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Huisman M, Kitamura FC, Mongan J, Yanagawa M. The Global Reading Room: Purchasing a Radiology Artificial Intelligence System. AJR Am J Roentgenol 2024. [PMID: 38598353 DOI: 10.2214/ajr.24.31242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/12/2024]
Affiliation(s)
- Merel Huisman
- Radboud University Medical Center, Department of Radiology and Nuclear Medicine, Nijmegen, The Netherlands
| | - Felipe Campos Kitamura
- Dasa, São Paulo, Brazil, Universidade Federal de São Paulo, São Paulo, Brazil, Bunkerhill Health, San Francisco, California, USA
| | - John Mongan
- Department of Radiology and Biomedical Imaging and Center for Intelligent Imaging, University of California San Francisco, San Francisco, California United States
| | - Masahiro Yanagawa
- Department of Radiology, Osaka University Graduate School of Medicine, Osaka, Kapan
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Huisman M, van Ginneken B, Harvey H. The emperor has few clothes: a realistic appraisal of current AI in radiology. Eur Radiol 2024:10.1007/s00330-024-10664-0. [PMID: 38451323 DOI: 10.1007/s00330-024-10664-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Revised: 01/23/2024] [Accepted: 01/25/2024] [Indexed: 03/08/2024]
Affiliation(s)
- Merel Huisman
- Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
| | - Bram van Ginneken
- Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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Gitto S, Cuocolo R, Huisman M, Messina C, Albano D, Omoumi P, Kotter E, Maas M, Van Ooijen P, Sconfienza LM. CT and MRI radiomics of bone and soft-tissue sarcomas: an updated systematic review of reproducibility and validation strategies. Insights Imaging 2024; 15:54. [PMID: 38411750 PMCID: PMC10899555 DOI: 10.1186/s13244-024-01614-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Accepted: 01/09/2024] [Indexed: 02/28/2024] Open
Abstract
OBJECTIVE To systematically review radiomic feature reproducibility and model validation strategies in recent studies dealing with CT and MRI radiomics of bone and soft-tissue sarcomas, thus updating a previous version of this review which included studies published up to 2020. METHODS A literature search was conducted on EMBASE and PubMed databases for papers published between January 2021 and March 2023. Data regarding radiomic feature reproducibility and model validation strategies were extracted and analyzed. RESULTS Out of 201 identified papers, 55 were included. They dealt with radiomics of bone (n = 23) or soft-tissue (n = 32) tumors. Thirty-two (out of 54 employing manual or semiautomatic segmentation, 59%) studies included a feature reproducibility analysis. Reproducibility was assessed based on intra/interobserver segmentation variability in 30 (55%) and geometrical transformations of the region of interest in 2 (4%) studies. At least one machine learning validation technique was used for model development in 34 (62%) papers, and K-fold cross-validation was employed most frequently. A clinical validation of the model was reported in 38 (69%) papers. It was performed using a separate dataset from the primary institution (internal test) in 22 (40%), an independent dataset from another institution (external test) in 14 (25%) and both in 2 (4%) studies. CONCLUSIONS Compared to papers published up to 2020, a clear improvement was noted with almost double publications reporting methodological aspects related to reproducibility and validation. Larger multicenter investigations including external clinical validation and the publication of databases in open-access repositories could further improve methodology and bring radiomics from a research area to the clinical stage. CRITICAL RELEVANCE STATEMENT An improvement in feature reproducibility and model validation strategies has been shown in this updated systematic review on radiomics of bone and soft-tissue sarcomas, highlighting efforts to enhance methodology and bring radiomics from a research area to the clinical stage. KEY POINTS • 2021-2023 radiomic studies on CT and MRI of musculoskeletal sarcomas were reviewed. • Feature reproducibility was assessed in more than half (59%) of the studies. • Model clinical validation was performed in 69% of the studies. • Internal (44%) and/or external (29%) test datasets were employed for clinical validation.
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Affiliation(s)
- Salvatore Gitto
- Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - Renato Cuocolo
- Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi, Italy
| | - Merel Huisman
- Radboud University Medical Center, Department of Radiology and Nuclear Medicine, Nijmegen, The Netherlands
| | - Carmelo Messina
- Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - Domenico Albano
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan, Italy
| | - Patrick Omoumi
- Department of Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Elmar Kotter
- Department of Radiology, Freiburg University Medical Center, Freiburg, Germany
| | - Mario Maas
- Department of Radiology and Nuclear Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands
| | - Peter Van Ooijen
- Department of Radiation Oncology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Luca Maria Sconfienza
- Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy.
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
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van der Graaf JW, van Hooff ML, van Ginneken B, Huisman M, Rutten M, Lamers D, Lessmann N, de Kleuver M. Development and validation of AI-based automatic measurement of coronal Cobb angles in degenerative scoliosis using sagittal lumbar MRI. Eur Radiol 2024:10.1007/s00330-024-10616-8. [PMID: 38383922 DOI: 10.1007/s00330-024-10616-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 12/19/2023] [Accepted: 12/23/2023] [Indexed: 02/23/2024]
Abstract
OBJECTIVES Severity of degenerative scoliosis (DS) is assessed by measuring the Cobb angle on anteroposterior radiographs. However, MRI images are often available to study the degenerative spine. This retrospective study aims to develop and evaluate the reliability of a novel automatic method that measures coronal Cobb angles on lumbar MRI in DS patients. MATERIALS AND METHODS Vertebrae and intervertebral discs were automatically segmented using a 3D AI algorithm, trained on 447 lumbar MRI series. The segmentations were used to calculate all possible angles between the vertebral endplates, with the largest being the Cobb angle. The results were validated with 50 high-resolution sagittal lumbar MRI scans of DS patients, in which three experienced readers measured the Cobb angle. Reliability was determined using the intraclass correlation coefficient (ICC). RESULTS The ICCs between the readers ranged from 0.90 (95% CI 0.83-0.94) to 0.93 (95% CI 0.88-0.96). The ICC between the maximum angle found by the algorithm and the average manually measured Cobb angles was 0.83 (95% CI 0.71-0.90). In 9 out of the 50 cases (18%), all readers agreed on both vertebral levels for Cobb angle measurement. When using the algorithm to extract the angles at the vertebral levels chosen by the readers, the ICCs ranged from 0.92 (95% CI 0.87-0.96) to 0.97 (95% CI 0.94-0.98). CONCLUSION The Cobb angle can be accurately measured on MRI using the newly developed algorithm in patients with DS. The readers failed to consistently choose the same vertebral level for Cobb angle measurement, whereas the automatic approach ensures the maximum angle is consistently measured. CLINICAL RELEVANCE STATEMENT Our AI-based algorithm offers reliable Cobb angle measurement on routine MRI for degenerative scoliosis patients, potentially reducing the reliance on conventional radiographs, ensuring consistent assessments, and therefore improving patient care. KEY POINTS • While often available, MRI images are rarely utilized to determine the severity of degenerative scoliosis. • The presented MRI Cobb angle algorithm is more reliable than humans in patients with degenerative scoliosis. • Radiographic imaging for Cobb angle measurements is mitigated when lumbar MRI images are available.
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Affiliation(s)
- Jasper W van der Graaf
- Diagnostic Image Analysis Group, Radboud University Medical Center Nijmegen, P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands.
- Department of Orthopedics, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.
| | - Miranda L van Hooff
- Department of Orthopedics, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands
- Department of Research, Sint Maartenskliniek, Nijmegen, The Netherlands
| | - Bram van Ginneken
- Diagnostic Image Analysis Group, Radboud University Medical Center Nijmegen, P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands
| | - Merel Huisman
- Department of Medical Imaging, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands
| | - Matthieu Rutten
- Diagnostic Image Analysis Group, Radboud University Medical Center Nijmegen, P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands
- Department of Radiology, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands
| | - Dominique Lamers
- Department of Orthopedics, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands
| | - Nikolas Lessmann
- Diagnostic Image Analysis Group, Radboud University Medical Center Nijmegen, P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands
| | - Marinus de Kleuver
- Department of Orthopedics, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands
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Reinke A, Tizabi MD, Baumgartner M, Eisenmann M, Heckmann-Nötzel D, Kavur AE, Rädsch T, Sudre CH, Acion L, Antonelli M, Arbel T, Bakas S, Benis A, Buettner F, Cardoso MJ, Cheplygina V, Chen J, Christodoulou E, Cimini BA, Farahani K, Ferrer L, Galdran A, van Ginneken B, Glocker B, Godau P, Hashimoto DA, Hoffman MM, Huisman M, Isensee F, Jannin P, Kahn CE, Kainmueller D, Kainz B, Karargyris A, Kleesiek J, Kofler F, Kooi T, Kopp-Schneider A, Kozubek M, Kreshuk A, Kurc T, Landman BA, Litjens G, Madani A, Maier-Hein K, Martel AL, Meijering E, Menze B, Moons KGM, Müller H, Nichyporuk B, Nickel F, Petersen J, Rafelski SM, Rajpoot N, Reyes M, Riegler MA, Rieke N, Saez-Rodriguez J, Sánchez CI, Shetty S, Summers RM, Taha AA, Tiulpin A, Tsaftaris SA, Van Calster B, Varoquaux G, Yaniv ZR, Jäger PF, Maier-Hein L. Understanding metric-related pitfalls in image analysis validation. Nat Methods 2024; 21:182-194. [PMID: 38347140 DOI: 10.1038/s41592-023-02150-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 12/12/2023] [Indexed: 02/15/2024]
Abstract
Validation metrics are key for tracking scientific progress and bridging the current chasm between artificial intelligence research and its translation into practice. However, increasing evidence shows that, particularly in image analysis, metrics are often chosen inadequately. Although taking into account the individual strengths, weaknesses and limitations of validation metrics is a critical prerequisite to making educated choices, the relevant knowledge is currently scattered and poorly accessible to individual researchers. Based on a multistage Delphi process conducted by a multidisciplinary expert consortium as well as extensive community feedback, the present work provides a reliable and comprehensive common point of access to information on pitfalls related to validation metrics in image analysis. Although focused on biomedical image analysis, the addressed pitfalls generalize across application domains and are categorized according to a newly created, domain-agnostic taxonomy. The work serves to enhance global comprehension of a key topic in image analysis validation.
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Affiliation(s)
- Annika Reinke
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany.
- German Cancer Research Center (DKFZ) Heidelberg, HI Helmholtz Imaging, Heidelberg, Germany.
- Faculty of Mathematics and Computer Science, Heidelberg University, Heidelberg, Germany.
| | - Minu D Tizabi
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany.
- National Center for Tumor Diseases (NCT), NCT Heidelberg, a partnership between DKFZ and University Medical Center Heidelberg, Heidelberg, Germany.
| | - Michael Baumgartner
- German Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Heidelberg, Germany
| | - Matthias Eisenmann
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
| | - Doreen Heckmann-Nötzel
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
- National Center for Tumor Diseases (NCT), NCT Heidelberg, a partnership between DKFZ and University Medical Center Heidelberg, Heidelberg, Germany
| | - A Emre Kavur
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
- German Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Heidelberg, Germany
- German Cancer Research Center (DKFZ) Heidelberg, HI Applied Computer Vision Lab, Heidelberg, Germany
| | - Tim Rädsch
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
- German Cancer Research Center (DKFZ) Heidelberg, HI Helmholtz Imaging, Heidelberg, Germany
| | - Carole H Sudre
- MRC Unit for Lifelong Health and Ageing at UCL and Centre for Medical Image Computing, Department of Computer Science, University College London, London, UK
- School of Biomedical Engineering and Imaging Science, King's College London, London, UK
| | - Laura Acion
- Instituto de Cálculo, CONICET - Universidad de Buenos Aires, Buenos Aires, Argentina
| | - Michela Antonelli
- School of Biomedical Engineering and Imaging Science, King's College London, London, UK
- Centre for Medical Image Computing, University College London, London, UK
| | - Tal Arbel
- Centre for Intelligent Machines and MILA (Quebec Artificial Intelligence Institute), McGill University, Montréal, Quebec, Canada
| | - Spyridon Bakas
- Division of Computational Pathology, Dept of Pathology & Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN, USA
- Center for Biomedical Image Computing and Analytics (CBICA), University of Pennsylvania, Philadelphia, PA, USA
| | - Arriel Benis
- Department of Digital Medical Technologies, Holon Institute of Technology, Holon, Israel
- European Federation for Medical Informatics, Le Mont-sur-Lausanne, Switzerland
| | - Florian Buettner
- German Cancer Consortium (DKTK), partner site Frankfurt/Mainz, a partnership between DKFZ and UCT Frankfurt-Marburg, Frankfurt am Main, Germany
- German Cancer Research Center (DKFZ) Heidelberg, Heidelberg, Germany
- Goethe University Frankfurt, Department of Medicine, Frankfurt am Main, Germany
- Goethe University Frankfurt, Department of Informatics, Frankfurt am Main, Germany
- Frankfurt Cancer Insititute, Frankfurt am Main, Germany
| | - M Jorge Cardoso
- School of Biomedical Engineering and Imaging Science, King's College London, London, UK
| | - Veronika Cheplygina
- Department of Computer Science, IT University of Copenhagen, Copenhagen, Denmark
| | - Jianxu Chen
- Leibniz-Institut für Analytische Wissenschaften - ISAS - e.V., Dortmund, Germany
| | - Evangelia Christodoulou
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
| | - Beth A Cimini
- Imaging Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA
| | - Keyvan Farahani
- Center for Biomedical Informatics and Information Technology, National Cancer Institute, Bethesda, MD, USA
| | - Luciana Ferrer
- Instituto de Investigación en Ciencias de la Computación (ICC), CONICET-UBA, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
| | - Adrian Galdran
- Universitat Pompeu Fabra, Barcelona, Spain
- University of Adelaide, Adelaide, South Australia, Australia
| | - Bram van Ginneken
- Fraunhofer MEVIS, Bremen, Germany
- Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Ben Glocker
- Department of Computing, Imperial College London, South Kensington Campus, London, UK
| | - Patrick Godau
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
- Faculty of Mathematics and Computer Science, Heidelberg University, Heidelberg, Germany
- National Center for Tumor Diseases (NCT), NCT Heidelberg, a partnership between DKFZ and University Medical Center Heidelberg, Heidelberg, Germany
| | - Daniel A Hashimoto
- Department of Surgery, Perelman School of Medicine, Philadelphia, PA, USA
- General Robotics Automation Sensing and Perception Laboratory, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, USA
| | - Michael M Hoffman
- Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada
- Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
- Department of Computer Science, University of Toronto, Toronto, Ontario, Canada
- Vector Institute for Artificial Intelligence, Toronto, Ontario, Canada
| | - Merel Huisman
- Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Fabian Isensee
- German Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Heidelberg, Germany
- German Cancer Research Center (DKFZ) Heidelberg, HI Applied Computer Vision Lab, Heidelberg, Germany
| | - Pierre Jannin
- Laboratoire Traitement du Signal et de l'Image - UMR_S 1099, Université de Rennes 1, Rennes, France
- INSERM, Paris, France
| | - Charles E Kahn
- Department of Radiology and Institute for Biomedical Informatics, University of Pennsylvania, Philadelphia, PA, USA
| | - Dagmar Kainmueller
- Max-Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Biomedical Image Analysis and HI Helmholtz Imaging, Berlin, Germany
- University of Potsdam, Digital Engineering Faculty, Potsdam, Germany
| | - Bernhard Kainz
- Department of Computing, Faculty of Engineering, Imperial College London, London, UK
- Department AIBE, Friedrich-Alexander-Universität (FAU), Erlangen-Nürnberg, Germany
| | | | - Jens Kleesiek
- Translational Image-guided Oncology (TIO), Institute for AI in Medicine (IKIM), University Medicine Essen, Essen, Germany
| | | | | | - Annette Kopp-Schneider
- German Cancer Research Center (DKFZ) Heidelberg, Division of Biostatistics, Heidelberg, Germany
| | - Michal Kozubek
- Centre for Biomedical Image Analysis and Faculty of Informatics, Masaryk University, Brno, Czech Republic
| | - Anna Kreshuk
- Cell Biology and Biophysics Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany
| | - Tahsin Kurc
- Department of Biomedical Informatics, Stony Brook University, Health Science Center, Stony Brook, NY, USA
| | | | - Geert Litjens
- Department of Pathology, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Amin Madani
- Department of Surgery, University Health Network, Philadelphia, PA, USA
| | - Klaus Maier-Hein
- German Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Heidelberg, Germany
- Pattern Analysis and Learning Group, Department of Radiation Oncology, Heidelberg University Hospital, Heidelberg, Germany
| | - Anne L Martel
- Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
- Physical Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada
| | - Erik Meijering
- School of Computer Science and Engineering, University of New South Wales, UNSW Sydney, Kensington, New South Wales, Australia
| | - Bjoern Menze
- Department of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland
| | - Karel G M Moons
- Julius Center for Health Sciences and Primary Care, UMC Utrecht, Utrecht University, Utrecht, the Netherlands
| | - Henning Müller
- Information Systems Institute, University of Applied Sciences Western Switzerland (HES-SO), Sierre, Switzerland
- Medical Faculty, University of Geneva, Geneva, Switzerland
| | - Brennan Nichyporuk
- MILA (Quebec Artificial Intelligence Institute), Montréal, Quebec, Canada
| | - Felix Nickel
- Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Jens Petersen
- German Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Heidelberg, Germany
| | | | - Nasir Rajpoot
- Tissue Image Analytics Laboratory, Department of Computer Science, University of Warwick, Coventry, UK
| | - Mauricio Reyes
- ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland
- Department of Radiation Oncology, University Hospital Bern, University of Bern, Bern, Switzerland
| | - Michael A Riegler
- Simula Metropolitan Center for Digital Engineering, Oslo, Norway
- UiT The Arctic University of Norway, Tromsø, Norway
| | | | - Julio Saez-Rodriguez
- Institute for Computational Biomedicine, Heidelberg University, Heidelberg, Germany
- Faculty of Medicine, Heidelberg University Hospital, Heidelberg, Germany
| | - Clara I Sánchez
- Informatics Institute, Faculty of Science, University of Amsterdam, Amsterdam, the Netherlands
| | | | - Ronald M Summers
- National Institutes of Health Clinical Center, Bethesda, MD, USA
| | - Abdel A Taha
- Institute of Information Systems Engineering, TU Wien, Vienna, Austria
| | - Aleksei Tiulpin
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
- Neurocenter Oulu, Oulu University Hospital, Oulu, Finland
| | | | - Ben Van Calster
- Department of Development and Regeneration and EPI-centre, KU Leuven, Leuven, Belgium
- Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands
| | - Gaël Varoquaux
- Parietal project team, INRIA Saclay-Île de France, Palaiseau, France
| | - Ziv R Yaniv
- National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA
| | - Paul F Jäger
- German Cancer Research Center (DKFZ) Heidelberg, HI Helmholtz Imaging, Heidelberg, Germany.
