Department of Thoracic Imaging, MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1478, Houston, TX 77030, USA.
Radiol Clin North Am. 2021 Mar;59(2):149-153. doi: 10.1016/j.rcl.2020.11.007.
Numerous systems have been created to divide the mediastinum into specific compartments for the purposes of generating a focused differential diagnosis for masses and other abnormalities identified on imaging, planning for biopsies and surgical interventions, and facilitating communication between health care professionals in a multidisciplinary setting. