Table Of ContentTHIRD EDITION
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THIRD EDITION
Bernadette L. Koch, MD
Associate Director of Radiology
Cincinnati Children’s Hospital Medical Center
Professor of Clinical Radiology and Pediatrics
University of Cincinnati College of Medicine
Cincinnati, Ohio
Bronwyn E. Hamilton, MD
Professor of Radiology
Director of Head & Neck Radiology
Oregon Health & Science University
Portland, Oregon
Patricia A. Hudgins, MD, FACR
Professor of Radiology and Otolaryngology
Director of Head & Neck Radiology
Department of Radiology and Imaging Sciences
Emory University School of Medicine
Atlanta, Georgia
H. Ric Harnsberger, MD
R.C. Willey Chair in Neuroradiology
Professor of Radiology and Otolaryngology
University of Utah School of Medicine
Salt Lake City, Utah
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1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
DIAGNOSTIC IMAGING: HEAD AND NECK, THIRD EDITION ISBN: 978-0-323-44301-2
Copyright © 2017 by Elsevier. All rights reserved.
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noted herein).
Notices
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Publisher Cataloging-in-Publication Data
Names: Koch, Bernadette L. | Hamilton, Bronwyn E. | Hudgins, Patricia A. | Harnsberger, H. Ric.
Title: Diagnostic imaging. Head & neck / [edited by] Bernadette L. Koch, Bronwyn E. Hamilton,
Patricia A. Hudgins, and H. Ric Harnsberger.
Other titles: Head & neck. | Head and neck.
Description: Third edition. | Salt Lake City, UT : Elsevier, Inc., [2016] | Includes
bibliographical references and index.
Identifiers: ISBN 978-0-323-44301-2
Subjects: LCSH: Head--Imaging--Handbooks, manuals, etc. | Neck--Imaging--Handbooks, manuals, etc. |
MESH: Head--pathology--Atlases. | Neck--pathology--Atlases. | Diagnostic Imaging--Atlases. |
Head--radiography--Atlases. | Neck--radiography--Atlases.
Classification: LCC RC936.D515 2016 | NLM WE 39 | DDC 617.5’10754--dc23
International Standard Book Number: 978-0-323-44301-2
Cover Designer: Tom M. Olson, BA
Cover Art: Richard Coombs, MS
Printed in Canada by Friesens, Altona, Manitoba, Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
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Dedications
To the most important things in life: My husband, Peter; children, Jay and
Katherine; my mother (a.k.a. “Granny”); and siblings for their unconditional
love, support, understanding, and encouragement.
BLK
Gary & Rhiannon: Thank you for being my light & inspiration.
Mum, Dad, & Mark: Thank you for all your love and for always being there.
Doug: I feel your spirit in the open spaces we shared. Rest in peace.
BEH
I dedicate my portion of this book, with sincerity and admiration, to all the
residents, fellows, and students who have kept me honest, asked me the hard
questions, and kept me climbing on that steep portion of the learning curve.
Thank you for keeping my spirit young and my inquisitive nature active. And
I dedicate this to all the patients who hopefully will beneit from these hard-
working radiologists-in-training who have mastered Head and Neck Imaging.
PAH
Thank you to my wife, Janet, for anchoring our lives in what matters. You and
our family (Dave, Dan, Dylan, Danielle, and Roen) are my reason for being and
the loves of my life. To Doris and Hutch, thank you for giving me more than
enough love to get me through.
