Evaluation of aortic stenosis severity using 4D flow jet shear layer detection for the measurement of valve effective orifice area

Aims

The objective of this study was to evaluate the potential of 4D flow MRI to assess valve effective orifice area (EOA) in patients with aortic stenosis as determined by the jet shear layer detection (JSLD) method.

Methods and Results

An in-vitro stenosis phantom was used for validation and in-vivo imaging was performed in 10 healthy controls and 40 patients with aortic stenosis. EOA was calculated by the JSLD method using standard 2D phase contrast MRI (PC-MRI) and 4D flow MRI measurements (EOA_JSLD-2D and EOA_JSLD-4D, respectively). As a reference standard, the continuity equation was used to calculate EOA (EOA_CE) with the 2D PC-MRI velocity field and compared to the EOA_JSLD measurements. The in-vitro results exhibited excellent agreement between flow theory (EOA = 0.78 cm²) and experimental measurement (EOA_JSLD-4D = 0.78 ± 0.01 cm²) for peak velocities ranging from 0.9 to 3.7 m/s. In-vivo results showed good correlation and agreement between EOA_JSLD-2D and EOA_CE (r = 0.91, p < 0.001; bias: − 0.01 ± 0.38 cm²; agreement limits: 0.75 to − 0.77 cm²), and between EOA_JSLD-4D and EOA_CE (r = 0.95, p < 0.001; bias: − 0.09 ± 0.26 cm²; limits: 0.43 to − 0.62 cm²).

Conclusion

This study demonstrates the feasibility of measuring EOA_JSLD using 4D flow MRI. The technique allows for optimization of the EOA measurement position by visualizing the 3D vena contracta, and avoids potential sources of EOA_CE measurement variability.     

Strong aphicidal activity of GlcNAc(β1→4)Glc disaccharides: synthesis, physiological effects, and chitinase inhibition

The synthesis of four GlcNAc(β1→4)Glc disaccharides containing 2-O-acetyl and/or 6-sulfate groups was performed in high yields with total 1,2-trans stereoselectivity. These disaccharides were evaluated as candidates for insect chitinase inhibition and aphicidal activity. All the compounds prepared displayed physiological effects on M. persicae aphids; however, the inhibition of chitinases of different sources (bacteria, fungus, and aphid) followed different patterns according to subtle structural characteristics.     

Nitrene Chemistry in Organic Synthesis: Still in Its Infancy?

The element nitrogen is essential to life. Considerable attention is thus paid to the development of synthetic methods for its introduction into molecules. Nitrenes, long regarded as highly reactive but poorly selective species, have recently emerged as useful tools for the formation of C-N bonds. Practical metal-catalyzed protocols are now available for the preparation of amines through either the aziridination of alkenes or the C-H amination of alkanes. Recent results highlighted in this Minireview suggest that synthetic nitrene chemistry is maturing with a wider scope not limited to these two reactions.     

Tetrathiafulvalene‐Fused Porphyrins via Quinoxaline Linkers: Symmetric and Asymmetric Donor–Acceptor Systems

A tetrathiafulvalene (TTF) donor is annulated to porphyrins (P) via quinoxaline linkers to form novel symmetric P–TTF–P triads 1 a – c and asymmetric P–TTF dyads 2 a , b in good yields. These planar and extended π‐conjugated molecules absorb light over a wide region of the UV/Vis spectrum as a result of additional charge‐transfer excitations within the donor–acceptor assemblies. Quantum‐chemical calculations elucidate the nature of the electronically excited states. The compounds are electrochemically amphoteric and primarily exhibit low oxidation potentials. Cyclic voltammetric and spectroelectrochemical studies allow differentiation between the TTF and porphyrin sites with respect to the multiple redox processes occurring within these molecular assemblies. Transient absorption measurements give insight into the excited‐state events and deliver corresponding kinetic data. Femtosecond transient absorption spectra in benzonitrile may suggest the occurrence of fast charge separation from TTF to porphyrin in dyads 2 a , b but not in triads 1 a – c . Clear evidence for a photoinduced and relatively long lived charge‐separated state (385 ps lifetime) is obtained for a supramolecular coordination compound built from the ZnP–TTF dyad and a pyridine‐functionalized C₆₀ acceptor unit. This specific excited state results in a (ZnP–TTF)^?+ ??? (C₆₀py)^?? state. The binding constant of Zn^II ??? py is evaluated by constructing a Benesi–Hildebrand plot based on fluorescence data. This plot yields a binding constant K of 7.20×10⁴ M ^?1, which is remarkably high for bonding of pyridine to ZnP.     

