Strain Rate Values Research Articles

Normal ranges of left atrial phasic strains and strain rates by 2D speckle-tracking echocardiography in pediatrics: a systematic review and meta-analysis

Establishing normal values of left atrial (LA) phasic strains and strain rates is essential for distinguishing between normal and abnormal functions, determining the degree of abnormality, and understanding the clinical significance of reported values in pediatrics. This meta-analysis aimed to establish normal values of two-dimensional speckle-tracking echocardiography (2DSTE)-derived LA phasic strains and strain rates in the pediatric population and identify the sources of inter-study heterogeneity for these values. A comprehensive search of PubMed, Scopus, and Embase databases was conducted using keywords such as “left atrial/left atrium,” “strain/speckle/deformation,” and “echocardiography” combined with pediatric age categories. Inclusion criteria comprised English-language human studies involving healthy subjects under 18 years of age. Subjects were categorized as neonates (up to 1 month), infants (1–12 months), and children (1–18 years). A random-effects model was applied to determine 2DSTE-derived LA strains and strain rates, and a meta-regression analysis was performed to investigate inter-study heterogeneity. Our analysis included 17 studies involving 1448 healthy subjects. For children, the mean values of LA strains during the reservoir, conduit, and contraction phases were 47.3% (95% CI 42.5–52.1%), 32.8% (95% CI 27.8–37.8%), and 12% (95% CI 10.0–14.1%), respectively. The mean values for LA strain rates were 2.4 s−1 (95% CI 1.1–3.8 s−1), 4.3 s−1 (95% CI 0.6–8.0 s−1), and 2.4 s−1 (95% CI 0.4–4.5 s−1), respectively. Inter-study heterogeneity for 2DSTE-derived LA phasic strains and strain rates was attributed to factors such as the number of study participants, publication year, software utilized, gating methods, the number of analyzed segments, the geographical region of the study, and heart rate. This study established the normal range of 2DSTE-derived LA phasic strains and strain rates. Additionally, inter-study heterogeneity was found to be influenced by various demographic, physiologic, and methodological factors.

Algorithms and software for processing images of the structure of metallic materials for the purpose of determining creep characteristics

The paper contains a description of the approach, algorithms, and software tool for image analysis of deformed material structures. The developed approach is based on the analysis of the microstructure of the material to identify important factors that affect high-temperature deformation during creep in a heat-resistant nickel-based alloy, namely, the dimensions of the channels and their orientation. The developed software tool uses algorithms for converting images into binary black and white using the Otsu method. The intensity of the gradient at each point of the image is visualized using the Sobel operator. Fragment boundaries are determined using the Canny edge detector. Straight line segments are found using the Hough transformation. The software tool is implemented in the Python programming language using the OpenCV library. The main components are described and a flow chart of the program is provided. With the use of the developed software, the transformation of the known experimentally obtained images of the structures of the specimens from heat-resistant nickel-based alloy CMSX-4 deformed at a temperature of 1273K and in a wide range of stresses at different time moments was performed. The results of the analysis of the dimensions of the g-phase channels in the alloy using quantitative evaluation of transformed binary images are discussed. The found characteristics were matched to the value of the creep strain rate, which was determined by calculation based on known experimental data. The possibility of determining the transition from the secondary creep to the stage of avalanche-like growth of strains and hidden damage is shown. For the considered example, the location of the channels in the representative image was determined. A technique for correcting creep curves with the involvement of material structure image processing data is proposed.

The prognostic value of left atrial strain and strain rate in predicting heart failure outcomes in patients with hypertrophic cardiomyopathy and a left ventricular ejection fraction of 50% or higher

The prognostic value of left atrial strain and strain rate in predicting heart failure outcomes in patients with hypertrophic cardiomyopathy and a left ventricular ejection fraction of 50% or higher

Assessment of Biventricular Systolic and Diastolic Function Using Conventional and Strain Echocardiography in Children with Sickle Cell Disease Surviving 1-year After Hematopoietic Stem Cell Transplant.

