Effects of carbon dioxide in breath gas on proton transfer reaction-mass spectrometry (PTR-MS) measurements

PTR-MS is becoming a common method for the analysis of volatile organic compounds (VOCs) in human breath. Breath gas contains substantial and, particularly for bag samples, highly variable concentrations of water vapour (up to 6.3%) and carbon dioxide (up to 6.5%). The goal of this study was to investigate the effects of carbon dioxide on PTR-MS measurements; such effects can be expected in view of the already well known effects of water vapour. Carbon dioxide caused an increase of the pressure in the PTR-MS drift tube (1% increase for 5% CO₂), and this effect was used to assess the CO₂ concentration of breath gas samples along the way with the analysis of VOCs. Carbon dioxide enhanced the concentration ratio of protonated water clusters (H₃O⁺H₂O) to protonated water (H₃O⁺) in the drift tube. Using the observed increase, being 60% for 5% CO₂, it is estimated that the mobility of water cluster ions in pure CO₂ is almost 65% lower than in air. Carbon dioxide had a significant effect on the mass spectra of the main breath gas components methanol, ethanol, 1-propanol, 2-propanol, acetone, and isoprene. Carbon dioxide caused a small increase (<10% for 5% CO₂) of the normalised main signals for the non-fragmenting molecules methanol and acetone. The increase can be much higher for the fragmenting VOCs (ethanol, propanol, and isoprene) and was, for 5% CO₂, up to 60% for ethanol. This effect of CO₂ on fragment patterns is mainly a consequence of the increased abundance of protonated water clusters, which undergo softer reactions with VOCs than the hydronium ions. Breath gas samples stored in Teflon bags lost 80% of CO₂ during 3 days, the decrease of VOC signals, however, is mainly attributed to decreasing VOC concentrations and to the loss of humidity from the bags.     

呼气中痕量挥发性有机物的质子转移反应质谱在线检测研究

通过对自主研制的大气成分在线检测质子转移反应质谱的进样管路系统进行改造,建立了可在线检测呼气中痕量挥发性有机物的质子转移反应质谱装置。通过对呼气进样系统的旁路流量控制,实现对进样速度的调控,既可提高进样速度,以满足实时监测呼气中指定成分浓度变化;也可适时关闭旁路,以降低进样速度,从而对呼气成分进行全谱分析,避免采样袋采样和浓缩的复杂程序和潜在干扰。以作者呼出气体作为研究对象,对装置性能进行测试,结果表明:装置最快响应时间可达1s,对呼气中丙酮的探测灵敏度高达每10-9(V/V)浓度的信号强度为14.6counts/s,多次呼气测量重复性好,有望广泛应用于呼气疾病诊断研究。     

Non-labeling multiplex surface enhanced Raman scattering (SERS) detection of volatile organic compounds (VOCs)

In this paper, we report multiplex SERS based VOCs detection with a leaning nano-pillar substrate. The VOCs analyte molecules adsorbed at the tips of the nano-pillars produced SERS signal due to the field enhancement occurring at the localized surface plasmon hot spots between adjacent leaning nano-pillars. In this experiment, detections of acetone and ethanol vapor at different concentrations were demonstrated. The detection limits were found to be 0.0017 ng and 0.0037 ng for ethanol and acetone vapor molecules respectively. Our approach is a non-labeling method such that it does not require the incorporation of any chemical sensing layer for the enrichment of gas molecules on sensor surface. The leaning nano-pillar substrate also showed highly reproducible SERS signal in cyclic VOCs detection, which can reduce the detection cost in practical applications. Further, multiplex SERS detection on different combination of acetone and ethanol vapor was also successfully demonstrated. The vibrational fingerprints of molecular structures provide specific Raman peaks for different VOCs contents. To the best of our knowledge, this is the first multiplex VOCs detection using SERS. We believe that this work may lead to a portable device for multiplex, specific and highly sensitive detection of complex VOCs samples that can find potential applications in exhaled breath analysis, hazardous gas analysis, homeland security and environmental monitoring.     

