By Prashant Raghavan, Sugoto Mukherjee, Mark J. Jameson, Max Wintermark
This e-book is designed as an simply readable handbook that would be of significant useful price for radiology and otolaryngology citizens in the course of their medical rotations. Key proof on head and neck imaging are provided in brief chapters written in an simply readable type. Line drawings are used to demonstrate key strategies, and tables, checklists, and algorithms will permit the readers to reach at a short prognosis. moreover, emphasis is put on scientific pearls that may support them in getting ready compatible stories. The guide of Head and Neck Imaging is sized to permit citizens to learn it thoroughly inside an issue of days, and it'll additionally function an awesome fast reference consultant as diverse scientific occasions come up.
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Extra info for Manual of Head and Neck Imaging
Example text
Since many of these tumors are discovered incidentally and grow slowly 28 1 Spaces of the Neck (or not at all), they are often observed for a period of time (6–12 months) to determine their growth rate before making treatment decisions. In such cases, it is important for the radiologist to compare the present images to previous studies to determine the rate of change over time. Tumors in the carotid space are often quite vascular, and particularly if they are larger or close to the skull base resulting in somewhat more difficult access, it can be valuable to consider preoperative embolization to reduce intraoperative bleeding.
Patients with neurofibromatosis (NF) types 1 and 2 may develop multiple nerve sheath tumors (Fig. 19). The multiplicity of the tumors helps in diagnosis. Neurogenic tumors tend to be T2 hyperintense and enhance avidly. The classical “Target sign” in plexiform neurofibromas on MRI is due to a T2 hypointense core (central fibrocollagenous tissue) with a rim of T2 hyperintense signal (peripheral myxomatous tissue). Other mesenchymal lesions such as sarcomas can also arise in this location from the adjacent muscles and nerves (Fig.
Another 55-year-old patient (b) with tonsillar cancer (star) has a pathological 1 cm right retropharyngeal node (arrow) Fig. 7 A 65 years old with right vertex squamous cell carcinoma (arrow in a) with pathological intraparotid adenopathy (arrow in b). These nodes represent the first echelon of drainage for cutaneous malignancies of the scalp The presence of extracapsular spread (ECS) of metastatic nodal disease is associated with increased local recurrence rates and decreased survival in patients with HNSCC.