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. 2017 Mar 8;30(3):222–229. doi: 10.1177/1971400917694048

Figure 1.

Figure 1.

Arrows point to nodes of interest. (a) True +: Level 1 b node positive for HNSCC and ECS; observers identify infiltration into adjacent tissues, indistinct nodal margins, and central node necrosis. (b) True −: Level 1 b node positive for HNSCC but no ECS; observers do not identify any ECS criteria. (c) False −: Level 2 positive for 1 cm HNSCC focus and ECS; observers do not identify any ECS criteria. (d) False +: Level 2 node positive for HNSCC but no ECS; observers identify irregular nodal enhancement, infiltration into adjacent tissues, indistinct nodal margins, matted nodes and central necrosis. HNSCC: squamous cell carcinoma of the head and neck; ECS: extracapsular spread.