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Primary urethral non-Hodgkin’s lymphoma (NHL) is uncommon. This case study reports the case of a 52-year-old woman with a light red mass at the urethral orifice. Her clinical manifestations included frequent urination, urgency, dysuria, and occasionally blood in urine. The tumor was surgically removed, and the pathological and immunohistochemistry examination confirmed the presence of a diffuse large B-cell lymphoma (DLBCL). Examination using positron emission tomography/computed tomography (PET/CT) revealed multiple hypermetabolic lymph nodes next to the external iliac vessels and bilateral inguinal regions, and focal hypermetabolic lesions in the vulvar nodules (consistent with the changes caused by lymphoma infiltration). Eight cycles of chemotherapy with rituximab, cyclophosphamide, doxorubicin, vincristine, and dexamethasone (R-CHOP) were prescribed after surgery. Re-examination using PET/CT showed lack of hypermetabolic tumor recurrence signs, and the presence of multiple slightly large lymph nodes in the lateral iliac vessels and inguinal regions, but without significant lymph node metabolism increases. To date, only fifteen cases of primary diffuse large B-cell lymphoma of the urethra (including this one) have been reported in the literature. Therefore, we reviewed the etiology, clinical manifestations, diagnosis, differential diagnosis, treatment, and prognosis of DLBCL based on the existing literature to help characterize this rare disease.

Background: When liver metastasis in patients with breast cancer is diagnosed, treatment is generally palliative and usually consists of systemic therapies only. This study aimed to evaluate the efficacy and safety of hepatic arterial infusion (HAI) combined with systemic chemotherapy in patients with breast carcinoma liver metastases (BCLM). Methods: From January 2012 to December 2019, HAI catheter systems were implanted under the guide of digital subtract angiography (DSA) in 19 patients with BCLM. All patients received systemic chemotherapy and HAI gemcitabine plus floxuridine (FUDR). Methods: The overall response rate (ORR) of intrahepatic lesions was 73.7%, including 2 patients (10.5%) with complete remission (CR) and 12 patients (63.2%) with partial remission (PR). Additionally, we found that young patients (age

Mask-free direct printing can alleviate the high cost and high consumption involved in photo-lithography for chip processing. Most of their technical routes are based on the traditional short focal length nozzles, which is suffered from higher probability of nozzle retardation or clogging as well as the higher mechanical burdens. While aerosol-assisted chemical vapor deposition (AACVD) has better deposition adaptability but usually lack of focused printing. In this study, a system that combines of long focal length ALS with AACVD, so called AAFCVD printing system has been developed. The single-point printing capability and aerosol precursor adaptability were verified, and the relationship between the single spot printing performance and the chemical reaction mechanisms were studied. Furthermore, a unique carbon injection effect brought by ALS was discovered. Finally, the linear graphics printing performances of the system were evaluated. This system is expected to become a new generation of high-performance mask-free printing system for chip manufacturing.

Objective To compare the efficacy of ranibizumab plus fufang xueshuantong capsule (cFXST) with the efficacy of ranibizumab alone in treatment of exudative age-related macular degeneration. Methods This prospective, randomized, controlled, pilot study included 38 eyes from 38 patients with exudative age-related macular degeneration (AMD) that were randomly allocated into two cohorts of 19 eyes each: ranibizumab (Cr) and ranibizumab plus cFXST (Cfr). All patients received three monthly injections of ranibizumab. Patients in Cfr also received daily oral supplementation of cFXST. Best corrected visual acuity (BCVA) and thickness of the choroidal neovascularization-pigment epithelial detachment (CNV-PED) complex (measured by optical coherence tomography) were recorded at baseline and at 1 and 3 months after the first intravitreal injection of ranibizumab. Results In the Cfr, the CNV-PED complex thickness was reduced by 31.7% and 36.1% at 1 and 3 months, respectively; these reductions were significantly greater than the 19.7% and 24.2% reductions in the Cr. BCVA improvement was significantly greater in the Cfr than in the Cr after 3 months; the proportion of patients with functional response was also greater in the Cfr than in the Cr (16/16 vs. 8/17). Conclusion Oral cFXST increases the efficacy of short-term ranibizumab treatment for exudative AMD.