- German Cancer Research Center (DKFZ) Heidelberg, Interactive Machine Learning Group, Heidelberg, Germany.
| | - Lena Maier-Hein
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany.
- German Cancer Research Center (DKFZ) Heidelberg, HI Helmholtz Imaging, Heidelberg, Germany.
- Faculty of Mathematics and Computer Science, Heidelberg University, Heidelberg, Germany.
- National Center for Tumor Diseases (NCT), NCT Heidelberg, a partnership between DKFZ and University Medical Center Heidelberg, Heidelberg, Germany.
- Faculty of Medicine, Heidelberg University Hospital, Heidelberg, Germany.
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Huisman M, Akinci D'Antonoli T. What a Radiologist Needs to Know About Radiomics, Standardization, and Reproducibility. Radiology 2024; 310:e232459. [PMID: 38319170 DOI: 10.1148/radiol.232459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Affiliation(s)
- Merel Huisman
- From the Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (M.H.); and Institute of Radiology and Nuclear Medicine, Cantonal Hospital Baselland, Liestal, Switzerland (T.A.D.)
| | - Tugba Akinci D'Antonoli
- From the Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (M.H.); and Institute of Radiology and Nuclear Medicine, Cantonal Hospital Baselland, Liestal, Switzerland (T.A.D.)
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7
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Maier-Hein L, Reinke A, Godau P, Tizabi MD, Buettner F, Christodoulou E, Glocker B, Isensee F, Kleesiek J, Kozubek M, Reyes M, Riegler MA, Wiesenfarth M, Kavur AE, Sudre CH, Baumgartner M, Eisenmann M, Heckmann-Nötzel D, Rädsch T, Acion L, Antonelli M, Arbel T, Bakas S, Benis A, Blaschko MB, Cardoso MJ, Cheplygina V, Cimini BA, Collins GS, Farahani K, Ferrer L, Galdran A, van Ginneken B, Haase R, Hashimoto DA, Hoffman MM, Huisman M, Jannin P, Kahn CE, Kainmueller D, Kainz B, Karargyris A, Karthikesalingam A, Kofler F, Kopp-Schneider A, Kreshuk A, Kurc T, Landman BA, Litjens G, Madani A, Maier-Hein K, Martel AL, Mattson P, Meijering E, Menze B, Moons KGM, Müller H, Nichyporuk B, Nickel F, Petersen J, Rajpoot N, Rieke N, Saez-Rodriguez J, Sánchez CI, Shetty S, van Smeden M, Summers RM, Taha AA, Tiulpin A, Tsaftaris SA, Van Calster B, Varoquaux G, Jäger PF. Metrics reloaded: recommendations for image analysis validation. Nat Methods 2024; 21:195-212. [PMID: 38347141 DOI: 10.1038/s41592-023-02151-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 12/12/2023] [Indexed: 02/15/2024]
Abstract
Increasing evidence shows that flaws in machine learning (ML) algorithm validation are an underestimated global problem. In biomedical image analysis, chosen performance metrics often do not reflect the domain interest, and thus fail to adequately measure scientific progress and hinder translation of ML techniques into practice. To overcome this, we created Metrics Reloaded, a comprehensive framework guiding researchers in the problem-aware selection of metrics. Developed by a large international consortium in a multistage Delphi process, it is based on the novel concept of a problem fingerprint-a structured representation of the given problem that captures all aspects that are relevant for metric selection, from the domain interest to the properties of the target structure(s), dataset and algorithm output. On the basis of the problem fingerprint, users are guided through the process of choosing and applying appropriate validation metrics while being made aware of potential pitfalls. Metrics Reloaded targets image analysis problems that can be interpreted as classification tasks at image, object or pixel level, namely image-level classification, object detection, semantic segmentation and instance segmentation tasks. To improve the user experience, we implemented the framework in the Metrics Reloaded online tool. Following the convergence of ML methodology across application domains, Metrics Reloaded fosters the convergence of validation methodology. Its applicability is demonstrated for various biomedical use cases.
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Affiliation(s)
- Lena Maier-Hein
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany.
- German Cancer Research Center (DKFZ) Heidelberg, HI Helmholtz Imaging, Heidelberg, Germany.
- Faculty of Mathematics and Computer Science, Heidelberg University, Heidelberg, Germany.
- Medical Faculty, Heidelberg University, Heidelberg, Germany.
- National Center for Tumor Diseases (NCT), NCT Heidelberg, a partnership between DKFZ and University Medical Center Heidelberg, Heidelberg, Germany.
| | - Annika Reinke
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany.
- German Cancer Research Center (DKFZ) Heidelberg, HI Helmholtz Imaging, Heidelberg, Germany.
- Faculty of Mathematics and Computer Science, Heidelberg University, Heidelberg, Germany.
| | - Patrick Godau
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
- Faculty of Mathematics and Computer Science, Heidelberg University, Heidelberg, Germany
- National Center for Tumor Diseases (NCT), NCT Heidelberg, a partnership between DKFZ and University Medical Center Heidelberg, Heidelberg, Germany
| | - Minu D Tizabi
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
- National Center for Tumor Diseases (NCT), NCT Heidelberg, a partnership between DKFZ and University Medical Center Heidelberg, Heidelberg, Germany
| | - Florian Buettner
- German Cancer Consortium (DKTK), partner site Frankfurt/Mainz, a partnership between DKFZ and UCT Frankfurt-Marburg, Frankfurt am Main, Germany
- German Cancer Research Center (DKFZ) Heidelberg, Heidelberg, Germany
- Department of Medicine, Goethe University Frankfurt, Frankfurt am Main, Germany
- Department of Informatics, Goethe University Frankfurt, Frankfurt am Main, Germany
- Frankfurt Cancer Insititute, Frankfurt am Main, Germany
| | - Evangelia Christodoulou
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
| | - Ben Glocker
- Department of Computing, Imperial College London, South Kensington Campus, London, UK
| | - Fabian Isensee
- German Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Heidelberg, Germany
- German Cancer Research Center (DKFZ) Heidelberg, HI Applied Computer Vision Lab, Heidelberg, Germany
| | - Jens Kleesiek
- Institute for AI in Medicine, University Medicine Essen, Essen, Germany
| | - Michal Kozubek
- Centre for Biomedical Image Analysis and Faculty of Informatics, Masaryk University, Brno, Czech Republic
| | - Mauricio Reyes
- ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland
- Department of Radiation Oncology, University Hospital Bern, University of Bern, Bern, Switzerland
| | - Michael A Riegler
- Simula Metropolitan Center for Digital Engineering, Oslo, Norway
- Department of Computer Science, UiT The Arctic University of Norway, Tromsø, Norway
| | - Manuel Wiesenfarth
- German Cancer Research Center (DKFZ) Heidelberg, Division of Biostatistics, Heidelberg, Germany
| | - A Emre Kavur
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
- German Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Heidelberg, Germany
- German Cancer Research Center (DKFZ) Heidelberg, HI Applied Computer Vision Lab, Heidelberg, Germany
| | - Carole H Sudre
- MRC Unit for Lifelong Health and Ageing at UCL and Centre for Medical Image Computing, Department of Computer Science, University College London, London, UK
- School of Biomedical Engineering and Imaging Science, King's College London, London, UK
| | - Michael Baumgartner
- German Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Heidelberg, Germany
| | - Matthias Eisenmann
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
| | - Doreen Heckmann-Nötzel
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
- National Center for Tumor Diseases (NCT), NCT Heidelberg, a partnership between DKFZ and University Medical Center Heidelberg, Heidelberg, Germany
| | - Tim Rädsch
- German Cancer Research Center (DKFZ) Heidelberg, Division of Intelligent Medical Systems, Heidelberg, Germany
- German Cancer Research Center (DKFZ) Heidelberg, HI Helmholtz Imaging, Heidelberg, Germany
| | - Laura Acion
- Instituto de Cálculo, CONICET - Universidad de Buenos Aires, Buenos Aires, Argentina
| | - Michela Antonelli
- School of Biomedical Engineering and Imaging Science, King's College London, London, UK
- Centre for Medical Image Computing, University College London, London, UK
| | - Tal Arbel
- Centre for Intelligent Machines and MILA (Québec Artificial Intelligence Institute), McGill University, Montréal, Quebec, Canada
| | - Spyridon Bakas
- Division of Computational Pathology, Department of Pathology & Laboratory Medicine, Indiana University School of Medicine, IU Health Information and Translational Sciences Building, Indianapolis, IN, USA
- Center for Biomedical Image Computing and Analytics (CBICA), University of Pennsylvania, Philadelphia, PA, USA
| | - Arriel Benis
- Department of Digital Medical Technologies, Holon Institute of Technology, Holon, Israel
- European Federation for Medical Informatics, Le Mont-sur-Lausanne, Switzerland
| | - Matthew B Blaschko
- Center for Processing Speech and Images, Department of Electrical Engineering, KU Leuven, Leuven, Belgium
| | - M Jorge Cardoso
- School of Biomedical Engineering and Imaging Science, King's College London, London, UK
| | - Veronika Cheplygina
- Department of Computer Science, IT University of Copenhagen, Copenhagen, Denmark
| | - Beth A Cimini
- Imaging Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA
| | - Gary S Collins
- Centre for Statistics in Medicine, University of Oxford, Nuffield Orthopaedic Centre, Oxford, UK
| | - Keyvan Farahani
- Center for Biomedical Informatics and Information Technology, National Cancer Institute, Bethesda, MD, USA
| | - Luciana Ferrer
- Instituto de Investigación en Ciencias de la Computación (ICC), CONICET-UBA, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
| | - Adrian Galdran
- BCN Medtech, Universitat Pompeu Fabra, Barcelona, Spain
- Australian Institute for Machine Learning AIML, University of Adelaide, Adelaide, South Australia, Australia
| | - Bram van Ginneken
- Fraunhofer MEVIS, Bremen, Germany
- Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Robert Haase
- Technische Universität (TU) Dresden, DFG Cluster of Excellence 'Physics of Life', Dresden, Germany
- Center for Systems Biology, Dresden, Germany
- Center for Scalable Data Analytics and Artificial Intelligence (ScaDS.AI), Leipzig University, Leipzig, Germany
| | - Daniel A Hashimoto
- Department of Surgery, Perelman School of Medicine, Philadelphia, PA, USA
- General Robotics Automation Sensing and Perception Laboratory, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, USA
| | - Michael M Hoffman
- Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada
- Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
- Vector Institute for Artificial Intelligence, Toronto, Ontario, Canada
- Department of Computer Science, University of Toronto, Toronto, Ontario, Canada
| | - Merel Huisman
- Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Pierre Jannin
- Laboratoire Traitement du Signal et de l'Image - UMR_S 1099, Université de Rennes 1, Rennes, France
- INSERM, Paris, France
| | - Charles E Kahn
- Department of Radiology and Institute for Biomedical Informatics, University of Pennsylvania, Philadelphia, PA, USA
| | - Dagmar Kainmueller
- Max-Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Biomedical Image Analysis and HI Helmholtz Imaging, Berlin, Germany
- Digital Engineering Faculty, University of Potsdam, Potsdam, Germany
| | - Bernhard Kainz
- Department of Computing, Faculty of Engineering, Imperial College London, London, UK
- Department AIBE, Friedrich-Alexander-Universität (FAU), Erlangen-Nürnberg, Germany
| | | | | | | | - Annette Kopp-Schneider
- German Cancer Research Center (DKFZ) Heidelberg, Division of Biostatistics, Heidelberg, Germany
| | - Anna Kreshuk
- Cell Biology and Biophysics Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany
| | - Tahsin Kurc
- Department of Biomedical Informatics, Stony Brook University, Health Science Center, Stony Brook, NY, USA
| | | | - Geert Litjens
- Department of Pathology, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Amin Madani
- Department of Surgery, University Health Network, Philadelphia, PA, USA
| | - Klaus Maier-Hein
- German Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Heidelberg, Germany
- Pattern Analysis and Learning Group, Department of Radiation Oncology, Heidelberg University Hospital, Heidelberg, Germany
| | - Anne L Martel
- Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
- Department of Computer Science, University of Toronto, Toronto, Ontario, Canada
- Physical Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada
| | - Peter Mattson
- Google, 1600 Amphitheatre Pkwy, Mountain View, CA, USA
| | - Erik Meijering
- School of Computer Science and Engineering, University of New South Wales, UNSW Sydney, Kensington, New South Wales, Australia
| | - Bjoern Menze
- Department of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland
| | - Karel G M Moons
- Julius Center for Health Sciences and Primary Care, UMC Utrecht, Utrecht University, Utrecht, the Netherlands
| | - Henning Müller
- Information Systems Institute, University of Applied Sciences Western Switzerland (HES-SO), Sierre, Switzerland
- Medical Faculty, University of Geneva, Geneva, Switzerland
| | - Brennan Nichyporuk
- MILA (Québec Artificial Intelligence Institute), Montréal, Quebec, Canada
| | - Felix Nickel
- Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Jens Petersen
- German Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Heidelberg, Germany
| | - Nasir Rajpoot
- Tissue Image Analytics Laboratory, Department of Computer Science, University of Warwick, Coventry, UK
| | | | - Julio Saez-Rodriguez
- Institute for Computational Biomedicine, Heidelberg University, Heidelberg, Germany
- Faculty of Medicine, Heidelberg University Hospital, Heidelberg, Germany
| | - Clara I Sánchez
- Informatics Institute, Faculty of Science, University of Amsterdam, Amsterdam, the Netherlands
| | | | - Maarten van Smeden
- Julius Center for Health Sciences and Primary Care, UMC Utrecht, Utrecht University, Utrecht, the Netherlands
| | - Ronald M Summers
- National Institutes of Health Clinical Center, Bethesda, MD, USA
| | - Abdel A Taha
- Institute of Information Systems Engineering, TU Wien, Vienna, Austria
| | - Aleksei Tiulpin
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
- Neurocenter Oulu, Oulu University Hospital, Oulu, Finland
| | | | - Ben Van Calster
- Department of Development and Regeneration and EPI-centre, KU Leuven, Leuven, Belgium
- Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands
| | - Gaël Varoquaux
- Parietal project team, INRIA Saclay-Île de France, Palaiseau, France
| | - Paul F Jäger
- German Cancer Research Center (DKFZ) Heidelberg, HI Helmholtz Imaging, Heidelberg, Germany.
- German Cancer Research Center (DKFZ) Heidelberg, Interactive Machine Learning Group, Heidelberg, Germany.
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van Leeuwen KG, Schalekamp S, Rutten MJCM, Huisman M, Schaefer-Prokop CM, de Rooij M, van Ginneken B, Maresch B, Geurts BHJ, van Dijke CF, Laupman-Koedam E, Hulleman EV, Verhoeff EL, Meys EMJ, Mohamed Hoesein FAA, Ter Brugge FM, van Hoorn F, van der Wel F, van den Berk IAH, Luyendijk JM, Meakin J, Habets J, Verbeke JIML, Nederend J, Meys KME, Deden LN, Langezaal LCM, Nasrollah M, Meij M, Boomsma MF, Vermeulen M, Vestering MM, Vijlbrief O, Algra P, Algra S, Bollen SM, Samson T, von Brucken Fock YHG. Comparison of Commercial AI Software Performance for Radiograph Lung Nodule Detection and Bone Age Prediction. Radiology 2024; 310:e230981. [PMID: 38193833 DOI: 10.1148/radiol.230981] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2024]
Abstract
Background Multiple commercial artificial intelligence (AI) products exist for assessing radiographs; however, comparable performance data for these algorithms are limited. Purpose To perform an independent, stand-alone validation of commercially available AI products for bone age prediction based on hand radiographs and lung nodule detection on chest radiographs. Materials and Methods This retrospective study was carried out as part of Project AIR. Nine of 17 eligible AI products were validated on data from seven Dutch hospitals. For bone age prediction, the root mean square error (RMSE) and Pearson correlation coefficient were computed. The reference standard was set by three to five expert readers. For lung nodule detection, the area under the receiver operating characteristic curve (AUC) was computed. The reference standard was set by a chest radiologist based on CT. Randomized subsets of hand (n = 95) and chest (n = 140) radiographs were read by 14 and 17 human readers, respectively, with varying experience. Results Two bone age prediction algorithms were tested on hand radiographs (from January 2017 to January 2022) in 326 patients (mean age, 10 years ± 4 [SD]; 173 female patients) and correlated strongly with the reference standard (r = 0.99; P < .001 for both). No difference in RMSE was observed between algorithms (0.63 years [95% CI: 0.58, 0.69] and 0.57 years [95% CI: 0.52, 0.61]) and readers (0.68 years [95% CI: 0.64, 0.73]). Seven lung nodule detection algorithms were validated on chest radiographs (from January 2012 to May 2022) in 386 patients (mean age, 64 years ± 11; 223 male patients). Compared with readers (mean AUC, 0.81 [95% CI: 0.77, 0.85]), four algorithms performed better (AUC range, 0.86-0.93; P value range, <.001 to .04). Conclusions Compared with human readers, four AI algorithms for detecting lung nodules on chest radiographs showed improved performance, whereas the remaining algorithms tested showed no evidence of a difference in performance. © RSNA, 2024 Supplemental material is available for this article. See also the editorial by Omoumi and Richiardi in this issue.
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Affiliation(s)
- Kicky G van Leeuwen
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Steven Schalekamp
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Matthieu J C M Rutten
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Merel Huisman
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Cornelia M Schaefer-Prokop
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Maarten de Rooij
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Bram van Ginneken
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Bas Maresch
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Bram H J Geurts
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Cornelius F van Dijke
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Emmeline Laupman-Koedam
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Enzo V Hulleman
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Eric L Verhoeff
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Evelyne M J Meys
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Firdaus A A Mohamed Hoesein
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Floor M Ter Brugge
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Francois van Hoorn
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Frank van der Wel
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Inge A H van den Berk
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Jacqueline M Luyendijk
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - James Meakin
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Jesse Habets
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Jonathan I M L Verbeke
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Joost Nederend
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Karlijn M E Meys
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Laura N Deden
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Lucianne C M Langezaal
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Mahtab Nasrollah
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Marleen Meij
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Martijn F Boomsma
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Matthijs Vermeulen
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Myrthe M Vestering
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Onno Vijlbrief
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Paul Algra
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Selma Algra
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Stijn M Bollen
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Tijs Samson
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
| | - Yntor H G von Brucken Fock
- From the Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands (K.G.v.L., S.S., M.J.C.M.R., M.H., C.M.S.P., M.d.R., B.v.G., B.H.J.G., J.M.); Department of Radiology (M.J.C.M.R.) and Department of MICT and Imaging Techniques (T.S.), Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Radiology, Meander Medical Centre, Amersfoort, the Netherlands (C.M.S.P., M.V.); Department of Radiology, Hospital Gelderse Vallei, Ede, the Netherlands (B.M., M.M.V.); Department of Radiology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands (C.F.v.D., P.A.); Department of Radiology & Nuclear Medicine, Máxima Medical Center, Eindhoven, the Netherlands (E.L.K., F.v.d.W.); Department of Radiology, Ziekenhuisgroep Twente, Almelo, the Netherlands (E.V.H., F.M.t.B., M.M., O.V., Y.H.G.v.B.F.); Center for Radiology and Nuclear Medicine, Deventer Hospital, Deventer, the Netherlands (E.L.V., J.M.L., M.N.); Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands (E.M.J.M., J.N., K.M.E.M.); Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands (F.A.A.M.H.); Department of Radiology, Zaans Medisch Centrum, Zaandam, the Netherlands (F.v.H.); Department of Radiology and Nuclear Medicine, Amsterdam UMC-Location University of Amsterdam, Amsterdam, the Netherlands (I.A.H.v.d.B.); Department of Radiology & Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (J.H.); Department of Radiology, Amsterdam University Medical Center, Amsterdam, the Netherlands (J.I.M.L.V.); Department of Radiology and Nuclear Medicine, Rijnstate, Arnhem, the Netherlands (L.N.D.); Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands (L.C.M.L., S.A.); Department of Radiology, Isala Hospital, Zwolle, the Netherlands (M.F.B.); and Department of Radiology, Groene Hart Hospital, Gouda, the Netherlands (S.M.B.)
