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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
Who We Serve
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.
7 topics, 29 min.
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.7 topics, 24 min.
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.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.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.5 topics, 14 min.
3 topics, 16 min.
0:01
Hello everyone, it's Dr. Sidney Levy.
0:02
3 00:00:04,090 --> 00:00:07,800 Today I would like to discuss Level 5, or the
0:07
posterior triangle or spinal accessory lymph
0:11
nodes of the lymph node levels of the neck.
0:15
Level 5 has two sublevels, Level 5A and Level
0:18
5B, and I would like to show you the boundaries
0:21
and landmarks in order to quickly identify these
0:25
levels when staging a head and neck malignancy.
0:28
Let us begin with Level 5A.
0:30
I have some pre-contrast,
0:34
T1-weighted imaging in axial and
0:36
sagittal projections to assist us.
0:40
The boundaries that you need to be aware of are
0:43
the posterior border of sternocleidomastoid and the
0:47
anterior border of trapezius in the first instance.
0:52
Let me show you then, sternocleidomastoid,
0:57
trapezius, and there's one other structure
1:00
that's helpful to know as well, and
1:03
that's the scalenus anterior, just here.
1:08
These are the three muscles.
1:11
Level 5A is posterolateral to levels 2 and 3.
1:21
So it covers this region here, the posterior triangle.
1:28
Now, in a sagittal projection, I'll
1:30
show you once again those landmarks.
1:33
This is the trapezius, this is the sternocleidomastoid.
1:38
We're interested in the anterior
1:40
margin of the trapezius.
1:42
And the posterior margin of the sternocleidomastoid.
1:48
Now the only other thing you need to know
1:50
is what separates Level 5A and Level 5B.
1:54
It's just one structure.
1:56
It's the inferior margin of the cricoid cartilage.
2:00
So I will take you out of that.
2:03
We will go to the midline where
2:04
we can find the cricoid cartilage.
2:07
This is the cricoid cartilage here.
2:11
And we are interested in the inferior margin of it.
2:16
If you remember that, and we go off to the side, that
2:20
same landmark is applicable for Level 5A and Level 5B.
2:25
So therefore, if I draw the same plane laterally, and
2:31
then I redraw the anterior margin of trapezius and the
2:35
posterior margin of sternocleidomastoid, we have 5A.
2:41
And anything below the inferior margin of the
2:43
cricoid, down to the clavicle, is within 5B.
2:48
That's 5B.
2:50
That's all you need to remember.
2:52
And in our next vignette, we will cover Level 6.
Interactive Transcript
0:01
Hello everyone, it's Dr. Sidney Levy.
0:02
3 00:00:04,090 --> 00:00:07,800 Today I would like to discuss Level 5, or the
0:07
posterior triangle or spinal accessory lymph
0:11
nodes of the lymph node levels of the neck.
0:15
Level 5 has two sublevels, Level 5A and Level
0:18
5B, and I would like to show you the boundaries
0:21
and landmarks in order to quickly identify these
0:25
levels when staging a head and neck malignancy.
0:28
Let us begin with Level 5A.
0:30
I have some pre-contrast,
0:34
T1-weighted imaging in axial and
0:36
sagittal projections to assist us.
0:40
The boundaries that you need to be aware of are
0:43
the posterior border of sternocleidomastoid and the
0:47
anterior border of trapezius in the first instance.
0:52
Let me show you then, sternocleidomastoid,
0:57
trapezius, and there's one other structure
1:00
that's helpful to know as well, and
1:03
that's the scalenus anterior, just here.
1:08
These are the three muscles.
1:11
Level 5A is posterolateral to levels 2 and 3.
1:21
So it covers this region here, the posterior triangle.
1:28
Now, in a sagittal projection, I'll
1:30
show you once again those landmarks.
1:33
This is the trapezius, this is the sternocleidomastoid.
1:38
We're interested in the anterior
1:40
margin of the trapezius.
1:42
And the posterior margin of the sternocleidomastoid.
1:48
Now the only other thing you need to know
1:50
is what separates Level 5A and Level 5B.
1:54
It's just one structure.
1:56
It's the inferior margin of the cricoid cartilage.
2:00
So I will take you out of that.
2:03
We will go to the midline where
2:04
we can find the cricoid cartilage.
2:07
This is the cricoid cartilage here.
2:11
And we are interested in the inferior margin of it.
2:16
If you remember that, and we go off to the side, that
2:20
same landmark is applicable for Level 5A and Level 5B.
2:25
So therefore, if I draw the same plane laterally, and
2:31
then I redraw the anterior margin of trapezius and the
2:35
posterior margin of sternocleidomastoid, we have 5A.
2:41
And anything below the inferior margin of the
2:43
cricoid, down to the clavicle, is within 5B.
2:48
That's 5B.
2:50
That's all you need to remember.
2:52
And in our next vignette, we will cover Level 6.
Report
Description
Faculty
Sidney Levy, PhD, MBBS
Radiologist and Nuclear Medicine Specialist
I-MED
Tags
Neuroradiology
Neuro
Neoplastic
MRI
Lymph Nodes
Head and Neck
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