The Impact of a Graded Maximal Exercise Protocol on Exhaled Volatile Organic Compounds: A Pilot Study

Exhaled volatile organic compounds (VOCs) are of interest due to their minimally invasive sampling procedure. Previous studies have investigated the impact of exercise, with evidence suggesting that breath VOCs reflect exercise-induced metabolic activity. However, these studies have yet to investigate the impact of maximal exercise to exhaustion on breath VOCs, which was the main aim of this study. Two-litre breath samples were collected onto thermal desorption tubes using a portable breath collection unit. Samples were collected pre-exercise, and at 10 and 60 min following a maximal exercise test (VO_2MAX). Breath VOCs were analysed by thermal desorption-gas chromatography-mass spectrometry using a non-targeted approach. Data showed a tendency for reduced isoprene in samples at 10 min post-exercise, with a return to baseline by 60 min. However, inter-individual variation meant differences between baseline and 10 min could not be confirmed, although the 10 and 60 min timepoints were different (p = 0.041). In addition, baseline samples showed a tendency for both acetone and isoprene to be reduced in those with higher absolute VO_2MAX scores (mL(O₂)/min), although with restricted statistical power. Baseline samples could not differentiate between relative VO_2MAX scores (mL(O₂)/kg/min). In conclusion, these data support that isoprene levels are dynamic in response to exercise.     

Influence of weakly bound adduct ions on breath trace gas analysis by selected ion flow tube mass spectrometry (SIFT-MS)

This paper describes how weakly bound adduct ions form when the precursor ions used in selected ion flow mass spectrometry, SIFT-MS, analyses, viz. H₃O⁺, NO⁺ and O₂⁺, associate with the major components of air and exhaled breath, N₂, O₂ and CO₂. These adduct ions, which include H₃O⁺N₂, H₃O⁺CO₂, NO⁺CO₂, O₂⁺O₂ and O₂⁺CO₂, are clearly seen when dry air containing 5% CO₂ (typical of that in exhaled breath) is analysed using SIFT-MS. These adduct ions must not be misinterpreted as characteristic product ions of trace gases; if so, serious analytical errors can result. However, when exhaled breath is analysed these adduct ions are partly removed by ligand switching reactions with the abundant water molecules and the problems they represent are alleviated. But the small fractions of the adduct ions that remain in the SIFT-MS spectra, and especially when they are isobaric with genuine characteristic product ion of breath trace gases, can result in erroneous quantifications; such is the case for H₃O⁺N₂ interfering with breath ethanol analysis and H₃O⁺CO₂ with breath acetaldehyde analysis. However, these difficulties can be overcome when the isobaric adduct ions are properly recognised and excluded from the analyses; then these two important compounds can be properly quantified in breath. The presence of O₂⁺CO₂ in the product ion spectra interferes with the analysis of CS₂ present at low levels in exhaled breath. It is likely that similar problems will occur as other trace compounds are detected in exhaled breath when consideration will have to be given to the possibility of overlapping between their characteristic product ions and ions produced by hitherto unknown reactions. Similar problems are evident in other systems; for example, H₃O⁺CH₄ adduct ions are observed in both SIFT-MS analyses of methane rich mixtures like biologically generated waste gases and in model planetary atmospheres.     

Breath acetone monitoring by portable Si:WO3 gas sensors

Breath analysis has the potential for early stage detection and monitoring of illnesses to drastically reduce the corresponding medical diagnostic costs and improve the quality of life of patients suffering from chronic illnesses. In particular, the detection of acetone in the human breath is promising for non-invasive diagnosis and painless monitoring of diabetes (no finger pricking). Here, a portable acetone sensor consisting of flame-deposited and in situ annealed, Si-doped epsilon-WO₃ nanostructured films was developed. The chamber volume was miniaturized while reaction-limited and transport-limited gas flow rates were identified and sensing temperatures were optimized resulting in a low detection limit of acetone (∼20 ppb) with short response (10–15 s) and recovery times (35–70 s). Furthermore, the sensor signal (response) was robust against variations of the exhaled breath flow rate facilitating application of these sensors at realistic relative humidities (80–90%) as in the human breath. The acetone content in the breath of test persons was monitored continuously and compared to that of state-of-the-art proton transfer reaction mass spectrometry (PTR-MS). Such portable devices can accurately track breath acetone concentration to become an alternative to more elaborate breath analysis techniques.     