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Jaarsma E, Nooyens A, Kok AAL, Köhler S, van Boxtel M, Verschuren WMM, Huisman M. Modifiable Risk Factors for Accelerated Decline in Processing Speed: Results from Three Dutch Population Cohorts. J Prev Alzheimers Dis 2024; 11:108-116. [PMID: 38230723 PMCID: PMC10994989 DOI: 10.14283/jpad.2023.64] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 04/20/2023] [Indexed: 01/18/2024]
Abstract
BACKGROUND Several lifestyle, cardiovascular and psychosocial factors are associated with risk of cognitive decline and dementia. We studied the independent associations of a broad set of modifiable risk factors with decline in processing speed in three large population-based cohorts with up to 23 years of follow-up. METHODS We used data of 9,666 participants from the Doetinchem Cohort Study, the Longitudinal Aging Study Amsterdam, and the Maastricht Aging Study. Decline in processing speed was measured with the letter digit substitution task or the alphabet coding task and modeled using quadratic latent growth curves. Associations of modifiable risk factors with level and rate of decline in processing speed were investigated by estimating associations with level of processing speed at different centering ages. RESULTS Latent growth curves showed that decline in processing speed accelerated with age. Smoking, not drinking alcohol and depressive symptoms were associated with a lower level of processing speed in all cohorts. In two of the cohorts, more physical activity, drinking more than two glasses of alcohol per day, higher BMI and diabetes were associated with a lower level of processing speed. Depressive symptoms and diabetes were also associated with faster decline in processing speed. CONCLUSION Several modifiable risk factors are associated with the level of processing speed in older age, while few are also related to the rate of decline.
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Affiliation(s)
- E Jaarsma
- Almar Kok Amsterdam UMC Locatie De Boelelaan: Amsterdam UMC Locatie VUmc, The Netherlands,
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Kanis JA, Johansson H, McCloskey EV, Liu E, Åkesson KE, Anderson FA, Azagra R, Bager CL, Beaudart C, Bischoff-Ferrari HA, Biver E, Bruyère O, Cauley JA, Center JR, Chapurlat R, Christiansen C, Cooper C, Crandall CJ, Cummings SR, da Silva JAP, Dawson-Hughes B, Diez-Perez A, Dufour AB, Eisman JA, Elders PJM, Ferrari S, Fujita Y, Fujiwara S, Glüer CC, Goldshtein I, Goltzman D, Gudnason V, Hall J, Hans D, Hoff M, Hollick RJ, Huisman M, Iki M, Ish-Shalom S, Jones G, Karlsson MK, Khosla S, Kiel DP, Koh WP, Koromani F, Kotowicz MA, Kröger H, Kwok T, Lamy O, Langhammer A, Larijani B, Lippuner K, Mellström D, Merlijn T, Nordström A, Nordström P, O'Neill TW, Obermayer-Pietsch B, Ohlsson C, Orwoll ES, Pasco JA, Rivadeneira F, Schott AM, Shiroma EJ, Siggeirsdottir K, Simonsick EM, Sornay-Rendu E, Sund R, Swart KMA, Szulc P, Tamaki J, Torgerson DJ, van Schoor NM, van Staa TP, Vila J, Wareham NJ, Wright NC, Yoshimura N, Zillikens MC, Zwart M, Vandenput L, Harvey NC, Lorentzon M, Leslie WD. Previous fracture and subsequent fracture risk: a meta-analysis to update FRAX. Osteoporos Int 2023; 34:2027-2045. [PMID: 37566158 PMCID: PMC7615305 DOI: 10.1007/s00198-023-06870-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Accepted: 07/22/2023] [Indexed: 08/12/2023]
Abstract
A large international meta-analysis using primary data from 64 cohorts has quantified the increased risk of fracture associated with a previous history of fracture for future use in FRAX. INTRODUCTION The aim of this study was to quantify the fracture risk associated with a prior fracture on an international basis and to explore the relationship of this risk with age, sex, time since baseline and bone mineral density (BMD). METHODS We studied 665,971 men and 1,438,535 women from 64 cohorts in 32 countries followed for a total of 19.5 million person-years. The effect of a prior history of fracture on the risk of any clinical fracture, any osteoporotic fracture, major osteoporotic fracture, and hip fracture alone was examined using an extended Poisson model in each cohort. Covariates examined were age, sex, BMD, and duration of follow-up. The results of the different studies were merged by using the weighted β-coefficients. RESULTS A previous fracture history, compared with individuals without a prior fracture, was associated with a significantly increased risk of any clinical fracture (hazard ratio, HR = 1.88; 95% CI = 1.72-2.07). The risk ratio was similar for the outcome of osteoporotic fracture (HR = 1.87; 95% CI = 1.69-2.07), major osteoporotic fracture (HR = 1.83; 95% CI = 1.63-2.06), or for hip fracture (HR = 1.82; 95% CI = 1.62-2.06). There was no significant difference in risk ratio between men and women. Subsequent fracture risk was marginally downward adjusted when account was taken of BMD. Low BMD explained a minority of the risk for any clinical fracture (14%), osteoporotic fracture (17%), and for hip fracture (33%). The risk ratio for all fracture outcomes related to prior fracture decreased significantly with adjustment for age and time since baseline examination. CONCLUSION A previous history of fracture confers an increased risk of fracture of substantial importance beyond that explained by BMD. The effect is similar in men and women. Its quantitation on an international basis permits the more accurate use of this risk factor in case finding strategies.
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Affiliation(s)
- J A Kanis
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.
- Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield, UK.
| | - H Johansson
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
- Sahlgrenska Osteoporosis Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden
| | - E V McCloskey
- Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield, UK
- MRC Versus Arthritis Centre for Integrated research in Musculoskeletal Ageing, Mellanby Centre for Musculoskeletal Research, University of Sheffield, Sheffield, UK
| | - E Liu
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
| | - K E Åkesson
- Clinical and Molecular Osteoporosis Research Unit, Department of Clinical Sciences, Lund University, Lund, Sweden
- Department of Orthopedics, Skåne University Hospital, Malmö, Sweden
| | - F A Anderson
- GLOW Coordinating Center, Center for Outcomes Research, University of Massachusetts Medical School, Worcester, MA, USA
| | - R Azagra
- Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
- Health Centre Badia del Valles, Catalan Institute of Health, Barcelona, Spain
- PRECIOSA-Fundación para la investigación, Barberà del Vallés, Barcelona, Spain
| | - C L Bager
- Nordic Bioscience A/S, Herlev, Denmark
| | - C Beaudart
- WHO Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Aging, Division of Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium
- Department of Health Services Research, University of Maastricht, Maastricht, the Netherlands
| | - H A Bischoff-Ferrari
- Department of Aging Medicine and Aging Research, University Hospital, Zurich, and University of Zurich, Zurich, Switzerland
- Centre on Aging and Mobility, University of Zurich and City Hospital, Zurich, Switzerland
| | - E Biver
- Division of Bone Diseases, Department of Medicine, Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - O Bruyère
- WHO Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Aging, Division of Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium
| | - J A Cauley
- Department of Epidemiology, School of Public Health, University of Pittsburgh, Pittsburgh, Philadelphia, USA
| | - J R Center
- Skeletal Diseases Program, Garvan Institute of Medical Research, Sydney, NSW, Australia
- St Vincent's Clinical School, School of Medicine and Health, University of New South Wales Sydney, Sydney, NSW, Australia
- School of Medicine Sydney, University of Notre Dame Australia, Sydney, NSW, Australia
| | - R Chapurlat
- INSERM UMR 1033, Université Claude Bernard-Lyon1, Hôpital Edouard Herriot, Lyon, France
| | | | - C Cooper
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK
- NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospitals Southampton NHS Foundation Trust, Southampton, UK
- NIHR Oxford Biomedical Research Unit, University of Oxford, Oxford, UK
| | - C J Crandall
- Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, CA, USA
| | - S R Cummings
- San Francisco Coordinating Center, California Pacific Medical Center Research Institute, San Francisco, CA, USA
| | - J A P da Silva
- Coimbra Institute for Clinical and Biomedical Research, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
- Rheumatology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - B Dawson-Hughes
- Bone Metabolism Laboratory, Jean Mayer US Department of Agriculture Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA
| | - A Diez-Perez
- Department of Internal Medicine, Hospital del Mar and CIBERFES, Autonomous University of Barcelona, Barcelona, Spain
| | - A B Dufour
- Marcus Institute for Aging Research, Hebrew Senior Life, Boston, MA, USA
- Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA
| | - J A Eisman
- Skeletal Diseases Program, Garvan Institute of Medical Research, Sydney, NSW, Australia
- St Vincent's Clinical School, School of Medicine and Health, University of New South Wales Sydney, Sydney, NSW, Australia
- School of Medicine Sydney, University of Notre Dame Australia, Sydney, NSW, Australia
| | - P J M Elders
- Petra JM Elders Department of General Practice, Amsterdam UMC, location AMC, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - S Ferrari
- Division of Bone Diseases, Department of Medicine, Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Y Fujita
- Center for Medical Education and Clinical Training, Kindai University Faculty of Medicine, Osaka, Japan
| | - S Fujiwara
- Department of Pharmacy, Yasuda Women's University, Hiroshima, Japan
| | - C-C Glüer
- Section Biomedical Imaging, Molecular Imaging North Competence Center, Department of Radiology and Neuroradiology, University Medical Center Schleswig-Holstein Kiel, Kiel University, Kiel, Germany
| | - I Goldshtein
- Maccabitech Institute of Research and Innovation, Maccabi Healthcare Services, Tel Aviv, Israel
- Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - D Goltzman
- Department of Medicine, McGill University and McGill University Health Centre, Montreal, Canada
| | - V Gudnason
- Icelandic Heart Association, Kopavogur, Iceland
- University of Iceland, Reykjavik, Iceland
| | - J Hall
- MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK
| | - D Hans
- Interdisciplinary Centre of Bone Diseases, Bone and Joint Department, Lausanne University Hospital (CHUV) & University of Lausanne, Lausanne, Switzerland
| | - M Hoff
- Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway
- Department of Rheumatology, St Olavs Hospital, Trondheim, Norway
| | - R J Hollick
- Aberdeen Centre for Arthritis and Musculoskeletal Health, Epidemiology Group, University of Aberdeen, Aberdeen, UK
| | - M Huisman
- Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands
- Department of Sociology, VU University, Amsterdam, The Netherlands
| | - M Iki
- Department of Public Health, Kindai University Faculty of Medicine, Osaka, Japan
| | - S Ish-Shalom
- Endocrine Clinic, Elisha Hospital, Haifa, Israel
| | - G Jones
- Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia
| | - M K Karlsson
- Clinical and Molecular Osteoporosis Research Unit, Department of Clinical Sciences, Lund University, Lund, Sweden
- Department of Orthopedics, Skåne University Hospital, Malmö, Sweden
| | - S Khosla
- Robert and Arlene Kogod Center on Aging and Division of Endocrinology, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, MN, USA
| | - D P Kiel
- Marcus Institute for Aging Research, Hebrew Senior Life, Boston, MA, USA
- Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA
| | - W-P Koh
- Healthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
- Singapore Institute for Clinical Sciences, Agency for Science Technology and Research (A*STAR), Singapore, Singapore
| | - F Koromani
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
- Department of Radiology and Nuclear Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - M A Kotowicz
- IMPACT (Institute for Mental and Physical Health and Clinical Translation), Deakin University, Geelong, Victoria, Australia
- Barwon Health, Geelong, Victoria, Australia
- Department of Medicine -Western Health, The University of Melbourne, St Albans, Victoria, Australia
| | - H Kröger
- Department of Orthopedics and Traumatology, Kuopio University Hospital, Kuopio, Finland
- Kuopio Musculoskeletal Research Unit, University of Eastern Finland, Kuopio, Finland
| | - T Kwok
- Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
- Jockey Club Centre for Osteoporosis Care and Control, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
| | - O Lamy
- Centre of Bone Diseases, Lausanne University Hospital, Lausanne, Switzerland
- Service of Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland
| | - A Langhammer
- HUNT Research Centre, Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
| | - B Larijani
- Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - K Lippuner
- Department of Osteoporosis, Bern University Hospital, University of Bern, Bern, Switzerland
| | - D Mellström
- Geriatric Medicine, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- Geriatric Medicine, Sahlgrenska University Hospital Mölndal, Mölndal, Sweden
| | - T Merlijn
- Department of General Practice, Amsterdam UMC, location AMC, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - A Nordström
- School of Sport Sciences, UiT The Arctic University of Norway, Tromsø, Norway
- Department of Health Sciences, Swedish Winter Sports Research Centre, Mid Sweden University, Östersund, Sweden
- Department of Medical Sciences, Uppsala University, Uppsala, Sweden
| | - P Nordström
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - T W O'Neill
- National Institute for Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
- Centre for Epidemiology Versus Arthritis, University of Manchester, Manchester, UK
| | - B Obermayer-Pietsch
- Department of Internal Medicine, Division of Endocrinology and Diabetology, Medical University Graz, Graz, Austria
- Center for Biomarker Research in Medicine, Graz, Austria
| | - C Ohlsson
- Sahlgrenska Osteoporosis Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- Department of Drug Treatment, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden
| | - E S Orwoll
- Department of Medicine, Oregon Health and Science University, Portland, OR, USA
| | - J A Pasco
- IMPACT (Institute for Mental and Physical Health and Clinical Translation), Deakin University, Geelong, Victoria, Australia
- Barwon Health, Geelong, Victoria, Australia
- Department of Medicine -Western Health, The University of Melbourne, St Albans, Victoria, Australia
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
| | - F Rivadeneira
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - A-M Schott
- Université Claude Bernard Lyon 1, U INSERM 1290 RESHAPE, Lyon, France
| | - E J Shiroma
- Laboratory of Epidemiology and Population Sciences, National Institute on Aging, Baltimore, MD, USA
| | - K Siggeirsdottir
- Icelandic Heart Association, Kopavogur, Iceland
- Janus Rehabilitation, Reykjavik, Iceland
| | - E M Simonsick
- Translational Gerontology Branch, National Institute on Aging Intramural Research Program, Baltimore, MD, USA
| | - E Sornay-Rendu
- INSERM UMR 1033, University of Lyon, Hôpital Edouard Herriot, Lyon, France
| | - R Sund
- Kuopio Musculoskeletal Research Unit, University of Eastern Finland, Kuopio, Finland
| | - K M A Swart
- Petra JM Elders Department of General Practice, Amsterdam UMC, location AMC, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
- PHARMO Institute for Drug Outcomes Research, Utrecht, The Netherlands
| | - P Szulc
- INSERM UMR 1033, University of Lyon, Hôpital Edouard Herriot, Lyon, France
| | - J Tamaki
- Department of Hygiene and Public Health, Faculty of Medicine, Educational Foundation of Osaka Medical and Pharmaceutical University, Osaka, Japan
| | - D J Torgerson
- York Trials Unit, Department of Health Sciences, University of York, York, UK
| | - N M van Schoor
- Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands
| | - T P van Staa
- Centre for Health Informatics, Faculty of Biology, Medicine and Health, School of Health Sciences, University of Manchester, Manchester, UK
| | - J Vila
- Statistics Support Unit, Hospital del Mar Medical Research Institute, CIBER Epidemiology and Public Health (CIBERESP), Barcelona, Spain
| | - N J Wareham
- MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | - N C Wright
- Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA
| | - N Yoshimura
- Department of Preventive Medicine for Locomotive Organ Disorders, The University of Tokyo Hospital, Tokyo, Japan
| | - M C Zillikens
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - M Zwart
- PRECIOSA-Fundación para la investigación, Barberà del Vallés, Barcelona, Spain
- Health Center Can Gibert del Plà, Catalan Institute of Health, Girona, Spain
- Department of Medical Sciences, University of Girona, Girona, Spain
- GROIMAP/GROICAP (research groups), Unitat de Suport a la Recerca Girona, Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Girona, Spain
| | - L Vandenput
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
- Sahlgrenska Osteoporosis Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - N C Harvey
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK
- NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospitals Southampton NHS Foundation Trust, Southampton, UK
| | - M Lorentzon
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
- Sahlgrenska Osteoporosis Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden
| | - W D Leslie
- Department of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
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11
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Pinto Dos Santos D, Cuocolo R, Huisman M. O structured reporting, where art thou? Eur Radiol 2023:10.1007/s00330-023-10465-x. [PMID: 38010379 DOI: 10.1007/s00330-023-10465-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Revised: 10/24/2023] [Accepted: 10/29/2023] [Indexed: 11/29/2023]
Affiliation(s)
- Daniel Pinto Dos Santos
- Department of Diagnostic and Interventional Radiology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
- Department of Radiology, University Hospital Frankfurt, Frankfurt, Germany.
| | - Renato Cuocolo
- Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi, Italy
| | - Merel Huisman
- Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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12
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Huisman M, Hannink G. The AI Generalization Gap: One Size Does Not Fit All. Radiol Artif Intell 2023; 5:e230246. [PMID: 37795134 PMCID: PMC10546357 DOI: 10.1148/ryai.230246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 07/12/2023] [Accepted: 08/10/2023] [Indexed: 10/06/2023]
Affiliation(s)
- Merel Huisman
- From Radboudumc, Oudwijk 49, Nijmegen, Utrecht 6500, the
Netherlands
| | - Gerjon Hannink
- From Radboudumc, Oudwijk 49, Nijmegen, Utrecht 6500, the
Netherlands
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Walsh G, Stogiannos N, van de Venter R, Rainey C, Tam W, McFadden S, McNulty JP, Mekis N, Lewis S, O'Regan T, Kumar A, Huisman M, Bisdas S, Kotter E, Pinto dos Santos D, Sá dos Reis C, van Ooijen P, Brady AP, Malamateniou C. Responsible AI practice and AI education are central to AI implementation: a rapid review for all medical imaging professionals in Europe. BJR Open 2023; 5:20230033. [PMID: 37953871 PMCID: PMC10636340 DOI: 10.1259/bjro.20230033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 05/27/2023] [Accepted: 05/30/2023] [Indexed: 11/14/2023] Open
Abstract
Artificial intelligence (AI) has transitioned from the lab to the bedside, and it is increasingly being used in healthcare. Radiology and Radiography are on the frontline of AI implementation, because of the use of big data for medical imaging and diagnosis for different patient groups. Safe and effective AI implementation requires that responsible and ethical practices are upheld by all key stakeholders, that there is harmonious collaboration between different professional groups, and customised educational provisions for all involved. This paper outlines key principles of ethical and responsible AI, highlights recent educational initiatives for clinical practitioners and discusses the synergies between all medical imaging professionals as they prepare for the digital future in Europe. Responsible and ethical AI is vital to enhance a culture of safety and trust for healthcare professionals and patients alike. Educational and training provisions for medical imaging professionals on AI is central to the understanding of basic AI principles and applications and there are many offerings currently in Europe. Education can facilitate the transparency of AI tools, but more formalised, university-led training is needed to ensure the academic scrutiny, appropriate pedagogy, multidisciplinarity and customisation to the learners' unique needs are being adhered to. As radiographers and radiologists work together and with other professionals to understand and harness the benefits of AI in medical imaging, it becomes clear that they are faced with the same challenges and that they have the same needs. The digital future belongs to multidisciplinary teams that work seamlessly together, learn together, manage risk collectively and collaborate for the benefit of the patients they serve.
