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Cris Lanting, Ph.D.

Medical Physicist-Audiologist | Expertise in Hearing & Genes, Cochlear Implants, and Clinical Trials

Short blurb

As a Medical Physics Expert (MPE) - Audiologist, I focus on the intersection of clinical audiology, genetics, and auditory rehabilitation, emphasizing multidisciplinary collaboration to advance both patient care and scientific understanding. My work spans the discovery of genetic causes of hearing loss, e.g., the identification of a prevalent RIPOR2 mutation as a major factor in adult-onset hearing loss (de Bruijn et al., J Med Genet, 2021, Velde et al., 2023), and international efforts to elucidate genotype-phenotype correlations, such as in TMPRSS3-related hearing loss (Colbert et al., Hum Genet, 2024), and the evaluation of new therapy for treating sudden deadness (under revision) and reducing treatment-related hearing loss in cisplatin chemoradiation (Burger et al., Eur Arch Otorhinolaryngo, 2024)

I am committed to translating scientific insights into practical applications, exemplified by research on auditory profiling (Lanting et al., Genes, 2022), the development of remote cochlear implant assessments (Wasmann et al., Ear Hear, 2024), and the evaluation of sound-level reduction interventions in critical care settings (Vreman et al., Intensive Crit Care Nurs, 2024). Through collaborations with national and European networks and active participation in clinical trials, I aim to improve diagnostics, therapeutic options, and patient outcomes in audiology.

In addition to research, I contribute to academic and clinical audiology through teaching, supervision of Ph.D. students, and involvement in committees that promote team science and advance evidence-based care.

Clinical expertise:
In my clinical practice, I focus on providing comprehensive care for patients with complex auditory needs:

  • Expertise Center Hearing & Implants As part of the largest implant center in the Netherlands, I contribute to a multidisciplinary “one-stop shop” for hearing rehabilitation, including cochlear implants and middle ear implants.
  • Expertise Center Hearing & Genes I work within a multidisciplinary team addressing hereditary hearing loss, as part of the European Reference Network ERN-CRANIO.
  • DOOFNL Diagnostiek & Onderzoek Oto-genotype Fenotype NederLand: I am involved in this unique collaboration of academic centers (ENT specialists, clinical geneticists, and audiologists) to advance the diagnosis and understanding of rare hearing disorders.
  • Clinical Audiology: I specialize in diagnostics for pediatric hearing loss, including complex cases, and cochlear implants for children.
  • Tinnitus and Hyperacusis: I provide diagnostics and management for these conditions.
  • Accessibility of Care: I am engaged in developing regional care networks involving GPs, ENTs, and audiologists to improve access and streamline care pathways.

Academic focus:
My academic focus complements this clinical expertise and drives innovation in the field:

  • Hearing and Genes: I investigate the perceptual consequences of genetic mutations, underlying mechanisms, and site-of-lesion testing, as demonstrated in several key publications (see e.g. research output).
  • Auditory Profiling: I develop tools and methodologies to characterize auditory performance and measure outcomes.
  • Inner Ear Therapy and Clinical Trials: I participate in Phase 1/2 trials, including therapies targeting gene defects and sudden deafness, with translational impact on patient care.
  • Evaluation of Auditory Implants: My work includes sponsor-driven investigations of new implants and long-term evaluations of cochlear and middle ear implants, refining indication criteria and obtaining functional outcome measures.

This integration of clinical expertise and academic focus reflects my commitment to advancing audiological care through evidence-based practices, collaborative networks, and patient-centered innovation.

Experience

Radboud University Medical Center

2018 – Present | Medical Physics Expert (MPE) - Audiologist

  • Expertise in hereditary hearing loss, cochlear implants, tinnitus, hyperacusis, and pediatric diagnostics.
  • Phase 1 & 2 clinical trials for inner ear therapies (press release).
  • Academic focus on genetic hearing loss, site-of-lesion testing, and auditory performance metrics.

University Medical Center Groningen

2013 – 2017 | Medical Physics Expert (MPE) - Audiologist in training

  • Focus on tinnitus neuroimaging standards within TINNET.
  • Contributed to national audiology training networks via KKAu.
  • Board member of KLIFOP representing medical physicists in training.

