Cancer module

Head & Neck Cancer

HPV-aware oropharyngeal + laryngeal surveillance with NI-RADS reporting.

Reporting system
NI-RADS (1–4)
Imaging modalities
  • Flexible Laryngoscopy
  • MRI head/neck
  • Contrast CT neck
  • PET-CT
  • Pathology
Key findings OCTON surfaces
  • Asymmetric tongue-base / tonsillar mass
  • Necrotic / cystic lateral neck nodes
  • Persistent unilateral otalgia
  • Hoarseness > 3 weeks with vocal-cord lesion
  • Submucosal extension on MRI
Evidence base
  • NCCN Head and Neck Cancers v1.2025
  • ASCO 2022 — HPV-positive oropharynx survivorship
  • NI-RADS White Paper 2018
Risk questionnaire
  • · What is your age?
  • · Current or heavy past tobacco / chewing-tobacco use?
  • · ≥ 3 alcoholic drinks/day for > 5 years?
  • · Known HPV-positive oropharyngeal exposure?
  • · Occupational nickel / wood-dust / formaldehyde exposure?
  • · Prior head/neck radiation?
  • · Hoarseness, dysphagia, or unilateral otalgia > 3 weeks?
See OCTON in action · early-detection demos
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Head & Neck cancerYou're herehigh · 70/100MRI · NI-RADS 3
HPV-positive oropharyngeal SCC at NI-RADS 3
1.8 cm right tonsillar mass with 2.5 cm cystic level-II neck node — HPV-positive oropharyngeal SCC.
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