{"countries":[{"id":4,"name":"Afghanistan","region_id":1},{"id":17,"name":"Åland Islands","region_id":1},{"id":7,"name":"Albania","region_id":1},{"id":64,"name":"Algeria","region_id":1},{"id":13,"name":"American Samoa","region_id":3},{"id":2,"name":"Andorra","region_id":1},{"id":10,"name":"Angola","region_id":1},{"id":6,"name":"Anguilla","region_id":1},{"id":11,"name":"Antarctica","region_id":1},{"id":5,"name":"Antigua and Barbuda","region_id":1},{"id":12,"name":"Argentina","region_id":1},{"id":8,"name":"Armenia","region_id":1},{"id":16,"name":"Aruba","region_id":1},{"id":15,"name":"Australia","region_id":2},{"id":14,"name":"Austria","region_id":1},{"id":18,"name":"Azerbaijan","region_id":1},{"id":34,"name":"Bahamas","region_id":1},{"id":25,"name":"Bahrain","region_id":1},{"id":21,"name":"Bangladesh","region_id":1},{"id":20,"name":"Barbados","region_id":1},{"id":38,"name":"Belarus","region_id":1},{"id":22,"name":"Belgium","region_id":1},{"id":39,"name":"Belize","region_id":1},{"id":27,"name":"Benin","region_id":1},{"id":29,"name":"Bermuda","region_id":1},{"id":35,"name":"Bhutan","region_id":1},{"id":31,"name":"Bolivia","region_id":1},{"id":32,"name":"Bonaire, Sint Eustatius and Saba","region_id":1},{"id":19,"name":"Bosnia and Herzegovina","region_id":1},{"id":37,"name":"Botswana","region_id":1},{"id":36,"name":"Bouvet Island","region_id":1},{"id":33,"name":"Brazil","region_id":1},{"id":108,"name":"British Indian Ocean Territory","region_id":1},{"id":30,"name":"Brunei Darussalam","region_id":1},{"id":24,"name":"Bulgaria","region_id":1},{"id":23,"name":"Burkina Faso","region_id":1},{"id":26,"name":"Burundi","region_id":1},{"id":119,"name":"Cambodia","region_id":1},{"id":49,"name":"Cameroon","region_id":1},{"id":40,"name":"Canada","region_id":1},{"id":54,"name":"Cape Verde","region_id":1},{"id":126,"name":"Cayman Islands","region_id":1},{"id":43,"name":"Central African Republic","region_id":1},{"id":217,"name":"Chad","region_id":1},{"id":48,"name":"Chile","region_id":1},{"id":50,"name":"China","region_id":1},{"id":56,"name":"Christmas Island","region_id":1},{"id":41,"name":"Cocos (Keeling) Islands","region_id":1},{"id":51,"name":"Colombia","region_id":1},{"id":121,"name":"Comoros","region_id":1},{"id":44,"name":"Congo","region_id":1},{"id":42,"name":"Congo, The Democratic Republic Of The","region_id":1},{"id":47,"name":"Cook Islands","region_id":1},{"id":52,"name":"Costa Rica","region_id":1},{"id":46,"name":"Côte D'Ivoire","region_id":1},{"id":100,"name":"Croatia","region_id":1},{"id":53,"name":"Cuba","region_id":1},{"id":55,"name":"Curaçao","region_id":1},{"id":57,"name":"Cyprus","region_id":1},{"id":58,"name":"Czech Republic","region_id":1},{"id":61,"name":"Denmark","region_id":1},{"id":60,"name":"Djibouti","region_id":1},{"id":62,"name":"Dominica","region_id":1},{"id":63,"name":"Dominican Republic","region_id":1},{"id":65,"name":"Ecuador","region_id":1},{"id":67,"name":"Egypt","region_id":1},{"id":212,"name":"El Salvador","region_id":1},{"id":90,"name":"Equatorial Guinea","region_id":1},{"id":69,"name":"Eritrea","region_id":1},{"id":66,"name":"Estonia","region_id":1},{"id":71,"name":"Ethiopia","region_id":1},{"id":74,"name":"Falkland Islands (Malvinas)","region_id":1},{"id":76,"name":"Faroe Islands","region_id":1},{"id":73,"name":"Fiji","region_id":1},{"id":72,"name":"Finland","region_id":1},{"id":77,"name":"France","region_id":1},{"id":82,"name":"French Guiana","region_id":1},{"id":177,"name":"French Polynesia","region_id":1},{"id":218,"name":"French Southern Territories","region_id":1},{"id":78,"name":"Gabon","region_id":1},{"id":87,"name":"Gambia","region_id":1},{"id":81,"name":"Georgia","region_id":1},{"id":59,"name":"Germany","region_id":1},{"id":84,"name":"Ghana","region_id":1},{"id":85,"name":"Gibraltar","region_id":1},{"id":91,"name":"Greece","region_id":1},{"id":86,"name":"Greenland","region_id":1},{"id":80,"name":"Grenada","region_id":1},{"id":89,"name":"Guadeloupe","region_id":1},{"id":94,"name":"Guam","region_id":1},{"id":93,"name":"Guatemala","region_id":1},{"id":83,"name":"Guernsey","region_id":1},{"id":88,"name":"Guinea","region_id":1},{"id":95,"name":"Guinea-Bissau","region_id":1},{"id":96,"name":"Guyana","region_id":1},{"id":101,"name":"Haiti","region_id":1},{"id":98,"name":"Heard and McDonald Islands","region_id":1},{"id":238,"name":"Holy See (Vatican City State)","region_id":1},{"id":99,"name":"Honduras","region_id":1},{"id":97,"name":"Hong Kong","region_id":1},{"id":102,"name":"Hungary","region_id":1},{"id":111,"name":"Iceland","region_id":1},{"id":107,"name":"India","region_id":1},{"id":103,"name":"Indonesia","region_id":1},{"id":110,"name":"Iran, Islamic Republic Of","region_id":1},{"id":109,"name":"Iraq","region_id":1},{"id":104,"name":"Ireland","region_id":1},{"id":106,"name":"Isle of Man","region_id":1},{"id":105,"name":"Israel","region_id":1},{"id":112,"name":"Italy","region_id":1},{"id":114,"name":"Jamaica","region_id":1},{"id":116,"name":"Japan","region_id":1},{"id":113,"name":"Jersey","region_id":1},{"id":115,"name":"Jordan","region_id":1},{"id":127,"name":"Kazakhstan","region_id":1},{"id":117,"name":"Kenya","region_id":1},{"id":120,"name":"Kiribati","region_id":1},{"id":123,"name":"Korea, Democratic People's Republic Of","region_id":1},{"id":124,"name":"Korea, Republic of","region_id":1},{"id":252,"name":"Kosovo","region_id":1},{"id":125,"name":"Kuwait","region_id":1},{"id":118,"name":"Kyrgyzstan","region_id":1},{"id":128,"name":"Lao People's Democratic Republic","region_id":1},{"id":137,"name":"Latvia","region_id":1},{"id":129,"name":"Lebanon","region_id":1},{"id":134,"name":"Lesotho","region_id":1},{"id":133,"name":"Liberia","region_id":1},{"id":138,"name":"Libya","region_id":1},{"id":131,"name":"Liechtenstein","region_id":1},{"id":135,"name":"Lithuania","region_id":1},{"id":136,"name":"Luxembourg","region_id":1},{"id":150,"name":"Macao","region_id":1},{"id":146,"name":"Macedonia, the