TY - JOUR
T1 - ACR Neck Imaging Reporting and Data Systems (NI-RADS)
T2 - A White Paper of the ACR NI-RADS Committee
AU - Aiken, Ashley H.
AU - Rath, Tanya J.
AU - Anzai, Yoshimi
AU - Branstetter, Barton F.
AU - Hoang, Jenny K.
AU - Wiggins, Richard H.
AU - Juliano, Amy F.
AU - Glastonbury, Christine
AU - Phillips, C. Douglas
AU - Brown, Richard
AU - Hudgins, Patricia A.
N1 - Publisher Copyright:
© 2018 American College of Radiology
PY - 2018/8
Y1 - 2018/8
N2 - Imaging surveillance after treatment for head and neck cancer is challenging because of complicated resection and reconstruction surgery, in addition to posttreatment changes from radiation and chemotherapy. The posttreatment neck is often a source of anxiety for diagnostic radiologists, leading to suboptimal reporting and no standardized guidance for next management steps. Nevertheless, imaging is critical for detecting submucosal recurrences in a timely manner, so that patients remain candidates for salvage surgery. In 2016, the ACR convened the Neck Imaging Reporting and Data Systems (NI-RADS) Committee with the goals to (1) provide recommendations for surveillance imaging; (2) produce a lexicon to distinguish between benign posttreatment change and residual or recurrent tumor in the posttreatment neck; and (3) propose a NI-RADS template for reporting on the basis of this lexicon with defined levels of suspicion and management recommendations. In this article, the authors present the ACR NI-RADS Committee's recommendations, which provide guidance regarding the management of patients after treatment for head and neck cancer.
AB - Imaging surveillance after treatment for head and neck cancer is challenging because of complicated resection and reconstruction surgery, in addition to posttreatment changes from radiation and chemotherapy. The posttreatment neck is often a source of anxiety for diagnostic radiologists, leading to suboptimal reporting and no standardized guidance for next management steps. Nevertheless, imaging is critical for detecting submucosal recurrences in a timely manner, so that patients remain candidates for salvage surgery. In 2016, the ACR convened the Neck Imaging Reporting and Data Systems (NI-RADS) Committee with the goals to (1) provide recommendations for surveillance imaging; (2) produce a lexicon to distinguish between benign posttreatment change and residual or recurrent tumor in the posttreatment neck; and (3) propose a NI-RADS template for reporting on the basis of this lexicon with defined levels of suspicion and management recommendations. In this article, the authors present the ACR NI-RADS Committee's recommendations, which provide guidance regarding the management of patients after treatment for head and neck cancer.
KW - NI-RADS
KW - Neck Imaging Reporting and Data Systems
KW - head and neck cancer
KW - structured reporting
KW - surveillance
KW - templates
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U2 - 10.1016/j.jacr.2018.05.006
DO - 10.1016/j.jacr.2018.05.006
M3 - Article
C2 - 29983244
AN - SCOPUS:85049456726
SN - 1546-1440
VL - 15
SP - 1097
EP - 1108
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 8
ER -