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2. Robust deformable image registration using cycle-consistent implicit representations

Author

van Harten, Louis D., Stoker, Jaap, and Išgum, Ivana

Subjects
Electrical Engineering and Systems Science - Image and Video Processing, Computer Science - Computer Vision and Pattern Recognition
Abstract

Recent works in medical image registration have proposed the use of Implicit Neural Representations, demonstrating performance that rivals state-of-the-art learning-based methods. However, these implicit representations need to be optimized for each new image pair, which is a stochastic process that may fail to converge to a global minimum. To improve robustness, we propose a deformable registration method using pairs of cycle-consistent Implicit Neural Representations: each implicit representation is linked to a second implicit representation that estimates the opposite transformation, causing each network to act as a regularizer for its paired opposite. During inference, we generate multiple deformation estimates by numerically inverting the paired backward transformation and evaluating the consensus of the optimized pair. This consensus improves registration accuracy over using a single representation and results in a robust uncertainty metric that can be used for automatic quality control. We evaluate our method with a 4D lung CT dataset. The proposed cycle-consistent optimization method reduces the optimization failure rate from 2.4% to 0.0% compared to the current state-of-the-art. The proposed inference method improves landmark accuracy by 4.5% and the proposed uncertainty metric detects all instances where the registration method fails to converge to a correct solution. We verify the generalizability of these results to other data using a centerline propagation task in abdominal 4D MRI, where our method achieves a 46% improvement in propagation consistency compared with single-INR registration and demonstrates a strong correlation between the proposed uncertainty metric and registration accuracy., Comment: 10 pages, 9 figures, accepted in IEEE Transactions on Medical Imaging

Published
2023
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3. Marked difference in liver fat measured by histology vs. magnetic resonance-proton density fat fraction: A meta-analysis

Author

Qadri, Sami, Vartiainen, Emilia, Lahelma, Mari, Porthan, Kimmo, Tang, An, Idilman, Ilkay S, Runge, Jurgen H, Juuti, Anne, Penttilä, Anne K, Dabek, Juhani, Lehtimäki, Tiina E, Seppänen, Wenla, Arola, Johanna, Arkkila, Perttu, Stoker, Jaap, Karcaaltincaba, Musturay, Pavlides, Michael, Loomba, Rohit, Sirlin, Claude B, Tukiainen, Taru, and Yki-Järvinen, Hannele

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Chronic Liver Disease and Cirrhosis, Liver Disease, Digestive Diseases, Oral and gastrointestinal, Fatty liver, Metabolic dysfunction-associated steatotic liver disease, Magnetic resonance imaging, Magnetic resonance spectroscopy, Biopsy, Histology, Hepatocytes, Pathologists, Triglycerides, Transcriptome, Systematic review, Meta-analysis, Clinical sciences
Abstract

Background & aimsPathologists quantify liver steatosis as the fraction of lipid droplet-containing hepatocytes out of all hepatocytes, whereas the magnetic resonance-determined proton density fat fraction (PDFF) reflects the tissue triacylglycerol concentration. We investigated the linearity, agreement, and correspondence thresholds between histological steatosis and PDFF across the full clinical spectrum of liver fat content associated with non-alcoholic fatty liver disease.MethodsUsing individual patient-level measurements, we conducted a systematic review and meta-analysis of studies comparing histological steatosis with PDFF determined by magnetic resonance spectroscopy or imaging in adults with suspected non-alcoholic fatty liver disease. Linearity was assessed by meta-analysis of correlation coefficients and by linear mixed modelling of pooled data, agreement by Bland-Altman analysis, and thresholds by receiver operating characteristic analysis. To explain observed differences between the methods, we used RNA-seq to determine the fraction of hepatocytes in human liver biopsies.ResultsEligible studies numbered 9 (N = 597). The relationship between PDFF and histology was predominantly linear (r = 0.85 [95% CI, 0.80-0.89]), and their values approximately coincided at 5% steatosis. Above 5% and towards higher levels of steatosis, absolute values of the methods diverged markedly, with histology exceeding PDFF by up to 3.4-fold. On average, 100% histological steatosis corresponded to a PDFF of 33.0% (29.5-36.7%). Targeting at a specificity of 90%, optimal PDFF thresholds to predict histological steatosis grades were ≥5.75% for ≥S1, ≥15.50% for ≥S2, and ≥21.35% for S3. Hepatocytes comprised 58 ± 5% of liver cells, which may partly explain the lower values of PDFF vs. histology.ConclusionsHistological steatosis and PDFF have non-perfect linearity and fundamentally different scales of measurement. Liver fat values obtained using these methods may be rendered comparable by conversion equations or threshold values.Impact and implicationsMagnetic resonance-proton density fat fraction (PDFF) is increasingly being used to measure liver fat in place of the invasive liver biopsy. Understanding the relationship between PDFF and histological steatosis fraction is important for preventing misjudgement of clinical status or treatment effects in patient care. Our analysis revealed that histological steatosis fraction is often significantly higher than PDFF, and their association varies across the spectrum of fatty liver severity. These findings are particularly important for physicians and clinical researchers, who may use these data to interpret PDFF measurements in the context of histologically evaluated liver fat content.

Published
2024

4. Development and external evaluation of a self-learning auto-segmentation model for Colorectal Cancer Liver Metastases Assessment (COALA)

Author

Bereska, Jacqueline I., Zeeuw, Michiel, Wagenaar, Luuk, Jenssen, Håvard Bjørke, Wesdorp, Nina J., van der Meulen, Delanie, Bereska, Leonard F., Gavves, Efstratios, Janssen, Boris V., Besselink, Marc G., Marquering, Henk A., van Waesberghe, Jan-Hein T. M., Aghayan, Davit L., Pelanis, Egidijus, van den Bergh, Janneke, Nota, Irene I. M., Moos, Shira, Kemmerich, Gunter, Syversveen, Trygve, Kolrud, Finn Kristian, Huiskens, Joost, Swijnenburg, Rutger-Jan, Punt, Cornelis J. A., Stoker, Jaap, Edwin, Bjørn, Fretland, Åsmund A., Kazemier, Geert, and Verpalen, Inez M.