Former Yugoslav Republic Of","region_id":1},{"id":144,"name":"Madagascar","region_id":1},{"id":158,"name":"Malawi","region_id":1},{"id":160,"name":"Malaysia","region_id":1},{"id":157,"name":"Maldives","region_id":1},{"id":147,"name":"Mali","region_id":1},{"id":155,"name":"Malta","region_id":1},{"id":145,"name":"Marshall Islands","region_id":1},{"id":152,"name":"Martinique","region_id":1},{"id":153,"name":"Mauritania","region_id":1},{"id":156,"name":"Mauritius","region_id":1},{"id":248,"name":"Mayotte","region_id":1},{"id":159,"name":"Mexico","region_id":1},{"id":75,"name":"Micronesia, Federated States Of","region_id":1},{"id":141,"name":"Moldova, Republic of","region_id":1},{"id":140,"name":"Monaco","region_id":1},{"id":149,"name":"Mongolia","region_id":1},{"id":142,"name":"Montenegro","region_id":1},{"id":154,"name":"Montserrat","region_id":1},{"id":139,"name":"Morocco","region_id":1},{"id":161,"name":"Mozambique","region_id":1},{"id":148,"name":"Myanmar","region_id":1},{"id":162,"name":"Namibia","region_id":1},{"id":171,"name":"Nauru","region_id":1},{"id":170,"name":"Nepal","region_id":1},{"id":168,"name":"Netherlands","region_id":1},{"id":9,"name":"Netherlands Antilles","region_id":1},{"id":163,"name":"New Caledonia","region_id":1},{"id":173,"name":"New Zealand","region_id":2},{"id":167,"name":"Nicaragua","region_id":1},{"id":164,"name":"Niger","region_id":1},{"id":166,"name":"Nigeria","region_id":1},{"id":172,"name":"Niue","region_id":1},{"id":165,"name":"Norfolk Island","region_id":1},{"id":151,"name":"Northern Mariana Islands","region_id":1},{"id":169,"name":"Norway","region_id":1},{"id":174,"name":"Oman","region_id":1},{"id":180,"name":"Pakistan","region_id":1},{"id":187,"name":"Palau","region_id":1},{"id":185,"name":"Palestine, State of","region_id":1},{"id":175,"name":"Panama","region_id":1},{"id":178,"name":"Papua New Guinea","region_id":1},{"id":188,"name":"Paraguay","region_id":1},{"id":176,"name":"Peru","region_id":1},{"id":179,"name":"Philippines","region_id":1},{"id":183,"name":"Pitcairn","region_id":1},{"id":181,"name":"Poland","region_id":1},{"id":186,"name":"Portugal","region_id":1},{"id":184,"name":"Puerto Rico","region_id":1},{"id":189,"name":"Qatar","region_id":1},{"id":190,"name":"Réunion","region_id":1},{"id":191,"name":"Romania","region_id":1},{"id":193,"name":"Russian Federation","region_id":1},{"id":194,"name":"Rwanda","region_id":1},{"id":28,"name":"Saint Barthélemy","region_id":1},{"id":201,"name":"Saint Helena","region_id":1},{"id":122,"name":"Saint Kitts And Nevis","region_id":1},{"id":130,"name":"Saint Lucia","region_id":1},{"id":143,"name":"Saint Martin","region_id":1},{"id":182,"name":"Saint Pierre And Miquelon","region_id":1},{"id":239,"name":"Saint Vincent And The Grenadines","region_id":1},{"id":246,"name":"Samoa","region_id":1},{"id":206,"name":"San Marino","region_id":1},{"id":211,"name":"Sao Tome and Principe","region_id":1},{"id":195,"name":"Saudi Arabia","region_id":1},{"id":207,"name":"Senegal","region_id":1},{"id":192,"name":"Serbia","region_id":1},{"id":197,"name":"Seychelles","region_id":1},{"id":205,"name":"Sierra Leone","region_id":1},{"id":200,"name":"Singapore","region_id":1},{"id":213,"name":"Sint Maarten","region_id":1},{"id":204,"name":"Slovakia","region_id":1},{"id":202,"name":"Slovenia","region_id":1},{"id":196,"name":"Solomon Islands","region_id":1},{"id":208,"name":"Somalia","region_id":1},{"id":249,"name":"South Africa","region_id":1},{"id":92,"name":"South Georgia and the South Sandwich Islands","region_id":1},{"id":210,"name":"South Sudan","region_id":1},{"id":70,"name":"Spain","region_id":1},{"id":132,"name":"Sri Lanka","region_id":1},{"id":198,"name":"Sudan","region_id":1},{"id":209,"name":"Suriname","region_id":1},{"id":203,"name":"Svalbard And Jan Mayen","region_id":1},{"id":215,"name":"Swaziland","region_id":1},{"id":199,"name":"Sweden","region_id":1},{"id":45,"name":"Switzerland","region_id":1},{"id":214,"name":"Syrian Arab Republic","region_id":1},{"id":230,"name":"Taiwan, Republic Of China","region_id":1},{"id":221,"name":"Tajikistan","region_id":1},{"id":231,"name":"Tanzania, United Republic of","region_id":1},{"id":220,"name":"Thailand","region_id":1},{"id":223,"name":"Timor-Leste","region_id":1},{"id":219,"name":"Togo","region_id":1},{"id":222,"name":"Tokelau","region_id":1},{"id":226,"name":"Tonga","region_id":1},{"id":228,"name":"Trinidad and Tobago","region_id":1},{"id":225,"name":"Tunisia","region_id":1},{"id":227,"name":"Turkey","region_id":1},{"id":224,"name":"Turkmenistan","region_id":1},{"id":216,"name":"Turks and Caicos Islands","region_id":1},{"id":229,"name":"Tuvalu","region_id":1},{"id":233,"name":"Uganda","region_id":1},{"id":232,"name":"Ukraine","region_id":1},{"id":3,"name":"United Arab Emirates","region_id":1},{"id":79,"name":"United Kingdom","region_id":4},{"id":235,"name":"United States","region_id":3},{"id":234,"name":"United States Minor Outlying Islands","region_id":3},{"id":236,"name":"Uruguay","region_id":1},{"id":237,"name":"Uzbekistan","region_id":1},{"id":244,"name":"Vanuatu","region_id":1},{"id":240,"name":"Venezuela, Bolivarian Republic of","region_id":1},{"id":243,"name":"Vietnam","region_id":1},{"id":241,"name":"Virgin Islands, British","region_id":1},{"id":242,"name":"Virgin Islands, U.S.","region_id":1},{"id":245,"name":"Wallis and Futuna","region_id":1},{"id":68,"name":"Western Sahara","region_id":1},{"id":247,"name":"Yemen","region_id":1},{"id":250,"name":"Zambia","region_id":1},{"id":251,"name":"Zimbabwe","region_id":1}],"sub_specialties":{"en":[{"broad_division_id":1,"groupId":"Radiology","label":"General radiology","value":1},{"broad_division_id":1,"groupId":"Radiology","label":"Abdominal radiology","value":2},{"broad_division_id":1,"groupId":"Radiology","label":"Breast