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Affiliation(s)
- Gemma Walsh
- Division of Midwifery & Radiography, City University of London, London, United Kingdom
| | | | | | - Clare Rainey
- School of Health Sciences, Ulster University, Derry~Londonderry, Northern Ireland
| | - Winnie Tam
- Division of Midwifery & Radiography, City University of London, London, United Kingdom
| | - Sonyia McFadden
- School of Health Sciences, Ulster University, Coleraine, United Kingdom
| | | | - Nejc Mekis
- Medical Imaging and Radiotherapy Department, University of Ljubljana, Faculty of Health Sciences, Ljubljana, Slovenia
| | - Sarah Lewis
- Discipline of Medical Imaging Science, Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia
| | - Tracy O'Regan
- The Society and College of Radiographers, London, United Kingdom
| | - Amrita Kumar
- Frimley Health NHS Foundation Trust, Frimley, United Kingdom
| | - Merel Huisman
- Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands
| | | | | | | | - Cláudia Sá dos Reis
- School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne, Switzerland
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Topff L, Sánchez-García J, López-González R, Pastor AJ, Visser JJ, Huisman M, Guiot J, Beets-Tan RGH, Alberich-Bayarri A, Fuster-Matanzo A, Ranschaert ER. A deep learning-based application for COVID-19 diagnosis on CT: The Imaging COVID-19 AI initiative. PLoS One 2023; 18:e0285121. [PMID: 37130128 PMCID: PMC10153726 DOI: 10.1371/journal.pone.0285121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 04/15/2023] [Indexed: 05/03/2023] Open
Abstract
BACKGROUND Recently, artificial intelligence (AI)-based applications for chest imaging have emerged as potential tools to assist clinicians in the diagnosis and management of patients with coronavirus disease 2019 (COVID-19). OBJECTIVES To develop a deep learning-based clinical decision support system for automatic diagnosis of COVID-19 on chest CT scans. Secondarily, to develop a complementary segmentation tool to assess the extent of lung involvement and measure disease severity. METHODS The Imaging COVID-19 AI initiative was formed to conduct a retrospective multicentre cohort study including 20 institutions from seven different European countries. Patients with suspected or known COVID-19 who underwent a chest CT were included. The dataset was split on the institution-level to allow external evaluation. Data annotation was performed by 34 radiologists/radiology residents and included quality control measures. A multi-class classification model was created using a custom 3D convolutional neural network. For the segmentation task, a UNET-like architecture with a backbone Residual Network (ResNet-34) was selected. RESULTS A total of 2,802 CT scans were included (2,667 unique patients, mean [standard deviation] age = 64.6 [16.2] years, male/female ratio 1.3:1). The distribution of classes (COVID-19/Other type of pulmonary infection/No imaging signs of infection) was 1,490 (53.2%), 402 (14.3%), and 910 (32.5%), respectively. On the external test dataset, the diagnostic multiclassification model yielded high micro-average and macro-average AUC values (0.93 and 0.91, respectively). The model provided the likelihood of COVID-19 vs other cases with a sensitivity of 87% and a specificity of 94%. The segmentation performance was moderate with Dice similarity coefficient (DSC) of 0.59. An imaging analysis pipeline was developed that returned a quantitative report to the user. CONCLUSION We developed a deep learning-based clinical decision support system that could become an efficient concurrent reading tool to assist clinicians, utilising a newly created European dataset including more than 2,800 CT scans.
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Affiliation(s)
- Laurens Topff
- Department of Radiology, Netherlands Cancer Institute, Amsterdam, The Netherlands
- GROW School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands
| | | | | | | | - Jacob J Visser
- Department of Radiology and Nuclear Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands
| | - Merel Huisman
- Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Julien Guiot
- Department of Pneumology, University Hospital of Liège (CHU Liège), Liège, Belgium
| | - Regina G H Beets-Tan
- Department of Radiology, Netherlands Cancer Institute, Amsterdam, The Netherlands
- GROW School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands
| | | | | | - Erik R Ranschaert
- Department of Radiology, St. Nikolaus Hospital, Eupen, Belgium
- Ghent University, Ghent, Belgium
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15
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Vandenput L, Johansson H, McCloskey EV, Liu E, Åkesson KE, Anderson FA, Azagra R, Bager CL, Beaudart C, Bischoff-Ferrari HA, Biver E, Bruyère O, Cauley JA, Center JR, Chapurlat R, Christiansen C, Cooper C, Crandall CJ, Cummings SR, da Silva JAP, Dawson-Hughes B, Diez-Perez A, Dufour AB, Eisman JA, Elders PJM, Ferrari S, Fujita Y, Fujiwara S, Glüer CC, Goldshtein I, Goltzman D, Gudnason V, Hall J, Hans D, Hoff M, Hollick RJ, Huisman M, Iki M, Ish-Shalom S, Jones G, Karlsson MK, Khosla S, Kiel DP, Koh WP, Koromani F, Kotowicz MA, Kröger H, Kwok T, Lamy O, Langhammer A, Larijani B, Lippuner K, Mellström D, Merlijn T, Nordström A, Nordström P, O'Neill TW, Obermayer-Pietsch B, Ohlsson C, Orwoll ES, Pasco JA, Rivadeneira F, Schei B, Schott AM, Shiroma EJ, Siggeirsdottir K, Simonsick EM, Sornay-Rendu E, Sund R, Swart KMA, Szulc P, Tamaki J, Torgerson DJ, van Schoor NM, van Staa TP, Vila J, Wareham NJ, Wright NC, Yoshimura N, Zillikens MC, Zwart M, Harvey NC, Lorentzon M, Leslie WD, Kanis JA. Update of the fracture risk prediction tool FRAX: a systematic review of potential cohorts and analysis plan. Osteoporos Int 2022; 33:2103-2136. [PMID: 35639106 DOI: 10.1007/s00198-022-06435-6] [Citation(s) in RCA: 27] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 05/18/2022] [Indexed: 12/15/2022]
Abstract
UNLABELLED We describe the collection of cohorts together with the analysis plan for an update of the fracture risk prediction tool FRAX with respect to current and novel risk factors. The resource comprises 2,138,428 participants with a follow-up of approximately 20 million person-years and 116,117 documented incident major osteoporotic fractures. INTRODUCTION The availability of the fracture risk assessment tool FRAX® has substantially enhanced the targeting of treatment to those at high risk of fracture with FRAX now incorporated into more than 100 clinical osteoporosis guidelines worldwide. The aim of this study is to determine whether the current algorithms can be further optimised with respect to current and novel risk factors. METHODS A computerised literature search was performed in PubMed from inception until May 17, 2019, to identify eligible cohorts for updating the FRAX coefficients. Additionally, we searched the abstracts of conference proceedings of the American Society for Bone and Mineral Research, European Calcified Tissue Society and World Congress of Osteoporosis. Prospective cohort studies with data on baseline clinical risk factors and incident fractures were eligible. RESULTS Of the 836 records retrieved, 53 were selected for full-text assessment after screening on title and abstract. Twelve cohorts were deemed eligible and of these, 4 novel cohorts were identified. These cohorts, together with 60 previously identified cohorts, will provide the resource for constructing an updated version of FRAX comprising 2,138,428 participants with a follow-up of approximately 20 million person-years and 116,117 documented incident major osteoporotic fractures. For each known and candidate risk factor, multivariate hazard functions for hip fracture, major osteoporotic fracture and death will be tested using extended Poisson regression. Sex- and/or ethnicity-specific differences in the weights of the risk factors will be investigated. After meta-analyses of the cohort-specific beta coefficients for each risk factor, models comprising 10-year probability of hip and major osteoporotic fracture, with or without femoral neck bone mineral density, will be computed. CONCLUSIONS These assembled cohorts and described models will provide the framework for an updated FRAX tool enabling enhanced assessment of fracture risk (PROSPERO (CRD42021227266)).
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Affiliation(s)
- L Vandenput
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
- Sahlgrenska Osteoporosis Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - H Johansson
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
- Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield, UK
| | - E V McCloskey
- Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield, UK
- MRC Versus Arthritis Centre for Integrated Research in Musculoskeletal Ageing, Mellanby Centre for Musculoskeletal Research, University of Sheffield, Sheffield, UK
| | - E Liu
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
| | - K E Åkesson
- Clinical and Molecular Osteoporosis Research Unit, Department of Clinical Sciences, Lund University, Lund, Sweden
- Department of Orthopedics, Skåne University Hospital, Malmö, Sweden
| | - F A Anderson
- GLOW Coordinating Center, Center for Outcomes Research, University of Massachusetts Medical School, Worcester, MA, USA
| | - R Azagra
- Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain
- Health Center Badia del Valles, Catalan Institute of Health, Barcelona, Spain
- GROIMAP (Research Group), Unitat de Suport a La Recerca Metropolitana Nord, Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Santa Coloma de Gramenet, Barcelona, Spain
| | - C L Bager
- Nordic Bioscience A/S, Herlev, Denmark
| | - C Beaudart
- WHO Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Aging, Division of Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium
| | - H A Bischoff-Ferrari
- Department of Aging Medicine and Aging Research, University Hospital, Zurich, and University of Zurich, Zurich, Switzerland
- Centre On Aging and Mobility, University of Zurich and City Hospital, Zurich, Switzerland
| | - E Biver
- Division of Bone Diseases, Department of Medicine, Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - O Bruyère
- WHO Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Aging, Division of Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium
| | - J A Cauley
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Philadelphia, USA
| | - J R Center
- Bone Biology, Healthy Ageing Theme, Garvan Institute of Medical Research, Sydney, NSW, Australia
- St Vincent's Clinical School, Faculty of Medicine, University of New South Wales Sydney, Sydney, NSW, Australia
- School of Medicine Sydney, University of Notre Dame Australia, Sydney, NSW, Australia
| | - R Chapurlat
- INSERM UMR 1033, University of Lyon, Hôpital Edouard Herriot, Lyon, France
| | | | - C Cooper
- MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK
- National Institute for Health Research Southampton Biomedical Research Centre, University of Southampton and University Hospitals Southampton NHS Foundation Trust, Southampton, UK
- National Institute for Health Research Oxford Biomedical Research Unit, , University of Oxford, Oxford, UK
| | - C J Crandall
- Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, CA, USA
| | - S R Cummings
- San Francisco Coordinating Center, California Pacific Medical Center Research Institute, San Francisco, CA, USA
| | - J A P da Silva
- Coimbra Institute for Clinical and Biomedical Research, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
- Rheumatology Department, University Hospital and University of Coimbra, Coimbra, Portugal
| | - B Dawson-Hughes
- Bone Metabolism Laboratory, Jean Mayer US Department of Agriculture Human Nutrition Research Center On Aging, Tufts University, Boston, MA, USA
| | - A Diez-Perez
- Department of Internal Medicine, Hospital del Mar and CIBERFES, Autonomous University of Barcelona, Barcelona, Spain
| | - A B Dufour
- Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA
- Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA
| | - J A Eisman
- St Vincent's Clinical School, Faculty of Medicine, University of New South Wales Sydney, Sydney, NSW, Australia
- School of Medicine Sydney, University of Notre Dame Australia, Sydney, NSW, Australia
- Osteoporosis and Bone Biology Division, Garvan Institute of Medical Research, Sydney, NSW, Australia
| | - P J M Elders
- Department of General Practice, Amsterdam UMC, Location VUmc, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - S Ferrari
- Division of Bone Diseases, Department of Medicine, Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Y Fujita
- Department of Public Health, Faculty of Medicine, Kindai University, Osaka, Japan
| | - S Fujiwara
- Department of Pharmacy, Yasuda Women's University, Hiroshima, Japan
| | - C-C Glüer
- Section Biomedical Imaging, Molecular Imaging North Competence Center, Department of Radiology and Neuroradiology, University Medical Center Schleswig-Holstein Kiel, Kiel University, Kiel, Germany
| | - I Goldshtein
- Maccabitech Institute of Research and Innovation, Maccabi Healthcare Services, Tel Aviv, Israel
- Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - D Goltzman
- Department of Medicine, McGill University and McGill University Health Centre, Montreal, Canada
| | - V Gudnason
- Icelandic Heart Association, Kopavogur, Iceland
- University of Iceland, Reykjavik, Iceland
| | - J Hall
- MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK
| | - D Hans
- Centre of Bone Diseases, Bone and Joint Department, Lausanne University Hospital, Lausanne, Switzerland
| | - M Hoff
- Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway
- Department of Rheumatology, St Olavs Hospital, Trondheim, Norway
| | - R J Hollick
- Aberdeen Centre for Arthritis and Musculoskeletal Health, Epidemiology Group, University of Aberdeen, Aberdeen, UK
| | - M Huisman
- Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands
- Department of Sociology, VU University, Amsterdam, The Netherlands
| | - M Iki
- Department of Public Health, Faculty of Medicine, Kindai University, Osaka, Japan
| | - S Ish-Shalom
- Endocrine Clinic, Elisha Hospital, Haifa, Israel
| | - G Jones
- Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia
| | - M K Karlsson
- Clinical and Molecular Osteoporosis Research Unit, Department of Clinical Sciences, Lund University, Lund, Sweden
- Department of Orthopaedics, Skåne University Hospital, Malmö, Sweden
| | - S Khosla
- Robert and Arlene Kogod Center On Aging and Division of Endocrinology, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, MN, USA
| | - D P Kiel
- Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA
- Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA
| | - W-P Koh
- Healthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
- Singapore Institute for Clinical Sciences, Agency for Science Technology and Research (A*STAR), Singapore, Singapore
| | - F Koromani
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
- Department of Radiology and Nuclear Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - M A Kotowicz
- IMPACT (Institute for Mental and Physical Health and Clinical Translation), Deakin University, Geelong, VIC, Australia
- Barwon Health, Geelong, VIC, Australia
- Department of Medicine - Western Health, The University of Melbourne, St Albans, Victoria, Australia
| | - H Kröger
- Department of Orthopedics and Traumatology, Kuopio University Hospital, Kuopio, Finland
- Kuopio Musculoskeletal Research Unit, University of Eastern Finland, Kuopio, Finland
| | - T Kwok
- Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
- Jockey Club Centre for Osteoporosis Care and Control, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
| | - O Lamy
- Centre of Bone Diseases, Lausanne University Hospital, Lausanne, Switzerland
- Service of Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland
| | - A Langhammer
- Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, HUNT Research Centre, Norwegian University of Science and Technology, Trondheim, Norway
| | - B Larijani
- Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - K Lippuner
- Department of Osteoporosis, Bern University Hospital, University of Bern, Bern, Switzerland
| | - D Mellström
- Geriatric Medicine, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- Geriatric Medicine, Sahlgrenska University Hospital Mölndal, Mölndal, Sweden
| | - T Merlijn
- Department of General Practice, Amsterdam UMC, Location VUmc, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - A Nordström
- Division of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
- School of Sport Sciences, Arctic University of Norway, Tromsø, Norway
| | - P Nordström
- Unit of Geriatric Medicine, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden
| | - T W O'Neill
- National Institute for Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
- Centre for Epidemiology Versus Arthritis, University of Manchester, Manchester, UK
| | - B Obermayer-Pietsch
- Department of Internal Medicine, Division of Endocrinology and Diabetology, Medical University Graz, Graz, Austria
- Center for Biomarker Research in Medicine, Graz, Austria
| | - C Ohlsson
- Sahlgrenska Osteoporosis Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- Department of Drug Treatment, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden
| | - E S Orwoll
- Department of Medicine, Oregon Health and Science University, Portland, OR, USA
| | - J A Pasco
- Institute for Physical and Mental Health and Clinical Translation (IMPACT), Deakin University, Geelong, Australia
- Department of Medicine-Western Health, The University of Melbourne, St Albans, Australia
- Barwon Health, Geelong, Australia
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
| | - F Rivadeneira
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - B Schei
- Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway
- Department of Gynecology, St Olavs Hospital, Trondheim, Norway
| | - A-M Schott
- Université Claude Bernard Lyon 1, U INSERM 1290 RESHAPE, Lyon, France
| | - E J Shiroma
- Laboratory of Epidemiology and Population Sciences, National Institute On Aging, Baltimore, MD, USA
| | - K Siggeirsdottir
- Icelandic Heart Association, Kopavogur, Iceland
- Janus Rehabilitation, Reykjavik, Iceland
| | - E M Simonsick
- Translational Gerontology Branch, National Institute On Aging Intramural Research Program, Baltimore, MD, USA
| | | | - R Sund
- Kuopio Musculoskeletal Research Unit, University of Eastern Finland, Kuopio, Finland
| | - K M A Swart
- Department of General Practice, Amsterdam UMC, Location VUmc, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - P Szulc
- INSERM UMR 1033, University of Lyon, Hôpital Edouard Herriot, Lyon, France
| | - J Tamaki
- Department of Hygiene and Public Health, Faculty of Medicine, Educational Foundation of Osaka Medical and Pharmaceutical University, Osaka, Japan
| | - D J Torgerson
- York Trials Unit, Department of Health Sciences, University of York, York, UK
| | - N M van Schoor
- Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands
| | - T P van Staa
- Centre for Health Informatics, Faculty of Biology, Medicine and Health, School of Health Sciences, University of Manchester, Manchester, UK
| | - J Vila
- Statistics Support Unit, Hospital del Mar Medical Research Institute, CIBER Epidemiology and Public Health (CIBERESP), Barcelona, Spain
| | - N J Wareham
- MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | - N C Wright
- Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA
| | - N Yoshimura
- Department of Preventive Medicine for Locomotive Organ Disorders, The University of Tokyo Hospital, Tokyo, Japan
| | - M C Zillikens
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - M Zwart
- Health Center Can Gibert del Plà, Catalan Institute of Health, Girona, Spain
- Department of Medical Sciences, University of Girona, Girona, Spain
- GROIMAP (Research Group), Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Barcelona, Spain
| | - N C Harvey
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK
- NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - M Lorentzon
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
- Sahlgrenska Osteoporosis Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden
- Geriatric Medicine, Region Västra Götaland, Sahlgrenska University Hospital, Mölndal, Sweden
| | - W D Leslie
- Department of Medicine, University of Manitoba, Winnipeg, MB, Canada
| | - J A Kanis
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.
- Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield, UK.
- Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Sheffield, UK.
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16
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Koivunen K, Schaap LA, Hoogendijk EO, Schoonmade LJ, Huisman M, van Schoor NM. Exploring the conceptual framework and measurement model of intrinsic capacity defined by the World Health Organization: A scoping review. Ageing Res Rev 2022; 80:101685. [PMID: 35830956 DOI: 10.1016/j.arr.2022.101685] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 06/16/2022] [Accepted: 07/07/2022] [Indexed: 01/04/2023]
Abstract
WHO has defined intrinsic capacity (IC) as the composite of all physical and mental capacities of an individual covering five subdomains: cognition, locomotion, sensory, vitality, and psychological. Despite this well accepted definition, the conceptual and measurement model of IC remains unclear, which hampers a standardized operationalization of the construct. We performed a scoping review to give a comprehensive overview of the extent to which the current literature of IC addresses and assumes the conceptual framework and measurement model of IC as reflective or formative. For inclusion, we considered all types of articles that were published in peer-reviewed journals except for protocol articles. A systematic search of 6 databases from different disciplines led to the inclusion of 31 papers. We found inconsistency and gaps in the descriptions of IC. Most of the papers did not define the measurement model. In the conceptual background and validation articles, we identified descriptions of both reflective and formative measurement models while in empirical studies applying IC measurements the underlying assumptions remained mainly unclear. Defining a measurement model is not merely a theoretical matter but influences the operationalization and validation processes of the construct. This study raised questions about the most fundamental features of the IC construct and discusses whether IC should be considered as an underlying latent trait of all capacities (reflective construct) or an aggregate summary measure of the subdomain capacities (formative construct).
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Affiliation(s)
- K Koivunen
- Amsterdam UMC location Vrije Universiteit Amsterdam, Epidemiology and Data Science, De Boelelaan, 1117, Amsterdam, the Netherlands; Faculty of Sport and Health Sciences and Gerontology Research Center, University of Jyväskylä, Rautpohjankatu 8, P.O. Box 35, FI-40014, Finland.
| | - L A Schaap
- Department of Health Sciences, Faculty of Science, Amsterdam Public Health Research Institute, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, De Boelelaan 1081, 1081 HV Amsterdam, the Netherlands
| | - E O Hoogendijk
- Amsterdam UMC location Vrije Universiteit Amsterdam, Epidemiology and Data Science, De Boelelaan, 1117, Amsterdam, the Netherlands; Amsterdam Public Health Research Institute, Aging & Later Life, Amsterdam, the Netherlands, De Boelelaan 1117, Amsterdam, the Netherlands
| | - L J Schoonmade
- Medical Library, Vrije Universiteit Amsterdam, De Boelelaan 1117, P.O. Box 7057, 1007 MB Amsterdam, the Netherlands
| | - M Huisman
- Amsterdam UMC location Vrije Universiteit Amsterdam, Epidemiology and Data Science, De Boelelaan, 1117, Amsterdam, the Netherlands; Amsterdam Public Health Research Institute, Aging & Later Life, Amsterdam, the Netherlands, De Boelelaan 1117, Amsterdam, the Netherlands; Department of Sociology, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV Amsterdam, the Netherlands
| | - N M van Schoor
- Amsterdam UMC location Vrije Universiteit Amsterdam, Epidemiology and Data Science, De Boelelaan, 1117, Amsterdam, the Netherlands; Amsterdam Public Health Research Institute, Aging & Later Life, Amsterdam, the Netherlands, De Boelelaan 1117, Amsterdam, the Netherlands
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17
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Papenfuss I, Lommen MJJ, Huisman M, Ostafin BD. Aversive response to uncertainty as a mediator for the effect of a mindfulness intervention on symptoms of anxiety. Int J Psychophysiol 2022; 179:30-42. [PMID: 35753561 DOI: 10.1016/j.ijpsycho.2022.06.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 06/13/2022] [Accepted: 06/20/2022] [Indexed: 10/17/2022]
Abstract
THEORETICAL BACKGROUND Intolerance of uncertainty plays a central role in anxiety and research suggests that it's an important treatment target. Investigating response to uncertainty using other dimensions than self-report, such as physiological responses, can further the effort to understand the role of uncertainty in anxiety more fully. Mindfulness interventions have become increasingly interesting in their application to anxiety, as they foster acceptance of unpleasant aspects of experience. The aims of the study were to examine whether a mindfulness intervention reduced response to uncertainty and anxiety symptoms, and to examine the associations between intolerance of uncertainty, physiological response to uncertainty, mindfulness and anxiety. METHODS Participants were 117 students who completed a two-week mindfulness or audiobook control intervention. At pre- and post-intervention assessments, measures of anxiety, mindfulness, and intolerance of uncertainty were completed and a threat-of-shock task assessing startle responding to unpredictable shock was administered. RESULTS Findings showed a significant effect of the intervention for social anxiety symptoms. Furthermore, intolerance of uncertainty mediated the effect of the intervention on symptoms for social anxiety and worry. No such effects were found for physiological response to uncertainty. CONCLUSION The study adds to the understanding of the role of response to uncertainty in anxiety as well as to its mechanistic role in the context of mindfulness practice. Implications and possible explanations for the non-significant main effects of the intervention on anxiety symptoms and physiological response to uncertainty are discussed.
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Affiliation(s)
- I Papenfuss
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Grote Kruisstraat 2/1, 9712TS Groningen, the Netherlands.
| | - M J J Lommen
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Grote Kruisstraat 2/1, 9712TS Groningen, the Netherlands.
| | - M Huisman
- Department of Sociology, University of Groningen, Grote Kruisstraat 2/1, 9712TS Groningen, Groningen, the Netherlands.
| | - B D Ostafin
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Grote Kruisstraat 2/1, 9712TS Groningen, the Netherlands.
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18
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Algera M, van Driel W, Slangen B, Kruitwagen R, Wouters M, Ten Cate A, Aalders A, van der Kolk A, Kruse A, Jong AVHD, van de Swaluw A, Visschers B, Buis C, Gerestein C, Smeets C, Boll D, van de Laar R, Ngo D, Davelaar E, Ooms E, van Dorst E, Schmeink C, van Es E, Roes E, Ten Cate F, Rijcken F, Dunné FRV, Fons G, Jansen G, Verhoeve H, Nagel H, Keizer H, Smedts H, Ebisch I, van de Lande J, Louwers J, Briet J, De Waard J, Diepstraten J, Vollebergh J, Van der Avoort I, Van Dijk J, Lange J, Mens J, Gaarenstroom K, Overmars K, De Vries L, Hofman L, Bartelink L, Huisman M, Verbruggen M, Vos M, Huisman M, Kleppe M, van den Hende M, van der Aa M, Wust M, Baas M, Engelen M, Scheers E, Moonen-Delarue M, Tjiong M, Leffers N, Reesink N, Timmers P, Kolk P, Vencken P, Yigit R, Smit R, Westenberg S, Coppus S, Stam T, Schukken T, van Baal W, Minderhoud-Bassie W, Van der Plas-Koning Y, van Ham M. Impact of the COVID-19-pandemic on patients with gynecological malignancies undergoing surgery: A Dutch population-based study using data from the 'Dutch Gynecological Oncology Audit'. Gynecol Oncol 2022; 165:330-338. [PMID: 35221132 PMCID: PMC8860632 DOI: 10.1016/j.ygyno.2022.02.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Revised: 02/13/2022] [Accepted: 02/16/2022] [Indexed: 01/11/2023]
Abstract
OBJECTIVE The COVID-19-pandemic caused drastic healthcare changes worldwide. To date, the impact of these changes on gynecological cancer healthcare is relatively unknown. This study aimed to assess the impact of the COVID-19-pandemic on surgical gynecological-oncology healthcare. METHODS This population-based cohort study included all surgical procedures with curative intent for gynecological malignancies, registered in the Dutch Gynecological Oncology Audit, in 2018-2020. Four periods were identified based on COVID-19 hospital admission rates: 'Pre-COVID-19', 'First wave', 'Interim period', and 'Second wave'. Surgical volume, perioperative care processes, and postoperative outcomes from 2020 were compared with 2018-2019. RESULTS A total of 11,488 surgical procedures were analyzed. For cervical cancer, surgical volume decreased by 17.2% in 2020 compared to 2018-2019 (mean 2018-2019: n = 542.5, 2020: n = 449). At nadir (interim period), only 51% of the expected cervical cancer procedures were performed. For ovarian, vulvar, and endometrial cancer, volumes remained stable. Patients with advanced-stage ovarian cancer more frequently received neoadjuvant chemotherapy in 2020 compared to 2018-2019 (67.7% (n = 432) vs. 61.8% (n = 783), p = 0.011). Median time to first treatment was significantly shorter in all four malignancies in 2020. For vulvar and endometrial cancer, the length of hospital stay was significantly shorter in 2020. No significant differences in complicated course and 30-day-mortality were observed. CONCLUSIONS The COVID-19-pandemic impacted surgical gynecological-oncology healthcare: in 2020, surgical volume for cervical cancer dropped considerably, waiting time was significantly shorter for all malignancies, while neoadjuvant chemotherapy administration for advanced-stage ovarian cancer increased. The safety of perioperative healthcare was not negatively impacted by the pandemic, as complications and 30-day-mortality remained stable.
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Affiliation(s)
- M.D. Algera
- Maastricht University Medical Center (MUMC), Department of Obstetrics and Gynecology, Maastricht, the Netherlands,GROW- School for Oncology and Developmental Biology, Maastricht, the Netherlands,Dutch Institute for Clinical Auditing (DICA), Scientific Bureau, Leiden, the Netherlands,Corresponding author at: Dutch Institute for Clinical Auditing, Rijnsburgerweg 10, 2333 AA Leiden, the Netherlands
| | - W.J. van Driel
- Center for Gynecological Oncology Amsterdam, Netherlands Cancer Institute, Department of Gynecology, Amsterdam, the Netherlands
| | - B.F.M. Slangen
- Maastricht University Medical Center (MUMC), Department of Obstetrics and Gynecology, Maastricht, the Netherlands,GROW- School for Oncology and Developmental Biology, Maastricht, the Netherlands
| | - R.F.P.M. Kruitwagen
- Maastricht University Medical Center (MUMC), Department of Obstetrics and Gynecology, Maastricht, the Netherlands,GROW- School for Oncology and Developmental Biology, Maastricht, the Netherlands
| | - M.W.J.M. Wouters
- Dutch Institute for Clinical Auditing (DICA), Scientific Bureau, Leiden, the Netherlands,Netherlands Cancer Institute, Department of Surgical Oncology, Amsterdam, the Netherlands,Leiden University Medical Center, Leiden, the Netherlands
| | - the participants of the Dutch Gynecological Oncology Collaborator groupBaalbergenA.1Ten CateA.D.2AaldersA.L.3van der KolkA.4KruseA.J.5JongA.M.L.D. Van Haaften-de6van de SwaluwA.M.G.7VisschersB.A.J.T.8BuisC.C.N.9GeresteinC.G.1017SmeetsC.M.W.H.11BollD.12van de LaarR.13NgoD.H.14DavelaarE.15OomsE.A.16van DorstE.B.L.17SchmeinkC.E.18van EsE.J.M.19RoesE.M.20Ten CateF.A.21RijckenF.E.M.22DunnéF.M.R. Rosier-van23FonsG.24JansenG.H.25VerhoeveH.R.26NagelH.T.C.27KeizerH.H.28SmedtsH.P.M.29EbischI.M.W.30van de LandeJ.2LouwersJ.A.31BrietJ.32De WaardJ.33DiepstratenJ.4VolleberghJ.H.A.34Van der AvoortI.A.M.35Van DijkJ.E.W.36LangeJ.G.37MensJ.W.M.20GaarenstroomK.N.69OvermarsK.38De VriesL.C.39HofmanL.N.40BartelinkL.R.41HuismanM.A.42VerbruggenM.B.43VosM.C.44HuismanM.45KleppeM.46van den HendeM.47van der AaM.48WustM.D.49BaasM.I.50EngelenM.J.A.51ScheersE.C.A.H.52Moonen-DelarueM.W.G.53TjiongM.Y.54LeffersN.55ReesinkN.56TimmersP.J.57KolkP.58VenckenP.M.L.H.59YigitR.60SmitR.A.61WestenbergS.M.62CoppusS.F.P.J.63StamT.C.27SchukkenT.K.64van BaalW.M.65Minderhoud-BassieW.66Van der Plas-KoningY.W.C.M.67van HamM.A.P..C.68Reinier de Graaf Groep, Delft, the NetherlandsSpaarne Gasthuis, Haarlem, the NetherlandsRijnstate Ziekenhuis, Arnhem, the NetherlandsStichting Olijf, the NetherlandsIsala Klinieken, Zwolle, the NetherlandsHagaZiekenhuis, The Hague, the NetherlandsDijklander Ziekenhuis, Hoorn, the NetherlandsStichting Zorgsaam Zeeuws Vlaanderen, Terneuzen, the NetherlandsNij Smellinghe, Drachten, the NetherlandsMeander Medisch Centrum, Amersfoort, the NetherlandsSlingeland Ziekenhuis, Doetinchem, the NetherlandsCatharina Ziekenhuis, Eindhoven, the NetherlandsVieCuri Medisch Centrum, Venlo, the NetherlandsElkerliek Ziekenhuis, Helmond, the NetherlandsLangeland Ziekenhuis, Zoetermeer, the NetherlandsRode Kruis Ziekenhuis, Beverwijk, the NetherlandsUniversity Medical Center Utrecht, Utrecht, the NetherlandsSint Anna Ziekenhuis, Geldrop, the NetherlandsSint Jansgasthuis, Weert, the NetherlandsErasmus Medical Center Cancer Institute, Rotterdam, the NetherlandsBovenij Ziekenhuis, Amsterdam, the NetherlandsAlrijne Zorggroep, Leiderdorp, the NetherlandsTer Gooi Ziekenhuis, Hilversum, the NetherlandsAcademic Medical Center, Amsterdam, the NetherlandsTjongerschans Ziekenhuis, Heereveen, the NetherlandsOnze Lieve Vrouwe Gasthuis, Amsterdam, the NetherlandsHaaglanden Medical Center, the Hague, the NetherlandsMedisch Centrum Leeuwarden, Leeuwarden, the NetherlandsAmphia Ziekenhuis, Breda, the NetherlandsCanisius Wilhelmina ziekenhuis, Nijmegen, the NetherlandsDiakonessenhuis, Utrecht, the NetherlandsZiekenhuisgroep Twente, Almelo, the NetherlandsFranciscus Gasthuis & Vlietland, Rotterdam, the NetherlandsBernhoven Ziekenhuis, Uden, the NetherlandsIkazia Ziekenhuis, Rotterdam, the NetherlandsStreekziekenhuis Koningin Beatrix, Winterswijk, the NetherlandsSint Antonius Ziekenhuis, Nieuwengein, the NetherlandsAmstelland Ziekenhuis, Amstelveen, the NetherlandsTreant Zorggroep, Hoogeveen, the NetherlandsAlbert Schweitzer Ziekenhuis, Dordrecht, the NetherlandsGelderse Vallei, Ede, the NetherlandsDeventer Ziekenhuis, Deventer, the NetherlandsZaans Medisch Centrum, Zaandam, the NetherlandsElisabeth- TweeSteden Ziekenhuis, Tilburg, the NetherlandsGelre Ziekenhuis, Apeldoorn, the NetherlandsMartini Ziekenhuis, Groningen, the NetherlandsIJsselland Ziekenhuis, Capelle aan de IJssel, the NetherlandsNetherlands Comprehensive Cancer Organisation (NCCN), the NetherlandsSaxenburgh Medisch Centrum, Hardenberg, the NetherlandsZiekenhuis Rivierenland, Tiel, the NetherlandsZuyderland Medisch Centrum, Heerlen, the NetherlandsWilhelmina Ziekenhuis, Assen, the NetherlandsLaurentius Ziekenhuis, Roermond, the NetherlandsVrije Universiteit Medisch Centrum, Amsterdam, the NetherlandsOmmelander Ziekenhuis, Scheemda, the NetherlandsMedisch Centrum Twente, Enschede, the NetherlandsMaasstad Ziekenhuis, Rotterdam, the NetherlandsGroene Hart Ziekenhuis, Gouda, the NetherlandsBravis Ziekenhuis, Roosendaal, the NetherlandsUniversity Medical Center Groningen, Groningen, the NetherlandsJeroen Bosch Ziekenhuis, ‘s-Hertogenbosch, the NetherlandsNoordwest Ziekenhuisgroep, Alkmaar, the NetherlandsMaxima Medisch Centrum, Veldhoven, the NetherlandsAntonius Ziekenhuis, Sneek, the NetherlandsFlevoziekenhuis, Almere, the NetherlandsSint Jansdal Ziekenhuis, Harderwijk, the NetherlandsAdmiraal de Ruyter Ziekenhuis, Vlissingen, the NetherlandsRadboud University Medical Center, Nijmegen, the NetherlandsLeiden University Medical Center, Leiden, the Netherlands
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Huisman M, Lessmann N. Automatic Brand Identification of Orthopedic Implants from Radiographs: Ready for the Next Step? Radiol Artif Intell 2022; 4:e220008. [PMID: 35391760 DOI: 10.1148/ryai.220008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 01/19/2022] [Accepted: 01/25/2022] [Indexed: 11/11/2022]
Affiliation(s)
- Merel Huisman
- Department of Radiology, University Medical Center Utrecht, Heidelberglaan 100, Utrecht 3508, the Netherlands (M.H.); and Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, the Netherlands (N.L.)
| | - Nikolas Lessmann
- Department of Radiology, University Medical Center Utrecht, Heidelberglaan 100, Utrecht 3508, the Netherlands (M.H.); and Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, the Netherlands (N.L.)