Published
2024
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8. Prognostic value of total tumor volume in patients with colorectal liver metastases: A secondary analysis of the randomized CAIRO5 trial with external cohort validation

Author

Michiel Zeeuw, J., Wesdorp, Nina J., Ali, Mahsoem, Bakker, Anne-Joëlle J.J., Voigt, Kelly R., Starmans, Martijn P.A., Roor, Joran, Kemna, Ruby, van Waesberghe, Jan Hein T.M., van den Bergh, Janneke E., Nota, Irene M.G.C., Moos, Shira I., van Dieren, Susan, van Amerongen, Martinus J., Bond, Marinde J.G., Chapelle, Thiery, van Dam, Ronald M., Engelbrecht, Marc R.W., Gerhards, Michael F., van Gulik, Thomas M., Hermans, John J., de Jong, Koert P., Klaase, Joost M., Kok, Niels F.M., Leclercq, Wouter K.G., Liem, Mike S.L., van Lienden, Krijn P., Quintus Molenaar, I., Patijn, Gijs A., Rijken, Arjen M., Ruers, Theo M., de Wilt, Johannes H.W., Verpalen, Inez M., Stoker, Jaap, Grunhagen, Dirk J., Swijnenburg, Rutger-Jan, Punt, Cornelis J.A., Huiskens, Joost, Verhoef, Cornelis, and Kazemier, Geert

Published
2024
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9. Lymphopenia is associated with broad host response aberrations in community-acquired pneumonia

Author

Doeleman, Susanne E., Reijnders, Tom D.Y., Joosten, Sebastiaan C.M., Schuurman, Alex R., van Engelen, Tjitske S.R., Verhoeff, Jan, Léopold, Valentine, Brands, Xanthe, Haak, Bastiaan W., Prins, Jan M., Kanglie, Maadrika M.N.P., van den Berk, Inge A.H., Faber, Daniël R., Douma, Renée A., Stoker, Jaap, Saris, Anno, Garcia Vallejo, Juan J., Wiersinga, W. Joost, and van der Poll, Tom

Published
2024
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10. Het belang van het vak

Author

Stoker, Jaap, van Delden, Otto M., Maas, Mario, editor, Nusman, Charlotte, editor, Smithuis, Frank, editor, and Bennink, Roel, editor

Published
2023
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11. MRI in addition to CT in patients scheduled for local therapy of colorectal liver metastases (CAMINO): an international, multicentre, prospective, diagnostic accuracy trial

Author

Ayez, Ninos, Bnà, Claudio, van den Boom, Rivka, Lambregts, Doenja J.M., Liefers, Gerrit-Jan, de Meyere, Celine, Draaisma, Werner A., Gerhards, Michael F., Imani, Farshad, Ruers, Theo .J.M., Liem, Mike S.L., Serafino, Gian Piero, van Beek, Hermen C., van der Hoeven, Joost A.B., Veeken, Cornelis J., Zonderhuis, Babs M., Görgec, Burak, Hansen, Ingrid S, Kemmerich, Gunter, Syversveen, Trygve, Abu Hilal, Mohammed, Belt, Eric J T, Bosscha, Koop, Burgmans, Mark C, Cappendijk, Vincent C, D'Hondt, Mathieu, Edwin, Bjørn, van Erkel, Arian R, Gielkens, Hugo A J, Grünhagen, Dirk J, Gobardhan, Paul D, Hartgrink, Henk H, Horsthuis, Karin, Klompenhouwer, Elisabeth G, Kok, Niels F M, Kint, Peter A M, Kuhlmann, Koert, Leclercq, Wouter K G, Lips, Daan J, Lutin, Bart, Maas, Monique, Marsman, Hendrik A, Meijerink, Martijn, Meyer, Yannick, Morone, Mario, Peringa, Jan, Sijberden, Jasper P, van Delden, Otto M, van den Bergh, Janneke E, Vanhooymissen, Inge J S, Vermaas, Maarten, Willemssen, François E J A, Dijkgraaf, Marcel G W, Bossuyt, Patrick M, Swijnenburg, Rutger-Jan, Fretland, Åsmund A, Verhoef, Cornelis, Besselink, Marc G, and Stoker, Jaap

Published
2024
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13. Deep learning models for automatic tumor segmentation and total tumor volume assessment in patients with colorectal liver metastases

Author

Wesdorp, Nina J., Zeeuw, J. Michiel, Postma, Sam C. J., Roor, Joran, van Waesberghe, Jan Hein T. M., van den Bergh, Janneke E., Nota, Irene M., Moos, Shira, Kemna, Ruby, Vadakkumpadan, Fijoy, Ambrozic, Courtney, van Dieren, Susan, van Amerongen, Martinus J., Chapelle, Thiery, Engelbrecht, Marc R. W., Gerhards, Michael F., Grunhagen, Dirk, van Gulik, Thomas M., Hermans, John J., de Jong, Koert P., Klaase, Joost M., Liem, Mike S. L., van Lienden, Krijn P., Molenaar, I. Quintus, Patijn, Gijs A., Rijken, Arjen M., Ruers, Theo M., Verhoef, Cornelis, de Wilt, Johannes H. W., Marquering, Henk A., Stoker, Jaap, Swijnenburg, Rutger-Jan, Punt, Cornelis J. A., Huiskens, Joost, and Kazemier, Geert

Published
2023
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17. Short-term anti-TNF therapy with surgical closure versus anti-TNF therapy alone for Crohn's perianal fistulas (PISA-II): long-term outcomes of an international, multicentre patient preference, randomised controlled trial

Author

Meima - van Praag, Elise M., Becker, Marte A.J., van Rijn, Kyra L., Wasmann, Karin A.T.G.M., Stoker, Jaap, D'Haens, Geert R.A.M., Ponsioen, Cyriel Y., Gecse, Krisztina B., Dijkgraaf, Marcel G.W., Spinelli, Antonino, Danese, Silvio, Bemelman, Willem A., and Buskens, Christianne J.

Published
2023
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18. Added value of 3T MRI and the MRI-halo sign in assessing resectability of locally advanced pancreatic cancer following induction chemotherapy (IMAGE-MRI): prospective pilot study

Author

Stoop, Thomas F., van Veldhuisen, Eran, van Rijssen, L. Bengt, Klaassen, Remy, Gurney-Champion, Oliver J., de Hingh, Ignace H., Busch, Olivier R., van Laarhoven, Hanneke W. M., van Lienden, Krijn P., Stoker, Jaap, Wilmink, Johanna W., Nio, C. Yung, Nederveen, Aart J., Engelbrecht, Marc R. W., and Besselink, Marc G.