radiology","value":3},{"broad_division_id":1,"groupId":"Radiology","label":"Cardiac radiology","value":97},{"broad_division_id":1,"groupId":"Radiology","label":"Chest radiology","value":4},{"broad_division_id":1,"groupId":"Radiology","label":"Emergency radiology","value":98},{"broad_division_id":1,"groupId":"Radiology","label":"Head and neck radiology","value":99},{"broad_division_id":1,"groupId":"Radiology","label":"Interventional radiology","value":5},{"broad_division_id":1,"groupId":"Radiology","label":"Musculoskeletal radiology","value":6},{"broad_division_id":1,"groupId":"Radiology","label":"Neurointerventional radiology","value":7},{"broad_division_id":1,"groupId":"Radiology","label":"Neuroradiology","value":8},{"broad_division_id":1,"groupId":"Radiology","label":"Nuclear medicine","value":9},{"broad_division_id":1,"groupId":"Radiology","label":"Paediatric radiology","value":10},{"broad_division_id":1,"groupId":"Radiology","label":"Vascular radiology","value":100},{"broad_division_id":1,"groupId":"Radiology","label":"Women's imaging","value":11},{"broad_division_id":1,"groupId":"Radiology","label":"Other radiology","value":12},{"broad_division_id":1,"groupId":"Pathology","label":"General pathology","value":13},{"broad_division_id":1,"groupId":"Pathology","label":"Anatomical pathology","value":14},{"broad_division_id":1,"groupId":"Pathology","label":"Chemical pathology","value":15},{"broad_division_id":1,"groupId":"Pathology","label":"Forensic pathology","value":16},{"broad_division_id":1,"groupId":"Pathology","label":"Haematology","value":17},{"broad_division_id":1,"groupId":"Pathology","label":"Other pathology","value":18},{"broad_division_id":1,"groupId":"Physician","label":"General medicine","value":19},{"broad_division_id":1,"groupId":"Physician","label":"Cardiology","value":20},{"broad_division_id":1,"groupId":"Physician","label":"Dermatology","value":21},{"broad_division_id":1,"groupId":"Physician","label":"Emergency medicine","value":22},{"broad_division_id":1,"groupId":"Physician","label":"Endocrinology","value":23},{"broad_division_id":1,"groupId":"Physician","label":"Gastroenterology","value":24},{"broad_division_id":1,"groupId":"Physician","label":"Geriatrician","value":25},{"broad_division_id":1,"groupId":"Physician","label":"Haematology","value":26},{"broad_division_id":1,"groupId":"Physician","label":"Immunology","value":27},{"broad_division_id":1,"groupId":"Physician","label":"Infectious diseases","value":28},{"broad_division_id":1,"groupId":"Physician","label":"Intensive care","value":29},{"broad_division_id":1,"groupId":"Physician","label":"Internal medicine","value":30},{"broad_division_id":1,"groupId":"Physician","label":"Palliative care","value":31},{"broad_division_id":1,"groupId":"Physician","label":"Neonatalology","value":32},{"broad_division_id":1,"groupId":"Physician","label":"Nephrology","value":33},{"broad_division_id":1,"groupId":"Physician","label":"Neurology","value":34},{"broad_division_id":1,"groupId":"Physician","label":"Obstetrics and/or gynaecology","value":35},{"broad_division_id":1,"groupId":"Physician","label":"Oncology","value":36},{"broad_division_id":1,"groupId":"Physician","label":"Ophthalmology","value":37},{"broad_division_id":1,"groupId":"Physician","label":"Pain management","value":38},{"broad_division_id":1,"groupId":"Physician","label":"Paediatrics","value":39},{"broad_division_id":1,"groupId":"Physician","label":"Psychiatry","value":40},{"broad_division_id":1,"groupId":"Physician","label":"Radiation oncology","value":41},{"broad_division_id":1,"groupId":"Physician","label":"Rehabilitation medicine","value":42},{"broad_division_id":1,"groupId":"Physician","label":"Respiratory medicine","value":43},{"broad_division_id":1,"groupId":"Physician","label":"Rheumatology","value":44},{"broad_division_id":1,"groupId":"Physician","label":"Other specialised medicine","value":45},{"broad_division_id":1,"groupId":"Surgery","label":"General surgeon","value":46},{"broad_division_id":1,"groupId":"Surgery","label":"Cardiothoracic surgeon","value":47},{"broad_division_id":1,"groupId":"Surgery","label":"Colorectal surgeon","value":48},{"broad_division_id":1,"groupId":"Surgery","label":"Ear nose and throat surgeon","value":49},{"broad_division_id":1,"groupId":"Surgery","label":"Head and neck surgeon","value":50},{"broad_division_id":1,"groupId":"Surgery","label":"Hepatobiliary surgeon","value":51},{"broad_division_id":1,"groupId":"Surgery","label":"Maxillofacial surgeon","value":52},{"broad_division_id":1,"groupId":"Surgery","label":"Neurosurgeon","value":53},{"broad_division_id":1,"groupId":"Surgery","label":"Oncological surgeon","value":54},{"broad_division_id":1,"groupId":"Surgery","label":"Orthopaedic surgeon","value":55},{"broad_division_id":1,"groupId":"Surgery","label":"Plastic surgeon","value":56},{"broad_division_id":1,"groupId":"Surgery","label":"Trauma surgeon","value":57},{"broad_division_id":1,"groupId":"Surgery","label":"Urology","value":58},{"broad_division_id":1,"groupId":"Surgery","label":"Vascular surgeon","value":59},{"broad_division_id":1,"groupId":"Surgery","label":"Other surgeon","value":60},{"broad_division_id":1,"groupId":"Anaesthetics","label":"Anaesthetics","value":61},{"broad_division_id":1,"groupId":"Other medical doctor","label":"Other medical doctor","value":62},{"broad_division_id":2,"groupId":"Imaging technologist","label":"General radiography","value":63},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Angiography","value":64},{"broad_division_id":2,"groupId":"Imaging technologist","label":"CT radiography","value":65},{"broad_division_id":2,"groupId":"Imaging technologist","label":"MR imaging","value":66},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Nuclear medicine","value":67},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Radiation