Exhaled Breath and Oxygenator Sweep Gas Propionaldehyde in Acute Respiratory Distress Syndrome

Background: Oxidative stress-induced lipid peroxidation (LPO) due to neutrophil-derived reactive oxygen species plays a key role in the early stage of the acute respiratory distress syndrome (ARDS). Monitoring of oxidative stress in this patient population is of great interest, and, ideally, this can be done noninvasively. Recently, propionaldehyde, a volatile chemical compound (VOC) released during LPO, was identified in the breath of lung transplant recipients as a marker of oxidative stress. The aim of the present study was to identify if markers of oxidative stress appear in the oxygenator outflow gas of patients with severe ARDS treated with veno-venous extracorporeal membrane oxygenation (ECMO). Methods: The present study included patients with severe ARDS treated with veno-venous ECMO. Concentrations of acetone, isoprene, and propionaldehyde were measured in inspiratory air, exhaled breath, and oxygenator inflow and outflow gas at corresponding time points. Ion-molecule reaction mass spectrometry was used to measure VOCs in a sequential order within the first 24 h and on day three after ECMO initiation. Results: Nine patients (5 female, 4 male; age = 42.1 ± 12.2 year) with ARDS and already established ECMO therapy (pre-ECMO PaO₂/FiO₂ = 44.0 ± 11.5 mmHg) were included into analysis. VOCs appeared in comparable amounts in breath and oxygenator outflow gas (acetone: 838 (422–7632) vs. 1114 (501–4916) ppbv; isoprene: 53.7 (19.5–244) vs. 48.7 (37.9–108) ppbv; propionaldehyde: 53.7 (32.1–82.2) vs. 42.9 (24.8–122) ppbv). Concentrations of acetone, isoprene, and propionaldehyde in breath and oxygenator outflow gas showed a parallel course with time. Conclusions: Acetone, isoprene, and propionaldehyde appear in breath and oxygenator outflow gas in comparable amounts. This allows for the measurement of these VOCs in a critically ill patient population via the ECMO oxygenator outflow gas without the need of ventilator circuit manipulation.     

Noninvasive detection of colorectal cancer by analysis of exhaled breath

There has been growing interest in exhaled breath analysis for cancer screening and disease monitoring; however, limited breath biomarker information exists regarding colorectal cancer (CRC). The objective of this study was to screen for breath biomarkers of CRC. Exhaled breath was collected from 20 CRC patients and 20 healthy controls; subsequently, solid-phase microextraction–gas chromatography/mass spectrometry (SPME-GC/MS) was used to assess the exhaled volatile organic compounds (VOCs) of the study participants. The statistical methods of principal component analysis (PCA) and partial least squares discriminant analysis (PLS-DA) were performed to process the final data. The VOCs in the exhalations of CRC patients exhibited significant differences from the VOCs in the exhalations of healthy controls; in particular, relative to the latter exhalations, the former exhalations contain significantly higher levels of cyclohexanone, 2,2-dimethyldecane, dodecane, 4-ethyl-1-octyn-3-ol, ethylaniline, cyclooctylmethanol, trans-2-dodecen-1-ol, and 3-hydroxy-2,4,4-trimethylpentyl 2-methylpropanoate but significantly lower levels of 6-t-butyl-2,2,9,9-tetramethyl-3,5-decadien-7-yne (P?<?0.05). Analyses of breath VOCs provide a related model of CRC exhalation that could represent an effective and convenient screening method for this disease.

Construction of an automated gas chromatography/mass spectrometry system for the analysis of ambient volatile organic compounds with on-line internal standard calibration