Published
2022
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19. Short-term anti-TNF therapy with surgical closure versus anti-TNF therapy in the treatment of perianal fistulas in Crohn's disease (PISA-II): a patient preference randomised trial

Author

Meima-van Praag, Elise M, van Rijn, Kyra L, Wasmann, Karin A T G M, Snijder, Harmanna J, Stoker, Jaap, D'Haens, Geert R, Gecse, Krisztina B, Gerhards, Michael F, Jansen, Jeroen M, Dijkgraaf, Marcel G W, van der Bilt, Jarmila D W, Mundt, Marco W, Spinelli, Antonino, Danese, Silvio, Bemelman, Willem A, and Buskens, Christianne J

Published
2022
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20. The host response in different aetiologies of community-acquired pneumonia

Author

Schuurman, Alex R., Reijnders, Tom D.Y., van Engelen, Tjitske S.R., Léopold, Valentine, de Brabander, Justin, van Linge, Christine, Schinkel, Michiel, Pereverzeva, Liza, Haak, Bastiaan W., Brands, Xanthe, Kanglie, Maadrika M.N.P., van den Berk, Inge A.H., Douma, Renée A., Faber, Daniël R., Nanayakkara, Prabath W.B., Stoker, Jaap, Prins, Jan M., Scicluna, Brendon P., Wiersinga, W. Joost, and van der Poll, Tom

Published
2022
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22. A scale space based algorithm for automated segmentation of single shot tagged MRI of shearing deformation

Author

Sprengers, André M. J., Caan, Matthan W. A., Moerman, Kevin M., Nederveen, Aart J., Lamerichs, Rolf M. J. N., and Stoker, Jaap

Subjects
Physics - Medical Physics
Abstract

Object This study proposes a scale space based algorithm for automated segmentation of single-shot tagged images of modest SNR. Furthermore the algorithm was designed for analysis of discontinuous or shearing types of motion, i.e. segmentation of broken tag patterns. Materials and methods The proposed algorithm utilizes non-linear scale space for automatic segmentation of single-shot tagged images. The algorithm's ability to automatically segment tagged shearing motion was evaluated in a numerical simulation and in vivo. A typical shearing deformation was simulated in a Shepp-Logan phantom allowing for quantitative evaluation of the algorithm's success rate as a function of both SNR and the amount of deformation. For a qualitative in vivo evaluation tagged images showing deformations in the calf muscles and eye movement in a healthy volunteer were acquired. Results Both the numerical simulation and the in vivo tagged data demonstrated the algorithm's ability for automated segmentation of single-shot tagged MR provided that SNR of the images is above 10 and the amount of deformation does not exceed the tag spacing. The latter constraint can be met by adjusting the tag delay or the tag spacing. Conclusion The scale space based algorithm for automatic segmentation of single-shot tagged MR enables the application of tagged MR to complex (shearing) deformation and the processing of datasets with relatively low SNR.

Published
2017
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23. The effect of prior hysterosalpingo-foam sonography or hysterosalpingography on tubal patency: a secondary analysis of a randomized controlled trial.

Author

Kamphuis, Danah, Welie, Nienke van, Rijswijk, Joukje van, Hooff, Marcel H A van, Bruin, Jan-Peter de, Verhoeve, Harold R, Mol, Femke, Baal, Wilhelmina M van, Lambalk, Cornelis B, Stoker, Jaap, Wely, Madelon van, Bossuyt, Patrick M M, Mol, Ben Willem J, Dreyer, Kim, Mijatovic, Velja, and group, FOAM study

Subjects
HUMAN reproduction, FALLOPIAN tubes, PREGNANCY outcomes, MALE infertility, RESEARCH grants, HYSTEROSALPINGOGRAPHY
Abstract

STUDY QUESTION Does hysterosalpingo-foam sonography (HyFoSy) prior to hysterosalpingography (HSG) or HSG prior to HyFoSy affect visible tubal patency when compared HSG or HyFoSy alone? SUMMARY ANSWER Undergoing either HyFoSy or HSG prior to tubal patency testing by the alternative method does not demonstrate a significant difference in visible tubal patency when compared to HyFoSy or HSG alone. WHAT IS KNOWN ALREADY HyFoSy and HSG are two commonly used visual tubal patency tests with a high and comparable diagnostic accuracy for evaluating tubal patency. These tests may also improve fertility, although the underlying mechanism is still not fully understood. One of the hypotheses points to a dislodgment of mucus plugs that may have disrupted the patency of the Fallopian tubes. STUDY DESIGN, SIZE, DURATION This is a secondary analysis of the randomized controlled FOAM study, in which women underwent tubal patency testing by HyFoSy and HSG, randomized for order of the procedure. Participants either had HyFoSy first and then HSG, or vice versa. Here, we evaluate the relative effectiveness of tubal patency testing by HyFoSy or HSG prior to the alternative tubal patency testing method on visible tubal patency, compared to each method alone. PARTICIPANTS/MATERIALS, SETTING, METHODS Infertile women aged between 18 and 41 years scheduled for tubal patency testing were eligible for participating in the FOAM study. Women with anovulatory cycles, endometriosis, or with a partner with male infertility were excluded. To evaluate the effect HyFoSy on tubal patency, we relied on HSG results by comparing the proportion of women with bilateral tubal patency visible on HSG in those who underwent and who did not undergo HyFoSy prior to their HSG (HyFoSy prior to HSG versus HSG alone). To evaluate the effect of HSG on tubal patency, we relied on HyFoSy results by comparing the proportion of women with bilateral tubal patency visible on HyFoSy in those who underwent and who did not undergo HSG prior to their HyFoSy (HSG prior to HyFoSy versus HyFoSy alone). MAIN RESULTS AND THE ROLE OF CHANCE Between May 2015 and January 2019, we randomized 1160 women (576 underwent HyFoSy first followed by HSG, and 584 underwent HSG first followed by HyFoSy). Among the women randomized to HyFoSy prior to HSG, bilateral tubal patency was visible on HSG in 467/537 (87%) women, compared with 472/544 (87%) women who underwent HSG alone (risk difference 0.2%; 95% CI: −3.8% to 4.2%). Among the women randomized to HSG prior to HyFoSy, bilateral tubal patency was visible on HyFoSy in 394/471 (84%) women, compared with 428/486 (88%) women who underwent HyFoSy alone (risk difference −4.4%; 95% CI: −8.8% to 0.0%). LIMITATIONS, REASONS FOR CAUTION The results of this secondary analysis should be interpreted as exploratory and cannot be regarded as definitive evidence. Furthermore, it has to be noted that pregnancy outcomes were not considered in this analysis. WIDER IMPLICATIONS OF THE FINDINGS Tubal patency testing by either HyFoSy or HSG, prior to the alternative tubal patency testing method does not significantly affect visible tubal patency, when compared to alternative method alone. This suggests that both methods may have comparable abilities to dislodge mucus plugs in the Fallopian tubes. STUDY FUNDING/COMPETING INTEREST(S) The FOAM study was an investigator-initiated study, funded by ZonMw, a Dutch organization for Health Research and Development (project number 837001504). IQ Medical Ventures provided the ExEm®-FOAM kits free of charge. The funders had no role in study design, collection, analysis, or interpretation of the data. H.R.V. reports consultancy fees from Ferring. M.v.W. received a travel grant from Oxford University Press in the role of Deputy Editor for Human Reproduction and participates in a Data Safety and Monitoring Board as an independent methodologist in obstetrics studies in which she has no other role. M.v.W. is coordinating editor of Cochrane Fertility and Gynaecology. B.W.J.M. received an investigator grant from NHMRC (GNT1176437) and research funding from Merck KGaA. B.W.J.M. reports consultancy for Organon and Merck KGaA, and travel support from Merck KGaA. B.W.J.M. reports holding stocks of ObsEva. V.M. received research grants from Guerbet, Merck and Ferring and travel and speaker fees from Guerbet. The other authors do not report conflicts of interest. TRIAL REGISTRATION NUMBER International Clinical Trials Registry Platform No. NTR4746. [ABSTRACT FROM AUTHOR]

