ASHNR Programming: Diagnosis: Cased Based Approach to Head & Neck Maligancies Audience Response (AR) Self Assessment Module (SAM) SAM

Christine M. Glastonbury, MBBS; Richard H. Wiggins III , MD; Deborah R. Shatzkes, MD; Ilona M. Schmalfuss, MD

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Date of Activity Release: November 27, 2017
Date of Activity Expiration: November 26, 2020

Target Audience:

The Foundation of the ASNR Symposium 2017 will focus on Discovery and Didactics featuring “What's New?” for neuroradiologists. It will focus on the role of neuroimaging in defining CNS disease mechanisms and how to best prepare for change, including “What's Next?” in training, teaching and leading the process of lifelong learning. The target audience will include practicing neuroradiologists, other radiologists charged with interpreting urgent CNS and head and neck studies, neuroscientists interested in the latest advances, clinical colleagues ordering CT and MRI in an emergency setting, and trainees. Dedicated topic areas include what's new in Head and Neck Techniques and Pediatric Neuroimaging, Metallic Artifact Reduction MR Sequences (MARS), Imaging Debate session on fMRI: Fact, Fiction and Future, Overnight Coverage Alternatives, Neuroimaging for Functional Neurosurgery, Cerebrovascular Treatment and Training, Wellness and Burnout in Practice and Training, Machine Learning and Artificial Intelligence.

About This Module:

This module is composed of four parts:
  • Nasopharyngeal Carcinoma Christine M. Glastonbury, MBBS
  • Oropharyngeal & Laryngeal Cancer Richard H. Wiggins III , MD
  • Sinonasal Malignancies Deborah R. Shatzkes, MD
  • Perineural Tumor Spread in Head and Neck Cancer Ilona M. Schmalfuss, MD


Upon completion of this module, participants should be able to:

Part I: Nasopharyngeal Carcinoma

  1. Review the current staging of nasopharyngeal cancer and demonstrate the ways in which radiologists play a key role in management of this tumor.
  2. Illustrate the common and uncommon appearances of nasopharyngeal cancer on CT, PET & MR and the pathways of perineural tumor spread.

Part II: Oropharyngeal & Laryngeal Cancer

  1. Review appropriate choices of imaging modalities in patients with Oropharyngeal & Laryngeal Cancer
  2. Discuss important anatomy in Oropharyngeal & Laryngeal Cancer
  3. Recognize critical staging issues in Oropharyngeal & Laryngeal Cancer

Part III: Sinonasal Malignancies

  1. Clarify the primary role of the radiologist in the management of the patient with sinonasal neoplasia
  2. Review imaging features of selected malignant sinonasal tumors
  3. Present tools for accurate mapping of extra-sinus extension of sinonasal malignancies

Part IV: Perineural Tumor Spread in Head and Neck Cancer

  1. Define "perineural" tumor spread
  2. Describe imaging signs of perineural tumor spread
  3. Discuss anatomy and pathology of most commonly involved cranial nerves and their neuronal connections

Commercial Support

No commercial support was received for this activity.

Accreditation Statement

The American Society of Neuroradiology (ASNR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement

ASNR designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Method of Physician Participation:

Each physician will listen to each audio self-directed module while following along with the visual slides. Upon completion, each physician will answer evaluation questions and pass a post test with at least a score of 80% to receive their CME certificate.

Disclosures: All individuals in control of content have disclosed the following relevant financial relationships. All of these relationships were treated as a conflict of interest, and have been resolved (C7 SCS 6.1-6.2, 6.5)


  • Howard A. Rowley, MD, 2016 Program Chair/President-Elect, has no relevant financial relationships.
  • C. Douglas Phillips, MD, FACR, Chair, Web and Online Education Subcommittee of ASNR Education Committee, has no relevant financial relationships.
  • Angelo Artemakis, ASNR staff, has no relevant financial relationships.


  • Christine M. Glastonbury, MBBS

  • Richard H. Wiggins III , MD
  • Deborah R. Shatzkes, MD
  • Ilona M. Schmalfuss, MD

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