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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Oral Cavity Anatomy
7 topics, 29 min.
Lesson
Oral Cavity Staging of Squamous Cell Malignancy
18 topics, 1 hr. 26 min.
Principles of T Staging of Oral Cavity Squamous Cell Malignancy
4 m.Principles of N and M Staging of Oral Cavity Squamous Cell Malignancy
6 m.Diagnosis of Oral Tongue Squamous Cell Malignancy
6 m.T Staging of Oral Tongue Squamous Cell Malignancy
6 m.N and M Staging of Oral Tongue Squamous Cell Malignancy
5 m.Diagnosis of Buccal Mucosal Squamous Cell Malignancy
4 m.T Staging of Buccal Mucosal Squamous Cell Malignancy
3 m.N and M Staging of Buccal Mucosal Squamous Cell Malignancy
3 m.Diagnosis of Alveolar Mucosal Squamous Cell Malignancy
7 m.T Staging of Alveolar Mucosal Squamous Cell Malignancy
6 m.Diagnosis of Retromolar Trigone Squamous Cell Malignancy
6 m.T Staging of Retromolar Trigone Squamous Cell Malignancy
5 m.Diagnosis of Hard Palate Squamous Cell Malignancy
4 m.T Staging of Hard Palate Squamous Cell Malignancy
4 m.Diagnosis of Floor of Mouth Squamous Cell Malignancy
9 m.T Staging of Floor of Mouth Squamous Cell Malignancy
6 m.N and M Staging of Floor of Mouth Squamous Cell Malignancy
5 m.Marrow Infiltration and Perineural Infiltration in the Oral Cavity
5 m.Lesson
Lymph Node Levels of the Neck
7 topics, 24 min.
Lesson
Oropharynx
21 topics, 1 hr. 9 min.
Anatomy and Boundaries of the Oropharynx
4 m.Anatomy of the Tongue Base
4 m.Anatomy of the Palatine Tonsil
4 m.Anatomy of the Soft Palate
3 m.Anatomy of the Posterior Oropharyngeal Wall
3 m.Oropharyngeal SCC of the Base of Tongue
4 m.Oropharyngeal Carcinoma: Nodal Drainage and Differential Dx
5 m.Staging Oropharynx Cancer, T-staging
4 m.Staging Oropharynx Cancer, N-Staging
6 m.Oropharynx - Base of Tongue SCC: T-Staging
3 m.Base of Tongue Oropharyngeal Carcinoma, N & M Staging
3 m.Oropharynx - SCC of the Palatine Tonsil
4 m.Oropharynx - Palatine Tonsil SCC: Paths of Spread
5 m.Oropharynx - Lymphadenopathy and HPV-Related SCC
3 m.Oropharynx - Palatine Tonsil SCC - T Staging
4 m.Oropharynx - Palatine Tonsil SCC - N/M Staging
4 m.Oropharynx - SCC of the Soft Palate
3 m.Oropharynx - SCC: Paths of Spread and Differential Dx
4 m.Oropharynx - Soft Palate SCC: Nodal Drainage
2 m.Oropharynx - Soft Palate SCC - TNM Staging
3 m.Oropharynx - Base of Tongue Mucoepidermoid Carcinoma
5 m.Lesson
Hypopharynx
18 topics, 56 min.
Hypopharynx anatomy
4 m.Hypopharynx - The Piriform Sinus Anatomy
5 m.Hypopharynx - The Postcricoid Space Anatomy
4 m.Hypopharynx - The Posterior Hypopharyngeal Wall Anatomy
5 m.Hypopharynx - Piriform Sinus SCC
5 m.Hypopharynx - Piriform Sinus Carcinoma - Local Spread
4 m.Hypopharyngeal SCC - Nodal Drainage
3 m.Hypopharyngeal SCC - Differential Dx
2 m.Hypopharyngeal Carcinoma - T Staging
3 m.Hypopharyngeal SCC - N Staging
3 m.Hypopharynx - Piriform Sinus SCC - T Staging
5 m.Hypopharynx - Piriform Sinus SCC - N/M Staging
4 m.Hypopharynx - Postcricoid Space SCC
4 m.Hypopharynx - Postcricoid Space SCC - Local Spread
4 m.Hypopharynx - Postcricoid SCC - Differential Diagnoses
2 m.Hypopharynx - Postcricoid Space SCC: T Staging
3 m.Hypopharynx - Postcricoid Space SCC - N/M Staging
3 m.Hypopharynx - Changes in AJCC Staging Guidelines
4 m.Lesson
Larynx
18 topics, 1 hr. 3 min.
Larynx Anatomy
5 m.Larynx Anatomy: Supraglottic, Glottic, and Subglottic Sites
9 m.The Supraglottic Larynx
4 m.The Glottic Larynx.
3 m.The Subglottic Larynx
3 m.Laryngeal SCC - T Staging
7 m.Laryngeal SCC - Cartilage Invasion
4 m.Laryngeal SCC: Local and Nodal Extension
4 m.Supraglottic SCC- Differential Diagnoses
3 m.Laryngeal SCC: Glottic Origin
5 m.Larynx - Glottic SCC: Patterns of Local Spread
4 m.Laryngeal SCC of the Subglottis
3 m.Larynx - Subglottic Carcinomas: Patterns of Spread & Differential Dx
3 m.Laryngeal SCC: T Staging
4 m.Larynx - Glottic SCC: T Staging
3 m.Laryngeal SCC: N Staging
2 m.Glottic SCC: T Staging
4 m.Laryngeal SCC: N and M Staging
3 m.Lesson
Sinonasal
5 topics, 14 min.