Purpose: To evaluate diagnostic and predictive values of the serum vascular endothelial growth factor-A (VEGF-A) level and systemic immune-inflammation index (SII) in small cell lung cancer (SCLC) patients. Methods: From January 2018 to April 2020, we prospectively enrolled 59 untreated SCLC patients in the study group and 50 non-neoplastic patients in the control group. Blood samples were collected at baseline, after the first two cycles of chemotherapy and at progression in the study group and at entry in the control group. Serum VEGF-A was measured by chemiluminescence, SII was calculated based on complete blood count results, and the relationship between the VEGF-A/SII and clinicopathological characteristics, chemotherapeutic efficacy and progression-free survival (PFS) of SCLC patients was analyzed. Results: Baseline serum VEGF-A was significantly higher in SCLC patients than in non-neoplastic patients (P0.050). Univariate and multivariate Cox regression analyses suggested that baseline VEGF-A (HR: 3.443, 95% CI: 1.330-8.908, P=0.011) was an independent prognostic factor for PFS in SCLC patients. Conclusions: Baseline serum VEGF-A and SII are associated with important clinicopathological characteristics of SCLC patients. VEGF-A, but not SII, has the ability of diagnosis and predicting first-line chemotherapeutic efficacy and prognosis in SCLC patients.

We report in this paper a miniature adjustable-focus camera module integrated with a solid tunable lens driven by MEMS-thermal actuators. Thanks to the compact structures of the MEMS actuators and the optical-power-variation capability of such solid tunable lenses, such a camera module shows great potential in various applications, especially in tiny underwater imaging systems where an optical zoom or focus-tuning function is required. The camera module presented in this paper consists of a solid tunable lens for optical power tuning, two identical MEMS-thermal actuators for lens component driving and one commercial CMOS chip for image recording, assisted with necessary mechanical parts for supporting and housing. We first introduce the optimal design of the solid tunable lens which consists of two freeform components moving in the direction perpendicular to the optical axis, and subsequently, the MEMS thermal actuators which consist of V-shaped micro beams. The lens components are fabricated by the technique of single-point diamond turning followed by the PMDS modelling process while the MEMS-thermal actuators are materialized by a commercial MUMPS process. The static performance of the designed system, including the temperature distribution, displacement-versus-voltage curve and the optical tuning capability, is characterized in detail, together with the dynamic responding speed, hysteresis and imaging performance stability during tuning. Results show that a maximum output displacement of 135 μm is achieved by the optimized MEMS-thermal actuator with a driving voltage of 10V, and consequently a focal length tuning range from 9.2 to 7.9 mm with a responding speed of about 90 ms is realized by the solid tunable lens. The highest temperate on the actuator is about 690 K during the operation while the temperate increase on the lens components is found to be about 30 K, which guarantees the optical performance stability. Targets placed at different object distances are clearly focused by the assembled miniature camera module with various driving voltages, which demonstrate its adjustable focus capability. Such miniature adjustable-focus camera modules show promising future in underwater applications due to their compact structures and optical-power-variation capability.

Objective To evaluate whether patients with malignant biliary obstruction (MBO) benefit from balloon dilation before the placement of a self-expanding metal stent (SEMS) for palliative biliary drainage. Methods Consecutive patients who underwent endoscopic retrograde cholangiopancreatography with SEMS placement for palliative management of MBO were retrospectively included. Comparative analyses of serum bilirubin levels, post-procedural adverse events, stent patency time, stent dysfunction, and patient survival were performed between the dilation and non-dilation groups. Results A total of 221 patients underwent palliative endoscopic SEMS implantation for MBO from January 2014 to June 2018. Dilation significantly improved the percentage of serum bilirubin improvement (37.0% vs 14.3%, P = 0.001), with a decreasing trend in the incidence of post-procedural cholangitis (2.5% vs 7.8%, P = 0.075), while the rates of other complications such as pancreatitis and bleeding were not increased. The patency time of SEMS and patient survival did not significantly differ between patients with and without dilation. Patients had endoscopic nasobiliary drainage (ENBD) but not dilation showed similar short-term outcomes as patients underwent dilation but without ENBD. Conclusions Dilation with a small-caliber balloon catheter before the placement of SEMS is a safe and effective approach for MBO. Balloon dilation may improve the short-term efficacy of SEMS placement, while long-term outcomes are not obviously affected. The short-term effect of stricture dilation may be achieved by ENBD. Further studies are needed to confirm our results.