Published
2024
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24. Optimizing pseudo‐spiral sampling for abdominal DCE MRI using a digital anthropomorphic phantom.

Author

Wassenaar, Nienke P. M., Gurney‐Champion, Oliver J., van Schelt, Anne‐Sophie, Bruijnen, Tom, van Laarhoven, Hanneke W. M., Stoker, Jaap, Nederveen, Aart J., Runge, Jurgen H., and Schrauben, Eric M.

Subjects
PANCREATIC duct, CONTRAST media, PARAMETER estimation, PANCREATIC cancer, MAGNETIC resonance imaging
Abstract

Purpose: For reliable DCE MRI parameter estimation, k‐space undersampling is essential to meet resolution, coverage, and signal‐to‐noise requirements. Pseudo‐spiral (PS) sampling achieves this by sampling k‐space on a Cartesian grid following a spiral trajectory. The goal was to optimize PS k‐space sampling patterns for abdomin al DCE MRI. Methods: The optimal PS k‐space sampling pattern was determined using an anthropomorphic digital phantom. Contrast agent inflow was simulated in the liver, spleen, pancreas, and pancreatic ductal adenocarcinoma (PDAC). A total of 704 variable sampling and reconstruction approaches were created using three algorithms using different parametrizations to control sampling density, halfscan and compressed sensing regularization. The sampling patterns were evaluated based on image quality scores and the accuracy and precision of the DCE pharmacokinetic parameters. The best and worst strategies were assessed in vivo in five healthy volunteers without contrast agent administration. The best strategy was tested in a DCE scan of a PDAC patient. Results: The best PS reconstruction was found to be PS‐diffuse based, with quadratic distribution of readouts on a spiral, without random shuffling, halfscan factor of 0.8, and total variation regularization of 0.05 in the spatial and temporal domains. The best scoring strategy showed sharper images with less prominent artifacts in healthy volunteers compared to the worst strategy. Our suggested DCE sampling strategy also showed high quality DCE images in the PDAC patient. Conclusion: Using an anthropomorphic digital phantom, we identified an optimal PS sampling strategy for abdominal DCE MRI, and demonstrated feasibility in a PDAC patient. [ABSTRACT FROM AUTHOR]

Published
2024
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27. DEtection of ProxImal Coronary stenosis in the work-up for Transcatheter aortic valve implantation using CTA (from the DEPICT CTA collaboration)

Author

van den Boogert, Thomas P. W., Claessen, Bimmer E. P. M., Opolski, Maksymilian P., Kim, Won-Keun, Hamdan, Ashraf, Andreini, Daniele, Pugliese, Francesca, Möllmann, Helge, Delewi, Ronak, Baan, Jan, Vis, M. Marije, van Randen, Adrienne, van Schuppen, Joost, Stoker, Jaap, Henriques, José P., and Planken, R. Nils

Published
2022
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28. THU-112-YI Quantitative magnetic resonance cholangiopancreatography provides additional prognostic value in prediction of transplant-free survival in primary sclerosing cholangitis

Author

Middelburg, Tim, primary, Mol, Bregje, additional, Young, Liam, additional, Ferreira, Carlos, additional, Davis, Tom, additional, Horsthuis, Karin, additional, de Boer, Ynto, additional, van der Meer, Adriaan J., additional, de Vries, Annemarie, additional, Dwarkasing, Roy, additional, Bogaards, Johannes, additional, Nederveen, Aart, additional, Stoker, Jaap, additional, and Ponsioen, Cyriel, additional

Published
2024
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30. Hysterosalpingo-foam sonography versus hysterosalpingography during fertility work-up: an economic evaluation alongside a randomized controlled trial

Author

Kamphuis, Danah, primary, van Eekelen, Rik, additional, van Welie, Nienke, additional, Dreyer, Kim, additional, van Rijswijk, Joukje, additional, van Hooff, Machiel H A, additional, de Bruin, Jan Peter, additional, Verhoeve, Harold R, additional, Mol, Femke, additional, van Baal, Wilhelmina M, additional, Traas, Maaike A F, additional, van Peperstraten, Arno M, additional, Manger, Arentje P, additional, Gianotten, Judith, additional, de Koning, Cornelia H, additional, Koning, Aafke M H, additional, Bayram, Neriman, additional, van der Ham, David P, additional, Vrouenraets, Francisca P J M, additional, Kalafusova, Michaela, additional, van de Laar, Bob I G, additional, Kaijser, Jeroen, additional, Lambeek, Arjon F, additional, Meijer, Wouter J, additional, Broekmans, Frank J M, additional, Valkenburg, Olivier, additional, van der Voet, Lucy F, additional, van Disseldorp, Jeroen, additional, Lambers, Marieke J, additional, Tros, Rachel, additional, Lambalk, Cornelis B, additional, Stoker, Jaap, additional, van Wely, Madelon, additional, Bossuyt, Patrick M M, additional, Mol, Ben Willem J, additional, and Mijatovic, Velja, additional

Published
2024
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31. Validation of SPAMM Tagged MRI Based Measurement of 3D Soft Tissue Deformation

Author

Moerman, Kevin M., Sprengers, Andre M. J., Simms, Ciaran K., Lamerichs, Rolf M., Stoker, Jaap, and Nederveen, Aart J.