Medical Research Councel (MRC) Institute of Hearing Research, Nottingham

2009 – 2012 | Career Development Fellow

  • Research on ultrahigh-resolution fMRI of the auditory cortex at the MRC IHR.
  • Investigated cortical frequency selectivity using EEG methods in collaboration with the SPMMRC.

University of Groningen

2005 – 2009 | Ph.D. in Biomedical Sciences

  • Thesis: Functional Magnetic Resonance Imaging of Tinnitus.
  • Focus on auditory neuroscience of tinnitus and imaging of brain activity.
  • Defense date: March 31, 2010 (PDF).

Education

University of Groningen

1999 – 2005 | M.Sc. Applied Physics

  • Specialized in Biomedical Engineering — Medical Imaging.
  • Thesis: Perfusion Imaging using Arterial Spin Labeling.

Wessel Gansfort College

1993 – 1999 | Pre-University Education (VWO)

Certification and course

  • 2024 Leergang Begeleiden van Promovendi / Supervising PhDs at Radboudumc.
  • 2023 ISO 14155: 2020 Good Clinical Practice (GCP) for Site Staff}. Cochlear Academy
  • 2022 ICH GOOD CLINICAL PRACTICE (GCP) E6 (R2)}. Globalhealthtrainingcentre.org/elearning
  • 2019 Teach the teacher/Opleiden van aios in de klinische praktijk (OKP)
  • **2017 NFU Basic Course Regulations and Organization for Clinical Investigators (BROK)} currently undergoing re-certification

Grants and Awards

  • 2024: Donders Research Stimulation Fund 2024; “Ear and Hearing Focus group”
  • 2024: Donders Research Stimulation Fund 2024; Collaboration fund with Marc van Wanrooij “Enhancing Auditory Profiles: A Cross-Center Approach to Understanding and Addressing Hearing Loss”
  • 2022: Investigator Initiated Research (IIR) Grant with Cochlear Ltd on Genetic hearing loss influences outcomes of cochlear implantation, a PhD project 2020-2023
  • 2011: Nomination for Best Ph.D. Thesis, BCN
  • 2010: Thesis Grants

Committees and Activities

  • Editor at Audiologieboek.nl, a National audiology syllabus
  • Member of the Nederlandse Vereniging voor Klinisch Fysica (NKKF Wetenschap en Innovatie); developed a Kennisagenda 2020-2025
  • User Committee, NWO TTW Project: OtoControl-2.0 (2024–2029)
  • Member of the Kerngroep Klinische Audiologen (KKAu)
  • Scientific Audiology advisor at ENT Clinical
  • Member of the Workgroup Kennisagenda in de Kwaliteitscyclus of the NVKNO (development of a 3rd version of a Kennisagenda)
  • Chair of the Workgroup Kennisagenda 2.0 of the NVKF (development of a 2nd version of a Kennisagenda 2025-2029)
  • Member of the National Scientific Committee ESPCI 2023 Rotterdam
  • Member of the Workgroup Neuroimaging COST action TINNET (Cost action BM1306)

Teaching and Supervision

Teaching

  • 2023 - Now: Guest lecture Donderd Neurophysics course Physics of the The Auditory System: Hearing Impairment
  • 2018 – Now: Lecturer, Minor Clinical Genomics, Radboudumc
  • 2018 - 2022: Organised monthly Hearing & Implants meeting at Radboudumc and Donders Centre for Neuroscience, Department of Biophysics
  • 2015 – 2017: Lecturer Capita Selecta, “From Sound to Hearing,” University of Groningen
  • 2013 – 2017: Lecturer, Lecturer Vector Calculus and Mathematics for Neuroscientists, University of Groningen, Graduate school Behavioral and Cognitive Neurosciences
  • 2005 – 2009: Lecturer fMRI Course Research Master, University of Groningen, Graduate school Behavioral and Cognitive Neurosciences

Supervision

  • Ph.D. Students: Supervision as copromotor for ENT residents within the theme of Hearing & Genes, Hearing & Implants and Audiology (7 ongoing, 2 finished)
  • Medical Physicists in Training: supervised two trainees for their scientific project