An automated sampling and enrichment apparatus coupled with a gas chromatography/mass spectrometry (GC/MS) technique was constructed for the analysis of ambient volatile organic compounds (VOCs). A sorbent trap was built within the system to perform on-line enrichment and thermal desorption of VOCs onto GC/MS. In order to improve analytical precision, calibration accuracy, and to safe-guard the long-term stability of this system, a mechanism to allow on-line internal standard (I.S.) addition to the air sample stream was configured within the sampling and enrichment apparatus. A sub-ppm (v/v) level standard gas mixture containing 1,4-fluorobenzene, chloropentafluorobenzene, 1-bromo-4-fluorobenzene was prepared from their pure forms. A minute amount of this I.S. gas was volumetrically mixed into the sample stream at the time of on-line enrichment of the air sample to compensate for measurement uncertainties. To assess the performance of this VOC GC/MS system, a gas mixture containing numerous VOCs at sub-ppb (v/v) level served as the ambient air sample. Various internal standard methods based on total ion count (TIC) and selective ion monitoring (SIM) modes were attempted to assess the improvement in analytical precision and accuracy. Precision was improved from 7-8% RSD without I.S. to 2-3% with I.S. for the 14 target VOCs. Uncertainties in the calibration curves were also improved with the adoption of I.S. by reducing the relative standard deviation of the slope (Sm%) by an average a factor of 4, and intercept (Sb%) by a factor of 2 for the 14 target VOCs.     

Assessing respiratory complications by carbon dioxide sensing platforms: Advancements in infrared radiation technology and IoT integration

Respiratory illness demands pragmatic clinical monitoring and diagnosis to curb numerous fatal diseases in all aged groups. Due to the complicated instrumentation, long amplification periods, and restricted number of simultaneous detections, present clinically available multiplex diagnostic technologies are difficult to deploy the onsite diagnostic platforms. The futuristic assessment of medical diagnosis eases the respiratory monitoring using exhaled breath, due to the simple and comfort non-invasive detecting techniques. Carbon dioxide (CO₂) stands as a promising biomarker and has been identified in exhaled breath samples that distinguish different respiratory issues. State-of-the-art CO₂ gas sensing strategies are recognized with the growth of modern telecommunication technologies for real-time respiratory illness monitoring and diagnosis using exhaled breath. The presented article reviews the existing CO₂ gas sensors and their developments towards medical applications. With that, the advancement of infrared (IR) CO₂ gas sensors with distinguished light and sensing properties in detecting respiratory disorders are overviewed. The development of optimal CO₂ gas sensing strategy incorporated with Internet of Things (IoT) technology is over-reviewed. The hurdles encountered in the existing research and future preference with real-time CO₂ monitoring and diagnosing respiratory disorders with the advancement attained in IR sensing technology and IoT networking are highlighted.     

Design-of-experiment optimization of exhaled breath condensate analysis using a miniature differential mobility spectrometer (DMS)

Analytical instruments that can measure small amounts of chemicals in complicated biological samples are often useful as diagnostic tools. However, it can be challenging to optimize these sensors using actual clinical samples, given the heterogeneous background and composition of the test materials. Here we use gas chromatography-differential mobility spectrometry (GC/DMS) to analyze the chemical content of human exhaled breath condensate (EBC). Ultimately, this system can be used for non-invasive disease diagnostics. Many parameters can be adjusted within this instrument system, and we implemented a factorial design-of-experiments to systematically test several combinations of parameter settings while concurrently analyzing effects and interactions.We examined four parameters that affect sensitivity and detection for our instrument, requiring a 2⁴ factorial design. We optimized sensor function using EBC samples spiked with acetone, a known clinical biomarker in breath. Two outputs were recorded for each experiment combination: number of chemicals detected, and the amplitude of acetone signal. Our goal is to find the best parameter combination that yields the highest acetone peak while also preserving the largest number of other chemical peaks in the spectra. By optimizing the system, we can conduct further clinical experiments with our sensor more efficiently and accurately.     

On-site environmental analysis by membrane extraction with a sorbent interface combined with a portable gas chromatograph system

A novel device, membrane extraction with a sorbent interface (MESI) coupled with a portable gas chromatograph (GC) system, has been developed. The main components of this system include a membrane module, a microtrap, and a control unit for the heater and cooler. The membrane module, as an on-line sample-introduction device for this system, can be manipulated in different configurations, allowing for the selective permeation of analytes across the membrane into the carrier/stripping gas. The analytes are trapped and concentrated onto a microtrap, which serves as an injector for gas chromatography separation. A concentration pulse of the trapped analytes is generated through direct electrical heating of the microtrap. The characteristics of this system have been explored, and its applicability and effectiveness have been demonstrated in field monitoring applications including the analysis of toluene in wastewater, Volatile organic compounds (VOCs) in laboratory air, and chloroform in swimming-pool water. This system is very promising, as it is a simple, fast, and portable tool for on-site process environmental monitoring.     