170 p. Nowadays, the demand for smaller and lighter portable electronics is driving both the semiconductor and packaging industries to increase integration density for radio frequency (RF) transceivers. Chip-package codesign opens a new era for integration, as the package is now part of the circuit. However, there are many problems to be solved for chip-package codesign. DOCTOR OF PHILOSOPHY (EEE)

This article mainly introduced novel carrier-modified methods for active targeting antitumor preparation as well as their evaluation methodology in recent years. By reviewing related domestic and overseas literatures, the up-to-date scientific researches concerning active targeting antitumor preparation were elaborated and the problems existing in present studies were discussed. Numerous valid vector-embellished methods had been discovered with excellent targeting effects, and the significant progress was acquired for the evaluation tools in vitro and in vivo. The active targeting agent would be a major direction in prospective tumor or cancer therapeutic regimen.

This paper reviews several main modification methods of Al-Ti-B master alloy, including high-intensity ultrasound, equal channel angular pressing, conform, and electromagnetic stirring. Attention is directed to the principles and characteristics of various methods, as well as the researches related to Al-Ti-B master alloy. This review also indicates the existing problems of the technology, and the development direction of the modification of Al-Ti-B master alloy in the future.

The aim of this study was to evaluate the image quality of hand tendons using dual-energy computed tomographic gemstone spectral imaging (DECT GSI) compared with conventional CT images.Forty patients scanned with GSI mode on DECT were enrolled. The 65-keV optimal contrast-to-noise ratio for viewing hand tendons was selected. The image quality of monochromatic GSI images (65 keV) and conventional CT images was compared with two different methods including a subjective method and an objective method by two radiologists, respectively.In the subjective method, the image quality in GSI images was superior to conventional CT images (P.05). And in the objective method, the beam-hardening artifacts in the phalanges of finger space were reduced markedly, with hand tendons displaying more clearly in GSI images (P.05). There was no significant difference between the two radiologists in both methods, with good correlation (kappa=0.75, kappa=0.85).DECT GSI with the optimal 65-keV monochromatic images could reduce the artifacts and increase image quality significantly in hand tendons imaging. It might be very useful in detecting tendon diseases in routine work.

Modal analysis is also known as dynamic analysis for mode-superposition method. In the seismic response analysis of linear structural systems, it is one of the most commonly used and the most effective ways. Through the modal analysis of building structure, we can get some basic performance parameters of the structure. These parameters can help us make qualitative judgments for the respond of a structure first, and can help us judge whether they meet demands for conceptual design. Modal analysis is also the basis of other dynamic response analysis, including dynamic time history analysis and response spectrum analysis.

Recent evidence suggests that admission hyperglycemia has deleterious effects on the survival and functional outcome of patients with intracerebral hemorrhage (ICH). In this study, we first induced acute hyperglycemia in male adult Sprague-Dawley rats by intraperitoneal injection of 50% glucose (6 mL/kg), and created the ICH model thereafter by delivering autologous whole blood or homologous normal-glucose blood into the right basal ganglia. Twenty-four hours later, we assessed the neurological injury, evaluated the hematoma and brain water content, and investigated autophagy. We found elevations of neurological deficit scores, brain water content, and microtubule-associated protein light chain-3 (LC3) and beclin-1 protein levels, and decreased SQSTM1/ p62 levels after ICH with normal-glucose blood (without hyperglycemia). Acute hyperglycemia with ICH of high-glucose blood hematoma was associated with significantly increased forelimb-use asymmetry test scores, brain water content and SQSTM1/p62 protein levels, and evident decreases in the ratio of LC3-II/LC3-I and beclin-1 protein levels. On the other hand, acute hyperglycemia and ICH with normal-glucose blood hematoma only slightly increased the neurological deficit scores and brain water content (P >0.05). In conclusion, the autophagy pathway was activated after ICH, and acute hyperglycemia with hematoma of high-glucose blood exacerbates the neurological injury, and reduces autophagy around the hematoma.

The unreasonable treatment of used automotive electronic control components can result in great damage to the environment and resource wastage. Therefore, there is an extremely urgent demand to develop a recycling program for these components. The Chinese scholars are developing the used automotive electronic control components recycling research. The recycling key technologies include: non-destructive high-efficiency dismantling and green clean technology, test technology and equipment, adjust technology, reliability testing techniques and quality assurance specifications. This study introduces the latest developments of these key technologies in accordance with China’s actual conditions, and then discusses the development direction.

