Neck Nodal Disease

  • Kunwar S. S. Bhatia
  • Ann D. King
Part of the Medical Radiology book series (MEDRAD)


Neck nodal metastases are common in head and neck cancer and influence prognosis profoundly. This chapter focuses on the commonest cancer type, squamous cell carcinoma, although other malignancies are also outlined. CT, MRI and US are the mainstay imaging modalities for routine nodal evaluation and are reliant on anatomic criteria, which are described in this chapter. 18F-FDG PET/CT provides functional information by virtue of tumour hypermetabolism although its role in staging is not established. Neck nodal distribution and nodal staging using the current levels-based and TNM systems respectively are described. Besides N stage, other nodal features demonstrable on imaging, including extracapsular spread and precise location, can influence therapy and prognosis. Anatomic imaging is particularly challenging in the post-treatment neck, especially for assessment of residual nodal cancer following chemoradiation. In this regard, 18F-FDG PET/CT may have some advantages; currently there is great interest in the development of other functional techniques such as diffusion-weighted MRI.


Nodal Metastasis Sentinel Node Sentinel Node Biopsy Neck Dissection Metastatic Node 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.Department of Diagnostic Radiology and Organ Imaging, Faculty of MedicinePrince of Wales Hospital, The Chinese University of Hong KongNew TerritoriesHong Kong SAR, China

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