Hematopoietic stem cell transplant (HSCT) is a potentially curative therapy for children with sickle cell disease (SCD). The effects of HSCT on ventricular function are not well characterized in children with SCD. Echocardiograms from children with SCD who underwent HSCT between 2007 and 2017 were retrospectively analyzed before and 1-year after HSCT. Left ventricular (LV) volumes, mass, and ejection fraction were calculated by the 5/6 area*length method. LV end-diastolic and systolic dimensions, septal, and posterior wall thickness, and fractional shortening were measured by M-mode. Mitral and tricuspid inflow Dopplers (E and A waves) as well as mitral, tricuspid, and septal tissue Dopplers (E', A') were assessed. E/A, E'/A' and E/E' ratios were calculated. Biventricular strain imaging was performed using speckle-tracking echocardiography. Peak global systolic longitudinal and circumferential LV strain, and global longitudinal right ventricular strain, as well as early and late diastolic strain rate, were measured on LV apical 4-chamber, LV short-axis mid-papillary, and RV apical views, respectively. Forty-seven children (9.7 ± 5.5years, 60% male) met inclusion criteria. Pre-HSCT, subjects had mild LV dilation with normal LV systolic function by conventional measure of ejection fraction and fractional shortening. There was a significant reduction in LV volume, mass, and ejection fraction after HSCT, but measurements remained within normal range. LV longitudinal and circumferential strain were normal pre-HSCT and showed no significant change post-HSCT. RV strain decreased after HSCT, but the absolute change was small, and mean values were normal both pre- and post-HSCT. Conventional measures of diastolic function were all normal pre-HSCT. Post-HSCT there was a reduction in select parameters, but all parameters remained within normal range. Early and late diastolic strain rate parameters showed no significant change from pre- to post-HSCT. At one-year after HSCT in children with SCD conventional measures of systolic and diastolic function are within normal limits. Except for a small decrease in RV systolic strain with values remaining within normal limits, systolic strain and diastolic strain rate values did not significantly change 1-year after HSCT.

Behaviour of sand under the constant shear drained stress path: the role of fines

This paper presents a specifically designed experimental study aimed at exploring the role of fines in altering the behaviour of sand under the constant shear drained (CSD) stress path. The novelty of this study includes that the interplay of several key factors (fines shape, fines content, void ratio) was investigated systematically and the true constant shear stress condition was fulfilled by means of an advanced servo system which allowed the entire loading response to be captured. One of the marked findings is that the presence of fines not only alters the onset of instability of loose sand but also affects the deformation development thereafter. Drained instability can be triggered more easily in loose sand mixed with silica fines compared with the sand on its own. At the same quantity of fines, instability can be triggered more easily for sand mixed with rounded fines. However, the effect of fines appears to be marginal for sand at dense state. For all tested specimens, values of the axial strain rate at instability fall in a narrow range (0.008%/min–0.016%/min), meaning that the axial strain rate can be potentially a useful guide for quantitatively determining the inception of instability under the CSD conditions. The stress ratio q/p′ at onset of instability under the CSD conditions is also state dependent as under the undrained conditions.

Subtle myocardial effects of rheumatic heart disease in children are revealed earlier with two-dimensional speckle tracking echocardiography.

Rheumatic heart disease (RHD) is the most common cause of acquired heart disease in developing countries and remains a serious public health problem. In the subclinical course of carditis, the absence of typical symptoms and the normal range of classical echocardiographic measurements used to evaluate cardiac functions have required new echocardiographic methods and parameters. Previous studies regarding rheumatic heart disease in children and adults have shown that strain patterns obtained by speckle tracking echocardiography, are in fact affected although left ventricular systolic functions are preserved, yet some studies have suggested otherwise. The aim of our study is to compare the use of speckle tracking echocardiography with conventional methods in the evaluation of cardiac functions and myocardial involvement in children with subclinical RHD. The study group consisted of 24 patients with asymptomatic cardiovascular who had no history of acute rheumatic fever, but had definite or probable rheumatic valve disease. This study group was determined according to the World Heart Federation guidelines by an echocardiographic examination performed for different reasons, as well as the control group of 22 healthy children. In order to evaluate the left ventricular regional myocardial functions of the patients, tissue Doppler echocardiography (TDE) and speckle tracking echocardiographic parameters were compared with the control group. The mean ages of the patient and control groups were 14.1±2.7 years and 13.9±2.3 years, respectively. There was no statistically significant difference between the two groups in terms of conventional methods (p>0.05) but global longitudinal strain and strain rate values were found to be significantly lower in the patient group (p<0.01). These changes appeared to be relevant throughout the duration of the illness. In patients with subclinical rheumatic heart disease, conventional echocardiographic evaluations are likely negative, whereas two-dimensional speckle tracking echocardiography reveal systolic and diastolic dysfunctions of the disease.

Left Atrial Strain for Prediction of Left Ventricular Reverse Remodeling After ST-segment Elevation Myocardial Infarction by Cardiac Magnetic Resonance Feature Tracking.

The study aimed to investigate the potential utility of left atrial (LA) strain by using cardiac magnetic resonance feature-tracking (CMR-FT) to predict left ventricular reverse remodeling (LVRR) following ST-segment elevation myocardial infarction (STEMI). Patients with a first STEMI treated by primary percutaneous coronary intervention were consecutively enrolled in the prospective study and underwent CMR scans at 5 days and 4 months. LA global longitudinal strain (reservoir strain [εs], conduit strain [εe], booster strain [εa]) and corresponding strain rate were assessed by CMR-FT using cine images. LVRR was defined as a reduction in the LV end-systolic volume index of >10% from baseline to follow-up. Logistic regression analyses were performed to determine the predictors of LVRR. Of 90 patients analyzed, patients with LVRR (n=35, 39%) showed higher values of LA strain and strain rate and less extensive infarct size (IS) compared with patients without LVRR (n=55, 61%) at initial and second CMR. The LVRR group demonstrated significant improvements in LV and LA cardiac function over time, especially the obvious increase in LA strain and strain rate. In multivariate logistic regression analyses, εs and εe, together with IS, were independent predictors of LVRR. The combination of εs and IS could optimally predict the LVRR with the highest area under the curve of 0.743. Post-STEMI patients with LVRR presented better recovery from cardiac function and LA deformation compared with patients without LVRR. Assessment of εs and εe by using CMR-FT after STEMI enabled prediction of LVRR.

Full-Field Deformation Study of Ti–25Nb, Ti–25Nb–0.3O and Ti–25Nb–0.7O Shape Memory Alloys During Tension Using Digital Image Correlation

A Ti–25Nb shape memory alloy (SMA) exhibits shape memory effect associated with stress-induced martensitic transformation from β to α″ phase. Addition of oxygen stabilizes the β phase and changes stress–strain response. Oxygen-added Ti–25Nb SMAs show a more distinct superelastic behavior. In this work, digital image correlation (DIC) was applied to investigate for the first time full-field deformation of Ti–25Nb, Ti–25Nb–0.3O and Ti–25Nb–0.7O (at. pct) SMAs. The specimens were subjected to loading–unloading tensile tests to study local and global mechanical characteristics related to activity of particular deformation mechanisms of the SMAs. Strain and strain rate fields were quantitatively compared at selected stages of each SMA’s deformation. It was found that the Ti–25Nb SMA exhibits a macroscopically localized Lüders-type deformation associated with the stress-induced phase transformation, whereas Ti–25Nb–0.3O and Ti–25Nb–0.7O SMAs show more discrete types of deformation related to activity of interstitial oxygen atoms. As a consequence, at particular stages of deformation, local values of strain rate of Ti–25Nb SMA were significantly higher than those of average strain rate. The results obtained in this paper provide a better understanding of the deformation mechanism in the oxygen-added Ti–25Nb based SMAs.

