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1 Cover Page The handle holds various files of this Leiden University dissertation. Author: Tummers, Q.R.J.G. Title: Fluorescence-guided cancer surgery using clinical available and innovative tumorspecific contrast agents Issue Date:

2 LIST OF PUBLICATIONS

3

4 List of publications Van Driel PB, Boonstra MC, Prevoo HA, van de Giessen M, Snoeks TJ, Tummers QR, Keereweer S, Cordfunke RA, Fish A, van Eendenburg JD, Lelieveldt BP, Dijkstra J, van de Velde CJ, Kuppen PJ, Vahrmeijer AL, Löwik CW, Sier CF. EpCAM as multi-tumour target for near-infrared fluorescence guided surgery. BMC Cancer 2016; 16(1): Hoogstins CE, Tummers QR, Gaarenstroom KN, de Kroon CD, Trimbos JB, Bosse T, Smit VT, Vuyk J, van de Velde CJ, Cohen AF, Low PS, Burggraaf J, Vahrmeijer AL. A Novel Tumor-Specific Agent for Intraoperative Near- Infrared Fluorescence Imaging: A Translational Study in Healthy Volunteers and Patients with Ovarian Cancer. Clin Cancer Res 2016;22(12): Tummers QR, Hoogstins CE, Gaarenstroom KN, de Kroon CD, van Poelgeest MI, Vuyk J, Bosse T, Smit VT, van de Velde CJ, Cohen AF, Low PS, Burggraaf J, Vahrmeijer AL. Intraoperative imaging of folate receptor alpha positive ovarian and breast cancer using the tumor specific agent EC17. Oncotarget 2016;7(22): Verstegen MJ, Tummers QR, Schutte PJ, Pereira AM, van Furth WR, van de Velde CJ, Malessy MJ, Vahrmeijer AL. Intraoperative Identification of Normal Pituitary Gland and Adenoma using Near-Infrared Fluorescence Imaging and Low-dose Indocyanine Green. Operative Neurosurgery 2016;12(3): Tummers QR, Boogerd, LS, De Steur WO, Verbeek FP, Boonstra MC, Handgraaf HJ, Frangioni JV, van de Velde CJ, Hartgrink HH, Vahrmeijer AL. Near-infrared fluorescence sentinel lymph node detection in gastric cancer: A pilot study. World J Gastroenterol 2016;22(13): Tummers QR, Hoogstins CE, Peters AA, de Kroon CD, Trimbos JB, van de Velde CJ, Frangioni JV, Vahrmeijer AL, Gaarenstroom KN. The value of intraoperative near-infrared fluorescence imaging based on enhanced permeability and retention of indocyanine green: feasibility and falsepositives in ovarian cancer. PlosONE 2015;10(6)

5 212 Appendices 7. Tummers QR, Schepers A., Hamming JF, Kievit J, Frangioni JV, van de Velde CJ, Vahrmeijer AL. Intraoperative Guidance in Parathyroid Surgery using Near-Infrared Fluorescence Imaging and Low-Dose Methylene Blue. Surgery 2015;158(5): Tummers QR, Boonstra MC, Frangioni JV, van de Velde CJ, Vahrmeijer AL, Bonsing BA. Intraoperative Near-Infrared Fluorescence Imaging of a Paraganglioma using Methylene Blue: a case report. Int J Surg Case Rep 2015;6C: Handgraaf HJ, Boogerd LS, Verbeek FP, Tummers QR, Hardwick JC, Baeten CI, Frangioni JV, van de Velde CJ, Vahrmeijer AL. Intraoperative fluorescence imaging to localize tumors and sentinel lymph nodes in rectal cancer. Minim Invasive Ther Allied Technol 2016;25(1): Verbeek FP, Tummers QR, Rietbergen DD, Peters AA, Schaafsma BE, Van de Velde CJ, Frangioni JV, Van Leeuwen FW, Gaarenstroom KN, Vahrmeijer KN. Sentinel lymph node biopsy in vulvar cancer using combined radioactive and fluorescence guidance. Int J Gyn Cancer 2015;25(6): Boonstra MC, Van Driel PB, Van Willigen DM, Stammes MA, Prevoo HA, Tummers QR, Mazar A, Beekman F, Kuppen PJ, Van de Velde CJ, Lowik CW, Frangioni JV, Van Leeuwen FW, Sier CF, Vahrmeijer AL. upar-targeted multimodal tracer for pre- and intraoperative imaging in cancer surgery. Oncotarget 2015;6(16): Handgraaf HJ, Verbeek FP, Tummers QR, Boogerd LS, van de Velde CJ, Vahrmeijer AL, Gaarenstroom KN. Real-time near-infrared fluorescence guided surgery in gynecologic oncology: A review of the current state of the art. Gynecol Oncol 2014;135(3): Schaafsma BE, Verbeek FP, Elzevier HW, Tummers QR, van der Vorst JR, Frangioni JV, van de Velde CJ, Pelger RC, Vahrmeijer AL. Optimization of sentinel lymph node mapping in bladder cancer using near-infrared fluorescence imaging. J Surg Oncol 2014; 110(7):