Subjects
Physics - Medical Physics
Abstract

This study presents and validates a novel (non-ECG-triggered) MRI sequence based on SPAtial Modulation of the Magnetization (SPAMM) to non-invasively measure 3D (quasi-static) soft tissue deformations using only six acquisitions (three static and three indentations). In current SPAMM tagged MRI approaches data is typically constructed from many repeated motion cycles. This has so far restricted its application to the measurement of highly repeatable and periodic movements (e.g. cardiac deformation). In biomechanical applications where soft tissue deformation is artificially induced, often by indentation, significant repeatability constraints exist and, for clinical applications, discomfort and health issues generally preclude a large number of repetitions.

Published
2016
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32. Validation of Continuously Tagged MRI for the Measurement of Dynamic 3D Skeletal Muscle Tissue Deformation

Author

Moerman, Kevin M., Sprengers, Andre M. J., Simms, Ciaran K., Lamerichs, Rolf M., Stoker, Jaap, and Nederveen, Aart J.

Subjects
Physics - Medical Physics, Physics - Biological Physics
Abstract

A SPAMM tagged MRI methodology is presented allowing continuous (3.3-3.6 Hz) sampling of 3D dynamic soft tissue deformation using non-segmented 3D acquisitions. The 3D deformation is reconstructed by the combination of 3 mutually orthogonal tagging directions, thus requiring only 3 repeated motion cycles. In addition a fully automatic post-processing framework is presented employing Gabor scale-space and filter-bank analysis for tag extrema segmentation and triangulated surface fitting aided by Gabor filter bank derived surface normals. Deformation is derived following tracking of tag surface triplet triangle intersections. The dynamic deformation measurements were validated using indentation tests (~20 mm deep at 12 mm/s) on a silicone gel soft tissue phantom containing contrasting markers which provide a reference measure of deformation. In addition, the techniques were evaluated in-vivo for dynamic skeletal muscle tissue deformation measurement during indentation of the biceps region of the upper arm in a volunteer., Comment: Medical Physics 2012

Published
2016
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33. Hysterosalpingo-foam sonography versus hysterosalpingography during fertility work-up: an economic evaluation alongside a randomized controlled trial

Author

MS VPG/Gynaecologie, Child Health, Kamphuis, Danah, van Eekelen, Rik, van Welie, Nienke, Dreyer, Kim, van Rijswijk, Joukje, van Hooff, Machiel H.A., de Bruin, Jan Peter, Verhoeve, Harold R., Mol, Femke, van Baal, Wilhelmina M., Traas, Maaike A.F., van Peperstraten, Arno M., Manger, Arentje P., Gianotten, Judith, de Koning, Cornelia H., Koning, Aafke M.H., Bayram, Neriman, van der Ham, David P., Vrouenraets, Francisca P.J.M., Kalafusova, Michaela, van de Laar, Bob I.G., Kaijser, Jeroen, Lambeek, Arjon F., Meijer, Wouter J., Broekmans, Frank J.M., Valkenburg, Olivier, van der Voet, Lucy F., van Disseldorp, Jeroen, Lambers, Marieke J., Tros, Rachel, Lambalk, Cornelis B., Stoker, Jaap, van Wely, Madelon, Bossuyt, Patrick M.M., Mol, Ben Willem J., Mijatovic, Velja, MS VPG/Gynaecologie, Child Health, Kamphuis, Danah, van Eekelen, Rik, van Welie, Nienke, Dreyer, Kim, van Rijswijk, Joukje, van Hooff, Machiel H.A., de Bruin, Jan Peter, Verhoeve, Harold R., Mol, Femke, van Baal, Wilhelmina M., Traas, Maaike A.F., van Peperstraten, Arno M., Manger, Arentje P., Gianotten, Judith, de Koning, Cornelia H., Koning, Aafke M.H., Bayram, Neriman, van der Ham, David P., Vrouenraets, Francisca P.J.M., Kalafusova, Michaela, van de Laar, Bob I.G., Kaijser, Jeroen, Lambeek, Arjon F., Meijer, Wouter J., Broekmans, Frank J.M., Valkenburg, Olivier, van der Voet, Lucy F., van Disseldorp, Jeroen, Lambers, Marieke J., Tros, Rachel, Lambalk, Cornelis B., Stoker, Jaap, van Wely, Madelon, Bossuyt, Patrick M.M., Mol, Ben Willem J., and Mijatovic, Velja

Published
2024

34. Prognostic value of total tumor volume in patients with colorectal liver metastases: A secondary analysis of the randomized CAIRO5 trial with external cohort validation