Material testing for injection molded and 3D printed pristine/glass reinforced nylon at various strain rates

With the advent of new polymer material and non-conventional methods of manufacturing, the effect of loading conditions on mechanical properties has now been in huge demand to facilitate their industrial applications. Present paper has been focused on investigating the strain rate effects on mechanical properties of pristine nylon-6 and 20% glass reinforced nylon-6 material fabricated using injection molding and SLS (Selective Laser Sintering) printing manufacturing methods, respectively, at three strain rates of 0.0003, 0.003, and 0.01 per second. Tensile strength of injection molded nylon-6 has shown a positive relationship with strain rate whereas compressive strength has shown a reciprocal effect. At highest strain rate of 0.01 s−1, tensile strength exhibits 10.27% more as compared to lowest strain rate of 0.0003 s−1. Tensile strength at highest strain rate is found 60 MPa whereas at lowest strain rate it exhibits 54.41 MPa. At higher values of strain rate, rising of maximum strain is found very much sensitive than the rise in tensile strength. It also shows high percentage of deformation at higher value of strain rate. On the other hand, SLS printed 20% glass reinforced nylon-6 shows variable tensile strength with respect to strain rate due to uneven distribution of glass particles into nylon matrix created due to manufacturing process of SLS printing. FESEM images shows the cavity formation as observed before loading conditions whereas the glass fracturing phenomenon observed at the after loading conditions. However, compressive strength is found minimal with strain rate with an average value of 175.61 MPa. The findings of this study have contributed in avoiding the improper selection of material and its strain rate application during numerical modeling for industrial application purpose.

Nonlinear response to contact impact on the surface of an aluminum alloy AlMg6 exhibiting the Portevin-Le Chatelier effect

Intermittent plastic flow known as the Portevin-Le Chatelier effect is a pronounced nonlinear phenomenon in a material science. One of the traditional approaches to the study of nonlinear system is to identify and analyze its responses to an external impulsive action. In the present work, the influence of impact indentation on the evolution of the spatio-temporal patterns of localized strain in an AlMg alloy deformed under the Portevin-Le Chatelier effect is studied with using an acoustic emission technique and high-speed video recording of propagating deformation bands. Dynamic and nonlinear responses to impact indentation of the surface of an alloy deformed by uniaxial tension above the conditional yield strength are revealed; the first include high values of dynamic hardness and local strain and loading rates, while the second involve the threshold and multiple nature of the force and acoustic responses. It has been established that there is a threshold impact energy of the indenter at which an induced strain jump of minimum amplitude occurs, accompanied by the formation of bands of macrolocalized plastic deformation. The conditions are established under which the work of plastic deformation during the development of the induced strain jump significantly, by more than two orders of magnitude, exceeds the energy of the initiating impact, which acts only as a trigger for the “premature” release of the elastic energy accumulated in the material before the moment of impact. It is shown that the impact-induced bands of macrolocalized deformation represent a hidden three-dimensional type of erosion damage that reduces the mechanical stability and durability of the alloy. A phenomenological model is proposed for the formation of bands, strain jumps, and bursts of acoustic emission induced by an indenter impact, which qualitatively explains the experimental results obtained in the work.

Short-term creep approach to redefining the role of 17-4PH stainless steel for high-temperature applications

The creep response of the 17-4PH martensitic age-hardening steel in H1150 state was investigated at 427 and 482 °C. Hardness measurements of the heads of the creep samples demonstrated that the material underwent additional age hardening during the high-temperature exposure. Microstructural investigations confirmed that the additional precipitation of carbides and the G-phase occurred at the lowest temperature. A set of constitutive equations previously developed to describe the creep response of particle-strengthened alloys was successfully used to obtain a comprehensive description of the experimental data. The value of the particle strengthening term was obtained from the hardness measurements and corresponded to the Orowan stress. The model accurately described the observed minimum creep rate dependence on the applied stress and explained the occurrence of lower values of the minimum strain rate observed during variable-load experiments.

Age- and Sex-Specific MR-Feature Tracking Reference Values of Right Atrial Deformation in Healthy Adults.