Bipolar disorder affects about 1% of the world’s population, and its estimated heritability is about 75%. Only few whole genome or whole-exome sequencing studies in bipolar disorder have been reported, and no rare coding variants have yet been robustly identified. The use of isolated populations might help finding variants with a recent origin, more likely to have drifted to higher frequency by chance. Following this approach, we investigated 28 bipolar cases and 214 controls from the Faroe Islands by whole exome sequencing, and the results were followed-up in a British sample of 2025 cases and 1358 controls. Seventeen variants in 16 genes in the single-variant analysis, and 3 genes in the gene-based statistics surpassed exome-wide significance in the discovery phase. The discovery findings were supported by enrichment analysis of common variants from genome-wide association studies (GWAS) data and interrogation of protein–protein interaction networks. The replication in the British sample confirmed the association with NOS1 (missense variant rs79487279) and NCL (gene-based test). A number of variants from the discovery set were not present in the replication sample, including a novel PITPNM2 missense variant, which is located in a highly significant schizophrenia GWAS locus. Likewise, PIK3C2A identified in the gene-based analysis is located in a combined bipolar and schizophrenia GWAS locus. Our results show support both for existing findings in the literature, as well as for new risk genes, and identify rare variants that might provide additional information on the underlying biology of bipolar disorder.

The quality safety of agricultural products play an important role in national economic development and social stability. This article introduced the agricultural products quality safety supervision information support technology, such as rapid detection and monitoring technology; the biological chip technology; agricultural products quality safety traceability technology; modern agricultural equipment and technology; vehicle positioning system; agricultural products quality safety inspection technology; technological choice index system; construction of the evaluation system. In the last part of this article it sent an agricultural products quality safety supervision information technology selection and evaluation, which means to use the scoring method to determine the index weight, technology index. And gave a table to introduce the vegetable quality safety supervision information technology selection index system in order to provide a theoretical basis with the perspective of industrial chain of vegetable quality safety supervision information technology and equipment integration.

Vegetable quality safety is the current hot issue that arose government, social concern and global attention; it is also the key problem that must be solved for the present stage of implementation of agriculture and rural economy structure strategically adjust, enhancing produce competition ability. Based on the analysis of the key points of quality and safety of agricultural products on the basis of monitoring, this paper introduces vegetable quality safety supervision information facility equipped for engineering application, and takes the prospect of agricultural product quality safety supervision information tech90nology equipment.

With the rapid growth of vehicle population and electronic control components used in automotives in China, the energy consumption and environmental emissions of automotive electronic control components in 2007 are calculated by adopting the EIO-LCA model. The calculation results indicate that automotive electronic control components consume 20306000 tons of standard coal equivalent (SCE), which is a large consumption of energy, and make a lot of toxic environmental emissions. However, in China, after the automotives are scrapped, the automotive electronic components are either discarded carelessly or smashed into pieces along with the vehicles for material recycling. This unreasonable treatment of these components can result in great damage to the environment and resource wastage. Therefore, in this study, the automotive electronic control components recycling strategy and a technology roadmap in accordance with China’s actual conditions are provided for energy conservation and toxic environmental emissions reduction.

The electronic structures and optical properties of heavily boron (B)-doped zinc blende silicon carbide (β-SiC) have been investigated using the plane-wave pseudo-potential method with the generalized gradient approximation (GGA) based on density functional theory. The doped models Si n BC n −1 ( n =4, 32) have been constructed by β-SiC unit cell. The calculated results show that the band gap of β-SiC transforms from indirect band gap to direct band gap with band gap shrink after carbon atom is replaced by boron atom. The dielectric constant of heavily B-doped β-SiC in low frequency is found to be remarkably larger, so it may act as a new dielectric material. Furthermore, after B doping, absorption peaks appear in the ultra-violet band (5–20 eV) and infrared band (0–2 eV). The ultra-violet absorption is similar to the undoped β-SiC. The infrared absorption would intensify with the increase of doping concentration, and absorption edge emerges redshift.

Using the first-principles density functional method, we investigate the band structures and conductivity spectra for N-doped 3C-SiC. It is found that conductivity peaks of heavily N-doped 3C-SiC are observed in the ultraviolet (UV), visible and infrared (IR) regions while the peaks can be only seen in the UV region for 3C-SiC. In the UV region, the conductivity peaks of 3C-SiC are obviously higher than those of N-doped 3C-SiC. According to the data of band structures, we calculate the ionized impurity scattering, inter-carrier scattering and neutral impurity scattering. The calculation results show that the scattering by incomplete ionization N to electrons and inter-carrier scattering have large effect on the conductive behavior of heavily N-doped 3C-SiC at room temperature. In the UV region, the conductivity of 3C-SiC depends on long-wavelength optical wave scattering, which has a longer relaxation time than that inter-carrier scattering and neutral scattering. This is the reason of anomalous conductivity of N-doped 3C-SiC in the UV region.

