🎯 Final pearl from Dr. Brigitte Bison:
When reviewing follow-up neuro-oncology imaging, don't focus solely on recurrence or secondary malignancies.
⚠️ Consider therapy-induced changes as part of the differential diagnosis.
📌 The best diagnoses come from combining careful observation, pattern recognition, and clinical context.
#pedineurorad #IPNTN #PedRad #ASPNR @MirskyDavid@RLClarkeMD@laura1127md@drmankad@ArzuOztrkMD@alexandra_foust@HarumyYoshikawa@JamieClarkeRad
🚨 Don’t miss the upcoming ESHNR webinar!
🗓️ May 26 18:00 CEST
🎯Imaging Skin SCC in the Head&Neck
Speaker: Alexandra Borges, Lisbon/PT
Moderator: Ayça Akgoz Karagosmanoğlu, Ankara/TR
🔗 https://t.co/ZvTV9tQfWi
👀 Sneak preview of the talk below
📚 References in the comments👇
Trigeminal trophic syndrome is generally a clinical diagnosis. It leads to localized ulceration and destruction of face and scalp supplied by trigeminal nerve, most commonly the nasal ala. I have seen only 2 or 3 cases with imaging manifestations through the years and it can be problematic- difficult or impossible to separate from invasive skin cancer, unusual infection, or GPA. The tissue destruction is secondary to abnormal sensory processing and repetitive trauma (rather than a primary dermatologic disease). Patients repeatedly rub, scratch, or pick at numb/dysesthetic skin because of uncomfortable paresthesias.
🦷✨ Exciting news for #ESHNR2026 — Dental Day is coming to Budapest!
Join experts in head & neck and dental radiology for a day of innovation and multidisciplinary insights.
📅 Friday, September 11
🎟️ Single Day Ticket for Dentists available
🔔 Registration opening soon!
🎯Join the upcoming ESHNR webinar!
📅 April 28 | ⏰ 18:00 CEST
🦻Advanced Imaging of inner ear malformation
▶️Speaker: @FeliceDArco
▶️Moderator: @Bert_DeFoer
🔗 Register: https://t.co/9kVZA8qj42
📖 Related reading: https://t.co/3d2nxxYns3
👀 A sneak preview of the talk!
Please take a few minutes to fill out a survey and help us learn more about the global awareness and clinical adoption of the Head & Neck Cancer International Group Consensus Recommendation and AOSNHNR-ASHNR-ESHNR Joint Task Force Guide for radiological assessment and reporting imaging-derived extranodal extension (iENE) in head and neck cancer among neuroradiologists. Thank you in advance!!
https://t.co/G9oU0vJA4S
@ESHNRSociety
📢 ESR supports high-quality imaging guidelines!
▶️Tailored support for writing groups
▶️Expert pre-submission feedback
▶️Fast-track review in ESR journals
▶️ESR endorsement opportunity
▶️Wider promotion & dissemination
For more information https://t.co/SOxNW2sVwj
🚨Join the upcoming ESHNR Webinar!
📅 March 24 | ⏰ 18:00 CET
🎬H&N Tumor Board: How to optimize Radiologist participation
▶️Speaker: @dave_zander, Aurora/US
▶️ Moderator: @jussihirvonen , Turku/FI
🔗 Register: https://t.co/9kVZA8qj42
👀 A sneak preview of the talk!
In a patient with prior radiation for nasopharyngeal carcinoma (NPC) or other primary malignant tumor such as adenoid cystic carcinoma, a new intraparenchymal lesion in the anterior temporal lobe is much more likely to represent radiation necrosis than metastatic disease. (Radiation necrosis until proven otherwise)
Imaging clues that favor radiation necrosis:
-Location: anterior/inferior temporal lobe ( and within radiation field)
-Timing: Within first 3 years of radiation
-Enhancement: irregular, ring-like or “soap-bubble”
-Edema: often disproportionate
-Perfusion (DSC MRI): ↓ rCBV
-MR spectroscopy: lipid-lactate peaks, ↓ choline
Metastasis, while rare, becomes more plausible if:
-Lesion is outside radiation field
-Multiple lesions in atypical locations (e.g., cerebellum, cortex elsewhere)
-Markedly elevated perfusion (high rCBV)
-Known systemic metastatic progression
Don’t miss out on ESHNR Membership 2026!
Early fee until March 31, 2026 ⏳
🎓 Reduced event fees
📚 Webinar recordings
🤝 Mentoring, fellowship & diploma eligibility
🌍 European H&N radiology representation
Join the community!
🔗 https://t.co/xjXkNlGIMa
🎉 We are proud to share that our own Dr. Roberto Maroldi has been awarded the 🏅 ESR Gold Medal this year!
Join us at the Opening Ceremony or watch it live online for free 👇 https://t.co/voL50I6Y9v
Let’s celebrate his outstanding achievement together! 🎼
@myESR
🚨 Abstract submission is now OPEN!
✨Join ESHNR 2026 in beautiful Budapest, Hungary 🇭🇺
📌 Submit your scientific or educational presentations and be part of one of Europe’s leading H&N imaging meetings.
🗓 Deadline: Sunday, March 22, 2026 ⏰
🔗 https://t.co/ayVqDti4Po