Although right atrial (RA) myocardial deformation has important implications for patient diagnosis, prognosis, and risk stratification, its implementation in clinical practice has been hampered by limited normal reference values, especially in Asian populations. To establish age- and sex-specific reference values for RA strain, strain rate (SR), and displacement based on a large sample of healthy Chinese adults using MR-feature tracking (MR-FT). Retrospective. 524 healthy Chinese adults (287 male; mean age 43.7 ± 11.9 years). 1.5T/balanced steady-state free precession. RA deformation parameters, including reservoir, conduit, and booster strain (εs, εe, and εa), peak positive, early negative, and late negative SR (SRs, SRe, and SRa), and total, passive, and active displacement (Ds, De, and Da), were assessed using MR-FT. Student's t-test, one-way ANOVA, coefficients of determination (r2 ), intraclass correlation coefficients (ICC), and Bland-Altman plots. A P value <0.05 was considered significant. Women demonstrated significantly greater magnitudes of RA deformation parameters than men: εs (57.4% ± 15.1% vs. 44.3% ± 12.6%), εe (37.5% ± 13.4% vs. 27.4% ± 10.9%), εa (19.9% ± 5.7% vs. 16.9% ± 5.0%), SRs (2.62 ± 0.88 sec-1 vs. 2.00 ± 0.63 sec-1 ), SRe (-2.98 ± 1.26 sec-1 vs. -2.16 ± 0.92 sec-1 ), SRa (-2.28 ± 0.75 sec-1 vs. -1.84 ± 0.62 sec-1 ), Ds (-7.80 ± 1.90 mm vs. -7.46 ± 1.70 mm), and De (-4.84 ± 1.31 mm vs. -4.49 ± 1.21 mm). For both sexes, aging was significantly associated with decreased RA reservoir and conduit function (εs, SRs, Ds, εe, SRe, and De), and with increased εa and Da. RA deformation measurements had good to excellent intraobserver and interobserver reproducibility, with ICCs ranging from to 0.790 to 0.972. This study provides age- and sex-specific reference values of RA strain, SR, and displacement based on a large cohort of healthy Chinese adults using MR-FT. 3 TECHNICAL EFFICACY: Stage 2.

Effect of experimental periodontitis on cardiac functions: a comprehensive study using echocardiography, hemodynamic analysis, and histopathological evaluation in a rat model.

Periodontitis is a prevalent and severe dental condition characterized by the gradual degradation of the bone surrounding the teeth. Over the past two decades, numerous epidemiological investigations have suggested a potential link between periodontitis and cardiovascular disease. However, the complex mechanistic relationship between oral health issues and cardiovascular disorders remains unclear. This study aimed to explore comprehensively the cardiac function through various methods, including conventional echocardiography, intraventricular pressure gradient (IVPG) analysis, speckle tracking echocardiography (STE), and hemodynamics analysis. Ligature-induced periodontitis was established in a group of rats while the second group served as sham. The successful establishment of the periodontitis model was confirmed through staining and radiographic examination of the affected mandibles. X-ray films and methylene blue staining revealed alveolar bone resorption in the affected first molar in the model rats, confirming the successful induction of periodontitis. The rats with periodontitis displayed a decrease in ejection fraction compared to the sham group, accompanied by a decrease in mid-to-apical IVPG and mid IVPG. Lower values of strain rate were recorded in the apical segment of the septum, the middle segment of the septum, and the basal segment of the lateral free wall in the periodontitis group, which was associated with histopathological examination showing some degree of myocardial tissue damage. Conversely, rats with periodontitis showed an increase in heart rate, end-systolic volume, and arterial elastance when compared to the sham rats. However, they also exhibited a decrease in stroke work, stroke volume, cardiac output, and end-systolic pressure. This study suggests that experimental periodontitis may lead to cardiac dysfunction especially compromised systolic function and myocardial relaxation, potentially indicating an increased risk of cardiovascular events in clinical periodontitis cases. The comprehensive assessment of cardiac function, hemodynamics, and histopathological evaluation underscores the profound impact of periodontitis on heart functions within this specific experimental model.

Two-dimensional speckle tracking imaging analyses of the correlations between left atrial appendage function and stroke risk in nonvalvular atrial fibrillation patients.

