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Imaging work-up
CT, MR (PET etc.)
Frank Pameijer, MD, PhD
o
Departmentsof Radiology and Radiation Oncology
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University Medical Center, Utrecht
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The Netherlands
No disclosures
Head and Neck Cancer
Imaging
Frank Pameijer
Depts. of Radiology and Radiation Oncology
Utrecht Medical Center
Head and Neck cancer: Imaging?
Imaging results in more accurate TNM-
staging compared to clinical examination
alone!
Clinical examination and imaging are
complementary modalities
–
Findings should be discussed in
multidisciplinary setting
Multidisciplinary H&N Oncology meeting
UMCU: every Wednesday 13.30-16.00
–
All new patients
–
All known patients with new event
Objectives
Imaging techniques for evaluation H&N ca.
Ultrasound
Panoramic dental X-ray
CT
MRI
(FDG PET)
Ultrasound
Indication:
–
Neck swelling / known H&N tumor
Localisation
–
Relation with surrounding structures
Characterisation
–
Cystic / solid / vascularity
Cytologic / histologic material