Research Output

Journal Articles

  1. Fehrmann, M., Beynon, A., Huinck, W., Pennings, R., Mylanus, E., & Lanting, C. (2025). The Potential of Electrocochleography in Explaining the Variability in Cochlear Implant Outcomes: A Scoping Review. International Journal of Audiology, 1–15. https://doi.org/10.1080/14992027.2025.2459223
  2. Fehrmann, M. L. A., Haer-Wigman, L., Kremer, H., Yntema, H. G., Thijssen, M. E. G., Mylanus, E. A. M., Huinck, W. J., Lanting, C. P., & Pennings, R. J. E. (2025). Cochlear Implantation Outcomes in Genotyped Subjects with Sensorineural Hearing Loss. JARO. https://doi.org/10.1007/s10162-025-00987-0
  3. Wasmann, J.-W. A., Huinck, W. J., & Lanting, C. P. (2024). Remote Cochlear Implant Assessments: Validity and Stability in Self-Administered Smartphone-Based Testing. Ear Hear, 45(1), 239–249. https://doi.org/10.1097/AUD.0000000000001422
  4. Kemps, G., Geven, L., Kunst, H., Mylanus, E., Mulder, J., Lanting, C., & Pennings, R. (2024). Surgical Treatment for Troublesome Mastoid Cavities: Canal Wall Reconstruction With Bony Obliteration Versus Subtotal Petrosectomy. Otol Neurotol, 45(3), 273–280. https://doi.org/10.1097/MAO.0000000000004109
  5. Colbert, B. M., Lanting, C., Smeal, M., Blanton, S., Dykxhoorn, D. M., Tang, P.-C., Getchell, R. L., Velde, H., Fehrmann, M., Thorpe, R., Chapagain, P., Elkhaligy, H., Kremer, H., Yntema, H., Haer-Wigman, L., Redfield, S., Sun, T., Bruijn, S., Plomp, A., … Liu, X. Z. (2024). The Natural History and Genotype–Phenotype Correlations of TMPRSS3 Hearing Loss: An International, Multi-Center, Cohort Analysis. Hum. Genet., 143(5), 721–734. https://doi.org/10.1007/s00439-024-02648-3
  6. Burger, A. V. M., Duinkerken, C. W., Van Sluis, K. E., De Boer, J. P., Navran, A., Lanting, C. P., Jóźwiak, K., Dreschler, W. A., Balm, A. J. M., & Zuur, C. L. (2024). Treatment-Related Hearing Loss in Weekly versus Triweekly Cisplatin Chemoradiation for Head and Neck Cancer. Eur Arch Otorhinolaryngol. https://doi.org/10.1007/s00405-024-08880-x
  7. Fehrmann, M. L. A., Meijer, F. J. A., Mylanus, E. A. M., Pennings, R. J. E., Lanting, C. P., & Huinck, W. J. (2024). Evaluating Cochlear Implant Outcomes in DFNA9 Subjects: A Comprehensive Study on Cerebral White Matter Lesions and Vestibular Abnormalities. Eur Arch Otorhinolaryngol. https://doi.org/10.1007/s00405-024-08933-1
  8. Fehrmann, M. L. A., Lanting, C. P., Haer-Wigman, L., Mylanus, E. A. M., Huinck, W. J., & Pennings, R. J. E. (2024). Good Cochlear Implantation Outcomes in Subjects with Mono-Allelic WFS1- Associated Sensorineural Hearing Loss – a Case Series. International Journal of Audiology, 1–9. https://doi.org/10.1080/14992027.2024.2411579
  9. Velde, H. M., Vaseghi-Shanjani, M., Smits, J. J., Ramakrishnan, G., Oostrik, J., Wesdorp, M., Astuti, G., Yntema, H. G., Hoefsloot, L., Lanting, C. P., Huynen, M. A., Lehman, A., Turvey, S. E., DOOFNL Consortium, Aten, E., Van Den Boogaard, M. J., Cals, F. L. J., Van Dooren, M. F., Ebbens, F. A., … Kremer, H. (2024). Exome Variant Prioritization in a Large Cohort of Hearing-Impaired Individuals Indicates IKZF2 to Be Associated with Non-Syndromic Hearing Loss and Guides Future Research of Unsolved Cases. Hum. Genet., 143(11), 1379–1399. https://doi.org/10.1007/s00439-024-02706-w
