Integrating radiological criteria into the classification of cervical lymph node disease

In this issue of the ARCHIVES, Som er all outline a series of radiological parameters to be used as criteria for classifying cervical lymphadenopathy. Their recommendations are based on anatomical relationships of various head and neck structures as seen on axial images of computed tomographic or magnetic resonance imaging scans. They cite several problems that radiologists have had trying to correlate nodal disease as seen on imaging studies using the methods currently used by most head and neck surgeons. Recognizing the: dilemma faced by radiologists In attempting to correlate the location off abnormal lymph nodes depicted radiologically with the assessment done by physical examination, one can understand the need for and importance of this work. Whereas some of these dilemmas are unique to the practice of radiology, many of the issues raised in this report are very relevant to all our practices and should be addressed.