flow measurements using FB and BH techniques. These parameters are used in the evaluation of aortic, mitral, pulmonary and tricuspid regurgitations using CMR imaging. Thus, free-breathing CMR acquisition can be an important complement in the assessment of valvular heart disease and may be applied in patients with difficulty to hold their breath.

Impaired systemic microvascular function in patients with resistant arterial hypertension and microalbuminuria: an observational study

Abstract Background Systemic arterial hypertension (SAH) is one of the most prevalent diseases worldwide and is known to be associated with alterations of microvascular function. It is well known that microalbuminuria (MAU) is considered an early marker of renal and cardiac injury in SAH and is an independent risk factor for cardiovascular events in this population. Additionally, it is associated with altered endothelial function, which occurs from the early stages and can be considered an early marker. In some cases, SAH presents as resistant arterial hypertension (RAH), resulting in a worse prognosis compared to individuals with non-resistant hypertension. Moreover, MAU is associated with higher mortality, independent of glomerular filtration rate. Endothelial dysfunction is also a risk marker found in different conditions and can add to MAU in patients with RAH. Purpose To investigate systemic microvascular function in patients with RAH, with or without MAU. Methods 64 patients with RAH, of both genders (50% men), were evaluated, with 32 having MAU and 32 without MAU (defined as a urinary albumin/creatinine ratio between 30 and 300 mg/g in a routine urine sample). Microvascular function assessment was performed using a laser speckle system, allowing analysis of cutaneous microvascular flow. Flow measurements were expressed in arbitrary perfusion units (APU) divided by the mean arterial pressure to obtain cutaneous vascular conductance (CVC). A post-occlusive reactive hyperemia (PORH) test was performed, with brachial artery occlusion using a sphygmomanometer 50 mmHg above systolic pressure for 3 minutes; cutaneous flow was measured after release of the occlusion. Results Patients with or without MAU did not differ in terms of age, frequency of diabetes, and chronic kidney disease. The peak CVC values during PORH were 0.64 ± 0.15 and 0.55 ± 0.15 APU/mmHg in RH and RH + MAU patients, respectively (P=0.03). The delta values (peak – baseline) during PORH were 0.31 ± 0.11 and 0.25 ± 0.09 APU/mmHg in RH and RH + MAU patients, respectively (P=0.04)(Figure 1). Conclusions PORH-induced vasodilation was found to be reduced in patients with RAH and MAU compared to patients without MAU. This finding shows alteration of endothelium-dependent vasodilation mechanisms in these patients, indicating reduced systemic microvascular endothelial function. Endothelial dysfunction may be associated with glomerular permeability changes, contributing to MAU and further increasing the risk for these patients. This suggests the need for more intensive therapeutic interventions and better risk stratification for these patients, as endothelial dysfunction can be found in the early stages of the disease.Figure 1

Catheter ablation increases cerebral blood flow and cognitive function in elderly patients with atrial fibrillation

Abstract Background Atrial fibrillation (AF) has been considered to have an increased risk for cognitive impairment independent of a stroke and a silent micro-infarction. The mechanism of this interaction is unclear. One of the potential explanations is brain hypoperfusion due to a reduced cardiac output. To date, there are no reports focusing on the cerebral blood flow and cognitive impairment in patients undergoing AF ablation. Purpose The purpose of this study was to investigate whether catheter ablation of AF would increase cerebral blood flow and restore cognitive impairment. Methods AF patients aged 75 years or older with mild or more cognitive impairment were selected. The assessment of cognitive function using Mini-Mental State Examination (MMSE) and Hasegawa's Dementia Scale-Revised (HDS-R), and measurement of cerebral blood flow using 99mTc-ECD SPECT imaging were examined before and 3 months after ablation. Results A total of 25 elderly patients (mean age 83, 14 males and 11 females) were included in this study. Of them, 23 patients had persistent AF. Twenty-three patients (92%) maintained sinus rhythm after ablation. There was a significant improvement in MMSE score (from 24.6±4.5 to 25.9±4.0, p&amp;lt;0.05) and HDS-R (from 23.2±5.5 to 24.8±5.1, p&amp;lt;0.05) after ablation. Cerebral blood flow also significantly increased after ablation (right lobe: from 34.4±4.6 to 38.5±4.4 ml/100g/min, p&amp;lt;0.01, left lobe: from 35.3±9.7 to 38.8±3.7 ml/100g/min, p&amp;lt;0.01). Overall average cerebral blood flow increased by 10.1±9.4% after ablation. There was a positive correlation between the changes in MMSE score and the changes in cerebral blood flow (r=0.65, p&amp;lt;0.05). Conclusion AF ablation in elderly patients increased cerebral blood flow and cognitive function. AF ablation would be one of the therapeutic options to improve cognitive function in elderly patients with cognitive impairment.