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20
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Stoehr F, Müller L, Brady A, Trilla A, Mähringer-Kunz A, Hahn F, Düber C, Becker N, Wörns MA, Chapiro J, Hinrichs JB, Akata D, Ellmann S, Huisman M, Koff D, Brinkmann S, Bamberg F, Zimmermann O, Traikova NI, Marquardt JU, Chang DH, Rengier F, Auer TA, Emrich T, Muehler F, Schmidberger H, Baeßler B, dos Santos DP, Kloeckner R. How COVID-19 kick-started online learning in medical education-The DigiMed study. PLoS One 2021; 16:e0257394. [PMID: 34547031 PMCID: PMC8454930 DOI: 10.1371/journal.pone.0257394] [Citation(s) in RCA: 47] [Impact Index Per Article: 15.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Accepted: 09/01/2021] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic led to far-reaching restrictions of social and professional life, affecting societies all over the world. To contain the virus, medical schools had to restructure their curriculum by switching to online learning. However, only few medical schools had implemented such novel learning concepts. We aimed to evaluate students' attitudes to online learning to provide a broad scientific basis to guide future development of medical education. METHODS Overall, 3286 medical students from 12 different countries participated in this cross-sectional, web-based study investigating various aspects of online learning in medical education. On a 7-point Likert scale, participants rated the online learning situation during the pandemic at their medical schools, technical and social aspects, and the current and future role of online learning in medical education. RESULTS The majority of medical schools managed the rapid switch to online learning (78%) and most students were satisfied with the quantity (67%) and quality (62%) of the courses. Online learning provided greater flexibility (84%) and led to unchanged or even higher attendance of courses (70%). Possible downsides included motivational problems (42%), insufficient possibilities for interaction with fellow students (67%) and thus the risk of social isolation (64%). The vast majority felt comfortable using the software solutions (80%). Most were convinced that medical education lags behind current capabilities regarding online learning (78%) and estimated the proportion of online learning before the pandemic at only 14%. In order to improve the current curriculum, they wish for a more balanced ratio with at least 40% of online teaching compared to on-site teaching. CONCLUSION This study demonstrates the positive attitude of medical students towards online learning. Furthermore, it reveals a considerable discrepancy between what students demand and what the curriculum offers. Thus, the COVID-19 pandemic might be the long-awaited catalyst for a new "online era" in medical education.
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Affiliation(s)
- Fabian Stoehr
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Lukas Müller
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Adrian Brady
- Radiology Department, Mercy University Hospital, Cork, Ireland
- Department of Radiology, School of Medicine, University College Cork, Cork, Ireland
| | - Antoni Trilla
- Preventive Medicine and Epidemiology, Hospital Clínic of Barcelona Hospital, Barcelona, Spain
| | - Aline Mähringer-Kunz
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Felix Hahn
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Christoph Düber
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Nicole Becker
- Center for Quality Assurance and Development, Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Marcus-Alexander Wörns
- Department of Internal Medicine I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany
| | - Julius Chapiro
- Department of Radiology & Biomedical Imaging, Yale School of Medicine, New Haven, CT, United States of America
| | - Jan Bernd Hinrichs
- Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany
| | - Deniz Akata
- Department of Radiology, Hacettepe University Faculty of Medicine, Altındağ, Ankara, Turkey
| | - Stephan Ellmann
- Institute of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany
| | - Merel Huisman
- Institute of Radiology, Meander Medical Center, Amersfoort, Utrecht, Netherlands
| | - David Koff
- Department of Radiology, McMaster University, Hamilton, ON, Canada
| | - Sebastian Brinkmann
- Department of General, Visceral, Tumor and Transplantation Surgery, University Hospital Cologne, Cologne, Germany
| | - Fabian Bamberg
- Department of Radiology, Medical Center—University of Freiburg, Freiburg, Germany
| | | | | | - Jens U. Marquardt
- Department of Internal Medicine 1, University Hospital Schleswig-Holstein (UKSH), Lübeck, Germany
| | - D.-H. Chang
- Department of Radiology, Heidelberg University Hospital, Heidelberg, Germany
| | - Fabian Rengier
- Department of Radiology, Heidelberg University Hospital, Heidelberg, Germany
| | - Timo A. Auer
- Department of Radiology, Charité–Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany
| | - Tilman Emrich
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
- Division of Cardiovascular Imaging, Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC, United States of America
- German Centre for Cardiovascular Research, Partner site Rhine-Main, Mainz, Germany
| | | | - Heinz Schmidberger
- Department of Radiation Oncology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Bettina Baeßler
- Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland
| | | | - Roman Kloeckner
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
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21
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Wink G, Fransen G, Huisman M, Boersma S, van Disseldorp L, van der Velden K, Wagemakers A, van den Muijsenbergh M. 'Improving Health through Reducing Stress': Parents' Priorities in the Participatory Development of a Multilevel Family Health Programme in a Low-Income Neighbourhood in The Netherlands. Int J Environ Res Public Health 2021; 18:ijerph18158145. [PMID: 34360438 PMCID: PMC8346062 DOI: 10.3390/ijerph18158145] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 07/16/2021] [Accepted: 07/28/2021] [Indexed: 01/25/2023]
Abstract
In order to reduce health inequities, a socio-ecological approach and community engagement are needed to develop sustained interventions with a positive effect on the health of disadvantaged groups. This qualitative study was part of the development phase of a community health promotion programme. The study aimed to provide insight into the perceptions of parents in a disadvantaged neighbourhood about health, and their priorities for the community health programme. It also described the process of integrating these perceptions in the development of a multilevel plan for this programme. Participatory methods were applied to enable the engagement of all groups involved. Ten parents from a low-income neighbourhood in the Netherlands participated in five panel sessions. Parents’ priorities for improving family health were reducing chronic stress and not so much healthy eating and physical activity. They prioritised solutions to reduce their financial stress, to provide a safe place for their children to meet and play and to establish good quality communication with authorities. The programme development process resulted in objectives in which both parents and professionals were willing to invest, such as a safe playground for children. This study shows that target population engagement in health programme development is possible and valuable.
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Affiliation(s)
- Gerda Wink
- Department of Primary and Community Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands; (G.F.); (M.H.); (S.B.); (L.v.D.); (K.v.d.V.); (M.v.d.M.)
- AMPHI Academic Collaborative Centre, 6500 HB Nijmegen, The Netherlands
- Wink Works for Health–Research, Projects & Training, 6708 TR Wageningen, The Netherlands
- Correspondence: ; Tel.: +31-64046205
| | - Gerdine Fransen
- Department of Primary and Community Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands; (G.F.); (M.H.); (S.B.); (L.v.D.); (K.v.d.V.); (M.v.d.M.)
- AMPHI Academic Collaborative Centre, 6500 HB Nijmegen, The Netherlands
| | - Merel Huisman
- Department of Primary and Community Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands; (G.F.); (M.H.); (S.B.); (L.v.D.); (K.v.d.V.); (M.v.d.M.)
- AMPHI Academic Collaborative Centre, 6500 HB Nijmegen, The Netherlands
- Health & Society Group, Wageningen University & Research, 6700 EW Wageningen, The Netherlands;
| | - Sandra Boersma
- Department of Primary and Community Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands; (G.F.); (M.H.); (S.B.); (L.v.D.); (K.v.d.V.); (M.v.d.M.)
| | - Lieke van Disseldorp
- Department of Primary and Community Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands; (G.F.); (M.H.); (S.B.); (L.v.D.); (K.v.d.V.); (M.v.d.M.)
- AMPHI Academic Collaborative Centre, 6500 HB Nijmegen, The Netherlands
- Health & Society Group, Wageningen University & Research, 6700 EW Wageningen, The Netherlands;
| | - Koos van der Velden
- Department of Primary and Community Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands; (G.F.); (M.H.); (S.B.); (L.v.D.); (K.v.d.V.); (M.v.d.M.)
- AMPHI Academic Collaborative Centre, 6500 HB Nijmegen, The Netherlands
| | - Annemarie Wagemakers
- Health & Society Group, Wageningen University & Research, 6700 EW Wageningen, The Netherlands;
| | - Maria van den Muijsenbergh
- Department of Primary and Community Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands; (G.F.); (M.H.); (S.B.); (L.v.D.); (K.v.d.V.); (M.v.d.M.)
- Pharos, The Dutch Centre of Expertise on Health Disparities, 3507 LH Utrecht, The Netherlands
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22
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Noordzij JM, Beenackers MA, Groeniger JO, Timmermans EJ, Motoc I, Huisman M, van Lenthe FJ. Land use mix and physical activity in middle-aged and older adults: a longitudinal study examining changes in land use mix in two Dutch cohorts. Int J Behav Nutr Phys Act 2021; 18:29. [PMID: 33588882 PMCID: PMC7885364 DOI: 10.1186/s12966-021-01083-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Accepted: 01/08/2021] [Indexed: 12/11/2022] Open
Abstract
Background With urbanization and aging increasing in coming decades, societies face the challenge of keeping aging populations active. Land use mix (LUM) has been associated with cycling and walking, but whether changes in LUM relate to changes in cycling/walking is less known. Objectives Our objective was to study the effect of LUM on cycling/walking in two Dutch aging cohorts using data with 10 years of follow-up. Methods Data from 1183 respondents from the Health and Living Conditions of the Population of Eindhoven and Surroundings (GLOBE) study and 918 respondents from the Longitudinal Aging Study Amsterdam (LASA) were linked to LUM in 1000-m sausage network buffers at three time-points. Cycling/walking outcomes were harmonized to include average minutes spent cycling/walking per week. Data was pooled and limited to respondents that did not relocate between follow-up waves. Associations between LUM and cycling/walking were estimated using a Random Effects Within-Between (REWB) model that allows for the estimation of both within and between effects. Sensitivity analyses were performed on smaller (500-m) and larger (1600-m) buffers. Results We found evidence of between-individual associations of LUM in 1000-m buffers and walking (β: 11.10, 95% CI: 0.08; 21.12), but no evidence of within-associations in 1000-m buffers. Sensitivity analyses using 500-m buffers showed similar between-associations, but negative within-associations (β: -35.67, 95% CI: − 68.85; − 2.49). We did not find evidence of between-individual associations of LUM in any buffer size and cycling, but did find evidence of negative within-associations between LUM in 1600-m buffers and cycling (β: -7.49, 95% CI: − 14.31; − 0.66). Discussion Our study found evidence of positive associations between LUM and average walking time, but also some evidence of negative associations between a change in LUM and cycling/walking. LUM appears to be related to cycling/walking, but the effect of changes in LUM on cycling/walking is unclear. Supplementary Information The online version contains supplementary material available at 10.1186/s12966-021-01083-1.
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Affiliation(s)
- J M Noordzij
- Department of Public Health, Erasmus University Medical Center, P. O. Box 2040, 3000 CA, Rotterdam, Zuid-Holland, The Netherlands.
| | - M A Beenackers
- Department of Public Health, Erasmus University Medical Center, P. O. Box 2040, 3000 CA, Rotterdam, Zuid-Holland, The Netherlands
| | - J Oude Groeniger
- Department of Public Health, Erasmus University Medical Center, P. O. Box 2040, 3000 CA, Rotterdam, Zuid-Holland, The Netherlands.,Department of Public Administration and Sociology, Erasmus University, Rotterdam, The Netherlands
| | - E J Timmermans
- Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan, 1117, Amsterdam, The Netherlands.,Department of Sociology, Faculty of Social Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - I Motoc
- Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan, 1117, Amsterdam, The Netherlands.,Department of Sociology, Faculty of Social Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - M Huisman
- Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan, 1117, Amsterdam, The Netherlands.,Department of Sociology, Faculty of Social Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - F J van Lenthe
- Department of Public Health, Erasmus University Medical Center, P. O. Box 2040, 3000 CA, Rotterdam, Zuid-Holland, The Netherlands.,Department of Human Geography and Spatial Planning, Utrecht University, Utrecht, The Netherlands
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23
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Schalekamp S, Huisman M, van Dijk RA, Boomsma M, Freire Jorge P, de Boer W, Herder G, Bonarius M, Groot O, Jong E, Schreuder A, Schaefer-Prokop C. Model-based Prediction of Critical Illness in Hospitalized Patients with COVID-19. Radiology 2021; 298:E46-E54. [PMID: 32787701 PMCID: PMC7427120 DOI: 10.1148/radiol.2020202723] [Citation(s) in RCA: 50] [Impact Index Per Article: 16.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Background The prognosis of hospitalized patients with severe coronavirus disease 2019 (COVID-19) is difficult to predict, and the capacity of intensive care units was a limiting factor during the peak of the pandemic and is generally dependent on a country's clinical resources. Purpose To determine the value of chest radiographic findings together with patient history and laboratory markers at admission to predict critical illness in hospitalized patients with COVID-19. Materials and Methods In this retrospective study, which included patients from March 7, 2020, to April 24, 2020, a consecutive cohort of hospitalized patients with real-time reverse transcription polymerase chain reaction-confirmed COVID-19 from two large Dutch community hospitals was identified. After univariable analysis, a risk model to predict critical illness (ie, death and/or intensive care unit admission with invasive ventilation) was developed, using multivariable logistic regression including clinical, chest radiographic, and laboratory findings. Distribution and severity of lung involvement were visually assessed by using an eight-point scale (chest radiography score). Internal validation was performed by using bootstrapping. Performance is presented as an area under the receiver operating characteristic curve. Decision curve analysis was performed, and a risk calculator was derived. Results The cohort included 356 hospitalized patients (mean age, 69 years ± 12 [standard deviation]; 237 men) of whom 168 (47%) developed critical illness. The final risk model's variables included sex, chronic obstructive lung disease, symptom duration, neutrophil count, C-reactive protein level, lactate dehydrogenase level, distribution of lung disease, and chest radiography score at hospital presentation. The area under the receiver operating characteristic curve of the model was 0.77 (95% CI: 0.72, 0.81; P < .001). A risk calculator was derived for individual risk assessment: Dutch COVID-19 risk model. At an example threshold of 0.70, 71 of 356 patients would be predicted to develop critical illness, of which 59 (83%) would be true-positive results. Conclusion A risk model based on chest radiographic and laboratory findings obtained at admission was predictive of critical illness in hospitalized patients with coronavirus disease 2019. This risk calculator might be useful for triage of patients to the limited number of intensive care unit beds or facilities. © RSNA, 2020 Online supplemental material is available for this article.
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Affiliation(s)
| | | | - R. A. van Dijk
- From the Department of Radiology, Meander Medisch Centrum, Amersfoort, the Netherlands (S.S., M.H., C.M.S.P.), Department of Radiology, Isala, Zwolle, the Netherlands (R.A.V.D., M.F.B., P.J.F.J.), Department of Radiology, Nuclear Medicine, and Anatomy, Radboud University Medical Center, Nijmegen, the Netherlands (S.S., A.S., C.M.S.P.), Department of Internal Medicine, Pulmonology, Isala, Zwolle, the Netherlands (W.S.B.), Department of Internal Medicine, Pulmonology, Meander Medisch Centrum, Amersfoort, the Netherlands (G.J.M.H., M.B.), Department of Internal Medicine, Intensive Care Medicine, Meander Medisch Centrum, Amersfoort, the Netherlands (O.A.G.); and Department of Internal Medicine, Infectiology, Meander Medisch Centrum, Amersfoort, the Netherlands (E.J.)
| | - M.F. Boomsma
- From the Department of Radiology, Meander Medisch Centrum, Amersfoort, the Netherlands (S.S., M.H., C.M.S.P.), Department of Radiology, Isala, Zwolle, the Netherlands (R.A.V.D., M.F.B., P.J.F.J.), Department of Radiology, Nuclear Medicine, and Anatomy, Radboud University Medical Center, Nijmegen, the Netherlands (S.S., A.S., C.M.S.P.), Department of Internal Medicine, Pulmonology, Isala, Zwolle, the Netherlands (W.S.B.), Department of Internal Medicine, Pulmonology, Meander Medisch Centrum, Amersfoort, the Netherlands (G.J.M.H., M.B.), Department of Internal Medicine, Intensive Care Medicine, Meander Medisch Centrum, Amersfoort, the Netherlands (O.A.G.); and Department of Internal Medicine, Infectiology, Meander Medisch Centrum, Amersfoort, the Netherlands (E.J.)
| | - P.J. Freire Jorge
- From the Department of Radiology, Meander Medisch Centrum, Amersfoort, the Netherlands (S.S., M.H., C.M.S.P.), Department of Radiology, Isala, Zwolle, the Netherlands (R.A.V.D., M.F.B., P.J.F.J.), Department of Radiology, Nuclear Medicine, and Anatomy, Radboud University Medical Center, Nijmegen, the Netherlands (S.S., A.S., C.M.S.P.), Department of Internal Medicine, Pulmonology, Isala, Zwolle, the Netherlands (W.S.B.), Department of Internal Medicine, Pulmonology, Meander Medisch Centrum, Amersfoort, the Netherlands (G.J.M.H., M.B.), Department of Internal Medicine, Intensive Care Medicine, Meander Medisch Centrum, Amersfoort, the Netherlands (O.A.G.); and Department of Internal Medicine, Infectiology, Meander Medisch Centrum, Amersfoort, the Netherlands (E.J.)
| | - W.S de Boer
- From the Department of Radiology, Meander Medisch Centrum, Amersfoort, the Netherlands (S.S., M.H., C.M.S.P.), Department of Radiology, Isala, Zwolle, the Netherlands (R.A.V.D., M.F.B., P.J.F.J.), Department of Radiology, Nuclear Medicine, and Anatomy, Radboud University Medical Center, Nijmegen, the Netherlands (S.S., A.S., C.M.S.P.), Department of Internal Medicine, Pulmonology, Isala, Zwolle, the Netherlands (W.S.B.), Department of Internal Medicine, Pulmonology, Meander Medisch Centrum, Amersfoort, the Netherlands (G.J.M.H., M.B.), Department of Internal Medicine, Intensive Care Medicine, Meander Medisch Centrum, Amersfoort, the Netherlands (O.A.G.); and Department of Internal Medicine, Infectiology, Meander Medisch Centrum, Amersfoort, the Netherlands (E.J.)
| | - G.J.M. Herder
- From the Department of Radiology, Meander Medisch Centrum, Amersfoort, the Netherlands (S.S., M.H., C.M.S.P.), Department of Radiology, Isala, Zwolle, the Netherlands (R.A.V.D., M.F.B., P.J.F.J.), Department of Radiology, Nuclear Medicine, and Anatomy, Radboud University Medical Center, Nijmegen, the Netherlands (S.S., A.S., C.M.S.P.), Department of Internal Medicine, Pulmonology, Isala, Zwolle, the Netherlands (W.S.B.), Department of Internal Medicine, Pulmonology, Meander Medisch Centrum, Amersfoort, the Netherlands (G.J.M.H., M.B.), Department of Internal Medicine, Intensive Care Medicine, Meander Medisch Centrum, Amersfoort, the Netherlands (O.A.G.); and Department of Internal Medicine, Infectiology, Meander Medisch Centrum, Amersfoort, the Netherlands (E.J.)