therapy","value":68},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Radiology technician","value":69},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Ultrasonography","value":70},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Other imaging technologist","value":71},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Advanced practitioner (radiographer)","value":102},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"General dentistry","value":72},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Endodontistry","value":73},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Paediatric dentistry","value":74},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Pedodontistry","value":75},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Periodontistry","value":76},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Prosthodontistry","value":77},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Oral and maxillofacial surgery","value":78},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Oral pathology","value":79},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Orthodontistry","value":80},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Other dentistry","value":81},{"broad_division_id":4,"groupId":"Nursing","label":"General nursing","value":82},{"broad_division_id":4,"groupId":"Nursing","label":"Anaesthetic nursing","value":83},{"broad_division_id":4,"groupId":"Nursing","label":"Dental nursing","value":84},{"broad_division_id":4,"groupId":"Nursing","label":"Emergency nursing","value":85},{"broad_division_id":4,"groupId":"Nursing","label":"Intensive care nursing","value":86},{"broad_division_id":4,"groupId":"Nursing","label":"Medical nursing","value":87},{"broad_division_id":4,"groupId":"Nursing","label":"Paediatric nursing","value":88},{"broad_division_id":4,"groupId":"Nursing","label":"Rehabilitation nursing","value":89},{"broad_division_id":4,"groupId":"Nursing","label":"Surgical nursing","value":90},{"broad_division_id":4,"groupId":"Nursing","label":"Other nursing","value":91},{"broad_division_id":4,"groupId":"Nursing","label":"Advanced practitioner (nurse)","value":101},{"broad_division_id":5,"groupId":"Allied health","label":"Dietician","value":92},{"broad_division_id":5,"groupId":"Allied health","label":"Occupational therapy","value":93},{"broad_division_id":5,"groupId":"Allied health","label":"Physiotherapy","value":94},{"broad_division_id":5,"groupId":"Allied health","label":"Speech pathology","value":95},{"broad_division_id":5,"groupId":"Allied health","label":"Other allied health","value":96},{"broad_division_id":5,"groupId":"Allied health","label":"Advanced practitioner (physiotherapist)","value":103},{"broad_division_id":6,"groupId":"Other","label":"Veterinarian","value":104},{"broad_division_id":6,"groupId":"Other","label":"Physician assistant","value":105},{"broad_division_id":6,"groupId":"Other","label":"Not Specified","value":106}],"en-US":[{"broad_division_id":1,"groupId":"Radiology","label":"General radiology","value":1},{"broad_division_id":1,"groupId":"Radiology","label":"Abdominal radiology","value":2},{"broad_division_id":1,"groupId":"Radiology","label":"Breast radiology","value":3},{"broad_division_id":1,"groupId":"Radiology","label":"Cardiac radiology","value":97},{"broad_division_id":1,"groupId":"Radiology","label":"Chest radiology","value":4},{"broad_division_id":1,"groupId":"Radiology","label":"Emergency radiology","value":98},{"broad_division_id":1,"groupId":"Radiology","label":"Head and neck radiology","value":99},{"broad_division_id":1,"groupId":"Radiology","label":"Interventional radiology","value":5},{"broad_division_id":1,"groupId":"Radiology","label":"Musculoskeletal radiology","value":6},{"broad_division_id":1,"groupId":"Radiology","label":"Neurointerventional radiology","value":7},{"broad_division_id":1,"groupId":"Radiology","label":"Neuroradiology","value":8},{"broad_division_id":1,"groupId":"Radiology","label":"Nuclear medicine","value":9},{"broad_division_id":1,"groupId":"Radiology","label":"Pediatric radiology","value":10},{"broad_division_id":1,"groupId":"Radiology","label":"Vascular radiology","value":100},{"broad_division_id":1,"groupId":"Radiology","label":"Women's imaging","value":11},{"broad_division_id":1,"groupId":"Radiology","label":"Other radiology","value":12},{"broad_division_id":1,"groupId":"Pathology","label":"General pathology","value":13},{"broad_division_id":1,"groupId":"Pathology","label":"Anatomical pathology","value":14},{"broad_division_id":1,"groupId":"Pathology","label":"Chemical pathology","value":15},{"broad_division_id":1,"groupId":"Pathology","label":"Forensic pathology","value":16},{"broad_division_id":1,"groupId":"Pathology","label":"Hematology","value":17},{"broad_division_id":1,"groupId":"Pathology","label":"Other pathology","value":18},{"broad_division_id":1,"groupId":"Physician","label":"General medicine","value":19},{"broad_division_id":1,"groupId":"Physician","label":"Cardiology","value":20},{"broad_division_id":1,"groupId":"Physician","label":"Dermatology","value":21},{"broad_division_id":1,"groupId":"Physician","label":"Emergency medicine","value":22},{"broad_division_id":1,"groupId":"Physician","label":"Endocrinology","value":23},{"broad_division_id":1,"groupId":"Physician","label":"Gastroenterology","value":24},{"broad_division_id":1,"groupId":"Physician","label":"Geriatrician","value":25},{"broad_division_id":1,"groupId":"Physician","label":"Hematology","value":26},{"broad_division_id":1,"groupId":"Physician","label":"Immunology","value":27},{"broad_division_id":1,"groupId":"Physician","label":"Infectious diseases","value":28},{"broad_division_id":1,"groupId":"Physician","label":"Intensive care","value":29},{"broad_division_id":1,"groupId":"Physician","label":"Internal medicine","value":30},{"broad_division_id":1,"groupId":"Physician","label":"Palliative