Stroke incidence is the most severe complication associated with atrial fibrillation (AF), and the most common site of thrombus formation in AF patients is the left atrial appendage (LAA). This study was developed to use two-dimensional speckle tracking imaging (2D-STI) to explore associations between LAA strain/strain rate and stroke incidence and to evaluate the value of utilizing LAA strain and strain rate values to support the stratification of nonvalvular AF (NVAF) patients based on stroke risk. A total of 486 AF patients who had undergone transesophageal echocardiography to exclude potential intracardiac thrombosis between March 2021 and November 2022 were consecutively enrolled. Patients meeting the inclusion criteria were separated into two groups according to their history of stroke/transient ischemic attack (TIA). LAA strain and strain rate values in these patients were measured via 2D-STI. Multivariable logistic regression analysis was employed to determine independent risk factors for the construction of a combined predictive model. Of the 333 analyzed patients (134 females, aged 65 (56,72) years), 39 (11.71%, 39/333) had a history of stroke at the time of evaluation. Multivariate logistic regression analysis demonstrated that nonparoxysmal AF, CHA2DS2VASc score, LAA thrombus/spontaneous echo contrast (SEC), LAA strain, and strain rate were all predictors of stroke incidence among NVAF patients. The combined predictive model demonstrated excellent discriminative ability, with an AUC of 0.91 (95%CI 0.87-0.95, P < 0.001), and a sensitivity and specificity of 79.49% and 89.46%, respectively. The Hosmer-Lemeshow test confirmed good calibration, yielding a value of 0.98. Comparative decision curve analysis showed that the model provided superior net benefits compared to the CHA2DS2VASc score. Furthermore, the model exhibited improved predictive performance and reclassification for stroke when compared to the CHA2DS2VASc score (AUC 0.91 vs. 0.88, Z = 2.32, P = 0.02), accompanied by a significant increase in the net reclassification index (+ 5.44%, P < 0.001) and integrated discrimination improvement (8.21%, P < 0.001). These data demonstrate that LAA strain and strain rate, as measured via 2D-STI, can offer value when assessing LAA function in AF patients, potentially providing further predictive value to extant clinical risk scoring strategies.

Unravelling the atomistic-scale insights into tensile response of equiatomic cupronickel alloy with pre-existing faceted grain boundary interface

The aim of this research work is to investigate the effect of strain rates and temperatures on the mechanical properties of an equiatomic copper-nickel (Cu–Ni) alloy with a pre-existing faceted Σ3 [111] 60° {11 8 5} grain boundary. Molecular dynamics simulations conducted in this scrutiny focuses on understanding the tensile behaviour of bicrystalline equiatomic Cu–Ni alloys (denoted by Cu50Ni50) under various thermodynamic conditions. The uniaxial tensile deformation simulation was carried out at various strain rates (108, 109 and 1010 1/s) in conjunction with different conditions of cryogenic temperature (100 K), room temperature (300 K) and high temperature (500 K). The authors found that the yield stress and Young's modulus of the bicrystalline Cu50Ni50 alloy were highest at the cryogenic temperature, and decreased as the temperature increased. To add on, the yield stress of the bicrystalline Cu50Ni50 alloy increased with an increase in the strain rate value. From the microstructural and dislocation analysis point of view, it was observed that the formation of dislocations was lowest at the cryogenic temperature. Interestingly, at the yield point, the coherent twin boundary tip act as the nucleation site for the dislocations for cryogenic temperature condition. These findings shed light on the relationship between the temperatures, strain rates, and the mechanical properties of Cu–Ni alloys, which will aid in reporting the optimized conditions for their desired engineering applications. It is also proposed that tailoring of the tensile properties is achievable by exposing Cu–Ni alloys to various environmental conditions (cryogenic, ambient, and elevated temperatures with different applied strain rates).

Definition of new stopping criteria for the characterization of permanent deformation of granular materials