| | - M. Bonarius
- From the Department of Radiology, Meander Medisch Centrum, Amersfoort, the Netherlands (S.S., M.H., C.M.S.P.), Department of Radiology, Isala, Zwolle, the Netherlands (R.A.V.D., M.F.B., P.J.F.J.), Department of Radiology, Nuclear Medicine, and Anatomy, Radboud University Medical Center, Nijmegen, the Netherlands (S.S., A.S., C.M.S.P.), Department of Internal Medicine, Pulmonology, Isala, Zwolle, the Netherlands (W.S.B.), Department of Internal Medicine, Pulmonology, Meander Medisch Centrum, Amersfoort, the Netherlands (G.J.M.H., M.B.), Department of Internal Medicine, Intensive Care Medicine, Meander Medisch Centrum, Amersfoort, the Netherlands (O.A.G.); and Department of Internal Medicine, Infectiology, Meander Medisch Centrum, Amersfoort, the Netherlands (E.J.)
| | - O.A. Groot
- From the Department of Radiology, Meander Medisch Centrum, Amersfoort, the Netherlands (S.S., M.H., C.M.S.P.), Department of Radiology, Isala, Zwolle, the Netherlands (R.A.V.D., M.F.B., P.J.F.J.), Department of Radiology, Nuclear Medicine, and Anatomy, Radboud University Medical Center, Nijmegen, the Netherlands (S.S., A.S., C.M.S.P.), Department of Internal Medicine, Pulmonology, Isala, Zwolle, the Netherlands (W.S.B.), Department of Internal Medicine, Pulmonology, Meander Medisch Centrum, Amersfoort, the Netherlands (G.J.M.H., M.B.), Department of Internal Medicine, Intensive Care Medicine, Meander Medisch Centrum, Amersfoort, the Netherlands (O.A.G.); and Department of Internal Medicine, Infectiology, Meander Medisch Centrum, Amersfoort, the Netherlands (E.J.)
| | - E. Jong
- From the Department of Radiology, Meander Medisch Centrum, Amersfoort, the Netherlands (S.S., M.H., C.M.S.P.), Department of Radiology, Isala, Zwolle, the Netherlands (R.A.V.D., M.F.B., P.J.F.J.), Department of Radiology, Nuclear Medicine, and Anatomy, Radboud University Medical Center, Nijmegen, the Netherlands (S.S., A.S., C.M.S.P.), Department of Internal Medicine, Pulmonology, Isala, Zwolle, the Netherlands (W.S.B.), Department of Internal Medicine, Pulmonology, Meander Medisch Centrum, Amersfoort, the Netherlands (G.J.M.H., M.B.), Department of Internal Medicine, Intensive Care Medicine, Meander Medisch Centrum, Amersfoort, the Netherlands (O.A.G.); and Department of Internal Medicine, Infectiology, Meander Medisch Centrum, Amersfoort, the Netherlands (E.J.)
| | - A. Schreuder
- From the Department of Radiology, Meander Medisch Centrum, Amersfoort, the Netherlands (S.S., M.H., C.M.S.P.), Department of Radiology, Isala, Zwolle, the Netherlands (R.A.V.D., M.F.B., P.J.F.J.), Department of Radiology, Nuclear Medicine, and Anatomy, Radboud University Medical Center, Nijmegen, the Netherlands (S.S., A.S., C.M.S.P.), Department of Internal Medicine, Pulmonology, Isala, Zwolle, the Netherlands (W.S.B.), Department of Internal Medicine, Pulmonology, Meander Medisch Centrum, Amersfoort, the Netherlands (G.J.M.H., M.B.), Department of Internal Medicine, Intensive Care Medicine, Meander Medisch Centrum, Amersfoort, the Netherlands (O.A.G.); and Department of Internal Medicine, Infectiology, Meander Medisch Centrum, Amersfoort, the Netherlands (E.J.)
| | - C.M. Schaefer-Prokop
- From the Department of Radiology, Meander Medisch Centrum, Amersfoort, the Netherlands (S.S., M.H., C.M.S.P.), Department of Radiology, Isala, Zwolle, the Netherlands (R.A.V.D., M.F.B., P.J.F.J.), Department of Radiology, Nuclear Medicine, and Anatomy, Radboud University Medical Center, Nijmegen, the Netherlands (S.S., A.S., C.M.S.P.), Department of Internal Medicine, Pulmonology, Isala, Zwolle, the Netherlands (W.S.B.), Department of Internal Medicine, Pulmonology, Meander Medisch Centrum, Amersfoort, the Netherlands (G.J.M.H., M.B.), Department of Internal Medicine, Intensive Care Medicine, Meander Medisch Centrum, Amersfoort, the Netherlands (O.A.G.); and Department of Internal Medicine, Infectiology, Meander Medisch Centrum, Amersfoort, the Netherlands (E.J.)
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Angevaare MJ, Monnier AA, Joling KJ, Smalbrugge M, Schellevis FG, Hertogh CMPM, Huisman M. The Application of the Concept of Resilience in Aging Research and Older Adult Care: A Focus Group Study. Front Med (Lausanne) 2020; 7:365. [PMID: 32850888 PMCID: PMC7417312 DOI: 10.3389/fmed.2020.00365] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Accepted: 06/15/2020] [Indexed: 11/14/2022] Open
Abstract
Introduction: Research incorporating resilience, a concept featuring a positive outcome despite some type of stressor, has the potential to identify possibilities for promotion of the well-being of older people. This study aims to gain insight into the value and potential applications of resilience in both research and care practice from the perspective of researchers and care professionals. Specifically, the value of two scientific approaches, the a priori (i.e., based on a priori definition of a stressor and outcome) and dynamical systems approaches (i.e., based on mathematically modeled patterns in the real-time response to perturbations), was explored. Methods: Focus groups were performed to explore the thoughts of academic researchers from different disciplines in the fields of aging and care and care professionals on the application of the concept of resilience, including the a priori and dynamical systems approaches. Analysis of these focus groups was based on the framework method. Results: Five focus groups were held with a total of nine researchers from different disciplines (e.g., epidemiology, sociology) and 15 older adult care professionals from different professions (e.g., elderly care physician, physiotherapist). The participants described resilience as a concept with value for both aging research and care through its positive connotation and comprehensiveness. Continued research was thought to play an important role in clearing up some of the existing ambiguity surrounding resilience. The importance of resilience in the context of both high- and low-intensity stressors was underscored. The a priori and dynamical systems approaches were considered to have their specific advantages and disadvantages on both conceptual and feasibility levels. Therefore, the use of both approaches, side by side and in combination, was suggested. Conclusion: This qualitative exploration among researchers and care professionals confirms that the concept of resilience, including the a priori and dynamical systems approaches, is valuable. However, more work is necessary before can be delivered on the potential of resilience in aging research and older adult care practice. Greater conceptual and operational clarity can be achieved through more qualitative studies on the concept that take the perspective of older people into account and through empirical studies that work with both approaches simultaneously and/or in combination.
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Affiliation(s)
- Milou J. Angevaare
- Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - A. A. Monnier
- Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - K. J. Joling
- Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - M. Smalbrugge
- Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - F. G. Schellevis
- Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
- Nivel (Netherlands Institute for Health Services Research), Utrecht, Netherlands
| | - C. M. P. M. Hertogh
- Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - M. Huisman
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
- Department of Sociology, Vrije Universiteit, Amsterdam, Netherlands
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Pluimakers VG, van Waas M, Looman CWN, de Maat MP, de Jonge R, Delhanty P, Huisman M, Mattace-Raso FUS, van den Heuvel-Eibrink MM, Neggers SJCMM. Metabolic syndrome detection with biomarkers in childhood cancer survivors. Endocr Connect 2020; 9:676-686. [PMID: 32567553 PMCID: PMC7424353 DOI: 10.1530/ec-20-0144] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 06/18/2020] [Indexed: 01/02/2023]
Abstract
PURPOSE Augmented survival of childhood nephroblastoma and neuroblastoma has increased long-term side effects such as metabolic syndrome (MetS). Risk stratification is difficult after abdominal radiation because waist circumference underestimates adiposity. We aimed to develop a strategy for determining MetS in irradiated survivors using an integrated biomarker profile and vascular ultrasonography. METHODS The NCEP-ATPIII MetS-components, 14 additional serum biomarkers and 9 vascular measurements were assessed in a single-centre cohort of childhood nephroblastoma (n = 67) and neuroblastoma (n = 36) survivors and controls (n = 61). Multivariable regression models were used to study treatment effects. Principal component analysis (PCA) was used to study all biomarkers in a combined analysis, to identify patterns and correlations. RESULTS After 27.5 years of follow-up, MetS occurred more often in survivors (14%) than controls (3%). Abdominal radiotherapy and nephrectomy, to a lesser extent, were associated with MetS and separate components and with several biomarker abnormalities. PCA of biomarkers revealed a pattern on PC1 from favourable lipid markers (HDL-cholesterol, adiponectin) towards unfavourable markers (triglycerides, LDL-cholesterol, apoB, uric acid). Abdominal radiotherapy was associated with the unfavourable biomarker profile (β = 1.45, P = 0.001). Vascular measurements were not of added diagnostic value. CONCLUSIONS Long-term childhood nephro- and neuroblastoma survivors frequently develop MetS. Additional assessment of biomarkers identified in PCA - adiponectin, LDL, apoB, and uric acid - may be used especially in abdominally irradiated survivors, to classify MetS as alternative for waist circumference. Vascular ultrasonography was not of added value.
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Affiliation(s)
- V G Pluimakers
- Princess Máxima Centre for Paediatric Oncology, Utrecht, The Netherlands
- Correspondence should be addressed to V G Pluimakers:
| | - M van Waas
- Department of Paediatric Oncology/Haematology, Erasmus MC–Sophia Children’s Hospital, Rotterdam, The Netherlands
| | - C W N Looman
- Department of Public Health, Erasmus MC, Rotterdam, The Netherlands
| | - M P de Maat
- Department of Haematology, Erasmus MC, Rotterdam, The Netherlands
| | - R de Jonge
- Department of Clinical Chemistry, Erasmus MC, Rotterdam, The Netherlands
| | - P Delhanty
- Section Endocrinology, Department of Medicine, Erasmus MC, Rotterdam, The Netherlands
| | - M Huisman
- Section Endocrinology, Department of Medicine, Erasmus MC, Rotterdam, The Netherlands
| | - F U S Mattace-Raso
- Section Geriatric Medicine, Department of Medicine, Erasmus MC, Rotterdam, The Netherlands
| | | | - S J C M M Neggers
- Princess Máxima Centre for Paediatric Oncology, Utrecht, The Netherlands
- Section Endocrinology, Department of Medicine, Erasmus MC, Rotterdam, The Netherlands
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Niemeijer A, Oprea-Lager D, Huisman M, Boellaard R, Hoekstra O, De Wit - Van Der Veen L, Bahce I, Vugts D, Van Dongen G, Thunnissen E, Smit E, De Langen J. P1.04-12 Tumor Uptake and Biodistribution of 89Zr-Labeled Pembrolizumab in Patients with Metastatic Non-Small-Cell Lung Cancer. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.915] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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27
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Giles SL, Brown MRD, Rivens I, Deppe M, Huisman M, Kim YS, Farquhar-Smith P, Williams JE, Ter Haar GR, deSouza NM. Comparison of Imaging Changes and Pain Responses in Patients with Intra- or Extraosseous Bone Metastases Treated Palliatively with Magnetic Resonance-Guided High-Intensity-Focused Ultrasound. J Vasc Interv Radiol 2019; 30:1351-1360.e1. [PMID: 31101417 PMCID: PMC6715806 DOI: 10.1016/j.jvir.2019.02.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Revised: 02/07/2019] [Accepted: 02/21/2019] [Indexed: 12/21/2022] Open
Abstract
PURPOSE This study compared changes in imaging and in pain relief between patients with intraosseous, as opposed to extraosseous bone metastases. Both groups were treated palliatively with magnetic resonance-guided high-intensity-focused ultrasound (MRgHIFU). MATERIALS AND METHODS A total of 21 patients were treated prospectively with MRgHIFU at 3 centers. Intraprocedural thermal changes measured using proton resonance frequency shift (PRFS) thermometry and gadolinium-enhanced T1-weighted (Gd-T1W) image appearances after treatment were compared for intra- and extraosseous metastases. Pain scores and use of analgesic therapy documented before and up to 90 days after treatment were used to classify responses and were compared between the intra- and extraosseous groups. Gd-T1W changes were compared between responders and nonresponders in each group. RESULTS Thermal dose volumes were significantly larger in the extraosseous group (P = 0.039). Tumor diameter did not change after treatment in either group. At day 30, Gd-T1W images showed focal nonenhancement in 7 of 9 patients with intraosseous tumors; in patients with extraosseous tumors, changes were heterogeneous. Cohort reductions in worst-pain scores were seen for both groups, but differences from baseline at days 14, 30, 60, and 90 were only significant for the intraosseous group (P = 0.027, P = 0.013, P = 0.012, and P = 0.027, respectively). By day 30, 67% of patients (6 of 9) with intraosseous tumors were classified as responders, and the rate was 33% (4 of 12) for patients with extraosseous tumors. In neither group was pain response indicated by nonenhancement on Gd-T1W. CONCLUSIONS Intraosseous tumors showed focal nonenhancement by day 30, and patients had better pain response to MRgHIFU than those with extraosseous tumors. In this small cohort, post-treatment imaging was not informative of treatment efficacy.
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Affiliation(s)
- Sharon L Giles
- Cancer Research UK Cancer Imaging Centre, Magnetic Resonance Imaging Unit, The Royal Marsden Hospital, Sutton, Surrey SM2 5PT, United Kingdom.
| | - Matthew R D Brown
- Pain Medicine Department, The Royal Marsden Hospital, Sutton, Surrey SM2 5PT, United Kingdom; Targeted Approaches to Cancer Pain, The Institute of Cancer Research, London, United Kingdom
| | - Ian Rivens
- Therapeutic Ultrasound, The Institute of Cancer Research, London, United Kingdom
| | | | - Merel Huisman
- Image Sciences Institute/Imaging Division, University Medical Center Utrecht, The Netherlands
| | - Young-Sun Kim
- Department of Radiology and Center for Imaging Science, Samsung Medical Center, Seoul, Korea; Department of Radiology, Mint Hospital, Seoul, Korea
| | - Paul Farquhar-Smith
- Pain Medicine Department, The Royal Marsden Hospital, Sutton, Surrey SM2 5PT, United Kingdom
| | - John E Williams
- Pain Medicine Department, The Royal Marsden Hospital, Sutton, Surrey SM2 5PT, United Kingdom
| | - Gail R Ter Haar
- Therapeutic Ultrasound, The Institute of Cancer Research, London, United Kingdom
| | - Nandita M deSouza
- Cancer Research UK Cancer Imaging Centre, Magnetic Resonance Imaging Unit, The Royal Marsden Hospital, Sutton, Surrey SM2 5PT, United Kingdom
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Motoc I, Timmermans EJ, Deeg D, Penninx BWJH, Huisman M. Associations of neighbourhood sociodemographic characteristics with depressive and anxiety symptoms in older age: Results from a 5-wave study over 15 years. Health Place 2019; 59:102172. [PMID: 31422228 DOI: 10.1016/j.healthplace.2019.102172] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2018] [Revised: 07/11/2019] [Accepted: 07/16/2019] [Indexed: 12/26/2022]
Abstract
We examined the long-term association between objective neighbourhood sociodemographic characteristics (index of socioeconomic position (SEP), average income, percent low-income earners, average house price, percent immigrants and urban density) with depressive and anxiety symptoms, covering five 3-year waves of the Longitudinal Aging Study Amsterdam (n = 3,772). Multi-level regression models assessed each neighbourhood-level characteristic separately, adjusting for individual-level covariates. A higher percentage of immigrants and higher urban density, but not other neighbourhood characteristics, were significantly associated with depressive and anxiety symptoms over time in models adjusted for individual SEP. Results of time interaction models indicated that the associations were stable over the 15-year period.
