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A compact online proton spectrometer based on a CMOS plate detector was proposed for the diagnosis of picosecond intense-laser accelerated protons. Inside the CMOS plate detector, a composite structure that composed of a scintillator screen, a fiber optic plate (FOP), and a CMOS sensor was designed to detect the protons safely and efficiently. The scintillator screen converted the incident protons to visible light, which, in turn, was collected by using the FOP and detected by using the CMOS sensor. An additional aluminum housing was designed to decrease the strong electromagnetic pulse (EMP) impact on the electronic readout system from picosecond laser–plasma interaction. This online spectrometer is compact and cost-effective than the system based on the micro-channel plate or scintillator screen in combination with an electron multiplying CCD camera and has better resistance to radiation damage than the system based on a single CMOS sensor. [ABSTRACT FROM AUTHOR]

Objective: To investigate the efficacy and safety of a new cervical artificial disc prosthesis in the treatment of cervical degenerative diseases. Methods: The clinical data of 18 patients with single-level cervical degenerative diseases who underwent three dimensional printed anatomical bionic cervical disc replacement at Department of Spinal Surgery,Honghui Hospital,Xi'an Jiaotong University from May 2019 to July 2020 were analyzed retrospectively. There were 7 males and 11 females,aged (45±8) years old(range:28 to 58 years).The surgical segment was located at C 3－4 level in 2 cases, C 4－5 level in 5 cases, C 5－6 level in 9 cases, and C 6－7 level in 2 cases.The clinical and radiographic outcomes were recorded and compared at preoperative,postoperative times of one month and twelve months.The clinical assessments contained Japanese orthopedic association (JOA) score,neck disability index (NDI) and visual analogue scale (VAS).Imaging assessments included range of motion (ROM) of cervical spine, prosthesis subsidence and prosthesis anteroposterior migration.Repeated measurement variance analysis was used for comparison between groups,and paired t test was used for pairwise comparison. Results: All patients underwent the operation successfully and were followed up for more than 12 months.Compared with preoperative score,the JOA score,NDI and VAS were significantly improved after surgery (all P <0.01).There was no significant difference in postoperative ROM compared with 1-and 12-month preoperative ROM ( t =1.570, P =0.135; t =1.744, P =0.099). The prosthesis subsidence was (0.29±0.13) mm (range: 0.18 to 0.50 mm) at 12-month postoperatively.The migration of prosthesis at 12-months postoperatively were (0.71±0.20) mm (range: 0.44 to 1.08 mm).There was no prosthesis subsidence or migration>2 mm at 12-month postoperatively. Conclusion: Three dimensional printed anatomical biomimetic cervical artificial disc replacement has a good early clinical effect in the treatment of cervical degenerative diseases, good mobility can be obtained while maintaining stability.