HRH
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Contributing Authors
Nicholas A. Koontz, MD Daniel E. Meltzer, MD
Director of Fellowship Programs Associate Clinical Professor of Radiology
Assistant Professor of Radiology Icahn School of Medicine at Mount Sinai
Department of Radiology and Imaging Sciences New York, New York
Indiana University School of Medicine
Indianapolis, Indiana Troy A. Hutchins, MD
Assistant Professor of Radiology
Caroline D. Robson, MBChB University of Utah School of Medicine
Operations Vice Chair, Radiology Salt Lake City, Utah
Chief, Neuroradiology & Head and Neck Imaging
Boston Children’s Hospital Kristine M. Mosier, DMD, PhD
Associate Professor of Radiology Associate Professor of Radiology
Harvard Medical School Chief, Head and Neck Radiology
Boston, Massachusetts Indiana University School of Medicine
Department of Radiology & Imaging Sciences
Luke N. Ledbetter, MD Indianapolis, Indiana
Assistant Professor of Radiology
Division of Neuroradiology Philip R. Chapman, MD
University of Kansas Medical Center Section Chief, Neuroradiology
Kansas City, Kansas Associate Professor
University of Alabama Birmingham
H. Christian Davidson, MD Birmingham, Alabama
Professor of Radiology
University of Utah School of Medicine Hilda E. Stambuk, MD
Salt Lake City, Utah Attending Radiologist
Clinical Head of Head and Neck Imaging
C. Douglas Phillips, MD, FACR Memorial Sloan-Kettering Cancer Center
Professor of Radiology Professor of Clinical Radiology
Director of Head and Neck Imaging Weill Medical College of Cornell University
Weill Cornell Medical College New York, New York
NewYork-Presbyterian Hospital
New York, New York Karen L. Salzman, MD
Professor of Radiology
Chief of Neuroradiology
Leslie W. Davis Endowed Chair in Neuroradiology
University of Utah School of Medicine
Salt Lake City, Utah
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Richard H. Wiggins, III, MD, CIIP, FSIIM
Director of Head and Neck Imaging
Director of Imaging Informatics
Professor, Departments of Radiology,
Otolaryngology, Head and Neck Surgery, and
BioMedical Informatics
University of Utah Health Sciences Center
Salt Lake City, Utah
Yoshimi Anzai, MD, MPH
Professor of Radiology
Associate Chief Medical Quality Oicer
University of Utah
Salt Lake City, Utah
Blair A. Winegar, MD
Assistant Professor of Medical Imaging
Division of Neuroradiology
University of Arizona College of Medicine
Banner - University Medical Center
Tucson, Arizona
Additional Contributors
Anne G. Osborn, MD, FACR
Barton F. Branstetter, IV, MD, FACR
A. Carlson Merrow, Jr., MD
Chang Yueh Ho, MD
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Preface
This stunning third edition of Diagnostic Imaging: Head and Neck represents the most
comprehensive single volume textbook in the ield of head and neck imaging today. It appears
six years after the second edition and is full of new imaging information as a result. There are
also many new and exciting features. The layout has been improved but still maintains the basic
organization of presenting the same information in the same easy-to-ind place—every time, in
every chapter. We’ve added 75 new diagnoses, 250 new gallery images, and 35 new signature
color graphics. The references in all diagnoses have been updated to within a few weeks of
publication.
What else makes the third edition diferent? We have updated the 23 prose introductions at
the front of each of the book’s sections. The goal of these introductions is to tie together the
imaging techniques and indications, embryology, area imaging anatomy, imaging issues, and
clinical implications. An anatomy-based diferential diagnosis for each overview chapter is also
presented. Another key update is seen in the diagnosis chapter gallery images where updated,
higher resolution images have replaced older, lower resolution images from previous editions. The
2,200 images in the eBook galleries (645 of them new) give a rich additional perspective for each
diagnosis chapter.
On a global content level, the third edition of Diagnostic Imaging: Head and Neck now contains
the updated Squamous Cell Carcinoma section that follows the same primary site organization
(pharynx, oral cavity, and larynx) of the American Joint Committee on Cancer. Why was this
added and updated? Because diagnosis, staging, and treatment of head and neck cancer is going
through changes we never anticipated. New virus-related cancers have been discovered, and with
developments in surgical, radiation, and chemotherapy treatments, accurate staging is even more
critical. Who better to stage a cancer than the radiologist! A second, fully updated portion of the
book is seen in the 29-chapter Pediatric Lesions and Syndromic Diseases sections.
In the simplest terms, our reason for writing this book was to contribute to the process of
demystifying head and neck imaging. We want Diagnostic Imaging: Head and Neck, Third Edition
to be your favorite head and neck imaging text—used, worn, dog-eared, and loved. Thanks for
making the books in the Diagnostic Imaging series the bestsellers they are. We hope you enjoy this
fully updated sequel!
The Third Edition Lead Editorial Team
Bernadette, Bronwyn, Pat, & Ric
a.k.a. Drs. Koch, Hamilton, Hudgins, & Harnsberger
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