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Affiliation(s)
- I Motoc
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, De Boelelaan 1117, Amsterdam, the Netherlands.
| | - E J Timmermans
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, De Boelelaan 1117, Amsterdam, the Netherlands
| | - D Deeg
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, De Boelelaan 1117, Amsterdam, the Netherlands
| | - B W J H Penninx
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, Amsterdam Public Health Research Institute, De Boelelaan 1117, Amsterdam, the Netherlands
| | - M Huisman
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, De Boelelaan 1117, Amsterdam, the Netherlands; Vrije Universiteit Amsterdam, Department of Sociology, De Boelelaan 1117, Amsterdam, the Netherlands
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Kok A, Stafford M, Cosco TD, Huisman M, Deeg DJH, Kuh D, Cooper R. FACTORS ASSOCIATED WITH REMAINING FREE FROM FUNCTIONAL LIMITATIONS DESPITE SOCIOECONOMIC ADVERSITY. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- A Kok
- Free University of Amsterdam, Amsterdam, Noord-Holland, Netherlands
| | - M Stafford
- MRC Unit for Lifelong Health and Ageing at UCL, London, United Kingdom
| | - T D Cosco
- Gerontology Research Centre, Simon Fraser University, Vancouver, Canada
| | - M Huisman
- Department of Epidemiology & Biostatistics, VU University Medical Center, Amsterdam, the Netherlands
| | - D J H Deeg
- Department of Epidemiology & Biostatistics, VU University Medical Center, Amsterdam, the Netherlands
| | - D Kuh
- MRC Unit for Lifelong Health and Ageing at UCL, London, United Kingdom
| | - R Cooper
- MRC Unit for Lifelong Health and Ageing at UCL, London, United Kingdom
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Notthoff N, Deeg DJH, Visser M, van Schoor N, Huisman M, Gerstorf D. APPLYING AN INCLUSIVE DEFINITION OF PHYSICAL ACTIVITY TO UNDERSTAND STABILITY AND CHANGE IN OLD AGE. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- N Notthoff
- Humboldt University Berlin, Berlin, Berlin, Germany
| | - D J H Deeg
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Vrije Universiteit Medical Center, Amsterdam, The Netherlands
| | - M Visser
- Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam. The Netherlands
| | - N van Schoor
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Vrije Universiteit Medical Center, Amsterdam, The Netherlands
| | - M Huisman
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Vrije Universiteit Medical Center
| | - D Gerstorf
- Humboldt University Berlin, Berlin, Germany
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Szabo A, Klokgieters S, Kok A, Van Tilburg T, Huisman M. RESILIENCE IN THE CONTEXT OF DISABILITY: A STUDY WITH TURKISH AND MOROCCAN YOUNG-OLD IMMIGRANTS IN THE NETHERLANDS. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A Szabo
- Massey University, New Zealand, Wellington, Wellington, New Zeal
| | | | - A Kok
- Vrije Universiteit, Amsterdam, The Netherlands; VU University Medical Center, Amsterdam, The Netherlands
| | | | - M Huisman
- Vrije Universiteit, Amsterdam, The Netherlands; VU University Medical Center, Amsterdam, The Netherlands
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Huisman M. KEY FINDINGS OF 25 YEARS LONGITUDINAL AGING STUDY AMSTERDAM REPRESENTED BY KEY WORKS OF ART. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Szabo A, Kok A, Beekman A, Huisman M. A LONGITUDINAL EXAMINATION OF PATTERNS OF EMOTIONAL RESILIENCE IN OLDER ADULTS AFTER SPOUSAL BEREAVEMENT. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- A Szabo
- Massey University, New Zealand, Wellington, Wellington, New Zeal
| | - A Kok
- Department of Epidemiology & Biostatistics, VU University Medical Center, Amsterdam, the Netherlands
| | - A Beekman
- Department of Psychiatry, VU University Medical Centre, Amsterdam, the Netherlands
| | - M Huisman
- Department of Epidemiology & Biostatistics, VU University Medical Center, Amsterdam, the Netherlands
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Looijaard SMLM, Slee-Valentijn MS, Groeneveldt LN, Deeg DJH, Huisman M, Maier AB. Do older individuals who are diagnosed with cancer have worse physical performance prior to diagnosis compared to matched controls? A longitudinal cohort study. BMC Geriatr 2018; 18:166. [PMID: 30021524 PMCID: PMC6052670 DOI: 10.1186/s12877-018-0850-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Accepted: 06/27/2018] [Indexed: 12/25/2022] Open
Abstract
Background Impaired physical performance is highly prevalent in older cancer patients and is associated with cancer-related outcomes such as mortality and chemotherapy-related toxicity. Physical performance might already decline prior to the cancer diagnosis due to undiagnosed disease. This study aimed to assess whether the physical performance of community-dwelling individuals prior to cancer diagnosis is worse compared to matched controls who are not diagnosed with cancer. Methods The study sample was selected from the Longitudinal Aging Study Amsterdam, a longitudinal study on a nationally representative sample of the Dutch older population. Physical performance of initially cancer-free individuals aged 55–84 years who were diagnosed with cancer during 10 or 20 years of follow-up was compared to the physical performance of controls who were not diagnosed with cancer. For controls, the physical performance measurements of the cycle with a median age closest to the cancer group were used. The time interval between physical performance measurements and the report of cancer was 2 to 4 years. Groups were compared using logistic and linear regression analysis. Results The study sample included 1735 individuals with a median age of 68.7 [interquartile range 63.3–76.4] years. During follow-up, 414 (23.9%) individuals were diagnosed with cancer. Handgrip strength, gait speed, chair stand ability, chair stand test time and ability to put on and take off a cardigan did not differ between groups. Individuals prior to cancer diagnosis were more likely to complete the tandem balance test. Conclusions Physical performance of individuals 2 to 4 years prior to report of cancer diagnosis is not lower compared to controls. This suggests that physical performance may not be influenced by cancer before diagnosis.
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Affiliation(s)
- S M L M Looijaard
- Section of Gerontology and Geriatrics, Department of Internal Medicine, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.,Department of Human Movement Sciences, @AgeAmsterdam, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands
| | - M S Slee-Valentijn
- Center of Excellence in Geriatric Rehabilitation, Cordaan, Box 1103, 1000 BC, Amsterdam, the Netherlands
| | - L N Groeneveldt
- Section of Gerontology and Geriatrics, Department of Internal Medicine, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands
| | - D J H Deeg
- Department of Epidemiology & Biostatistics, EMGO+ Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands
| | - M Huisman
- Department of Epidemiology & Biostatistics, EMGO+ Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.,Department of Sociology, Vrije Universiteit Amsterdam, Van der Boechorstraat 7, 1081 BT, Amsterdam, The Netherlands
| | - A B Maier
- Department of Human Movement Sciences, @AgeAmsterdam, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands. .,Department of Medicine and Aged Care, @AgeMelbourne, The Royal Melbourne Hospital, University of Melbourne, City & Royal Park Campus, 34-54 Poplar Road, Parkville, Melbourne, Victoria, 3052, Australia.
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Klokgieters S, van Tilburg T, Deeg D, Huisman M. 6.10-P17Do religious activities among young–old immigrants (aged 55-66) living in the Netherlands act as a buffer against the effect of a lack of resources on well-being? Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky048.222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- S Klokgieters
- Department of Sociology, Vrije Universiteit, Amsterdam, The Netherlands
| | - T van Tilburg
- Department of Sociology, Vrije Universiteit, Amsterdam, The Netherlands
| | - D Deeg
- Department of Sociology, Vrije Universiteit, Amsterdam, The Netherlands
- Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands
| | - M Huisman
- Department of Sociology, Vrije Universiteit, Amsterdam, The Netherlands
- Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands
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van der Pol L, van der Hulle T, Mairuhu A, Huisman M, Klok F. Combination of Pulmonary Embolism Rule-out Criteria and YEARS Algorithm in a European Cohort of Patients with Suspected Pulmonary Embolism. Thromb Haemost 2018; 118:547-552. [DOI: 10.1055/s-0038-1623535] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Background Both the YEARS algorithm and the pulmonary embolism (PE) rule-out criteria (PERC) were created to exclude PE with limited diagnostic tests. A diagnostic strategy combining both scores might save additional computed tomography pulmonary angiography (CTPA) scans, but they have never been evaluated in conjunction.
Aim The aim of this study was to determine the safety and efficiency of combining YEARS and PERC in a single diagnostic strategy for suspected PE.
Methods The PERC rule was assessed in 1,316 consecutive patients with suspected PE who were managed according to YEARS. We calculated the absolute difference (with 95% confidence interval [CI]) in failure rate and the number of ‘saved’ CTPAs for the scenario that PE would have been ruled out without CTPA in the absence of all PERC items.
Results Using the YEARS algorithm, PE was diagnosed in 189 patients (14%), 680 patients (52%) were managed without CTPA and the 3-month rate of venous thromboembolism in patients in whom PE was ruled out was 0.44% (95% CI: 0.19–1.0). Only 6 of 154 patients (3.9%; 95% CI: 1.4–8.2) with no YEARS items who were referred for CTPA would have been PERC negative, of whom none were diagnosed with PE at baseline or during follow-up (0%; 95% CI: 0–64). Applying PERC before YEARS in all patients would have led to a failure rate of 1.42% (95% CI: 0.87–2.3%), 0.98% (95% CI: 0.17–1.9) more than shown in patients managed by YEARS.
Conclusion Combining YEARS with PERC would have yielded only a modest improvement of efficiency in patients without a YEARS item and an unacceptable failure rate in patients with ≥ 1 YEARS item.
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Brink HS, van der Lely AJ, Delhanty PJD, Huisman M, van der Linden J. Gestational diabetes mellitus and the ghrelin system. Diabetes Metab 2017; 45:393-395. [PMID: 29289478 DOI: 10.1016/j.diabet.2017.10.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2017] [Revised: 10/27/2017] [Accepted: 10/29/2017] [Indexed: 11/16/2022]
Affiliation(s)
- H S Brink
- Department of Internal Medicine, Maasstad Hospital, P.O. Box 9100, 3007, Rotterdam, CA, The Netherlands.
| | - A J van der Lely
- Department of Internal Medicine, Erasmus MC, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands
| | - P J D Delhanty
- Department of Internal Medicine, Erasmus MC, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands
| | - M Huisman
- Department of Internal Medicine, Erasmus MC, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands
| | - J van der Linden
- Department of Internal Medicine, Maasstad Hospital, P.O. Box 9100, 3007, Rotterdam, CA, The Netherlands
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Scharn M, Boot CRL, van der Beek AJ, Suanet B, Huisman M. Social participation of people aged 55-64 years with and without a chronic disease. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx186.332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M Scharn
- VU University Medical Center, Amsterdam, Netherlands
| | - CRL Boot
- VU University Medical Center, Amsterdam, Netherlands
| | | | - B Suanet
- VU University Medical Center, Amsterdam, Netherlands
| | - M Huisman
- VU University Medical Center, Amsterdam, Netherlands
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Motoc I, Timmermans EJ, Thomese GCF, Penninx BWJH, Deeg DJH, Huisman M. Do neighborhood socioeconomic characteristics contribute to depression and anxiety? Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- I Motoc
- Department of Psychiatry, VU University Medical Center/GGZ ingest, Amsterdam, Netherlands
| | - EJ Timmermans
- Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands
| | - GCF Thomese
- Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands
| | - BWJH Penninx
- Department of Psychiatry, VU University Medical Center/GGZ ingest, Amsterdam, Netherlands
| | - DJH Deeg
- Department of Epidemiology and Biostatistics, VU Medical Center, Amsterdam, Netherlands
| | - M Huisman
- Department of Epidemiology and Biostatistics, VU Medical Center, Amsterdam, Netherlands
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Niemeijer A, Smit E, Van Dongen G, Windhorst A, Huisman M, Hendrikse N, Bahce I, Lueng D, Smith R, Hayes W, Wilson L, Bonacorsi S, Donnelly D, Morin P, Poot A, Vugts D, Thunnissen E, De Langen J. MA 05.07 Whole Body PD-1 and PD-L1 PET in Pts with NSCLC. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.483] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Niemeijer AL, Smit E, Bahce I, Hoekstra O, Huisman M, van Dongen G, Windhorst B, Hendrikse N, Poot A, Vugts D, Leung D, Hayes W, Smith R, Wilson L, Thunnissen E, de Langen J. Whole body PD-1 and PD-L1 PET in pts with NSCLC. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx380.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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42
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Jimenez D, Martin-Saborido C, Muriel A, Zamora J, Morillo R, Barrios D, Klok E, Huisman M, Tapson V, Yusen R. P1613Efficacy and safety outcomes of recanalization procedures in patients with acute symptomatic pulmonary embolism: systematic review and network meta-analysis. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx502.p1613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Klok J, Van Tilburg T, Suanet B, Huisman M. LONELINESS AND SENSE OF BELONGING AMONG OLDER TURKISH AND MOROCCAN MIGRANTS TO THE NETHERLANDS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J. Klok
- Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | | | - B. Suanet
- Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - M. Huisman
- Vrije Universiteit Amsterdam, Amsterdam, Netherlands
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Bickenbach J, Prina M, Huisman M. HEALTHY AGEING: FROM EPIDEMIOLOGY TO POLICY. CHALLENGES AND UPDATES FROM THE ATHLOS PROJECT. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - M. Prina
- King’s College London, United Kingdom
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Klokgieters S, Van Tilburg T, Deeg D, Huisman M. RELIGIOUS COPING, SOCIAL PARTICIPATION, AND MOTIVATION TO MIGRATE AND THE WELL-BEING OF OLDER MIGRANTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | | | - D.J. Deeg
- Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - M. Huisman
- Vrije Universiteit Amsterdam, Amsterdam, Netherlands
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Smid DE, Spruit MA, Deeg DJH, Huisman M, Poppelaars J, M Wouters EF, Franssen FME. How to determine an impaired health status in COPD: Results from a population-based study. Neth J Med 2017; 75:151-157. [PMID: 28522771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
BACKGROUND Chronic obstructive pulmonary disease (COPD) is associated with a significantly impaired health status and lost work productivity across all degrees of airflow limitation. The current study investigated whether an impaired health status is better represented by the recommended COPD Assessment Test (CAT) cut-point of 10 points, or the 95th percentile of the CAT score in a non-COPD population. Additionally, the impact of COPD on health status in a Dutch population, after stratification for work status, was measured. METHODS Demographics, clinical characteristics, post-bronchodilator spirometry, and CAT were assessed in subjects from the Longitudinal Aging Study Amsterdam (LASA), a large Dutch population-based study. Normative values for the CAT score were described by percentiles using the mean, standard deviation, median and range. RESULTS In total, 810 COPD and non-COPD subjects (50.4% male, mean age 60.5 ±; 2.9 years) were analysed. Significant differences were observed in CAT scores between non-COPD and COPD subjects (6.7 ±; 5.2 vs. 9.5 ±; 5.9, p < 0.001 respectively). The proportion of COPD subjects with an impaired health status differed between applying the CAT ≥ 10 cut-point (50.0%) and applying the 95th percentile of CAT in non-COPD subjects (> 18 cut-point; 7.6%). Higher CAT scores were seen in working COPD patients compared with working non-COPD subjects (9.3 ±; 5.2 vs. 6.0 ±; 4.6, p < 0.001). CONCLUSION We suggest a CAT cut-point of > 18 points to indicate an impaired health status in COPD. This would imply an adaptation of the current GOLD classification of the disease.
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Affiliation(s)
- D E Smid
- Department of Research & Education, CIRO, Horn, the Netherlands
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Brailean A, Aartsen MJ, Muniz-Terrera G, Prince M, Prina AM, Comijs HC, Huisman M, Beekman A. Longitudinal associations between late-life depression dimensions and cognitive functioning: a cross-domain latent growth curve analysis. Psychol Med 2017; 47:690-702. [PMID: 27834162 PMCID: PMC5426346 DOI: 10.1017/s003329171600297x] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Revised: 10/16/2016] [Accepted: 10/17/2016] [Indexed: 11/26/2022]
Abstract
BACKGROUND Cognitive impairment and depression often co-occur in older adults, but it is not clear whether depression is a risk factor for cognitive decline, a psychological reaction to cognitive decline, or whether changes in depressive symptoms correlate with changes in cognitive performance over time. The co-morbid manifestation of depression and cognitive impairment may reflect either a causal effect or a common cause, depending on the specific symptoms experienced and the cognitive functions affected. METHOD The study sample comprised 1506 community-dwelling older adults aged ⩾65 years from the Longitudinal Aging Study Amsterdam (LASA). We conducted cross-domain latent growth curve analyses to examine longitudinal associations between late-life depression dimensions (i.e. depressed affect, positive affect, and somatic symptoms) and specific domains of cognitive functioning (i.e. processing speed, inductive reasoning, immediate recall, and delayed recall). RESULTS Poorer delayed recall performance at baseline predicted a steeper increase in depressed affect over time. Steeper decline in processing speed correlated with a steeper increase in somatic symptoms of depression over time. CONCLUSIONS Our findings suggest a prospective association between memory function and depressed affect, whereby older adults may experience an increase in depressed affect in reaction to poor memory function. Somatic symptoms of depression increased concurrently with declining processing speed, which may reflect common neurodegenerative processes. Our findings do not support the hypothesis that depression symptoms may be a risk factor for cognitive decline in the general population. These findings have potential implications for the treatment of late-life depression and for the prognosis of cognitive outcomes.
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Affiliation(s)
- A. Brailean
- Department of Health Service and Population
Research, King's College London, Institute of Psychiatry,
Psychology and Neuroscience, Centre for Global Mental Health,
London, UK
| | - M. J. Aartsen
- NOVA - Norwegian Social Research, Center for
Welfare and Labor Research, Oslo,
Norway
| | | | - M. Prince
- Department of Health Service and Population
Research, King's College London, Institute of Psychiatry,
Psychology and Neuroscience, Centre for Global Mental Health,
London, UK
| | - A. M. Prina
- Department of Health Service and Population
Research, King's College London, Institute of Psychiatry,
Psychology and Neuroscience, Centre for Global Mental Health,
London, UK
| | - H. C. Comijs
- VU University Medical Centre, Department of
Psychiatry and the EMGO Institute for Health and Care Research,
Amsterdam, The Netherlands
| | - M. Huisman
- VU University Medical Center, Department of
Epidemiology and Biostatistics and the EMGO Institute for Health and Care
Research, Amsterdam, The Netherlands
- Department of Sociology, VU
University, Amsterdam, The
Netherlands
| | - A. Beekman
- VU University Medical Centre, Department of
Psychiatry and the EMGO Institute for Health and Care Research,
Amsterdam, The Netherlands
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van Oordt CMVDH, van Brummelen E, Nayak T, Huisman M, de Wit- van der Veen L, Mulder E, Hoekstra O, Stokkel M, van Dongen G, Verheul H, Feilke M, Guizani C, Guarin E, Evers S, Saro J, Schellens J. 89Zr-labeled CEA-targeted IL-2 variant immunocytokine in patients with solid tumors: CEA-mediated tumor accumulation in a dose-dependent manner and role of IL-2 receptor-binding. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw368.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Abstract
BACKGROUND Subthreshold depression (SUBD) in later life is common and important as prodromal state and prominent risk factor in the development of major depressive disorder (MDD). Indicated prevention can reduce the incidence of MDD among people with SUBD substantially, but needs to be targeted to those that are truly at risk of developing MDD. METHOD N = 341 eligible participants with SUBD were included from the first (1992/1993), second (1995/1996) and third (1998/1999) cycle from the Longitudinal Aging Study Amsterdam (LASA) by using a two-stage screening design. LASA is an ongoing prospective cohort study in The Netherlands among the older population (55-85 years). At baseline (1992/1993) N = 3107 participants were interviewed and follow-up cycles were conducted every 3 years until 2008/2009, resulting in maximal 17 years of observational period. The proportion of people that developed MDD, remained SUBD, or recovered from SUBD was measured and Cox proportional regression analyses were performed to investigate 29 putative predictors of MDD and recovery from SUBD. RESULTS N = 153 (44.9%) recovered from SUBD, N = 138 (40.5%) remained chronically SUBD, and N = 50 (14.7%) developed MDD (incidence rate 15.1/1000 person-years). Women, high neuroticism, more chronic diseases, high body mass index, smoking and less social support predicted conversion to MDD. Men, low neuroticism and absence of pain predicted recovery from SUBD. CONCLUSIONS Although older people with SUBD are clearly at risk of developing MDD, the majority did not, even after a long and thorough follow-up. Given the risk factors that were uncovered, targeting and prevention of MDD in those at very high risk is feasible.
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Affiliation(s)
- H W Jeuring
- Department of Psychiatry and the EMGO Institute for Health and Care Research,GGZ inGeest - VU University Medical Center,Amsterdam,The Netherlands
| | - M Huisman
- Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research,VU University Medical Center,Amsterdam,The Netherlands
| | - H C Comijs
- Department of Psychiatry and the EMGO Institute for Health and Care Research,GGZ inGeest - VU University Medical Center,Amsterdam,The Netherlands
| | - M L Stek
- Department of Psychiatry and the EMGO Institute for Health and Care Research,GGZ inGeest - VU University Medical Center,Amsterdam,The Netherlands
| | - A T F Beekman
- Department of Psychiatry and the EMGO Institute for Health and Care Research,GGZ inGeest - VU University Medical Center,Amsterdam,The Netherlands
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50
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Wörn J, Ellwardt L, Huisman M, Aartsen M. Level of and Change in Cognitive Functioning among Dutch Older Adults: Does Neighborhood Socioeconomic Status Matter? Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1586525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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