A Modern Definition of Mediastinal Compartments

被引：82

作者：

Carter, Brett W. ^{[1
]}

Tomiyama, Noriyuki ^{[2
]}

Bhora, Faiz Y. ^{[3
]}

de Christenson, Melissa L. Rosado ^{[4
]}

Nakajima, Jun ^{[5
]}

Boiselle, Phillip M. ^{[6
]}

Detterbeck, Frank C. ^{[7
]}

Marom, Edith M. ^{[1
]}

机构：

[1] Univ Texas MD Anderson Canc Ctr, Dept Diagnost Radiol, Houston, TX 77030 USA

[2] Osaka Univ, Grad Sch Med, Dept Radiol, Osaka, Japan

[3] Columbia Univ Coll Phys & Surg, Div Thorac Surg, Continuum Canc Ctr New York, Dept Thorac Surg, New York, NY 10032 USA

[4] Univ Missouri, Dept Radiol, St Lukes Hosp Kansas City, Kansas City, MO 64110 USA

[5] Univ Tokyo, Dept Thorac Surg, Grad Sch Med, Bunkyo Ku, Tokyo, Japan

[6] Beth Israel Deaconess Med Ctr, Dept Radiol, Boston, MA 02215 USA

[7] Yale Univ, Sch Med, Dept Surg, Div Thorac Surg, New Haven, CT 06510 USA

来源：

JOURNAL OF THORACIC ONCOLOGY | 2014年 / 9卷 / 09期

基金：

日本学术振兴会;

关键词：

Mediastinum; Compartments; CT;

D O I：

10.1097/JTO.0000000000000292

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

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.

引用

页码：S97 / S101

页数：5

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