Guideline decision tool · Radiology
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Head & Neck NI-RADS (Post-treatment Surveillance) — free guideline decision tool

Get the recurrence suspicion and management for post-treatment head-and-neck cancer surveillance imaging by site and NI-RADS category. Instant, browser-side.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Site assessedPrimary site
NI-RADS category1 — No evidence of recurrence

ManagementRoutine surveillance

  • Site/categoryPrimary site · NI-RADS 1: No evidence of recurrence (~4%)
  • ManagementRoutine surveillance imaging (at the set interval)
  • NoteNI-RADS is for post-treatment surveillance of head-and-neck SCC (CECT/MRI ± PET); primary and neck are scored 1–4 separately; PET mainly evaluates primary 2b and neck category 2; higher categories carry higher recurrence probability
Site assessedCervical nodes
NI-RADS category4 — Known/proven recurrence

ManagementMultidisciplinary management

  • Site/categoryCervical nodes · NI-RADS 4: Known / biopsy-proven recurrence
  • ManagementProven recurrence: multidisciplinary management for recurrence (definitive treatment)
  • NoteNI-RADS is for post-treatment surveillance of head-and-neck SCC (CECT/MRI ± PET); primary and neck are scored 1–4 separately; PET mainly evaluates primary 2b and neck category 2; higher categories carry higher recurrence probability

Common questions

What is Head & Neck NI-RADS (Post-treatment Surveillance)?

Get the recurrence suspicion and management for post-treatment head-and-neck cancer surveillance imaging by site and NI-RADS category. Instant, browser-side.

How is Head & Neck NI-RADS (Post-treatment Surveillance) calculated? What is the core formula?

1 no recurrence → routine surveillance; 2a/2b low suspicion → clinical follow-up or short-interval imaging ± PET; 3 high suspicion → biopsy; 4 proven recurrence → multidisciplinary management.

When is Head & Neck NI-RADS (Post-treatment Surveillance) used?

Interpret a NI-RADS category at the primary site or neck during post-treatment surveillance.

What are the key clinical points for Head & Neck NI-RADS (Post-treatment Surveillance)?

Primary site and neck are scored 1–4 separately. PET mainly evaluates primary 2b and neck category 2. Category 3 (new/enlarging soft tissue, bony erosion, nodal necrosis or ENE) warrants biopsy. Higher categories carry higher recurrence probability.

What are the limits and cautions when using Head & Neck NI-RADS (Post-treatment Surveillance)?

For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.

How is Head & Neck NI-RADS (Post-treatment Surveillance) calculated in practice? Can you show a worked example?

Inputs: Site assessed Primary site, NI-RADS category 1 — No evidence of recurrence → Result: Management Routine surveillance(Site/category: Primary site · NI-RADS 1: No evidence of recurrence (~4%), Management: Routine surveillance imaging (at the set interval), Note: NI-RADS is for post-treatment surveillance of head-and-neck SCC (CECT/MRI ± PET); primary and neck are scored 1–4 separately; PET mainly evaluates primary 2b and neck category 2; higher categories carry higher recurrence probability) Inputs: Site assessed Cervical nodes, NI-RADS category 4 — Known/proven recurrence → Result: Management Multidisciplinary management(Site/category: Cervical nodes · NI-RADS 4: Known / biopsy-proven recurrence, Management: Proven recurrence: multidisciplinary management for recurrence (definitive treatment), Note: NI-RADS is for post-treatment surveillance of head-and-neck SCC (CECT/MRI ± PET); primary and neck are scored 1–4 separately; PET mainly evaluates primary 2b and neck category 2; higher categories carry higher recurrence probability)

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Get the recurrence suspicion and management for post-treatment head-and-neck cancer surveillance imaging by site and NI-RADS category. Instant, browser-side.

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For licensed clinicians. Not a substitute for clinical judgement.

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For use by licensed clinicians and clinical researchers. Computed locally in your browser — no data is uploaded. Not a substitute for clinical judgement.