Table 4:

NI-RADS risk stratification guidelinesa

DescriptionCategoryImaging FindingsManagement
Incomplete0New baseline study or unavailable previous imagingPrevious imaging
No evidence of recurrence1Posttreatment changes without mass or abnormal FDG uptakeRoutine surveillance
Low suspicion (superficial)2aEnhancement without FDG uptake or mild/moderate FDG uptake without a massDirect visual inspection
Low suspicion (deep)2bEnhancement without FDG uptake or mild/moderate FDG uptake without a massShort imaging follow-up
High suspicion3New or enlarged mass or lymph node, enhancement, and intense FDG uptakeBiopsy
Definitive recurrence4Pathologically proved or definite progressionClinical management
  • a The NI-RADS risk stratification guidelines grade head and neck tumor treatment response; adapted from Ref. 26.