The Radiopaedia Reading Room Podcast 1. Head & Neck radiology with Christine Glastonbury and Jennifer Gillespie
Jan 24, 2023
Christine Glastonbury, a renowned radiologist from UCSF specializing in oral cavity tumors, and Jennifer Gillespie from Royal Brisbane, who focuses on imaging the post-operative neck, join the discussion. They unravel the complexities of head and neck radiology, emphasizing the importance of normal anatomy and the nuances of diagnosing subtle pathologies. The duo also explores critical differences between grafts and flaps in surgery and the significance of angiosomes in clinical practices, offering valuable insights for medical professionals.
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Learn Practical Tricks For Head And Neck Imaging
- Learn a few head-and-neck imaging tricks and repeatedly review scans to make subtle findings obvious.
- Know anatomy well and compare many cases to build pattern recognition quickly.
Always Review Records And Prior Imaging
- Always check the electronic medical record for operative notes, pathology and prior imaging before interpreting difficult head and neck scans.
- Use those records to localize the original tumour and predict likely sites of recurrence.
Differentiate PNI From Perineural Tumour Spread
- Perineural invasion (PNI) is a histologic finding and predicts higher local and regional recurrence risk.
- Perineural tumour spread is macroscopic extension seen clinically or on imaging and drives morbidity and radiation planning.