A Modern Definition of Mediastinal Compartments

作者:Carter Brett W*; Tomiyama Noriyuki; Bhora Faiz Y; de Christenson Melissa L Rosado; Nakajima Jun; Boiselle Phillip M; Detterbeck Frank C; Marom Edith M
来源:Journal of Thoracic Oncology, 2014, 9(9): S97-S101.
DOI:10.1097/JTO.0000000000000292

摘要

Division of the mediastinum into compartments is used to help narrow the differential diagnosis of newly detected mediastinal masses, to assist in planning biopsy and surgical procedures, and to facilitate communication among clinicians of multiple disciplines. Several traditional mediastinal division schemes exist based upon arbitrary landmarks on the lateral chest radiograph. We describe a modern, computed tomography-based mediastinal division scheme, which has been accepted by the International Thymic Malignancy Interest Group as a new standard. This clinical classification defines a prevascular (anterior), a visceral (middle), and a paravertebral (posterior) compartment, with anatomic boundaries defined clearly by computed tomography. It is our intention that this definition be used in the reporting of clinical cases and the design of prospective clinical trials.

  • 出版日期2014-9