  10. Fehrmann, M. L. A., Lanting, C. P., Haer-Wigman, L., Yntema, H. G., Mylanus, E. A. M., Huinck, W. J., & Pennings, R. J. E. (2024). Long-Term Outcomes of Cochlear Implantation in Usher Syndrome. Ear and Hearing, 10.1097/AUD.0000000000001544. https://doi.org/10.1097/AUD.0000000000001544
  11. Vreman, J., Lanting, C., Frenzel, T., van der Hoeven, J., Lemson, J., & van den Boogaard, M. (2024). Reduction of Sound Levels in the Intermediate Care Unit; a Quasi-Experimental Time-Series Design Study. Intensive and Critical Care Nursing, 85, 103810. https://doi.org/10.1016/j.iccn.2024.103810
  12. Velde, H. M., Huizenga, X. J. J., Yntema, H. G., Haer-Wigman, L., Beynon, A. J., Oostrik, J., Pegge, S. A. H., Kremer, H., Lanting, C. P., & Pennings, R. J. E. (2023). Genotype and Phenotype Analyses of a Novel WFS1 Variant (c.2512C>T p.(Pro838Ser)) Associated with DFNA6/14/38. Genes, 14(2), 457. https://doi.org/10.3390/genes14020457
  13. Vreman, J., Lemson, J., Lanting, C., van der Hoeven, J., & van den Boogaard, M. (2023). The Effectiveness of the Interventions to Reduce Sound Levels in the ICU: A Systematic Review. Critical Care Explorations, 5(4), e0885. https://doi.org/10.1097/CCE.0000000000000885
  14. Velde, H. M., Homans, N. C., Goedegebure, A., Lanting, C. P., Pennings, R. J. E., & Kremer, H. (2023). Analysis of Rotterdam Study Cohorts Confirms a Previously Identified RIPOR2 In-Frame Deletion as a Prevalent Genetic Factor in Phenotypically Variable Adult-Onset Hearing Loss (DFNA21) in the Netherlands. J Med Genet, 60(11), 1061–1066. https://doi.org/10.1136/jmg-2023-109146
  15. Fehrmann, M. L. A., Huinck, W. J., Thijssen, M. E. G., Haer-Wigman, L., Yntema, H. G., Rotteveel, L. J. C., Widdershoven, J. C. C., Goderie, T., Van Dooren, M. F., Hoefsloot, E. H., Van Der Schroeff, M. P., Mylanus, E. A. M., DOOFNL consortium, Van Dooren, M. F., Kant, S. G., De Gier, H. H. W., Hoefsloot, E. H., Van Der Schroeff, M. P., Rotteveel, L. J. C., … Pennings, R. J. E. (2023). Stable Long-Term Outcomes after Cochlear Implantation in Subjects with TMPRSS3 Associated Hearing Loss: A Retrospective Multicentre Study. J Of Otolaryngol - Head & Neck Surg, 52(1), 82. https://doi.org/10.1186/s40463-023-00680-3
  16. Robijn, S. M. M., Smits, J. J., Sezer, K., Huygen, P. L. M., Beynon, A. J., Van Wijk, E., Kremer, H., De Vrieze, E., Lanting, C. P., & Pennings, R. J. E. (2022). Genotype-Phenotype Correlations of Pathogenic COCH Variants in DFNA9: A HuGE Systematic Review and Audiometric Meta-Analysis. Biomolecules, 12(2), 220. https://doi.org/10.3390/biom12020220
  17. Smits, J. J., de Bruijn, S. E., Lanting, C. P., Oostrik, J., O’Gorman, L., Mantere, T., DOOFNL Consortium, Cremers, F. P. M., Roosing, S., Yntema, H. G., de Vrieze, E., Derks, R., Hoischen, A., Pegge, S. A. H., Neveling, K., Pennings, R. J. E., & Kremer, H. (2022). Exploring the Missing Heritability in Subjects with Hearing Loss, Enlarged Vestibular Aqueducts, and a Single or No Pathogenic SLC26A4 Variant. Hum Genet, 141(3-4), 465–484. https://doi.org/10.1007/s00439-021-02336-6
