Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2014
A modern definition of mediastinal compartments.
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Carter Brett W, Tomiyama Noriyuki, Bhora Faiz Y, Rosado de Christenson Melissa L, Nakajima Jun, Boiselle Phillip M, Detterbeck Frank C, Marom Edith M
Аннотация
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.