Author

Hart- en Vaatziekten Team A, Epi Kanker Team B, Cancer, MS CGO, Zorgeenheid Kinderchirurgie Medisch, Researchgr. Beeldg. Moleculaire Interv., Michiel Zeeuw, J., Wesdorp, Nina J., Ali, Mahsoem, Bakker, Anne Joëlle J.J., Voigt, Kelly R., Starmans, Martijn P.A., Roor, Joran, Kemna, Ruby, van Waesberghe, Jan Hein T.M., van den Bergh, Janneke E., Nota, Irene M.G.C., Moos, Shira I., van Dieren, Susan, van Amerongen, Martinus J., Bond, Marinde J.G., Chapelle, Thiery, van Dam, Ronald M., Engelbrecht, Marc R.W., Gerhards, Michael F., van Gulik, Thomas M., Hermans, John J., de Jong, Koert P., Klaase, Joost M., Kok, Niels F.M., Leclercq, Wouter K.G., Liem, Mike S.L., van Lienden, Krijn P., Quintus Molenaar, I., Patijn, Gijs A., Rijken, Arjen M., Ruers, Theo M., de Wilt, Johannes H.W., Verpalen, Inez M., Stoker, Jaap, Grunhagen, Dirk J., Swijnenburg, Rutger Jan, Punt, Cornelis J.A., Huiskens, Joost, Verhoef, Cornelis, Kazemier, Geert, Hart- en Vaatziekten Team A, Epi Kanker Team B, Cancer, MS CGO, Zorgeenheid Kinderchirurgie Medisch, Researchgr. Beeldg. Moleculaire Interv., Michiel Zeeuw, J., Wesdorp, Nina J., Ali, Mahsoem, Bakker, Anne Joëlle J.J., Voigt, Kelly R., Starmans, Martijn P.A., Roor, Joran, Kemna, Ruby, van Waesberghe, Jan Hein T.M., van den Bergh, Janneke E., Nota, Irene M.G.C., Moos, Shira I., van Dieren, Susan, van Amerongen, Martinus J., Bond, Marinde J.G., Chapelle, Thiery, van Dam, Ronald M., Engelbrecht, Marc R.W., Gerhards, Michael F., van Gulik, Thomas M., Hermans, John J., de Jong, Koert P., Klaase, Joost M., Kok, Niels F.M., Leclercq, Wouter K.G., Liem, Mike S.L., van Lienden, Krijn P., Quintus Molenaar, I., Patijn, Gijs A., Rijken, Arjen M., Ruers, Theo M., de Wilt, Johannes H.W., Verpalen, Inez M., Stoker, Jaap, Grunhagen, Dirk J., Swijnenburg, Rutger Jan, Punt, Cornelis J.A., Huiskens, Joost, Verhoef, Cornelis, and Kazemier, Geert

Published
2024

35. Prognostic value of total tumor volume in patients with colorectal liver metastases:A secondary analysis of the randomized CAIRO5 trial with external cohort validation

Author

Michiel Zeeuw, J., Wesdorp, Nina J., Ali, Mahsoem, Bakker, Anne Joëlle J.J., Voigt, Kelly R., Starmans, Martijn P.A., Roor, Joran, Kemna, Ruby, van Waesberghe, Jan Hein T.M., van den Bergh, Janneke E., Nota, Irene M.G.C., Moos, Shira I., van Dieren, Susan, van Amerongen, Martinus J., Bond, Marinde J.G., Chapelle, Thiery, van Dam, Ronald M., Engelbrecht, Marc R.W., Gerhards, Michael F., van Gulik, Thomas M., Hermans, John J., de Jong, Koert P., Klaase, Joost M., Kok, Niels F.M., Leclercq, Wouter K.G., Liem, Mike S.L., van Lienden, Krijn P., Quintus Molenaar, I., Patijn, Gijs A., Rijken, Arjen M., Ruers, Theo M., de Wilt, Johannes H.W., Verpalen, Inez M., Stoker, Jaap, Grunhagen, Dirk J., Swijnenburg, Rutger Jan, Punt, Cornelis J.A., Huiskens, Joost, Verhoef, Cornelis, Kazemier, Geert, Michiel Zeeuw, J., Wesdorp, Nina J., Ali, Mahsoem, Bakker, Anne Joëlle J.J., Voigt, Kelly R., Starmans, Martijn P.A., Roor, Joran, Kemna, Ruby, van Waesberghe, Jan Hein T.M., van den Bergh, Janneke E., Nota, Irene M.G.C., Moos, Shira I., van Dieren, Susan, van Amerongen, Martinus J., Bond, Marinde J.G., Chapelle, Thiery, van Dam, Ronald M., Engelbrecht, Marc R.W., Gerhards, Michael F., van Gulik, Thomas M., Hermans, John J., de Jong, Koert P., Klaase, Joost M., Kok, Niels F.M., Leclercq, Wouter K.G., Liem, Mike S.L., van Lienden, Krijn P., Quintus Molenaar, I., Patijn, Gijs A., Rijken, Arjen M., Ruers, Theo M., de Wilt, Johannes H.W., Verpalen, Inez M., Stoker, Jaap, Grunhagen, Dirk J., Swijnenburg, Rutger Jan, Punt, Cornelis J.A., Huiskens, Joost, Verhoef, Cornelis, and Kazemier, Geert

Abstract

Background:This study aimed to assess the prognostic value of total tumor volume (TTV) for early recurrence (within 6 months) and overall survival (OS) in patients with colorectal liver metastases (CRLM), treated with induction systemic therapy followed by complete local treatment.Methods: Patients with initially unresectable CRLM from the multicenter randomized phase 3 CAIRO5 trial (NCT02162563) who received induction systemic therapy followed by local treatment were included. Baseline TTV and change in TTV as response to systemic therapy were calculated using the CT scan before and the first after systemic treatment, and were assessed for their added prognostic value. The findings were validated in an external cohort of patients treated at a tertiary center. Results:In total, 215 CAIRO5 patients were included. Baseline TTV and absolute change in TTV were significantly associated with early recurrence (P = 0.005 and P = 0.040, respectively) and OS in multivariable analyses (P = 0.024 and P = 0.006, respectively), whereas RECIST1.1 was not prognostic for early recurrence (P = 0.88) and OS (P = 0.35). In the validation cohort (n = 85), baseline TTV and absolute change in TTV remained prognostic for early recurrence (P = 0.041 and P = 0.021, respectively) and OS in multivariable analyses (P < 0.0001 and P = 0.012, respectively), and showed added prognostic value over conventional clinicopathological variables (increase C-statistic, 0.06; 95 % CI, 0.02 to 0.14; P = 0.008). Conclusion: Total tumor volume is strongly prognostic for early recurrence and OS in patients who underwent complete local treatment of initially unresectable CRLM, both in the CAIRO5 trial and the validation cohort. In contrast, RECIST1.1 did not show prognostic value for neither early recurrence nor OS.

Published
2024

36. Optimizing pseudo-spiral sampling for abdominal DCE MRI using a digital anthropomorphic phantom

Author

Cancer, Computational Imaging, MS Radiologie, Wassenaar, Nienke P.M., Gurney-Champion, Oliver J., van Schelt, Anne Sophie, Bruijnen, Tom, van Laarhoven, Hanneke W.M., Stoker, Jaap, Nederveen, Aart J., Runge, Jurgen H., Schrauben, Eric M., Cancer, Computational Imaging, MS Radiologie, Wassenaar, Nienke P.M., Gurney-Champion, Oliver J., van Schelt, Anne Sophie, Bruijnen, Tom, van Laarhoven, Hanneke W.M., Stoker, Jaap, Nederveen, Aart J., Runge, Jurgen H., and Schrauben, Eric M.