6 List of publications Tummers QR, Verbeek FP, Prevoo HA, Braat AE, Baeten CI, Frangioni JV, van de Velde CJ, Vahrmeijer AL. First Experience on Laparoscopic Near-Infrared Fluorescence Imaging of Hepatic Uveal Melanoma Metastases Using Indocyanine Green. Surg Innov 2015;22(1): Tummers QR, Verbeek FP, Schaafsma BE, Boonstra MC, van der Vorst JR, Liefers GJ, van de Velde CJ, Frangioni JV, Vahrmeijer AL. Real-time intraoperative detection of breast cancer using near-infrared fluorescence imaging and Methylene Blue. Eur J Surg Oncol 2014;40(7): Verbeek FP, van der Vorst JR, Tummers QR, Boonstra MC, de Rooij KE, Löwik CW, Valentijn AR, van de Velde CJ, Choi HS, Frangioni JV, Vahrmeijer AL. Near- Infrared Fluorescence Imaging of Both Colorectal Cancer and Ureters Using a Low-Dose Integrin Targeted Probe. Ann Surg Oncol 2014;21 Suppl 4:S Verbeek FP, Schaafsma BE, Tummers QR, vd Vorst JR, vd Made WJ, Baeten CI, Bonsing BA, Frangioni JV, van de Velde CJ, Vahrmeijer AL, Swijnenberg RJ. Optimization of near-infrared fluorescence cholangiography for open and laparoscopic surgery. Surg End 2014;28(4): vd Vorst JR, Schaafsma BE, Verbeek FPR, Swijnenberg RJ, Tummers QR, Hutteman M, Hamming JF, Kievit J, Frangioni JV, van de Velde CJ, Vahrmeijer AL. Intraoperative near-fluorescence imaging of parathyroid adenomas using low-dose methylene blue. Head Neck 2014;36(6): de Kruijf EM, van Nes JG, Sajet A, Tummers QR, Putter H, Osanto S, Speetjens FM, Smit VT, Liefers GJ, van de Velde CJ, Kuppen PJ. The predictive value of HLA class I tumor cell expression and presence of intratumoral Tregs for chemotherapy in patients with early breast cancer. Clin Cancer Res 2010;16(4): Ray A, Huisman MV, Tamsma JT; Research and Writing-group, van Asten J, Bingen BO, Broeders EA, Hoogeveen ES, van Hout F, Kwee VA, Laman B, Malgo F, Mohammadi M, Nijenhuis M, Rijkée M, van Tellingen MM, Tromp M, Tummers QR, de Vries L. The role of inflammation on atherosclerosis, intermediate and clinical cardiovascular endpoints in type 2 diabetes mellitus. Eur J Intern Med 2009;20(3):

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8 CURRICULUM VITAE

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10 Curriculum vitae 217 Quirijn Tummers werd op 30 april 1986 geboren te Leiden. In 2004 behaalde hij cum laude zijn eindexamen aan het Gymnasium van het Bonhoeffer College te Enschede, waarna hij Geneeskunde ging studeren aan de Universiteit Leiden. Gedurende zijn studie was hij onder andere werkzaam als allocatie medewerker bij Eurotransplant International Foundation. Daarnaast was hij actief lid van de Leidse Studenten Vereniging Minerva. Voorafgaand aan zijn co-schappen deed hij een klinische stage in het Mangochi District Hospital in Malawi. Tijdens zijn wetenschapsstage naar de rol van lymfocyten infiltraat bij borstkanker onder leiding van prof. dr. C.J.H. van de Velde en dr. P.J.K Kuppen, kwam hij voor het eerst in contact met het Greenlight onderzoek in het LUMC. Op 30 maart 2012 behaalde Quirijn cum laude zijn artsexamen. Daarna begon hij als arts-onderzoeker in de Image- Guided Surgery onderzoeksgroep onder leiding van dr. A.L. Vahrmeijer en prof. dr. C.J.H. van de Velde, waarvan de resultaten beschreven zijn in dit proefschrift. Tijdens deze periode kreeg hij onder andere een Fellowship Grant van de European Society of Surgical Oncology voor de ECCO-AACR-EORTC- ESMO workshop Methods in Clinical Cancer Research in Flims, Zwitserland. Daarnaast won hij de Best Poster Award tijdens het World Molecular Imaging Congress 2013 in Savannah, USA. In 2015 startte hij als ANIOS Heelkunde in het Medisch Centrum Haaglanden- Bronovo te Den Haag. Daarnaast was hij dat jaar als voorzitter betrokken bij de organisatie van het Symposium Experimenteel Onderzoek voor Heelkundige Specialismen te Leiden. Op begon hij met de opleiding Heelkunde in het Haaglanden Medisch Centrum te Den Haag (opleiders dr. H.J. Smeets en dr. S.A.G. Meylaerts). Momenteel woont Quirijn samen met zijn vriendin Maxime Slooter in Amsterdam.