  18. Smits, J. J., De Bruijn, S. E., Lanting, C. P., Oostrik, J., O’Gorman, L., Mantere, T., DOOFNL Consortium, Van Dooren, M. F., Kant, S. G., De Gier, H. H. W., Hoefsloot, E. H., Van Der Schroeff, M. P., Rotteveel, L. J. C., Ropers, F. G., Widdershoven, J. C. C., Hof, J. R., Vanhoutte, E. K., Feenstra, I., Kremer, H., … Kremer, H. (2022). Correction to: Exploring the Missing Heritability in Subjects with Hearing Loss, Enlarged Vestibular Aqueducts, and a Single or No Pathogenic SLC26A4 Variant. Hum Genet, 141(3-4), 991–991. https://doi.org/10.1007/s00439-021-02377-x
  19. Consensus Statement on Bone Conduction Devices and Active Middle Ear Implants in Conductive and Mixed Hearing Loss. (2022). Otology & Neurotology, 43(5), 513–529. https://doi.org/10.1097/MAO.0000000000003491
  20. Lanting, C., Snik, A., Leijendeckers, J., Bosman, A., & Pennings, R. (2022). Genetic Hearing Loss Affects Cochlear Processing. Genes, 13(11), 1923. https://doi.org/10.3390/genes13111923
  21. Velde, H. M., Reurink, J., Held, S., Li, C. H. Z., Yzer, S., Oostrik, J., Weeda, J., Haer-Wigman, L., Yntema, H. G., Roosing, S., Pauleikhoff, L., Lange, C., Whelan, L., Dockery, A., Zhu, J., Keegan, D. J., Farrar, G. J., Kremer, H., Lanting, C. P., … Pennings, R. J. E. (2022). Usher Syndrome Type IV: Clinically and Molecularly Confirmed by Novel ARSG Variants. Hum Genet, 141(11), 1723–1738. https://doi.org/10.1007/s00439-022-02441-0
  22. Wasmann, J.-W. A., Lanting, C. P., Cris P. Lanting, Huinck, W. J., Mylanus, E. A. M., van der Laak, J. W. M., Govaerts, P., De Wet Swanepoel, Moore, D. R., & Barbour, D. L. (2021). Computational Audiology: New Approaches to Advance Hearing Health Care in the Digital Age. Ear and Hearing. https://doi.org/10.1097/aud.0000000000001041
  23. De Bruijn, S. E., Smits, J. J., Liu, C., Lanting, C. P., Beynon, A. J., Blankevoort, J., Oostrik, J., Koole, W., De Vrieze, E., Cremers, C. W. R. J., Cremers, F. P. M., Roosing, S., Yntema, H. G., Kunst, H. P. M., Zhao, B., Pennings, R. J. E., & Kremer, H. (2021). A RIPOR2 In-Frame Deletion Is a Frequent and Highly Penetrant Cause of Adult-Onset Hearing Loss. J Med Genet, 58(2), 96–104. https://doi.org/10.1136/jmedgenet-2020-106863
  24. Smits, J. J., Van Beelen, E., Weegerink, N. J. D., Oostrik, J., Huygen, P. L. M., Beynon, A. J., Lanting, C. P., Kunst, H. P. M., Schraders, M., Kremer, H., De Vrieze, E., & Pennings, R. J. E. (2021). A Novel COCH Mutation Affects the vWFA2 Domain and Leads to a Relatively Mild DFNA9 Phenotype. Otology & Neurotology, 42(4), e399–e407. https://doi.org/10.1097/MAO.0000000000003004
  25. Chen, T., Rohacek, A. M., Caporizzo, M., Nankali, A., Smits, J. J., Oostrik, J., Lanting, C. P., Kücük, E., Gilissen, C., van de Kamp, J. M., Pennings, R. J. E., Rakowiecki, S. M., Kaestner, K. H., Ohlemiller, K. K., Oghalai, J. S., Kremer, H., Prosser, B. L., & Epstein, D. J. (2021). Cochlear Supporting Cells Require GAS2 for Cytoskeletal Architecture and Hearing. Dev Cell, 56(10), 1526–1540.e7. https://doi.org/10.1016/j.devcel.2021.04.017
  26. Koops, E. A., Renken, R. J., Lanting, C. P., & Van Dijk, P. (2020). Cortical Tonotopic Map Changes in Humans Are Larger in Hearing Loss Than in Additional Tinnitus. J. Neurosci., 40(16), 3178–3185. https://doi.org/10.1523/JNEUROSCI.2083-19.2020
  27. Besle, J., Mougin, O., Sánchez-Panchuelo, R.-M., Lanting, C., Gowland, P., Bowtell, R., Francis, S., & Krumbholz, K. (2019). Is Human Auditory Cortex Organization Compatible With the Monkey Model? Contrary Evidence From Ultra-High-Field Functional and Structural MRI. Cerebral Cortex, 29(1), 410–428. https://doi.org/10.1093/cercor/bhy267
