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University of Groningen The prognostic value of CT radiomic features from primary tumours and pathological lymph nodes in head and neck cancer patients Zhai, Tiantian

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University of Groningen

The prognostic value of CT radiomic features from primary tumours and pathological lymph

nodes in head and neck cancer patients

Zhai, Tiantian

DOI:

10.33612/diss.111448998

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2020

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Zhai, T. (2020). The prognostic value of CT radiomic features from primary tumours and pathological lymph nodes in head and neck cancer patients. University of Groningen. https://doi.org/10.33612/diss.111448998

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The prognostic value of CT radiomic

features from primary tumours and

pathological lymph nodes in head and

neck cancer patients

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Zhai, T

The prognostic value of CT radiomic features from primary tumours and pathological lymph nodes in head and neck cancer patients

Thesis, University of Groningen, Groningen, The Netherlands

Printing of this thesis was financially supported by the University of Groningen and the Graduate School of Medical Sciences, UMCG and Elekta B.V..

Cover Siqi Qiu, Tiantian Zhai & Jiani Li

Layout Siqi Qiu & Tiantian Zhai

Printed by Ridderprint I www.ridderprint.nl

ISBN: 978-94-6375-748-5

ISBN (electronic version): 978-94-6375-749-2 © 2020, T Zhai

All rights reserved. No part of this thesis may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, mechanically, by photocopying, recording, or otherwise, without prior written permission of the author.

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The prognostic value of CT

radiomic features from primary

tumours and pathological lymph

nodes in head and neck cancer

patients

PhD thesis

to obtain the degree of PhD at the University of Groningen

on the authority of the Rector Magnificus Prof. C. Wijmenga

and in accordance with the decision by the College of Deans. This thesis will be defended in public on Wednesday 15 January 2020 at 12.45 hours

by

Tiantian Zhai

born on 17 August 1987 in Shandong, China

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Supervisor

Prof. J.A. Langendijk

Co-supervisors

Dr. R.J.H.M. Steenbakkers Dr. N.M. Sijtsema

Assessment Committee

Prof. J. Pruim

Prof. B.F.A.M. van der Laan Prof. A.L.A.J. Dekker

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Dedicated to My Family

谨以此书献给我亲爱的家人

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Paranymphs

Lisa van den Bosch Pei Meng

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CONTENTS

Chapter 1 General introduction 9

Chapter 2 Improving the prediction of overall survival for head and neck cancer patients using image biomarkers in combination with clinical parameters

19

Chapter 3 The prognostic value of CT-based image-biomarkers for head and neck cancer patients treated with definitive (chemo-) radiation

37

Chapter 4 Pre-treatment radiomic features predict individual lymph

node failure for head and neck cancer patients 59

Chapter 5 External validation of nodal failure prediction models

inclu-ding radiomics in head and neck cancer 91

Chapter 6 Discussion and future perspectives 113

Appendices Chinese summary (中文摘要) 141

Nederlandse samenvatting (Dutch summary) 145 Curriculum vitae 152 List of publications 153 Dankwoord (Acknowledgements) 155

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