Neck Imaging Reporting and Data System: What Does Radiologist Want to Know?
Related Experiment Video
Updated: Dec 20, 2025

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System
Published on: July 11, 2025
Ahmed Abdel Khalek Abdel Razek1, Tougan Taha Abdelaziz
1From the Department of Diagnostic Radiology, Mansoura Faculty of Medicine, Mansoura; and Department of Diagnostic Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Abstract:
The aim of this work was to review Neck Imaging Reporting and Data System (NI-RADS) that was designed for reporting and surveillance of head and neck cancer after therapy and their subsequent management. The categories of NI-RADS can be designated as belonging in 1 of the 4 categories: negative; low suspicion; high suspicion; and definite recurrence. Lexicon of NI-RADS-1 shows nonmass-like distortion of soft tissues, NI-RADS-2 lesions divided into mucosal (2A) versus deep (2B) abnormalities, NI-RADS-3 primary site can either be a submucosal or deep lesion, and NI-RADS-4 is a biopsy-proven residual or recurrent disease. The NI-RADS Lexicon of radiology reporting categories linked to management protocols and surveillance for these patients. Neck Imaging Reporting and Data System is to provide guidance for next-imaging decisions either a follow-up period, biopsy, or surgery.
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