Human exhaled air analytics: biomarkers of diseases

Over the last few years, breath analysis for the routine monitoring of metabolic disorders has attracted a considerable amount of scientific interest, especially since breath sampling is a non-invasive technique, totally painless and agreeable to patients. The investigation of human breath samples with various analytical methods has shown a correlation between the concentration patterns of volatile organic compounds (VOCs) and the occurrence of certain diseases. It has been demonstrated that modern analytical instruments allow the determination of many compounds found in human breath both in normal and anomalous concentrations. The composition of exhaled breath in patients with, for example, lung cancer, inflammatory lung disease, hepatic or renal dysfunction and diabetes contains valuable information. Furthermore, the detection and quantification of oxidative stress, and its monitoring during surgery based on composition of exhaled breath, have made considerable progress. This paper gives an overview of the analytical techniques used for sample collection, preconcentration and analysis of human breath composition. The diagnostic potential of different disease-marking substances in human breath for a selection of diseases and the clinical applications of breath analysis are discussed.     

Decomposition of Toluene and Acetone in Packed Dielectric Barrier Discharge Reactors

The influences of TiO₂ catalytic material and glass pellet packing on the decomposition efficiency of toluene and acetone in air by dielectric barrier discharge (DBD) reactors were experimentally investigated in this study. The effects of both packing materials on the formation of byproducts such as CO and CO₂ were also evaluated. Experimental results indicate that the introduction of glass materials into the plasma zone of a wire-tube reactor would improve the decomposition efficiency of toluene and acetone compared to a nonpacked reactor. The apparent decomposition rate constant of a glass packed-bed reactor was 4.5–4.8 times greater than that of a nonpacked reactor. The results also indicate that the decomposition rate constant of toluene was approximately 2.6 times higher than that of acetone no matter which type reactor was utilized. The application of TiO₂ coated pellets in DBD reactors will enforce the hydrocarbon byproducts to further be oxidized to CO₂, notwithstanding, it will not significantly improve the performance of the reactors in the decomposition of toluene and acetone, and in the formation of CO. The results show that the best selectivity of CO₂ for acetone decomposition in a TiO₂ coated pellets packed-bed reactor was approximately 40% higher than that in a glass packed-bed reactor.     

Chemotherapy control by breath profile with application of SPME‐GC/MS method

Chemotherapy used as a treatment against lung cancer has influence on metabolic processes occurring in healthy cells. The changes of biochemical pathways proceeded inside cells might be observed in expired air. In the experiment, breath analysis was carried out before and after anticancer therapy. Expired air samples were collected from 22 patients with a biopsy confirmed lung cancer. Volatile organic compounds present in breath were analyzed by gas chromatography/mass spectrometry. For enrichment of analytes solid‐phase microextraction technique was applied. Eight fibers covered by different sorbents were tested. Carboxen‐polydimethylsiloxane fiber revealed the highest extraction efficiency in relation to analytes in breath. The data showed that cytostatic drugs increase the concentration of acetone and isoprene in the breath collected after chemotherapy. Volatile metabolites of administrated drugs were not identified in expired air.     

Enhanced ethanol sensing properties of WO3 modified TiO2 nanorods

Pristine and WO₃ decorated TiO₂ nanorods (NRs) were synthesised to investigate n-n-type heterojunction gas sensing properties. TiO₂ NRs were fabricated via hydrothermal method on fluorine-doped tin oxide coated glass (FTO) substrates. Then, tungsten was sputtered on the TiO₂ NRs and thermally oxidised to obtain WO₃ nanoparticles. The heterostructure was characterised by X-ray diffraction (XRD), scanning electron microscopy (SEM), and energy-dispersive X-ray (EDX) spectroscopy. Fabricated sensor devices were exposed to VOCs such as toluene, xylene, acetone and ethanol, and humidity at different operation temperatures. Experimental results demonstrated that the heterostructure has better sensor response toward ethanol at 200 °C. Enhanced sensing properties are attributed to the heterojunction formation by decorating TiO₂ NRs with WO₃.     