Published
2024

37. Magnetic resonance enterography and histology in patients with fibrostenotic Crohn’s disease: a multicenter study

Author

Coimbra, Alexandre, Rimola, Jordi, Cuatrecasas, Miriam, De Hertogh, Gert, Van Assche, Gert, Vanslembrouck, Ragna, Glerup, Henning, Nielsen, Agnete Hedemann, Hagemann-Madsen, Rikke, Bouhnik, Yoram, Zappa, Magaly, Cazals-Hatem, Dominique, DʼHaens, Geert, Stoker, Jaap, Meijer, Sybren, Rogler, Gerhard, Boss, Andreas, Weber, Achim, Zhao, Rui, Keir, Mary E., Scherl, Alexis, de Crespigny, Alex, Lu, Timothy T., and Panés, Julián

Published
2022
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38. Imaging alternatives to colonoscopy: CT colonography and colon capsule. European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastrointestinal and Abdominal Radiology (ESGAR) Guideline – Update 2020

Author

Spada, Cristiano, Hassan, Cesare, Bellini, Davide, Burling, David, Cappello, Giovanni, Carretero, Cristina, Dekker, Evelien, Eliakim, Rami, de Haan, Margriet, Kaminski, Michal F., Koulaouzidis, Anastasios, Laghi, Andrea, Lefere, Philippe, Mang, Thomas, Milluzzo, Sebastian Manuel, Morrin, Martina, McNamara, Deirdre, Neri, Emanuele, Pecere, Silvia, Pioche, Mathieu, Plumb, Andrew, Rondonotti, Emanuele, Spaander, Manon CW, Taylor, Stuart, Fernandez-Urien, Ignacio, van Hooft, Jeanin E., Stoker, Jaap, and Regge, Daniele

Published
2021
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43. Can Hysterosalpingo-Foam Sonography Replace Hysterosalpingography as First-Choice Tubal Patency Test? A Randomized Non-inferiority Trial

Author

van Welie, Nienke, van Rijswijk, Joukje, Dreyer, Kim, van Hooff, Machiel H. A., de Bruin, Jan Peter, Verhoeve, Harold R., Mol, Femke, van Baal, Wilhelmina M., Traas, Maaike A. F., van Peperstraten, Arno M., Manger, Arentje P., Gianotten, Judith, de Koning, Cornelia H., Koning, Aafke M. H., Bayram, Neriman, van der Ham, David P., Vrouenraets, Francisca P. J. M., Kalafusova, Michaela, van de Laar, Bob I. G., Kaijser, Jeroen, Lambeek, Arjon F., Meijer, Wouter J., Broekmans, Frank J. M., Valkenburg, Olivier, van der Voet, Lucy F., van Disseldorp, Jeroen, Lambers, Marieke J., Tros, Rachel, Lambalk, Cornelis B., Stoker, Jaap, van Wely, Madelon, Bossuyt, Patrick M. M., Mol, Ben Willem J., and Mijatovic, Velja

Published
2022
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45. Prognostic significance of MRI-detected extramural venous invasion according to grade and response to neo-adjuvant treatment in locally advanced rectal cancer A national cohort study after radiologic training and reassessment