  28. DOOFNL Consortium, Smits, J. J., Oostrik, J., Beynon, A. J., Kant, S. G., De Koning Gans, P. A. M., Rotteveel, L. J. C., Klein Wassink-Ruiter, J. S., Free, R. H., Maas, S. M., Van De Kamp, J., Merkus, P., Koole, W., Feenstra, I., Admiraal, R. J. C., Lanting, C. P., Schraders, M., Yntema, H. G., Pennings, R. J. E., & Kremer, H. (2019). De Novo and Inherited Loss-of-Function Variants of ATP2B2 Are Associated with Rapidly Progressive Hearing Impairment. Hum Genet, 138(1), 61–72. https://doi.org/10.1007/s00439-018-1965-1
  29. Lanting, C. P., De Kleine, E., Langers, D. R. M., & Van Dijk, P. (2014). Unilateral Tinnitus: Changes in Connectivity and Response Lateralization Measured with fMRI. PLoS ONE, 9(10), e110704. https://doi.org/10.1371/journal.pone.0110704
  30. Lanting, C. P. (2013). Ik hoor, ik hoor wat jij niet hoort. Gamma Professional, 63 (2), 4–8.
  31. Lanting, C. P., Briley, P. M., Sumner, C. J., & Krumbholz, K. (2013). Mechanisms of Adaptation in Human Auditory Cortex. Journal of Neurophysiology, 110(4), 973–983. https://doi.org/10.1152/jn.00547.2012
  32. Crippa, A., Lanting, C. P., van Dijk, P., & Roerdink, J. B. T. M. (2010). A Diffusion Tensor Imaging Study on the Auditory System and Tinnitus. The Open Neuroimaging Journal, 4(1). https://doi.org/10.2174/1874440001004010016
  33. Lanting, C. P., De Kleine, E., Eppinga, R. N., & Van Dijk, P. (2010). Neural Correlates of Human Somatosensory Integration in Tinnitus. Hearing Research, 267(1-2), 78–88. https://doi.org/10.1016/j.heares.2010.04.006
  34. Lanting, C. P., De Kleine, E., & Van Dijk, P. (2009). Neural Activity Underlying Tinnitus Generation: Results from PET and fMRI. Hearing Research, 255(1-2), 1–13. https://doi.org/10.1016/j.heares.2009.06.009
  35. Lanting, C. P., De Kleine, E., Bartels, H., & Van Dijk, P. (2008). Functional Imaging of Unilateral Tinnitus Using fMRI. Acta Oto-Laryngologica, 128(4), 415–421. https://doi.org/10.1080/00016480701793743

Book Chapters

  1. Lanting, C., WoźAniak, A., Van Dijk, P., & Langers, D. R. M. (2016). Tinnitus- and Task-Related Differences in Resting-State Networks. In P. Van Dijk, D. Başkent, E. Gaudrain, E. De Kleine, A. Wagner, & C. Lanting (Eds.), Physiology, Psychoacoustics and Cognition in Normal and Impaired Hearing (Vol. 894, pp. 175–187). Springer International Publishing. https://doi.org/10.1007/978-3-319-25474-6_19
  2. Hall, D., Lanting, C., & Hartley, D. (2014). Using fMRI to Examine Central Auditory Plasticity \textbar IntechOpen. In Advanced Brain Neuroimaging Topics in Health and Disease - Methods and Applications. IntechOpen.

Books

  1. Van Dijk, P., Başkent, D., Gaudrain, E., De Kleine, E., Wagner, A., & Lanting, C. (Eds.). (2016). Physiology, Psychoacoustics and Cognition in Normal and Impaired Hearing (Vol. 894). Springer International Publishing. https://doi.org/10.1007/978-3-319-25474-6
  2. Lanting, C. P. (2010). Functional Magnetic Resonance Imaging of Tinnitus. University of Groningen.

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_Last updated: April 2025 _

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