care","value":31},{"broad_division_id":1,"groupId":"Physician","label":"Neonatalology","value":32},{"broad_division_id":1,"groupId":"Physician","label":"Nephrology","value":33},{"broad_division_id":1,"groupId":"Physician","label":"Neurology","value":34},{"broad_division_id":1,"groupId":"Physician","label":"Obstetrics and/or gynaecology","value":35},{"broad_division_id":1,"groupId":"Physician","label":"Oncology","value":36},{"broad_division_id":1,"groupId":"Physician","label":"Ophthalmology","value":37},{"broad_division_id":1,"groupId":"Physician","label":"Pain management","value":38},{"broad_division_id":1,"groupId":"Physician","label":"Pediatrics","value":39},{"broad_division_id":1,"groupId":"Physician","label":"Psychiatry","value":40},{"broad_division_id":1,"groupId":"Physician","label":"Radiation oncology","value":41},{"broad_division_id":1,"groupId":"Physician","label":"Rehabilitation medicine","value":42},{"broad_division_id":1,"groupId":"Physician","label":"Pulmonology","value":43},{"broad_division_id":1,"groupId":"Physician","label":"Rheumatology","value":44},{"broad_division_id":1,"groupId":"Physician","label":"Other specialised medicine","value":45},{"broad_division_id":1,"groupId":"Surgery","label":"General surgeon","value":46},{"broad_division_id":1,"groupId":"Surgery","label":"Cardiothoracic surgeon","value":47},{"broad_division_id":1,"groupId":"Surgery","label":"Colorectal surgeon","value":48},{"broad_division_id":1,"groupId":"Surgery","label":"Otolaryngology","value":49},{"broad_division_id":1,"groupId":"Surgery","label":"Head and neck surgeon","value":50},{"broad_division_id":1,"groupId":"Surgery","label":"Hepatobiliary surgeon","value":51},{"broad_division_id":1,"groupId":"Surgery","label":"Maxillofacial surgeon","value":52},{"broad_division_id":1,"groupId":"Surgery","label":"Neurosurgeon","value":53},{"broad_division_id":1,"groupId":"Surgery","label":"Oncological surgeon","value":54},{"broad_division_id":1,"groupId":"Surgery","label":"Orthopedic surgeon","value":55},{"broad_division_id":1,"groupId":"Surgery","label":"Plastic surgeon","value":56},{"broad_division_id":1,"groupId":"Surgery","label":"Trauma surgeon","value":57},{"broad_division_id":1,"groupId":"Surgery","label":"Urology","value":58},{"broad_division_id":1,"groupId":"Surgery","label":"Vascular surgeon","value":59},{"broad_division_id":1,"groupId":"Surgery","label":"Other surgeon","value":60},{"broad_division_id":1,"groupId":"Anaesthetics","label":"Anesthesiology","value":61},{"broad_division_id":1,"groupId":"Other medical doctor","label":"Other medical doctor","value":62},{"broad_division_id":2,"groupId":"Imaging technologist","label":"General radiography","value":63},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Angiography","value":64},{"broad_division_id":2,"groupId":"Imaging technologist","label":"CT radiography","value":65},{"broad_division_id":2,"groupId":"Imaging technologist","label":"MR imaging","value":66},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Nuclear medicine","value":67},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Radiation therapy","value":68},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Radiology technician","value":69},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Ultrasonography","value":70},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Other imaging technologist","value":71},{"broad_division_id":2,"groupId":"Imaging technologist","label":"Advanced practitioner (radiographer)","value":102},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"General dentistry","value":72},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Endodontistry","value":73},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Paediatric dentistry","value":74},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Pedodontistry","value":75},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Periodontistry","value":76},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Prosthodontistry","value":77},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Oral and maxillofacial surgery","value":78},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Oral pathology","value":79},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Orthodontistry","value":80},{"broad_division_id":3,"groupId":"Dentistry/dental science","label":"Other dentistry","value":81},{"broad_division_id":4,"groupId":"Nursing","label":"General nursing","value":82},{"broad_division_id":4,"groupId":"Nursing","label":"Anesthetic nursing","value":83},{"broad_division_id":4,"groupId":"Nursing","label":"Dental nursing","value":84},{"broad_division_id":4,"groupId":"Nursing","label":"Emergency nursing","value":85},{"broad_division_id":4,"groupId":"Nursing","label":"Intensive care nursing","value":86},{"broad_division_id":4,"groupId":"Nursing","label":"Medical nursing","value":87},{"broad_division_id":4,"groupId":"Nursing","label":"Pediatric nursing","value":88},{"broad_division_id":4,"groupId":"Nursing","label":"Rehabilitation nursing","value":89},{"broad_division_id":4,"groupId":"Nursing","label":"Surgical nursing","value":90},{"broad_division_id":4,"groupId":"Nursing","label":"Other nursing","value":91},{"broad_division_id":4,"groupId":"Nursing","label":"Advanced practitioner (nurse)","value":101},{"broad_division_id":5,"groupId":"Allied health","label":"Dietician","value":92},{"broad_division_id":5,"groupId":"Allied health","label":"Occupational therapy","value":93},{"broad_division_id":5,"groupId":"Allied health","label":"Physiotherapy","value":94},{"broad_division_id":5,"groupId":"Allied health","label":"Speech pathology","value":95},{"broad_division_id":5,"groupId":"Allied health","label":"Other allied health","value":96},{"broad_division_id":5,"groupId":"Allied health","label":"Advanced practitioner (physiotherapist)","value":103},{"broad_division_id":6,"groupId":"Other","label":"Veterinarian","value":104},{"broad_division_id":6,"groupId":"Other","label":"Physician assistant","value":105},{"broad_division_id":6,"groupId":"Other","label":"Not Specified","value":106}]},"training_levels":[{"broad_division_id":1,"value":1,"region_labels":{"1":"Undergraduate Non-Medicine (year 1)","2":"Undergraduate Non-Medicine (year 1)","3":"Undergraduate Non-Medicine (year 1)","4":"Undergraduate Non-Medicine (year 1)"}},{"broad_division_id":1,"value":2,"region_labels":{"4":"Undergraduate Non-Medicine (year 2)","1":"Undergraduate Non-Medicine (year 2)","3":"Undergraduate Non-Medicine (year 2)","2":"Undergraduate Non-Medicine (year 2)"}},{"broad_division_id":1,"value":3,"region_labels":{"2":"Undergraduate Non-Medicine (year 3)","4":"Undergraduate Non-Medicine (year 3)","1":"Undergraduate Non-Medicine (year 3)","3":"Undergraduate Non-Medicine (year 3)"}},{"broad_division_id":1,"value":4,"region_labels":{"1":"Undergraduate Non-Medicine (year 4)","3":"Undergraduate Non-Medicine (year 4)","2":"Undergraduate Non-Medicine (year 4)","4":"Undergraduate Non-Medicine (year 4)"}},{"broad_division_id":1,"value":5,"region_labels":{"3":"Undergraduate Non-Medicine (year 5+)","1":"Undergraduate Non-Medicine (year 5+)","2":"Undergraduate Non-Medicine (year 5+)","4":"Undergraduate Non-Medicine (year 5+)"}},{"broad_division_id":1,"value":6,"region_labels":{"3":"Medical Student (year 1)","2":"Medical Student (year 1)","1":"Medical Student (year 1)","4":"Medical Student (year 1)"}},{"broad_division_id":1,"value":7,"region_labels":{"3":"Medical Student (year 2)","4":"Medical Student (year 2)","2":"Medical Student (year 2)","1":"Medical Student (year 2)"}},{"broad_division_id":1,"value":8,"region_labels":{"1":"Medical Student (year 3)","3":"Medical Student (year 3)","2":"Medical Student (year 3)","4":"Medical Student (year 3)"}},{"broad_division_id":1,"value":9,"region_labels":{"2":"Medical Student (year 4)","4":"Medical Student (year 4)","1":"Medical Student (year 4)","3":"Medical Student (year 4)"}},{"broad_division_id":1,"value":10,"region_labels":{"4":"Medical Student (year 5)","1":"Medical Student (year 5)","2":"Medical Student (year 5)","3":"Medical Student (year 5)"}},{"broad_division_id":1,"value":11,"region_labels":{"3":"Medical Student (year 6+)","2":"Medical Student (year 6+)","1":"Medical Student (year 6+)","4":"Medical Student (year 6+)"}},{"broad_division_id":1,"value":12,"region_labels":{"2":"Intern","3":"Postgraduate year 1 (PGY 1)","1":"Intern","4":"Foundation Doctor (FY1)"}},{"broad_division_id":1,"value":13,"region_labels":{"2":"Resident (HMO year 1)","1":"Junior Doctor (HMO year 1)","4":"Foundation Doctor (FY2)"}},{"broad_division_id":1,"value":14,"region_labels":{"4":"Foundation Doctor (FY3+)","1":"Junior Doctor (HMO year 2+)","2":"Resident (HMO year 2+)"}},{"broad_division_id":1,"value":15,"region_labels":{"3":"Postgraduate year 2 (PGY 2)","1":"Specialty trainee (year 1)","2":"Registrar (year 1)","4":"Specialty trainee year (ST 1)"}},{"broad_division_id":1,"value":16,"region_labels":{"3":"Postgraduate year 3 (PGY 3)","2":"Registrar (year 2)","4":"Specialty trainee year (ST 2)","1":"Specialty trainee (year 2)"}},{"broad_division_id":1,"value":17,"region_labels":{"3":"Postgraduate year 4 (PGY 4)","2":"Registrar (year 3)","4":"Specialty trainee year (ST 3)","1":"Specialty trainee (year 3)"}},{"broad_division_id":1,"value":18,"region_labels":{"3":"Postgraduate year 5 (PGY 6)","1":"Specialty trainee (year 4)","2":"Registrar (year 4)","4":"Specialty trainee year (ST 4)"}},{"broad_division_id":1,"value":19,"region_labels":{"1":"Specialty trainee (year 5)","2":"Registrar (year 5)","4":"Specialty trainee year (ST 5)"}},{"broad_division_id":1,"value":20,"region_labels":{"1":"Specialty trainee (year 6)","2":"Registrar (year 6)","4":"Specialty trainee year (ST 6)"}},{"broad_division_id":1,"value":21,"region_labels":{"1":"Specialty trainee (year 7+)","2":"Registrar (year 7+)","4":"Specialty trainee year (ST 7+)"}},{"broad_division_id":1,"value":22,"region_labels":{"3":"Fellow (PGY 6)","2":"Fellow (year 1)","4":"Fellow (year 1)","1":"Fellow (year 1)"}},{"broad_division_id":1,"value":23,"region_labels":{"3":"Fellow (PGY 7+)","2":"Fellow (year 2+)","1":"Fellow (year 2+)","4":"Fellow (year 2+)"}},{"broad_division_id":1,"value":24,"region_labels":{"3":"Attending (year 1-5)","4":"Consultant (year 1-5)","2":"Consultant (year 1-5)","1":"Consultant/Attending (year 1-5)"}},{"broad_division_id":1,"value":25,"region_labels":{"3":"Attending (year 6-10)","2":"Consultant (year 6-10)","4":"Consultant (year 6-10)","1":"Consultant/Attending (year 6-10)"}},{"broad_division_id":1,"value":26,"region_labels":{"3":"Attending (year 11-15)","2":"Consultant (year 11-15)","4":"Consultant (year 11-15)","1":"Consultant/Attending (year 11-15)"}},{"broad_division_id":1,"value":27,"region_labels":{"3":"Attending (year 15+)","4":"Consultant (year 15+)","2":"Consultant (year 15+)","1":"Consultant/Attending (year 15+)"}},{"broad_division_id":2,"value":28,"region_labels":{"3":"Student (year 1)","1":"Student (year 1)","2":"Student (year 1)","4":"Student (year 1)"}},{"broad_division_id":2,"value":29,"region_labels":{"3":"Student (year 2)","2":"Student (year 2)","4":"Student (year 2)","1":"Student (year 2)"}},{"broad_division_id":2,"value":30,"region_labels":{"3":"Student (year 3)","1":"Student (year 3)","4":"Student (year 3)","2":"Student (year 3)"}},{"broad_division_id":2,"value":31,"region_labels":{"3":"Student (year 4+)","1":"Student (year 4+)","2":"Student (year 4+)","4":"Student (year 4+)"}},{"broad_division_id":2,"value":32,"region_labels":{"3":"Radiographer/Technician","4":"Radiographer/Technician","1":"Radiographer/Technician","2":"Radiographer/Technician"}},{"broad_division_id":3,"value":39,"region_labels":{"3":"Undergraduate Non-Dental (year 1)","2":"Undergraduate