To assess inter- and intrareader agreement of the Neck Imaging Reporting and Data System (NI-RADS) used in contrast-enhanced magnetic resonance imaging (MRI) including analysis of diffusion-weighted imaging (DWI), which is currently not part of the NI-RADS criteria. This retrospective study included anonymized surveillance contrast-enhanced MRI datasets of 104 patients treated for different head and neck cancers. Three radiologists experienced in head and neck imaging reported findings for the primary site and the neck using NI-RADS criteria in a first step and evaluated DWI sequences for the primary site in a second step. Thirty randomly selected imaging datasets were again presented to the readers. Kappa statistics and observed agreement (A ) were calculated. Interreader agreement across all MRI datasets was moderate (κ = 0.53) for NI-RADS categories assigned to the primary site, substantial for NI-RADS categories of the neck (κ = 0.67), and almost perfect for DWI of the primary site (κ = 0.83)eader agreement. • DWI is currently no criterion of NI-RADS, but has shown potential to improve its reliability, especially for categories 2a, 2b, and 3 of the primary site. • NI-RADS was originally designed for contrast-enhanced computed tomography with or without positron emission tomography but can also be used for contrast-enhanced magnetic resonance imaging alone. • Overall interreader agreement was acceptable for NI-RADS categories assigned to the neck but should be improved for the primary site, where it was inferior to DWI; similar tendencies were found for intrareader agreement. • DWI is currently no criterion of NI-RADS, but has shown potential to improve its reliability, especially for categories 2a, 2b, and 3 of the primary site. To investigate the gray matter (GM) alterations in patients with insomnia disorder (ID) at different severity stages and the relationship between GM alterations and sleep, mood, and cognitive measures. One hundred one ID patients and 63 healthy controls (HC) were included. Each patient underwent structural MRI and completed sleep-, mood-, and cognitive-related questionnaires. The ID patients were further grouped into subthreshold insomnia (SI) group and clinical insomnia (CI) group. We investigated changes in GM volumes in ID patients via diffeomorphic anatomical registration through exponentiated lie algebra voxel-based morphometry (DARTEL-VBM). We first compared voxel-wise differences in GM volumes between the HC group and the ID group. Analysis of variance was performed on individual GM maps in the SI, CI, and HC groups to further investigate the effects of different stages of ID severity on GM volumes. Multiple regression was used to model the relationship between altered GM volumes in SI and CI group and cerebellum Crus II. • The middle temporal gyrus was early detectable in the SI group. • The increased GM volumes in the CI group were correlated with clinical measures. The main aim of the study was to assess the impact of individualized management of breakthrough cancer pain (BTcP) on quality of life (QoL) of patients with advanced cancer in clinical practice. A prospective, observational, multicenter study was conducted in patients with advanced cancer that were assisted by palliative care units. QoL was assessed with the EORTC QLQ-C30 questionnaire at baseline (V0) and after 28days (V28) of individualized BTcP therapy. Data on background pain, BTcP, comorbidities, and frailty were also recorded. Ninety-three patients completed the study. Intensity, duration, and number of BTcP episodes were reduced (p < 0.001) at V28 with individualized therapy. Transmucosal fentanyl was used in 93.8% of patients, mainly by sublingual route. Fentanyl titration was initiated at low doses (78.3% of patients received doses of 67μg, 100μg, or 133μg) according to physician evaluation. At V28, mean perception of global health status had increased from 31.1 to 53.1 (p < 0.001). All scales of EORTC QLQ-C30 significantly improved (p < 0.001) except physical functioning, diarrhea, and financial difficulties. https://www.selleckchem.com/products/VX-765.html Pain scale improved from 73.6 ± 22.6 to 35.7 ± 22.3 (p < 0.001). Moreover, 85.9% of patients reported pain improvement. Probability of no ≥ 25% improvement in QoL was significantly higher in patients ≥ 65years old (OR 1.39; 95% CI 1.001-1.079) and patients hospitalized at baseline (OR 4.126; 95% CI 1.227-13.873). Individualized BTcP therapy improved QoL of patients with advanced cancer. Transmucosal fentanyl at low doses was the most used drug. This study was registered at ClinicalTrials.gov database (NCT02840500) on July 19, 2016. This study was registered at ClinicalTrials.gov database (NCT02840500) on July 19, 2016.Previous studies demonstrated that long-term memory related to object-position in natural scenes guides visuo-spatial attention during subsequent search. Memory-guided attention has been associated with the activation of memory regions (the medial-temporal cortex) and with the fronto-parietal attention network. Notably, these circuits represent external locations with different frames of reference egocentric (i.e., eyes/head-centered) in the dorsal attention network vs. allocentric (i.e., world/scene-centered) in the medial temporal cortex. Here we used behavioral measures and fMRI to assess the contribution of egocentric and allocentric spatial information during memory-guided attention. At encoding, participants were presented with real-world scenes and asked to search for and memorize the location of a high-contrast target superimposed in half of the scenes. At retrieval, participants viewed again the same scenes, now all including a low-contrast target. In scenes that included the target at encoding, the target was presented at the same scene-location. Critically, scenes were now shown either from the same or different viewpoint compared with encoding. This resulted in a memory-by-view design (target seen/unseen x same/different view), which allowed us teasing apart the role of allocentric vs. egocentric signals during memory-guided attention. Retrieval-related results showed greater search-accuracy for seen than unseen targets, both in the same and different views, indicating that memory contributes to visual search notwithstanding perspective changes. This view-change independent effect was associated with the activation of the left lateral intra-parietal sulcus. Our results demonstrate that this parietal region mediates memory-guided attention by taking into account allocentric/scene-centered information about the objects' position in the external world.