Simplification of coronary continuous thermodilution

Abstract Background Continuous coronary thermodilution with saline permits the accurate measurement of volumetric blood flow (Q) and absolute microvascular resistance. However, this requires repositioning of the temperature sensor by the operator to measure the entry temperature of the saline infusate, denoted as Ti. Purpose We evaluated if Ti could be predicted based upon known parameters without compromising the accuracy of calculated Q. This would significantly simplify the technique and render it completely operator independent. Methods In a derivation cohort of 371 patients with Q measured both at rest and during hyperaemia, multivariate linear regression was used to derive an equation for the prediction of Ti. Agreement of standard Q (calculated with measured Ti) and simplified Q (calculated with predicted Ti) was assessed in a validation cohort of 120 patients that underwent repeat Q measurements. The accuracy of simplified Q was assessed in a second validation cohort of 23 patients with [15O]H2O positron emission tomography (PET)-derived Q measurements. Results Simplified Q exhibited strong agreement with standard Q (r=0.94 [95% CI 0.93-0.95], ICC 0.94 [95% CI 0.92-0.95], both p&amp;lt;0.001) (Figure 1). Simplified Q exhibited excellent agreement with PET-derived Q (r=0.86 [95% CI 0.75-0.92], ICC=0.84 [95% CI 0.72-0.91], both p&amp;lt;0.001) (Figure 2). Compared with standard Q, there was no statistically significant difference between correlation coefficients (p=0.29) or standard deviations of absolute differences with PET-derived Q (p=0.85). Conclusion Assessing volumetric coronary flow by continuous thermodilution with predicted Ti instead of measured Ti does not compromise its accuracy when compared to [15O]H2O PET. It significantly simplifies the technique and renders absolute coronary flow measurements completely operator independent.Figure 1.AgreementFigure 2.Accuracy

Enhanced three-dimensional particle detection in microcirculation experiments with defocus particle tracking and ghost red blood cells

AbstractExperimental investigations on the motion of rigid particles in microcirculation environments are still scarce owing to the three-dimensional (3D) motion of the particles and to the particle image masking due to the presence of the red blood cells (RBCs). Despite the recent progress on the 3D tracking of rigid particles in RBC flows with defocus particle tracking (DPT) methods, the problem of particle image masking remains to be solved. Here, we propose, test, and evaluate the use hemoglobin-free RBCs, also known as ghost RBCs, as a replacement for normal RBCs in experiments with rigid particles in microcirculation environments. We performed DPT measurements of a pressure-driven flow of normal and ghost RBC suspensions seeded with rigid particles at three different flow rates. We show that the quasi-transparent appearance of ghost RBCs, as a result of the lack of hemoglobin, eliminates the RBC-induced masking of the defocused particle images and allows to achieve the particle matching standards found in cell-free experiments. In fact, ghost RBC suspensions enable the tracking of the rigid particles across the entire height of the microchannel, which was not possible in normal RBC flows. On a fluid dynamic level, we show that ghost RBC suspensions provide similar conditions to normal RBCs in terms of the velocity of the rigid particles and the rigid particles exhibit similar lateral dynamics in both types of cell suspensions. In essence, the findings from this work demonstrate that ghost RBCs are a well-suited replacement for normal RBCs in experiments aiming at deciphering the motion of rigid particles in microcirculation environments. Graphical abstract