In the characterization of the plastic deformation of granular materials for pavement use, it is possible to identify different behaviors throughout the load application in the triaxial equipment. In certain stress pairs, some soils may present very small accumulated deformation variations, reaching accommodation, not requiring the application of thousands of load cycles, as suggested in the Brazilian approach. In this sense, a preliminary assessment of this type of behavior can save time and resources in paving works. Therefore, the objective of this paper is to analyze the applicability of shakedown classification criteria for soils from a sampling region and to determine the effect of prior disruption in single-stage testing, in case of accommodation. For this purpose, 58 tests were analyzed for 7 soils, applying 9 stress pairs and 150,000 load cycles at a frequency of 2 Hz. The rutting calculation in a pavement section suggested that, for soils whose total deformation was less than 2 mm, stopping the procedure after about 30,000 cycles would generate approximately 0.1 mm variations compared to the values obtained at 150,000 cycles. Realizing that the criteria available in the literature would not be adequate for Brazilian standards and soils, Decision Tree models were used, based on ranges of vertical strain rate values at different intervals prior to 10,000 cycles. The results demonstrated that the algorithm was able to accurately predict the occurrence of Type A tests, with no false positives observed for the other plastic accommodation ranges. Thus, the application of the proposed methods in combination can provide significant economy and optimize the design and construction of Brazilian road pavements.

Dynamic changes in cardiac morphology, function, and diffuse myocardial fibrosis duration of diabetes in type 1 and type 2 diabetic mice models using 7.0 T CMR and echocardiography.

Diabetes mellitus (DM) is associated with an increased risk of cardiovascular disease (CVD). Hence, early detection of cardiac changes by imaging is crucial to reducing cardiovascular complications. Early detection of cardiac changes is crucial to reducing cardiovascular complications. The study aimed to detect the dynamic change in cardiac morphology, function, and diffuse myocardial fibrosis(DMF) associated with T1DM and T2DM mice models. 4-week-old C57Bl/6J male mice were randomly divided into control (n=30), T1DM (n=30), and T2DM (n=30) groups. A longitudinal study was conducted every 4 weeks using serial 7.0T CMR and echocardiography imaging. Left ventricular ejection fraction (LV EF), tissue tracking parameters, and DMF were measured by cine CMR and extracellular volume fraction (ECV). Global peak circumferential strain (GCPS), peak systolic strain rate (GCPSSR) values were acquired by CMR feature tracking. LV diastolic function parameter (E/E') was acquired by echocardiography. The correlations between the ECV and cardiac function parameters were assessed by Pearson's test. A total of 6 mice were included every 4 weeks in control, T1DM, and T2DM groups for analysis. Compared to control group, an increase was detected in the LV mass and E/E' ratio, while the values of GCPS, GCPSSR decreased mildly in DM. Compared to T2DM group, GCPS and GCPSSR decreased earlier in T1DM(GCPS 12W,P=0.004; GCPSSR 12W,P=0.04). ECV values showed a significant correlation with GCPS and GCPSSR in DM groups. Moreover, ECV values showed a strong positive correlation with E/E'(T1DM,r=0.757,P<0.001;T2DM, r=0.811,P<0.001). The combination of ECV and cardiac mechanical parameters provide imaging biomakers for pathophysiology, early diagnosis of cardiac morphology, function and early intervention in diabetic cardiomyopathy in the future.

Impact of temporal and spatial resolution on atrial feature tracking cardiovascular magnetic resonance imaging

BackgroundMyocardial deformation assessment by cardiovascular magnetic resonance-feature tracking (CMR-FT) has incremental prognostic value over volumetric analyses. Recently, atrial functional analyses have come to the fore. However, to date recommendations for optimal resolution parameters for accurate atrial functional analyses are still lacking. MethodsCMR-FT was performed in 12 healthy volunteers and 9 ischemic heart failure (HF) patients. Cine sequences were acquired using different temporal (20, 30, 40 and 50 frames/cardiac cycle) and spatial resolution parameters (high 1.5 × 1.5 mm in plane and 5 mm slice thickness, standard 1.8 × 1.8 × 8 mm and low 3.0 × 3.0 × 10 mm). Inter- and intra-observer reproducibility were calculated. ResultsIncreasing temporal resolution is associated with higher absolute strain and strain rate (SR) values. Significant changes in strain assessment for left atrial (LA) total strain occurred between 20 and 30 frames/cycle amounting to 2,5–4,4% in absolute changes depending on spatial resolution settings. From 30 frames/cycle onward, absolute strain values remained unchanged. Significant changes of LA strain rate assessment were observed up to the highest temporal resolution of 50 frames/cycle. Effects of spatial resolution on strain assessment were smaller. For LA total strain a general trend emerged for a mild decrease in strain values obtained comparing the lowest to the highest spatial resolution at temporal resolutions of 20, 40 and 50 frames/cycle (p = 0.006–0.046) but not at 30 frames/cycle (p = 0.140). ConclusionTemporal and to a smaller extent spatial resolution affect atrial functional assessment. Consistent strain assessment requires a standard spatial resolution and a temporal resolution of 30 frames/cycle, whilst SR assessment requires even higher settings of at least 50 frames/cycle.

