{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T15:16:17Z","timestamp":1780586177503,"version":"3.54.1"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T00:00:00Z","timestamp":1659398400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T00:00:00Z","timestamp":1659398400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Nationally, concern has been raised about the overuse of diagnostic testing. In patients with unilateral otalgia and no history of Head and Neck Cancer (HNC), 1% had a malignancy detected on imaging that was not detected on clinical examination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective review of \u201cMRI soft tissue neck\u201d scans performed at our hospital from May 2020 to May 2021. Patients were excluded if their scan was not ordered for HNC symptoms. Previous HNC patients undergoing follow\u2010up imaging were also included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 326 scan requests were analyzed. Of the 132 patients without clinical features of overt disease, only one received a new diagnosis of HNC. This patient had previously had a HNC and was undergoing routine follow\u2010up imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our data demonstrate that performing MRI scans in symptomatic patients with a normal examination, FNE, and no history of HNC does not benefit the diagnosis or management of these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.27168","type":"journal-article","created":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T13:15:22Z","timestamp":1659446122000},"page":"2564-2570","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The diagnostic yield of head and neck imaging in symptomatic patients with a normal clinical examination"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4588-4124","authenticated-orcid":false,"given":"Michael","family":"Goodfellow","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Sunderland Royal Hospital  Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Lim","sequence":"additional","affiliation":[{"name":"School of Medical Education, The Faculty of Medical Sciences, Cookson Building Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harry","family":"Tustin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Sunderland Royal Hospital  Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youssef","family":"Mentias","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Sunderland Royal Hospital  Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Cocks","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Sunderland Royal Hospital  Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,2]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Cancer Research UK.Head and neck cancers statistics; 2021.https:\/\/www.cancerresearchuk.org\/health\u2010professional\/cancer\u2010statistics\/statistics\u2010by\u2010cancer\u2010type\/head\u2010and\u2010neck\u2010cancers\/incidence."},{"key":"e_1_2_10_3_1","unstructured":"Cancer Research UK.Head and neck cancers statistics; 2021.https:\/\/www.cancerresearchuk.org\/health\u2010professional\/cancer\u2010statistics\/statistics\u2010by\u2010cancer\u2010type\/head\u2010and\u2010neck\u2010cancers\/survival#heading\u2010Zero."},{"key":"e_1_2_10_4_1","unstructured":"Office for National Statistics.Internal data analysis of cancer incidence statistics for England in 2015; 2021.https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/healthandsocialcare\/conditionsanddiseases\/bulletins\/cancerregistrationstatisticsengland\/previousReleases."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13511"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2015.09.022"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-018-5256-1"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.45.6.328"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.2762"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A6760"},{"issue":"3","key":"e_1_2_10_11_1","first-page":"87","article-title":"Excludoscopy\u2014aiding diagnosis in head and neck surgery?","volume":"107","author":"Shehrazi SA","year":"2020","journal-title":"British Journal of Surgery"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2020-012576"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-157-8-201210160-00535"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2020-210345"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558716656970"},{"key":"e_1_2_10_16_1","volume-title":"Overdiagnosed: Making People Sick in the Pursuit of Health","author":"Welch HG","year":"2011"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-07004-z"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2010.02197.x"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2011.02.003"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-043215"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-016391"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/98067945"},{"key":"e_1_2_10_23_1","unstructured":"National Institute for Health Research.Interactive costing tool: getting started; 2022.https:\/\/www.nihr.ac.uk\/documents\/interactive-costing-tool-ict-getting-started\/12170."},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m2386"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.27168","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hed.27168","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.27168","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T14:28:47Z","timestamp":1770474527000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.27168"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,2]]},"references-count":23,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1002\/hed.27168"],"URL":"https:\/\/doi.org\/10.1002\/hed.27168","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,2]]},"assertion":[{"value":"2022-02-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}