The materials and combination of Waste Electrical and Electronic Equipments (WEEE) are complex and special, so the recycling technological process of WEEE is complicated and its recycling production line is difficult to be constructed. To improve the rate of parts reuse, the purity and quality of recycling materials with lower cost, it is necessary to manually disassemble WEEE products as much as possible. The recycling production line is simulated through the eM-Plant software to find out its bottleneck procedures. The bottleneck procedures are eliminated through the method of parallel process. The production efficiency, cost, logistics, staff and flexibility of the production line are analyzed through simulation.

The rolling compaction can produce porous or dense strips with special functions. The mechanical behaviors in rolling compaction are hard to predict accurately and efficiently by traditional means. The numerical simulation based on the Finite Element Method (FEM) provides a flexible and efficient way for such problems. This paper introduces three-dimensional (3-D) FEM simulations for the rolling compaction of the iron matrix powders. The elliptical yield criterion, elasto-plastic constitutive relationship and the friction model were analyzed. Simulations were based on the second-developed user subroutine in MSC.Marc. Effects of friction and rolling velocity on the rolling force, distribution of the density and some other parameters were analyzed.

Two-dimensional (2D) nanomaterials, especially the transition metal sulfide semiconductors, have drawn great interests due to their potential applications in viable photonic and optoelectronic devices, such as saturable absorbers (SAs) and optical switches, etc. In this work, tungsten disulfide (WS2) based SA for ultrafast photonic applications was demonstrated. WS2 nanosheets were prepared using liquid-phase exfoliation method and embedded in polyvinyl alcohol (PVA) thin film for the practical usage. Saturable absorption was observed in the WS2-PVA SA at the telecommunication waveband near 1550 nm. By incorporating WS2-PVA SA into a fiber laser cavity, both stable mode locking operation and Q-switching operation were achieved. In the mode locking operation, the laser obtained femtosecond output pulse width and high spectral purity in the radio frequency spectrum. In the Q-switching operation, the laser had tunable repetition rate and output pulse energy of a few tens of nano joule. Our findings suggest that few-layer WS2 nanosheets embedded in PVA thin film are promising nonlinear optical materials for ultrafast photonic applications as a mode locker or Q-switcher., 15 pages, 6 figures

Acute lung injury (ALI) is one of the fatal outcomes after exposure to high levels of hydrogen sulfide (H2S), and the matrix metalloproteinases (MMPs) especially MMP-2 and MMP-9 are believed to be involved in the development of ALI by degrading the extracellular matrix (ECM) of blood-air barrier. However, the roles of MMP-2 and MMP-9 in H2S-induced ALI and the mechanisms of dexamethasone (DXM) in treating ALI in clinical practice are still largely unknown. The present work was aimed to investigate the roles of MMP-2 and MMP-9 in H2S-induced ALI and the protective effects of DXM. In our study, SD rats were exposed to H2S to establish the ALI model and in parallel, A549 cells were incubated with NaHS (a H2S donor) to establish cell model. The lung HE staining, immunohistochemisty, electron microscope assay and wet/dry ratio were used to identify the ALI induced by H2S, then the MMP-2 and MMP-9 expression in both rats and A549 cells were detected. Our results revealed that MMP-2 and MMP-9 were obviously increased in both mRNA and protein level after H2S exposure, and they could be inhibited by MMP inhibitor doxycycline (DOX) in rat model. Moreover, DXM significantly ameliorated the symptoms of H2S-induced ALI including alveolar edema, infiltration of inflammatory cells and the protein leakage in BAFL via up-regulating glucocorticoid receptor(GR) to mediate the suppression of MMP-2 and MMP-9. Furthermore, the protective effects of DXM in vivo and vitro study could be partially blocked by co-treated with GR antagonist mifepristone (MIF). Our results, taken together, demonstrated that MMP-2 and MMP-9 were involved in the development of H2S-induced ALI and DXM exerted protective effects by alleviating the expression of MMP-2 and MMP-9. Therefore, MMP-2 and MMP-9 might represent novel pharmacological targets for the treatment of H2S and other hazard gases induced ALI.