Lesson
Perineural Tumor Spread
3 topics, 16 min.
0:01
Hello everyone.
0:03
Dr. Sydney Levy here.
0:05
Today, I'd like to formally stage this example
0:09
postcricoid region squamous cell carcinoma
0:12
as part of our hypopharyngeal series.
0:15
I have pre and post-contrast T1-weighted imaging in the
0:18
axial projection and pre-contrast T1-weighted imaging
0:22
in the sagittal projection on the right-hand side.
0:25
So firstly, to T staging, we need to measure the tumor.
0:30
This tumor extends from the postcricoid space
0:34
inferiorly into the upper cervical esophagus.
0:37
It measures approximately 4 centimeters,
0:42
so that would put it immediately into a category
0:46
of T2 or T3, depending on its exact dimension.
0:52
However, it has some adverse features, which
0:56
make it a moderately advanced malignancy.
1:00
Specifically, if we trace the tumor from up here,
1:05
we follow it down, there is actually direct tracheal
1:10
invasion at the level of the upper cervical esophagus.
1:16
That automatically confirms that the tumor
1:19
is involving esophageal muscle, which
1:22
upgrades it to a T4A tumor straight away.
1:26
But in addition to that, there is evidence of a
1:28
fistulous connection with the cervical trachea.
1:32
So that makes it a T4A tumor straight away.
1:36
Other features which are important to look for whether
1:41
there is laryngeal cartilage involvement, in particular,
1:45
the cricoid cartilage for postcricoid region masses.
1:50
This tumor has spared the posterior
1:52
wall of the cricoid cartilage here.
1:56
So that's not involved.
1:58
It is also not involving the hyoid bone, thyroid gland,
2:03
central compartment soft tissue, such as strap muscles.
2:07
And in addition, it is not involving the prevertebral fascia
2:11
or the carotid artery or other mediastinal structures.
2:15
All of the involvement is within the neck.
2:19
As we can see on the sagittal projection, we are
2:22
not seeing involvement of the superior mediastinum.
2:26
So therefore, this is a T4A tumor due to the
2:30
fact that it is involving esophageal muscle,
2:34
as it has extended inferiorly from the postcricoid
2:38
region into the upper cervical esophagus and then
2:42
invaded anteriorly into the cervical trachea.
2:47
In our next vignette, we will end stage this malignancy.
Hypopharynx - Postcricoid Space SCC: T Staging
HIDEInteractive Transcript
0:01
Hello everyone.
0:03
Dr. Sydney Levy here.
0:05
Today, I'd like to formally stage this example
0:09
postcricoid region squamous cell carcinoma
0:12
as part of our hypopharyngeal series.
0:15
I have pre and post-contrast T1-weighted imaging in the
0:18
axial projection and pre-contrast T1-weighted imaging
0:22
in the sagittal projection on the right-hand side.
0:25
So firstly, to T staging, we need to measure the tumor.
0:30
This tumor extends from the postcricoid space
0:34
inferiorly into the upper cervical esophagus.
0:37
It measures approximately 4 centimeters,
0:42
so that would put it immediately into a category
0:46
of T2 or T3, depending on its exact dimension.
0:52
However, it has some adverse features, which
0:56
make it a moderately advanced malignancy.
1:00
Specifically, if we trace the tumor from up here,
1:05
we follow it down, there is actually direct tracheal
1:10
invasion at the level of the upper cervical esophagus.
1:16
That automatically confirms that the tumor
1:19
is involving esophageal muscle, which
1:22
upgrades it to a T4A tumor straight away.
1:26
But in addition to that, there is evidence of a
1:28
fistulous connection with the cervical trachea.
1:32
So that makes it a T4A tumor straight away.
1:36
Other features which are important to look for whether
1:41
there is laryngeal cartilage involvement, in particular,
1:45
the cricoid cartilage for postcricoid region masses.
1:50
This tumor has spared the posterior
1:52
wall of the cricoid cartilage here.
1:56
So that's not involved.
1:58
It is also not involving the hyoid bone, thyroid gland,
2:03
central compartment soft tissue, such as strap muscles.
2:07
And in addition, it is not involving the prevertebral fascia
2:11
or the carotid artery or other mediastinal structures.
2:15
All of the involvement is within the neck.
2:19
As we can see on the sagittal projection, we are
2:22
not seeing involvement of the superior mediastinum.
2:26
So therefore, this is a T4A tumor due to the
2:30
fact that it is involving esophageal muscle,
2:34
as it has extended inferiorly from the postcricoid
2:38
region into the upper cervical esophagus and then
2:42
invaded anteriorly into the cervical trachea.
2:47
In our next vignette, we will end stage this malignancy.
Report
Description
Faculty
Sidney Levy, PhD, MBBS
Radiologist and Nuclear Medicine Specialist
I-MED
Tags
Neuroradiology
Neuro
Neoplastic
MRI
Head and Neck
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