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Recent years have witnessed exponential growth in cardiac imaging technologies, allowing better visualization of complex cardiac anatomy and improved assessment of physiology. These advances have become increasingly important as more complex surgical and catheter-based procedures are evolving to address the needs of a growing congenital heart disease population. This state-of-the-art review presents advances in echocardiography, cardiac magnetic resonance, cardiac computed tomography, invasive angiography, 3-dimensional modeling, and digital twin technology. The paper also highlights the integration of artificial intelligence with imaging technology. While some techniques are in their infancy and need further refinement, others have found their way into clinical workflow at well-resourced centers. Studies to evaluate the clinical value and cost-effectiveness of these techniques are needed. For techniques that enhance the value of care for congenital heart disease patients, resources will need to be allocated for education and training to promote widespread implementation. [Display omitted] • Cardiac imaging plays a crucial role in the evaluation and management of patients with congenital heart disease. • Advancements in cardiac imaging techniques will likely find rapid clinical application in the assessment of patients with congenital heart disease. • Strategies to assess clinical value and resources for training are needed before widespread implementation. [ABSTRACT FROM AUTHOR]

Triglycerides (TG) not only provide energy for infants but have important physiological functions. Understanding the composition and structure of TG in human milk is conducive to the development of infant formulas. In this study, TG species in human milk from 3 provincial capitals (Zhengzhou, Wuhan, and Harbin) in different regions of China were determined through C18 HPLC electrospray ionization tandem mass spectrometry (MS). The results showed that in human milk from these 3 regions, oleoyl-palmitoyl-linoleoylglycerol (OPL; 16.55, 19.20, and 18.67%, respectively) was more abundant than oleoyl-palmitoyl-oleoylglycerol (OPO; 10.08, 10.22, and 12.03%, respectively). Subsequently, regioisomeric and enantiomeric analysis of main TG in the human milk were performed on silver ion and chiral HPLC atmospheric pressure chemical ionization mass spectrometry (APCI)-MS, respectively. The results showed that rac-OPL (above 85%), rac-OPO (above 85%), rac-palmitoyl-oleoyl-oleoylglycerol (PPO; above 90%), and rac-OLaO (above 70%) were the main regioisomers of OPL, OPO, PPO, and lauroyl-oleoyl-oleoylglycerol (LaOO), respectively. The relative ratios of enantiomer pairs of rac-OPL (rac-OPL1 and rac-OPL2) were about 37 and 63%, respectively. [ABSTRACT FROM AUTHOR]

Abstract A FeCoNiCrTi 0.2 high-entropy alloy strengthened by two types of coherent nano-precipitates but with the same composition was fabricated, and its tensile properties at room (293 K) and cryogenic temperatures (77 K) and the corresponding defect-structure evolution were investigated. Compared with the single-phase FeCoNiCr parent alloy, the precipitation-strengthened FeCoNiCrTi 0.2 high-entropy alloy exhibits a significant increase in yield strength and ultimate tensile strength but with little sacrifice in ductility. Similar to the single-phase FeCoNiCr high-entropy alloy, the deformation behavior of this precipitation-strengthened FeCoNiCrTi 0.2 high-entropy alloy shows strong temperature dependence. When the temperature decreases from 293 K to 77 K, its yield strength and ultimate tensile strength are increased from 700 MPa to 860 MPa and from 1.24 GPa to 1.58 GPa, respectively, associated with a ductility improvement from 36% to 46%. However, different from the single-phase FeCoNiCr high-entropy alloy with a twinning-dominant deformation mode at 77 K, multiple-layered stacking faults with a hierarchical substructure prevail in the precipitation-strengthened FeCoNiCrTi 0.2 high-entropy alloy when deformed at 77 K. The mechanism of twinning inhibition in this precipitation-strengthened high-entropy alloy is the high energy barrier for twin nucleation in the ordered γ′ nano-particles. Our results may provide a guide for the design of tough high-entropy alloys for applications at cryogenic temperatures through combining precipitation strengthening and twinning/stacking faults. Graphical abstract Image 1 [ABSTRACT FROM AUTHOR]

Percutaneous pulmonary valve replacement has emerged as an alternative to operation for some patients with congenital heart disease requiring intervention. Endocarditis is increasingly described as an adverse event during follow-up [1–4] . Diagnosis is difficult because of the poor visualization of the prosthetic valve in the pulmonary position by transthoracic and transesophageal echocardiogram and by the metallic artifact that degrades the image quality of magnetic resonance imaging (MRI). Two cases of percutaneous pulmonary valve obstruction diagnosed by cardiac computed tomographic angiography are presented. These cases demonstrate the utility of cardiac computed tomography for noninvasive imaging of suspected thrombus or endocarditis in a percutaneously placed pulmonary valve. [ABSTRACT FROM AUTHOR]