Most radiologists leave out TNM staging for head and neck cancer reports.
Only 25% of radiologists routinely incorporate primary tumor, nodes, metastasis (TNM) staging for head and neck cancer, although nearly half believe it is important to do so, according to a study published in the American Journal of Neuroradiology.
Researchers from the University of Utah in Salt Lake City sought to determine whether radiologists were routinely using TNM staging in their radiology reports for patients diagnosed with head and neck cancer.
The researchers sent surveys to 782 members of the American Society of Head and Neck Radiology; 229 radiologists responded (29.3%). The survey asked:
• Did the radiologists assign TN staging in reports?
• If the radiologists do assign TN staging, why?
• If the radiologists do not assign TN staging, what were the barriers or reasons for not doing so?• What was the method for measuring size of primary tumor?[[{"type":"media","view_mode":"media_crop","fid":"47898","attributes":{"alt":"head imaging","class":"media-image media-image-right","id":"media_crop_9355750189139","media_crop_h":"0","media_crop_image_style":"-1","media_crop_instance":"5689","media_crop_rotate":"0","media_crop_scale_h":"0","media_crop_scale_w":"0","media_crop_w":"0","media_crop_x":"0","media_crop_y":"0","style":"height: 120px; width: 180px; border-width: 0px; border-style: solid; margin: 1px; float: right;","title":"©Andrey Burmakin/Shutterstock.com","typeof":"foaf:Image"}}]]
Approximately 49% of respondents reported that incorporating the staging was important, but only 24.5% did so on a routine basis. The reported barriers were:
• Fear of being inaccurate (59%)
• Being unable to remember staging classifications (58.2%)
Over three-quarters of the respondents (76.9%) indicated that they measure a primary tumor in 3D.
The researchers concluded that there are unique challenges in staging head and neck cancers.
FDA Clears Virtually Helium-Free 1.5T MRI System from Siemens Healthineers
June 26th 2025Offering a cost- and resource-saving DryCool magnet technology, the Magnetom Flow.Ace MRI system reportedly requires 0.7 liters of liquid helium for cooling over the lifetime of the device in contrast to over 1,000 liters commonly utilized with conventional MRI platforms.
Can Contrast-Enhanced Mammography be a Viable Screening Alternative to Breast MRI?
June 17th 2025While the addition of contrast-enhanced mammography (CEM) to digital breast tomosynthesis (DBT) led to over a 13 percent increase in false positive cases, researchers also noted over double the cancer yield per 1,000 women in comparison to DBT alone.
Multinational Study Reaffirms Value of Adjunctive AI for Prostate MRI
June 16th 2025The use of adjunctive AI in biparametric prostate MRI exams led to 3.3 percent and 3.4 percent increases in the AUC and specificity, respectively, for clinically significant prostate cancer (csPCa) in a 360-person cohort drawn from 53 facilities.