Non-Dental (year 1)","4":"Undergraduate Non-Dental (year 1)","1":"Undergraduate Non-Dental (year 1)"}},{"broad_division_id":3,"value":40,"region_labels":{"3":"Undergraduate Non-Dental (year 2)","4":"Undergraduate Non-Dental (year 2)","1":"Undergraduate Non-Dental (year 2)","2":"Undergraduate Non-Dental (year 2)"}},{"broad_division_id":3,"value":41,"region_labels":{"3":"Undergraduate Non-Dental (year 3)","4":"Undergraduate Non-Dental (year 3)","2":"Undergraduate Non-Dental (year 3)","1":"Undergraduate Non-Dental (year 3)"}},{"broad_division_id":3,"value":42,"region_labels":{"3":"Undergraduate Non-Dental (year 4)","2":"Undergraduate Non-Dental (year 4)","1":"Undergraduate Non-Dental (year 4)","4":"Undergraduate Non-Dental (year 4)"}},{"broad_division_id":3,"value":43,"region_labels":{"3":"Undergraduate Non-Dental (year 5+)","2":"Undergraduate Non-Dental (year 5+)","1":"Undergraduate Non-Dental (year 5+)","4":"Undergraduate Non-Dental (year 5+)"}},{"broad_division_id":3,"value":44,"region_labels":{"3":"Dentistry Student (year 1)","1":"Dentistry Student (year 1)","2":"Dentistry Student (year 1)","4":"Dentistry Student (year 1)"}},{"broad_division_id":3,"value":45,"region_labels":{"3":"Dentistry Student (year 2)","4":"Dentistry Student (year 2)","2":"Dentistry Student (year 2)","1":"Dentistry Student (year 2)"}},{"broad_division_id":3,"value":46,"region_labels":{"3":"Dentistry Student (year 3)","2":"Dentistry Student (year 3)","4":"Dentistry Student (year 3)","1":"Dentistry Student (year 3)"}},{"broad_division_id":3,"value":47,"region_labels":{"3":"Dentistry Student (year 4)","1":"Dentistry Student (year 4)","4":"Dentistry Student (year 4)","2":"Dentistry Student (year 4)"}},{"broad_division_id":3,"value":48,"region_labels":{"3":"Dentistry Student (year 5)","2":"Dentistry Student (year 5)","1":"Dentistry Student (year 5)","4":"Dentistry Student (year 5)"}},{"broad_division_id":3,"value":49,"region_labels":{"3":"Dentistry Student (year 6+)","4":"Dentistry Student (year 6+)","2":"Dentistry Student (year 6+)","1":"Dentistry Student (year 6+)"}},{"broad_division_id":3,"value":50,"region_labels":{"3":"General Dentist","4":"General Dentist","1":"General Dentist","2":"General Dentist"}},{"broad_division_id":3,"value":51,"region_labels":{"3":"Specialty Dentist","2":"Specialty Dentist","4":"Specialty Dentist","1":"Specialty Dentist"}},{"broad_division_id":4,"value":33,"region_labels":{"3":"Nursing Student (year 1)","4":"Nursing Student (year 1)","2":"Nursing Student (year 1)","1":"Nursing Student (year 1)"}},{"broad_division_id":4,"value":34,"region_labels":{"3":"Nursing Student (year 2)","4":"Nursing Student (year 2)","1":"Nursing Student (year 2)","2":"Nursing Student (year 2)"}},{"broad_division_id":4,"value":35,"region_labels":{"3":"Nursing Student (year 3)","2":"Nursing Student (year 3)","1":"Nursing Student (year 3)","4":"Nursing Student (year 3)"}},{"broad_division_id":4,"value":36,"region_labels":{"3":"Nursing Student (year 4+)","1":"Nursing Student (year 4+)","2":"Nursing Student (year 4+)","4":"Nursing Student (year 4+)"}},{"broad_division_id":4,"value":37,"region_labels":{"3":"Registered Nurse","1":"Registered Nurse","4":"Registered Nurse","2":"Registered Nurse"}},{"broad_division_id":4,"value":38,"region_labels":{"3":"Specialty Nurse","2":"Specialty Nurse","4":"Specialty Nurse","1":"Specialty Nurse"}},{"broad_division_id":5,"value":52,"region_labels":{"3":"Allied Health Student (year 2)","2":"Allied Health Student (year 2)","4":"Allied Health Student (year 2)","1":"Allied Health Student (year 2)"}},{"broad_division_id":5,"value":53,"region_labels":{"3":"Allied Health Student (year 3)","1":"Allied Health Student (year 3)","4":"Allied Health Student (year 3)","2":"Allied Health Student (year 3)"}},{"broad_division_id":5,"value":54,"region_labels":{"3":"Allied Health Student (year 4)","1":"Allied Health Student (year 4)","2":"Allied Health Student (year 4)","4":"Allied Health Student (year 4)"}},{"broad_division_id":5,"value":55,"region_labels":{"3":"Allied Health Student (year 5+)","4":"Allied Health Student (year 5+)","2":"Allied Health Student (year 5+)","1":"Allied Health Student (year 5+)"}},{"broad_division_id":5,"value":56,"region_labels":{"3":"Allied Health Professional","2":"Allied Health Professional","1":"Allied Health Professional","4":"Allied Health Professional"}},{"broad_division_id":6,"value":57,"region_labels":{"3":"Undergraduate 1","4":"Undergraduate 1","2":"Undergraduate 1","1":"Undergraduate 1"}},{"broad_division_id":6,"value":58,"region_labels":{"3":"Undergraduate 2","1":"Undergraduate 2","4":"Undergraduate 2","2":"Undergraduate 2"}},{"broad_division_id":6,"value":59,"region_labels":{"3":"Undergraduate 3","4":"Undergraduate 3","2":"Undergraduate 3","1":"Undergraduate 3"}},{"broad_division_id":6,"value":60,"region_labels":{"3":"Undergraduate 4","1":"Undergraduate 4","4":"Undergraduate 4","2":"Undergraduate 4"}},{"broad_division_id":6,"value":61,"region_labels":{"3":"Undergraduate 5","1":"Undergraduate 5","4":"Undergraduate 5","2":"Undergraduate 5"}},{"broad_division_id":6,"value":62,"region_labels":{"3":"Postgraduate 1","2":"Postgraduate 1","4":"Postgraduate 1","1":"Postgraduate 1"}},{"broad_division_id":6,"value":63,"region_labels":{"3":"Postgraduate 2","4":"Postgraduate 2","1":"Postgraduate 2","2":"Postgraduate 2"}},{"broad_division_id":6,"value":64,"region_labels":{"3":"Postgraduate 3","4":"Postgraduate 3","1":"Postgraduate 3","2":"Postgraduate 3"}},{"broad_division_id":6,"value":65,"region_labels":{"3":"Postgraduate 4","1":"Postgraduate 4","4":"Postgraduate 4","2":"Postgraduate 4"}}],"default_training_region_id":1,"en_us_country_ids":[5,12,20,31,33,48,51,52,53,62,63,65,93,96,99,101,114,122,130,159,167,175,176,188,209,212,228,234,235,236,239,240,242],"selected_country_id":235,"email":"","container_id":"signup-modal-container"}

