Medical RadiologyDiagnostic Imaging
Series Editors
Hans-Ulrich�Kauczor, Paul�M.�Parizel and Wilfred�C.�G.�Peh

The book series Medical Radiology ? Diagnostic Imaging provides accurate and up-to-date overviews about the latest advances in the rapidly evolving field of diagnostic imaging and interventional radiology. Each volume is conceived as a practical and clinically useful reference book and is developed under the direction of an experienced editor, who is a world-renowned specialist in the field. Book chapters are written by expert authors in the field and are richly illustrated with high quality figures, tables and graphs. Editors and authors are committed to provide detailed and coherent information in a readily accessible and easy-to-understand format, directly applicable to daily practice.

Medical Radiology ? Diagnostic Imaging covers all organ systems and addresses all modern imaging techniques and image-guided treatment modalities, as well as hot topics in management, workflow, and quality and safety issues in radiology and imaging. The judicious choice of relevant topics, the careful selection of expert editors and authors, and the emphasis on providing practically useful information, contribute to the wide appeal and ongoing success of the series. The series is indexed in Scopus.

For further volumes: http://?www.?springer.?com/?series/?4354


Head and Neck Cancer Imaging

3rd ed. 2021
Department of Radiology, KU Leuven - University Hospitals Leuven, Leuven, Belgium
ISSN 0942-5373e-ISSN 2197-4187
Medical RadiologyDiagnostic Imaging
ISBN 978-3-030-64734-6e-ISBN 978-3-030-64735-3
� Springer Nature Switzerland AG 2006, 2012, 2021
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Switzerland AG

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

To Isabelle, our children and grandchild

???????????????????Bob Hermans


The head and neck is a region of considerable anatomical and functional complexity, making the accurate staging of a head and neck neoplasm a challenging task. Many neoplasms in this region originate from the mucosa and are detectable by the clinician. However, the submucosal tumor extension, as well as the possible regional and distant disease spread cannot be completely assessed based on the clinical examination alone.

Modern imaging modalities visualize the head and neck structures to an unprecedented level of detail. If carefully performed and interpreted, these techniques allow a comprehensive evaluation of the extent of head and neck neoplasms.

The radiologist is an important member of the multidisciplinary team managing head and neck cancer patients. The value of imaging techniques in treatment choice, monitoring tumor response, and following-up patients after treatment is firmly established. Ongoing research continues to enforce the impact of imaging in oncologic patient care.

The purpose of this book is to provide a comprehensive review of state-of-the-art head and neck cancer imaging. Several distinguished head and neck radiologists have contributed to this book, fully covering the field of advanced imaging in the head and neck cancer patient. Compared to the previous edition of this book, several chapters have been rewritten, incorporating recent insights and knowledge. In other chapters, the role of metabolic and functional imaging is included in more detail.

Clinical-diagnostic techniques, as well as therapeutic strategies, also have changed significantly over the past years; in this regard, I would like to thank my colleague-clinicians from Leuven who contributed to this book. Care has been taken to situate the role of imaging within these developments.

The ultimate goal of all medical actions is to provide our patients with the best possible therapy for their health problems. Hopefully this book contributes to achieving this purpose.

Leuven, Belgium
Pierre�Delaere and Jeroen�Meulemans
Robert�Hermans, Frederik�De�Keyzer, Vincent�Vandecaveye and Laurens�Carp
Anouk�van der�Gijp and Frank�Pameijer
Julian�Goh and Amit�Karandikar
Bela�Purohit and Robert�Hermans
Davide�Farina, Davide�Lombardi, Giovanni�Palumbo and Marco�Ravanelli
Fr�d�rique�Dubrulle, Oph�lie�Guillaud, Mathieu�Nobile and Christophe�Jandeaux
Kunwar�S.�S.�Bhatia and Ann�D.�King
Frank�A.�Pameijer and Rick�L.�M.�Haas
Sandra�Nuyts and Sarah�Deschuymer