Case of the future

Dec 2, 2015

Representative MRI scans for which the independently assigned imaging-derived extranodal extension (iENE) grades differed among the readers. (A) Axial and sagittal images in a 56-year-old male patient with nasopharyngeal carcinoma and cervical nodal metastases. Readers 1 and 3 interpreted the finding as a metastatic lymph node invading the left sternocleidomastoid muscle (arrow) and assessed an iENE grade of 3, whereas reader 2 assigned a grade of 2. After joint review, the radiologists reached a consensus on the absence of definite sternocleidomastoid muscle invasion, and the final iENE grade was 2. (B) Axial and sagittal images in a 52-year-old male patient with nasopharyngeal carcinoma and cervical nodal metastases. Reader 1 interpreted the findings as a single enlarged metastatic lymph node and assessed an iENE grade of 1, whereas readers 2 and 3 interpreted them as two coalescent metastatic lymph nodes (arrows) and assessed a grade of 2. After joint review, the radiologists reached a consensus on the coalescence of the two metastatic lymph nodes, and the final iENE grade was 2.

Image-based grading system estimates nasopharyngeal carcinoma severity

September 23, 2026

Free webinar for radiology leaders

Free webinar for radiology leaders

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Radiologist Dictating (1)

PACS workstations add to power consumption in radiology departments

September 23, 2026

X-rays reveal severe aortic calcification in dialysis patients

September 22, 2026

Image-based grading system estimates nasopharyngeal carcinoma severity

By Amerigo Allegretto

The four-tier grading system showed excellent reliability and good prognostic value for patients with nasopharyngeal carcinoma.

September 23, 2026

Representative MRI scans for which the independently assigned imaging-derived extranodal extension (iENE) grades differed among the readers. (A) Axial and sagittal images in a 56-year-old male patient with nasopharyngeal carcinoma and cervical nodal metastases. Readers 1 and 3 interpreted the finding as a metastatic lymph node invading the left sternocleidomastoid muscle (arrow) and assessed an iENE grade of 3, whereas reader 2 assigned a grade of 2. After joint review, the radiologists reached a consensus on the absence of definite sternocleidomastoid muscle invasion, and the final iENE grade was 2. (B) Axial and sagittal images in a 52-year-old male patient with nasopharyngeal carcinoma and cervical nodal metastases. Reader 1 interpreted the findings as a single enlarged metastatic lymph node and assessed an iENE grade of 1, whereas readers 2 and 3 interpreted them as two coalescent metastatic lymph nodes (arrows) and assessed a grade of 2. After joint review, the radiologists reached a consensus on the coalescence of the two metastatic lymph nodes, and the final iENE grade was 2.

ASTRO 2026 to center on translating radiotherapy data into dialogue

Radiopharmaceutical therapy will feature in a dedicated hands-on workshop alongside a roundtable.

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PACS workstations add to power consumption in radiology departments

By Amerigo Allegretto

PACS workstations consume about 25 kW when active while also consuming power cumulatively in powered down states.

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X-rays reveal severe aortic calcification in dialysis patients

The findings reinforce lateral lumbar radiography's potential as an accessible, low-cost tool for opportunistic cardiovascular risk stratification in dialysis care.

September 22, 2026

Podcast: OSHA report reveals more about 2023 MRI accident

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MRI experts dive into Cal/OSHA's report on a 2023 MRI accident in which a nurse was pinned between an ICU bed and an MRI scanner.

September 22, 2026

The Invisible Force Podcast Album Cover

Ex-NFL QB Matt Hasselback points brain imaging study

The trial’s main goal it to establish methods for diagnosing chronic traumatic encephalopathy (CTE) in the living, rather that by postmortem exams.

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Telix inks deal to acquire ITM for $1.65B

By Erik L. Ridley

The deal would create a combined company with significant radioisotope manufacturing, distribution, and radiopharmaceutical development capabilities.

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Kevin Rooker outlines what attendees can expect at the 2026 SDMS annual meeting in Atlanta.

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Better risk scoring could predict cirrhosis, HCC in patients with SLD

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One proposed risk score, SAFE, showed modest benefit in patients with imaging-confirmed steatotic liver disease (SLD).

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FES-PET guides second-line therapy decisions in breast cancer

FES-PET/CT results led to therapeutic management changes in 37.8% of patients.

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Recalls stable for radiation oncology tools despite tech advancements

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While radiation oncology devices using AI or machine learning are increasingly entering the market, recalls may be plateauing.

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Ultrasound MinnieCast, Episode 17: Elastography holds promise toward expanded role

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David Fetzer, MD, discusses current applications and issues in the world of elastography.

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Minnie Cast Thumbnail (25)

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