Metastatic intramammary lymph node

Dr Jeffrey Cheng ◉ and Radswiki et al.

A metastatic intramammary lymph node refers to an intramammary lymph node involved with metastatic or malignant disease.

Radiographic features

Breast ultrasound

Sonographic features that suggest metastatic involvement include ⁴:

disappearance or loss of central echogenic hilar region
marked hypoechogenicity
increase in size
lobulated outer contours

Different authors put different emphasis on cortical measurement and nodal morphology to predict malignant nodal involvement.

Cho et al. ² developed a grading system of cortical thickness by proposing a thickness of 2.5 mm or more as an indication for cytology/histology assessment.

Bedi et al. ³ developed these categories:

type 1: without visible cortex
type 2: cortex ≤ 3 mm
type 3: cortex > 3 mm
- frequently reactional changes
type 4: entirely lobulated cortex
- considered as probably benign
type 5: with focal lobulation
- suspicious, indication for biopsy
type 6: completely hypoechogenic, without hilum
- suspicious, indication for biopsy

References

Breast imaging and pathology

Article information

rID: 15273

System: Breast

Section: Gamuts

Tag: stub, cases, refs, cases

Synonyms or Alternate Spellings:

Metastatic intramammary lymph nodes
Malignant intramammary lymph node

Support Radiopaedia and see fewer ads

Cases and figures

Case 1: lymphomaCase 1: lymphoma

Drag here to reorder.

Updating… Please wait.

Unable to process the form. Check for errors and try again.

Thank you for updating your details.