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Training Collections
Library Memberships
Buy One, Get One Free!On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Buy One, Get One Free!Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
25% Off!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.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
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, Sidney Levy here continuing
0:03
our staging of this base of tongue malignancy.
0:06
Now the N staging.
0:08
This tumor has a single right ipsilateral
0:12
level 2a lymph node, which we can observe as a
0:18
heterogeneous enhancing enlarged lymph node here.
0:22
This lymph node measures less than three
0:25
centimeters and displays a smooth,
0:30
well-circumscribed margin with no suggestion of
0:33
irregular infiltration of surrounding soft tissue.
0:36
So therefore, according to our N staging, if this tumor is
0:42
found to be a human papillomavirus-negative tumor, this is
0:47
an N1 tumor with a single ipsilateral lymph node measuring
0:52
less than 3 cm with no evidence of extranodal extension.
0:58
If, however, the tumor is found to be human
1:02
papillomavirus-positive, it still remains an N1 tumor in
1:07
this particular patient because we have an ipsilateral
1:12
lymph node that measures less than 6 centimeters.
1:16
This is an M0 tumor because no evidence of distant
1:19
disease was found within the head and neck, but be
1:22
mindful that we need other imaging to confirm this.
1:26
Thank you.
1:26
Usually in the form of either CT or PET CT imaging.
1:32
So in summary, this base of tongue malignancy, which
1:37
began on the right but has crossed over to the left, is
1:40
invading the genioglossus, extrinsic tongue musculature,
1:45
and has a single ipsilateral lymph node measuring less
1:50
than 3 cm without evidence of extranodal extension.
1:53
It is therefore a T4A
1:56
N1M0 tumor and it remains N1 irrespective
2:02
of whether the tumor is later found to be
2:05
human papillomavirus-positive or negative.
Base of Tongue Oropharyngeal Carcinoma, N & M Staging
HIDEInteractive Transcript
0:01
Hello everyone, Sidney Levy here continuing
0:03
our staging of this base of tongue malignancy.
0:06
Now the N staging.
0:08
This tumor has a single right ipsilateral
0:12
level 2a lymph node, which we can observe as a
0:18
heterogeneous enhancing enlarged lymph node here.
0:22
This lymph node measures less than three
0:25
centimeters and displays a smooth,
0:30
well-circumscribed margin with no suggestion of
0:33
irregular infiltration of surrounding soft tissue.
0:36
So therefore, according to our N staging, if this tumor is
0:42
found to be a human papillomavirus-negative tumor, this is
0:47
an N1 tumor with a single ipsilateral lymph node measuring
0:52
less than 3 cm with no evidence of extranodal extension.
0:58
If, however, the tumor is found to be human
1:02
papillomavirus-positive, it still remains an N1 tumor in
1:07
this particular patient because we have an ipsilateral
1:12
lymph node that measures less than 6 centimeters.
1:16
This is an M0 tumor because no evidence of distant
1:19
disease was found within the head and neck, but be
1:22
mindful that we need other imaging to confirm this.
1:26
Thank you.
1:26
Usually in the form of either CT or PET CT imaging.
1:32
So in summary, this base of tongue malignancy, which
1:37
began on the right but has crossed over to the left, is
1:40
invading the genioglossus, extrinsic tongue musculature,
1:45
and has a single ipsilateral lymph node measuring less
1:50
than 3 cm without evidence of extranodal extension.
1:53
It is therefore a T4A
1:56
N1M0 tumor and it remains N1 irrespective
2:02
of whether the tumor is later found to be
2:05
human papillomavirus-positive or negative.
Report
Description
Faculty
Sidney Levy, PhD, MBBS
Radiologist and Nuclear Medicine Specialist
I-MED
Tags
Oral Cavity/Oropharynx
Neuroradiology
Neuro
Neoplastic
MRI
Head and Neck
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