Breath analysis by optical fiber sensor for the determination of exhaled organic compounds with a view to diagnostics

Breath analysis constitutes a promising tool in clinical and analytical fields due to its high potential for non-invasive diagnostics of metabolic disorders and monitoring of disease status. An optical fiber (OF) sensor has been developed for determination of volatile organic compounds (ethane, pentane, heptane, octane, decane, benzene, toluene and styrene) in human breath for clinical diagnosis.The analytical system developed showed a high performance for breath analysis, inferred for the analytical signal intensity and stability, linear range, and detection limits ranging from 0.8 pmol L⁻¹, for heptane, and to 9.5 pmol L⁻¹, for decane. The OF sensor also showed advantageous features of near real-time response and low instrumentation costs, besides showing an analytical performance equivalent to the breath analysis by gas chromatography-mass spectrometry (GC-MS), used as the reference method.     

Sampling and analysis of volatile organic compounds in bovine breath by solid-phase microextraction and gas chromatography-mass spectrometry

A relatively noninvasive method consisting of a face mask sampling device, solid-phase microextraction (SPME) fibers, and a gas chromatography-mass spectrometry (GC-MS) for the identification of volatile organic compounds (VOCs) in bovine breath was developed. Breath of three morbid steers with respiratory tract infections and three healthy steers were sampled seven times in 19 days for 15 min at each sampling. The breath VOCs adsorbed on the divinylbenzene (DVB)-Carboxen-polydimethyl siloxane (PDMS) 50/30 microm SPME fibers were transported to a laboratory GC-MS system for separation and identification with an in-house spectral library of standard chemicals. A total of 21 VOCs were detected, many of them for the first time in cattle breath. Statistical analyses using Chi-square test on the frequency of detection of each VOC in each group was performed. The presence of acetaldehyde (P < or = 0.05) and decanal (P < or = 0.10) were associated more with clinically morbid steers while methyl acetate, heptane, octanal, 2,3-butadione, hexanoic acid, and phenol were associated with healthy steers at P < or = 0.10. The results suggest that noninvasive heath screening using breath analyses could become a useful diagnostic tool for animals and humans.     

Non-Thermal Plasma Assisted Regeneration of Acetone Adsorbed TiO2 Surface

Improvement of indoor air quality regarding volatile organic compounds (VOCs) requires the development of innovative oxidation processes. This paper investigates the coupling of a metal oxide sorbent with non-thermal plasma (NTP) in an especially designed reactor. TiO₂ was selected as model sorbent and acetone was used as model VOC. The analyses of gas phase species at the reactor downstream have been performed using FTIR spectroscopy. In a first step, acetone adsorption on TiO₂ surface under dry air was characterized in terms of total amount adsorbed, as well as reversibly and irreversibly adsorbed fractions. Obtained results were compared and discussed with literature in terms of acetone reactive adsorption on TiO₂ surface. Mesityloxide was proposed as the major compound in the irreversibly adsorbed fraction. In a second time, acetone saturated TiO₂ surface was exposed to NTP surface discharge. Irrespectively of the injected power, <30 % of the initially adsorbed acetone has been recovered as CO, CO₂ and desorbed acetone. Finally, thermal desorptions have been performed. They evidenced that (1) NTP treatment modifies the nature of the adsorbed organic species, (2) mineralization rate is considerably improved. Based on desorbed species temporal profile analysis, carboxylates and more especially formates are suggested as major adsorbed species after NTP treatment (P_inj > 0.2 W). This hypothesis has been evaluated and confirmed. This paper finally evidenced that NTP can be used as an efficient pretreatment technique to promote the mineralization of adsorbed acetone for further thermal treatment.     

Acetone vapor sensing properties of screen printed WO3 thick films

This paper presents acetone vapor sensing properties of WO₃ thick films. In this work, the WO₃ thick films were prepared by standard screen-printing method. These films were characterized by X-ray diffraction (XRD) measurements, and scanning electron microscopy (SEM). The acetone vapor sensing properties of these thick films were investigated at different operating temperature and acetone vapor concentrations. The WO₃ thick films exhibit excellent acetone vapor sensing properties with the maximum sensitivity ∼456% at 300 °C in air atmosphere with fast response and recovery time.