Automated Assessment of COVID-19 Reporting and Data System and Chest CT Severity Scores in Patients Suspected of Having COVID-19 Using Artificial Intelligence.

Journal: Radiology
PMID: 32729810

Abstract

Background The coronavirus disease 2019 (COVID-19) pandemic has spread across the globe with alarming speed, morbidity, and mortality. Immediate triage of patients with chest infections suspected to be caused by COVID-19 using chest CT may be of assistance when results from definitive viral testing are delayed. Purpose To develop and validate an artificial intelligence (AI) system to score the likelihood and extent of pulmonary COVID-19 on chest CT scans using the COVID-19 Reporting and Data System (CO-RADS) and CT severity scoring systems. Materials and Methods The CO-RADS AI system consists of three deep-learning algorithms that automatically segment the five pulmonary lobes, assign a CO-RADS score for the suspicion of COVID-19, and assign a CT severity score for the degree of parenchymal involvement per lobe. This study retrospectively included patients who underwent a nonenhanced chest CT examination because of clinical suspicion of COVID-19 at two medical centers. The system was trained, validated, and tested with data from one of the centers. Data from the second center served as an external test set. Diagnostic performance and agreement with scores assigned by eight independent observers were measured using receiver operating characteristic analysis, linearly weighted κ values, and classification accuracy. Results A total of 105 patients (mean age, 62 years ± 16 [standard deviation]; 61 men) and 262 patients (mean age, 64 years ± 16; 154 men) were evaluated in the internal and external test sets, respectively. The system discriminated between patients with COVID-19 and those without COVID-19, with areas under the receiver operating characteristic curve of 0.95 (95% CI: 0.91, 0.98) and 0.88 (95% CI: 0.84, 0.93), for the internal and external test sets, respectively. Agreement with the eight human observers was moderate to substantial, with mean linearly weighted κ values of 0.60 ± 0.01 for CO-RADS scores and 0.54 ± 0.01 for CT severity scores. Conclusion With high diagnostic performance, the CO-RADS AI system correctly identified patients with COVID-19 using chest CT scans and assigned standardized CO-RADS and CT severity scores that demonstrated good agreement with findings from eight independent observers and generalized well to external data. © RSNA, 2020

Authors

  • Nikolas Lessmann
    Image Sciences Institute, University Medical Center Utrecht and Utrecht University, Utrecht, The Netherlands. Electronic address: N.Lessmann@umcutrecht.nl.
  • Clara I Sanchez
  • Ludo Beenen
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Luuk H Boulogne
    Institute of Artificial Intelligence and Cognitive Engineering, University of Groningen, 9700 AK Groningen, Netherlands.
  • Monique Brink
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Erdi Calli
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Jean-Paul Charbonnier
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Ton Dofferhoff
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Wouter M van Everdingen
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Paul K Gerke
    Diagnostic Image Analysis Group, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Bram Geurts
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Hester A Gietema
    Department of Radiology and Nuclear Medicine, GROW - School for Oncology and Developmental Biology, Maastricht University Medical Centre+, Maastricht, The Netherlands.
  • Miriam Groeneveld
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Louis van Harten
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Nils Hendrix
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Ward Hendrix
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Henkjan J Huisman
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Ivana Išgum
    Department of Biomedical Engineering and Physics, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, Netherlands.
  • Colin Jacobs
    Diagnostic Image Analysis Group, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Ruben Kluge
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Michel Kok
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Jasenko Krdzalic
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Bianca Lassen-Schmidt
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Kicky van Leeuwen
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • James Meakin
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Mike Overkamp
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Tjalco van Rees Vellinga
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Eva M van Rikxoort
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Riccardo Samperna
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Cornelia Schaefer-Prokop
    Diagnostic Image Analysis Group, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Steven Schalekamp
    From the Diagnostic Image Analysis Group, Radboud University Medical Center, Geert Groteplein 10, Nijmegen 6500 HB, the Netherlands (K.M., E.T.S., S.S., C.M.S., B.v.G.); Department of Radiology, Bernhoven Hospital, Uden, the Netherlands (H.S.); Department of Radiology, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands (A.J.G.K., M.B.J.M.K., T.S., M.R.); Department of Radiology, Meander Medisch Centrum, Amersfoort, the Netherlands (C.M.S.); and Thirona, Nijmegen, the Netherlands (R.H.H.M.P., A.M., J.M.).
  • Ernst Th Scholten
    Diagnostic Image Analysis Group, Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Cheryl Sital
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • J Lauran Stöger
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Jonas Teuwen
    Department of Radiology and Nuclear Medicine, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
  • Kiran Vaidhya Venkadesh
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Coen de Vente
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Marieke Vermaat
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Weiyi Xie
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Bram de Wilde
    From the Department of Radiology, Nuclear Medicine and Anatomy, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands (N.L., C.I.S., L.H.B., M.B., E.C., W.M.v.E., P.K.G., B.G., M.G., N.H., W.H., H.J.H., C.J., R.K., M.K., K.v.L., J.M., M.O., R.S., C. Schaefer-Prokop, S.S., E.T.S., C. Sital, J.T., K.V.V., C.d.V., W.X., B.d.W., M.P., B.v.G.); Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands (L.B.); Thirona, Nijmegen, the Netherlands (J.P.C., E.M.v.R.); Departments of Internal Medicine (T.D.) and Radiology (M.V.), Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School of Oncology and Developmental Biology, Maastricht, the Netherlands (H.A.G.); Departments of Biomedical Physics and Engineering and Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (L.v.H., I.I.); Department of Radiology, Zuyderland Medical Center, Heerlen, the Netherlands (J.K.); Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany (B.L.); Department of Radiology and Nuclear Medicine, Haaglanden Medical Center, The Hague, the Netherlands (T.v.R.V.); Department of Radiology, Meander Medical Center, Amersfoort, the Netherlands (C. Schaefer-Prokop, S.S.); and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands (J.L.S.).
  • Mathias Prokop
    Department of Radiology, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Bram van Ginneken
    Diagnostic Image Analysis Group, Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands; Fraunhofer Mevis, Bremen, Germany.

Keywords

External Resources

Popular Topics
Recent Journals