Can Aromaticity Coexist with Diradical Character? An Ab Initio Valence Bond Study of S2N2 and Related 6π‐Electron Four‐Membered Rings E2N2 and E42+ (E=S,Se, Te)

A series of 6π‐electron 4‐center species, E₂N₂ and E₄²⁺ (E=S, Se, Te) is studied by means of ab initio valence bond methods with the aims of settling some controversies on 1) the diradical character of these molecules and 2) the radical sites, E or N, of the preferred diradical structure. It was found that for all molecules, the cumulated weights of the two possible diradical structures are always important and close to 50 %, making these molecules comparable to ozone in terms of diradical character. While the two diradical structures are degenerate in the E₄²⁺ dications, they have on the contrary strongly unequal weights in the E₂N₂ neutral molecules. In these three molecules, the electronic structure is dominated by one diradical structure, in which the radical sites are the two nitrogen atoms, while the other diradical structure is much less important. The ordering of the various VB structures in terms of their calculated weights is confirmed by the relative energies of individual VB structures. In all cases, the major diradical structure (or both diradical structures when they are degenerate) is (are) the lowest one(s), while the covalent VB structures lie higher in energy. The vertical resonance energies are considerable in S₂N₂ and S₄²⁺, about 80 % of the estimated value for benzene, and diminish as one goes down the periodic table (S→Se→Te). This confirms the aromatic character of these species, as already demonstrated for S₂N₂ on the basis of magnetic criteria. This and the high weights and stabilities of one or both diradical structures in all systems indicates that aromaticity and diradical character do not exclude each other, contrary to what is usually claimed. Furthermore, it is shown that the diradical structures find their place in a collective electron flow responsible for the ring currents in the π system of these species.     

Benzylium versus tropylium ion dichotomy: vibrational spectroscopy of gaseous C8H9+ ions

Definitely different: the path towards sorting out a long-standing dichotomy in carbocation chemistry is disclosed by infrared multiple photon dissociation spectroscopy of tropylium and benzylium isomers of C(8)H(9)(+) ions.     

The initial step of silicate versus aluminosilicate formation in zeolite synthesis: a reaction mechanism in water with a tetrapropylammonium template

The initial step for silicate and aluminosilicate condensation is studied in water in the presence of a realistic tetrapropylammonium template under basic conditions. The model corresponds to the synthesis conditions of ZSM5. The free energy profile for the dimer formation ((OH)(3)Si-O-Si-(OH)(2)O(-) or [(OH)(3)Al-O-Si-(OH)(3)](-)) is calculated with ab initio molecular dynamics and thermodynamic integration. The Si-O-Si dimer formation occurs in a two-step manner with an overall free energy barrier of 75 kJ mol(-1). The first step is associated with the Si-O bond formation and results in an intermediate with a five-coordinated Si, and the second one concerns the removal of the water molecule. The template is displaced away from the Si centres upon dimer formation, and a shell of water molecules is inserted between the silicate and the template. The main effect of the template is to slow down the backward hydrolysis reaction with respect to the condensation one. The Al-O-Si dimer formation first requires the formation of a metastable precursor state by proton transfer from Si(OH)(4) to Al(OH)(4)(-) mediated by a solvent molecule. It then proceeds through a single step with an overall barrier of 70 kJ mol(-1). The model with water molecules explicitly included is then compared to a simple calculation using an implicit continuum model for the solvent. The results underline the importance of an explicit and dynamical treatment of the water solvent, which plays a key role in assisting the reaction.