Transient ischemic attacks (TIAs) are divided into anterior and posterior circulation types (AC-TIA, PC-TIA, respectively). In the present study, we sought to evaluate the ABCD2 score for predicting stroke in either AC-TIA or PC-TIA.We prospectively studied 369 consecutive patients who presented with TIA between June 2009 and December 2012. The 7 d occurrence of stroke after TIA was recorded and correlated with the ABCD2 score with regards to AC-TIA or PC-TIA.Overall, 273 AC-TIA and 96 PC-TIA patients were recruited. Twenty-one patients with AC-TIA and seven with PC-TIA developed a stroke within the subsequent 7 d (7.7% vs. 7.3%, p = 0.899). The ABCD2 score had a higher predictive value of stroke occurrence in AC-TIA (the AUC was 0.790; 95% CI, 0.677-0.903) than in PC-TIA (the AUC was 0.535; 95% CI, 0.350-0.727) and the z-value of two receiver operating characteristic (ROC) curves was 2.24 (p = 0.025). AC-TIA resulted in a higher incidence of both unilateral weakness and speech disturbance and longer durations of the symptoms. Inversely, PC-TIA was associated with a higher incidence of diabetes mellitus (19.8% vs. 10.6%, p = 0.022). Evaluating each component of scores, age ≥ 60 yr (OR = 7.010, 95% CI 1.599-30.743), unilateral weakness (OR = 3.455, 95% CI 1.131-10.559), and blood pressure (OR = 9.652, 95% CI 2.202-42.308) were associated with stroke in AC-TIA, while in PC-TIA, diabetes mellitus (OR = 9.990, 95% CI 1.895-52.650) was associated with stroke.In our study, the ABCD2 score could predict the short-term risk of stroke after AC-TIA, but might have limitation for PC-TIA.

A compact and simple ultra-wideband microstrip-fed planar antenna with double bandstop characteristic is presented. The antenna consists of a rectangular monopole and two W-shaped slots inserted into the radiating patch and the truncated ground plane. By using a W-shaped slot defected ground structure (DGS) in the feedline, a stopband of 800 MHz (from 5.1 to 5.9 GHz) for band rejection of wireless local area network (WLAN) is achieved. To obtain the other stopband (from 3.7-4.4 GHz), a same shaped slot is etched into the monopole. Moreover, the two stopbands can be controlled by adjusting the length of the slot respectively. The simulation results show that the designed antenna, with a compact size of 38.5 mm×42.5 mm, has an impedance bandwidth of 2.811 GHz for voltage standing wave ratio (VSWR) less than 2, besides two frequency stopbands of 3.74.4 GHz and 5.15.9 GHz. Moreover, the main features including omnidirectional H-plane radiation patterns and the appropriate impedance characteristic are achieved by beveling the radiating patch and the microstrip-fed line of the proposed antenna.

Objective To assess the feasibility of visualizing hand and foot tendon anatomy and disorders by Gemstone Spectral Imaging (GSI) high-definition CT (HDCT). Materials and Methods Thirty-five patients who suffered from hand or foot pain were scanned with GSI mode HDCT and MRI. Spectrum analysis was used to select the monochromatic images that provide the optimal contrast-to-noise ratio (CNR) for tendons. The image quality at the best selected monochromatic level and the conventional polychromatic images were compared. Tendon anatomy and disease were also analyzed at GSI and MRI. Results The monochromatic images at about 65 keV (mean 65.09 ± 2.98) provided the optimal CNR for hand and foot tendons. The image quality at the optimal selected monochromatic level was superior to conventional polychromatic images (p = 0.005, p < 0.05). GSI was useful in visualizing hand and foot tendon anatomy and disorders. There were no statistical differences between GSI and MRI with regard to tendon thickening (χ2 = 0, p > 0.05), compression (χ2 = 0.5, p > 0.05), absence (χ2 = 0, p > 0.05) and rupture (χ2 = 0, p > 0.05). GSI was significantly less sensitive than MRI in displaying tendon adhesion (χ2 = 4.17, p < 0.05), degeneration (χ2 = 4.17, p < 0.05), and tendinous sheath disease (χ2 = 10.08, p < 0.05). Conclusion GSI with monochromatic images at 65 keV displays clearly the most hand and foot tendon anatomy and disorders with image quality improved, as compared with conventional polychromatic images. It may be used solely or combined with MRI in clinical work, depending on individual patient disease condition.