Author

Geffen, Eline G.M. van, primary, Nederend, Joost, additional, Sluckin, Tania C., additional, Hazen, Sanne-Marije J.A., additional, Horsthuis, Karin, additional, Beets-Tan, Regina G.H., additional, Marijnen, Corrie A.M., additional, Tanis, Pieter J., additional, Kusters, Miranda, additional, Aalbers, Arend G.J., additional, van Aalten, Susanna M., additional, Amelung, Femke J., additional, Ankersmit, Marjolein, additional, Antonisse, Imogeen E., additional, Ashruf, Jesse F., additional, Aukema, Tjeerd S., additional, Avenarius, Henk, additional, Bahadoer, Renu R., additional, Bakers, Frans C.H., additional, Bakker, Ilsalien S., additional, Bangert, Fleur, additional, Barendse, Renée M., additional, Beekhuis, Heleen M.D., additional, Beets, Geerard L., additional, Bemelman, Willem A., additional, Berbée, Maaike, additional, de Bie, Shira H., additional, Bisschops, Robert H.C., additional, Blok, Robin D., additional, van Bockel, Liselotte W., additional, Boer, Anniek H., additional, den Boer, Frank C., additional, Boerma, Evert-Jan G., additional, Boogerd, Leonora S.F., additional, Borstlap, Jaap, additional, Borstlap, Wernard A.A., additional, Bouwman, Johanna E., additional, Braak, Sicco J., additional, Braat, Manon N.G.J.A., additional, Bradshaw, Jennifer, additional, Brandsma, Amarins T.A., additional, van Breest Smallenburg, Vivian, additional, van den Broek, Wim T., additional, van der Burg, Sjirk W., additional, Burger, Jacobus W.A., additional, Burghgraef, Thijs A., additional, ten Cate, David W.G., additional, Ceha, Heleen M., additional, Cnossen, Jeltsje S., additional, Coebergh van den Braak, Robert R.J., additional, Consten, Esther C.J., additional, Corver, Maaike, additional, Crolla, Rogier M.P.H., additional, Curutchet, Sam, additional, Daniëls-Gooszen, Alette W., additional, Davids, Paul H.P., additional, Dekker, Emmelie N., additional, Dekker, Jan Willem T., additional, Demirkiran, Ahmet, additional, Derksen, Tyche, additional, Diederik, Arjen L., additional, Dinaux, Anne M., additional, Dogan, Kemal, additional, van Dop, Ilse M., additional, Droogh-de Greve, Kitty E., additional, Duijsens, Hanneke M.H., additional, Dunker, Michalda S., additional, Duyck, Johan, additional, van Duyn, Eino B., additional, van Egdom, Laurentine S.E., additional, Eijlers, Bram, additional, El-Massoudi, Youssef, additional, van Elderen, Saskia, additional, Emmen, Anouk M.L.H., additional, Engelbrecht, Marc, additional, van Erp, Anne C., additional, van Essen, Jeroen A., additional, Fabry, Hans F.J., additional, Fassaert, Thomas, additional, Feitsma, Eline A., additional, Feshtali, Shirin S., additional, Frietman, Bas, additional, Furnée, Edgar J.B., additional, van Geel, Anne M., additional, Geijsen, Elisabeth D., additional, van Geloven, Anna A.W., additional, Gerhards, Michael F., additional, Gielkens, Hugo, additional, van Gils, Renza A.H., additional, Goense, Lucas, additional, Govaert, Marc J.P.M., additional, van Grevenstein, Wilhelmina M.U., additional, Joline de Groof, E., additional, de Groot, Irene, additional, de Haas, Robbert J., additional, Hakkenbrak, Nadia A.G., additional, den Hartogh, Mariska D., additional, Heesink, Vera, additional, Heikens, Joost T., additional, Hendriksen, Ellen M., additional, van den Hoek, Sjoerd, additional, van der Hoeven, Erik J.R.J., additional, Hoff, Christiaan, additional, Hogewoning, Anna, additional, Hogewoning, Cornelis R.C., additional, Hoogendoorn, Stefan, additional, van Hoorn, Francois, additional, van der Hul, René L., additional, van Hulst, Rieke, additional, Imani, Farshad, additional, Inberg, Bas, additional, Intven, Martijn P.W., additional, Janssen, Pedro, additional, de Jong, Chris E.J., additional, Jonkers, Jacoline, additional, Jou-Valencia, Daniela, additional, Keizers, Bas, additional, Ketelaers, Stijn H.J., additional, Knöps, Eva, additional, van Koeverden, Sebastiaan, additional, Kok, Sylvia, additional, Kolderman, Stephanie E.M., additional, de Korte, Fleur I., additional, Kortekaas, Robert T.J., additional, Korving, Julie C., additional, Koster, Ingrid M., additional, Krdzalic, Jasenko, additional, Krielen, Pepijn, additional, Kroese, Leonard F., additional, Krul, Eveline J.T., additional, Lahuis, Derk H.H., additional, Lamme, Bas, additional, van Landeghem, An A.G., additional, Leijtens, Jeroen W.A., additional, Leseman-Hoogenboom, Mathilde M., additional, de Lijster, Manou S., additional, Marsman, Martijn S., additional, Martens, MilouH., additional, Masselink, Ilse, additional, van der Meij, Wout, additional, Meijnen, Philip, additional, Melenhorst, Jarno, additional, de Mey, Dietrich J.L., additional, Moelker-Galuzina, Julia, additional, Morsink, Linda, additional, Mulder, Erik J., additional, Muller, Karin, additional, Musters, Gijsbert D., additional, Neijenhuis, Peter A., additional, de Nes, Lindsey C.F., additional, Nielen, M., additional, van den Nieuwboer, Jan B.J., additional, Nieuwenhuis, Jonanne F., additional, Nonner, Joost, additional, Noordman, Bo J., additional, Nordkamp, Stefi, additional, Olthof, Pim B., additional, Oosterling, Steven J., additional, Ootes, Daan, additional, Oppedijk, Vera, additional, Ott, Pieter, additional, Paulusma, Ida, additional, Peeters, Koen C.M.J., additional, Pereboom, Ilona T.A., additional, Peringa, Jan, additional, Pironet, Zoë, additional, Plate, Joost D.J., additional, Polat, Fatih, additional, Poodt, Ingrid G.M., additional, Posma, Lisanne A.E., additional, Prette, Jeroen F., additional, Pultrum, Bareld B., additional, Qaderi, Seyed M., additional, van Rees, Jan M., additional, Renger, Rutger-Jan, additional, Rombouts, Anouk J.M., additional, Roosen, Lodewijk J., additional, Roskott-ten Brinke, Ellen A., additional, Rothbarth, Joost, additional, Rouw, Dennis B., additional, Rozema, Tom, additional, Rütten, Heidi, additional, Rutten, Harm J.T., additional, van der Sande, Marit E., additional, Schaafsma, Boudewijn E., additional, Schasfoort, Renske A., additional, Scheurkogel, Merel M., additional, Schouten van der Velden, Arjan P., additional, Schreurs, Wilhelmina H., additional, Schuivens, Puck M.E., additional, Sietses, Colin, additional, Simons, Petra C.G., additional, Slob, Marjan J., additional, Slooter, Gerrit D., additional, van der Sluis, Martsje, additional, Smalbroek, Bo P., additional, Smits, Anke B., additional, Spillenaar-Bilgen, Ernst J., additional, Spruit, Patty H., additional, Stam, Tanja C., additional, Stoker, Jaap, additional, Talsma, Aaldert K., additional, Temmink, Sofieke J.D., additional, The, G.Y. Mireille, additional, Tielbeek, Jeroen A.W., additional, van Tilborg, Aukje A.J.M., additional, van Tilborg, Fiek, additional, van Trier, Dorothée, additional, Tuynman, Jurriaan B., additional, van der Valk, Maxime J.M., additional, Vanhooymissen, Inge J.S., additional, Vasbinder, G. Boudewijn C., additional, Veeken, Cornelis J., additional, Velema, Laura A., additional, van de Ven, Anthony W.H., additional, Verdaasdonk, Emiel G.G., additional, Verduin, Wouter M., additional, Verhagen, Tim, additional, Verheijen, Paul M., additional, Vermaas, Maarten, additional, Verrijssen, An-Sofie E., additional, Verschuur, Anna V.D., additional, Schaik, Harmke Verwoerd-van, additional, Vliegen, Roy F.A., additional, Voets, Sophie, additional, Vogelaar, F. Jeroen, additional, Vogelij, Clementine L.A., additional, Vos-Westerman, Johanna, additional, de Vries, Marianne, additional, Vroemen, Joy C., additional, van Vugt, Bas S.T., additional, Wegdam, Johannes A., additional, van Wely, Bob J., additional, Westerterp, Marinke, additional, van Westerveld, Paul P., additional, van Westreenen, Henderik L., additional, Wijma, Allard G., additional, de Wilt, Johannes H.W., additional, de Wit, Bart W.K., additional, Wit, Fennie, additional, Woensdregt, Karlijn, additional, van Woerden, Victor, additional, van der Wolf, Floor S.W., additional, van der Wolk, Sander, additional, Wybenga, Johannes M., additional, van der Zaag, Edwin S., additional, Zamaray, Bobby, additional, Zandvoort, Herman J.A., additional, van der Zee, Dennis, additional, Zeilstra, Annette P., additional, Zheng, Kang J., additional, Zimmerman, David D.E., additional, and Zorgdrager, Marcel, additional

Published
2024
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