Nonlinear effects at the deformation of amorphous polymers in warm and frozen states

One of the important problems of the modern rheology of polymer materials, namely, the possibility of describing the deformation of amorphous polymers within the framework of linear rheological relationships between relative deformation and deforming stress or the need to use nonlinear rheological equations is considered. The criteria for distinguishing these approaches, namely, the determination of the corresponding critical values of the macro- and microphysical characteristics of the material and the conditions for carrying out the mechanical tests are also discussed. In particular, the difference between the influence of kinetic and thermodynamic nonlinear effects on the regularities of deformation processes of amorphous polymers in warm and frozen states was noted. The influence of nonlinear effects on the general shape and characteristics of individual stages of the “relative strain - deforming stress” diagram at deformation of polymer samples with specified values of strain rate and temperature is analyzed in detail. The results of the theoretical analysis were used for the physical interpretation of the general form and features of individual stages of the tensile test diagrams of amorphous polyimide films (V. D. Natsik, H. V. Rusakova, S. V. Lubenets, V. A. Lototskaya, and L. F. Yakovenko, Fiz. Nyzk. Temp. 49, 569 (2023) [Low Temp. Phys. 49, 521 (2023)]), empirical estimates for the rheological characteristics of this polymer were obtained.

Detection of Early Myocardial Dysfunction by Imaging Biomarkers in Cancer Patients Undergoing Photon Beam vs. Proton Beam Radiotherapy: A Prospective Study.

1. Background: We sought to determine acute and subacute changes in cardiac function after proton beam (PBT) and photon beam (PhT) radiotherapy (RT) using conventional and two-dimensional speckle tracking echocardiography (2D-STE) in patients with malignant breast and thoracic tumors. 2. Methods: Between March 2016 and March 2017, 70 patients with breast or thoracic cancer were prospectively enrolled and underwent transthoracic echocardiography with comprehensive strain analysis at pretreatment, mid-treatment, end of treatment, and 3 months after RT. 3. Results: PBT was used to treat 44 patients; PhT 26 patients. Mean ± SD age was 55 ± 12 years; most patients (93%) were women. The median (interquartile range) of the mean heart dose was lower in the PBT than the PhT group (47 [27-79] vs. 217 [120-596] cGy, respectively; p < 0.001). Ejection fraction did not change in either group. Only the PhT group had reduced systolic tissue Doppler velocities at 3 months. 2D-STE showed changes in endocardial and epicardial longitudinal, radial, and circumferential early diastolic strain rate (SRe) in patients undergoing PhT (global longitudinal SRe, pretreatment vs. end of treatment (p = 0.04); global circumferential SRe, pretreatment vs. at 3-month follow-up (p = 0.003); global radial SRe, pretreatment vs. at 3-month follow-up (p = 0.02) for endocardial values). Epicardial strain values decreased significantly only in patients treated with PhT. Patients in the PhT group had a significant decrease in epicardial global longitudinal systolic strain rate (GLSRs) (epicardial GLSRs, at baseline vs. at end of treatment [p = 0.009]) and in GCSRe and GRSRe (epicardial GCSRe, at baseline vs. at 3-month follow-up (p = 0.02); epicardial GRSRe, at baseline vs. at 3-month follow-up (p = 0.03)) during treatment and follow-up. No changes on 2D-STE were detected in the PBT group. 4. Conclusions: Patients who underwent PhT but not PBT had reduced tissue Doppler velocities and SRe values during follow-up, suggesting early myocardial relaxation abnormalities. PBT shows promise as a cardiac-sparing RT technology.