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12 DANKWOORD

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14 Dankwoord 221 Om te beginnen wil ik alle patiënten en gezonde vrijwilligers die deelgenomen hebben aan de verschillende studies hartelijk bedanken. Zonder deelname was dit proefschrift er niet geweest. Voor alle patiënten in het bijzonder gold dat zij niet wisten of onze onderzoekstechnieken zouden bijdragen aan hun eigen behandeling. Ik heb diep respect voor de bereidheid om in deze vaak zeer moeilijke levensfase deel te nemen aan wetenschappelijk onderzoek. Promoveren is teamsport, maar er zijn een aantal mensen die ik in het bijzonder heel hartelijk wil bedanken voor de totstandkoming van dit proefschrift. Prof. Van de Velde, beste Professor; ik beschouw het als een zeer grote eer dat ik onder uw leiding mijn promotieonderzoek heb mogen doen. Ik heb veel bewondering voor uw staat van dienst, heb genoten van al uw bijzondere anekdotes, en vond het mooi om te zien dat u ondanks al uw prestaties uit het verleden, altijd uw blik op de toekomst hield. Beste Xandra, heel veel dank voor jouw hulp bij het uitspelen van Converis, en eigenlijk bij alles wat geregeld moest worden rond mijn promotie. Dr. Vahrmeijer, allerbeste Lex; als pater familias gaf jij op onnavolgbare wijze leiding aan onze onderzoeksgroep. Altijd op de hoogte van wat er speelde, en vooral heel goed op de hoogte van wat er nog meer uitgezocht kon worden. Jouw vermogen om 100 balletjes tegelijk hoog te houden is zeer bewonderenswaardig. Dank voor het vertrouwen, voor de begeleiding, en voor alles wat je teruggaf als beloning voor onze inspanningen. Prof. Burggraaf, beste Koos; met de samenwerking tussen de Heelkunde van het LUMC en het CHDR is het niveau van onze onderzoeken nog verder gestegen. Ik wil je bedanken voor deze fantastische samenwerking en de begeleiding. Prof. Cohen, beste Adam; ook jou wil ik bedanken voor alle mogelijkheden die mij geboden zijn door samen met het CHDR onderzoek te doen. Professor Frangioni, dear John; thank you for your introduction and guidance in the NIR fluorescence imaging research world. Your motivating, sharp, positive and visionary view on science has been a great inspiration to me.

15 222 Appendices Dear Marty, thanks for choosing our research group for the cooperation with On Target. Your ability to look beyond On Targets interests, and allowing us to perform extensive research, next to bringing OTL38 to the clinic, was absolutely amazing. Green Team, dank voor de fantastische promotietijd! De groep is inmiddels te groot om iedereen persoonlijk te bedanken, maar ik heb genoten, veel van jullie geleerd, en ik heb veel vertrouwen in de toekomst van onze groep. Mark, ik wil jou in het bijzonder bedanken voor de fantastische tijd die we samen hebben meegemaakt. En Charlotte, voor de schitterende samenwerking die we tot stand hebben gebracht tussen LUMC en CHDR. Matthijs en Joost, mijn paranimfen, dank voor jullie hulp en steun in de eindfase van mijn promotie. Ik vind het mooi dat wij in 2004 samen begonnen aan onze studie, en nu als goede vrienden dit mogen meemaken. Tom, Bram, Wouter en Erik, ik voel me vereerd dat ik al mijn hele leven met jullie bevriend ben. We hebben het er vaak over gehad, maar mooi dat jullie nu eindelijk in het echt een Leidse promotie meemaken! Tom, Kaa, Ruud en Luc, naast Matthijs en Joost als harde kern van Kanon Select wil ik jullie bedanken voor al jullie steun, het informeren naar en meeleven met mijn promotietraject. Mooi dat we dit feest met zijn allen kunnen vieren. Lieve mam en pap, dank voor jullie onvoorwaardelijke steun en trots bij mijn promotietraject (en alles daarbuiten). Jullie hebben de basis gelegd voor alles wat ik bereikt heb, zonder jullie was dit nooit gelukt. Lieve Johanneke, Willemieke en Fokkedien, dank voor al jullie steun en medeleven. Ik ben trots op jullie. Lieve Maxime, jij bent zonder twijfel de allermooiste beloning voor mijn promotie. Dank voor alle liefde, steun, betrokkenheid en levensvreugde die ik van je krijg. Ik hoop dat we samen nog heel veel moois gaan meemaken, en kijk uit naar onze toekomst!

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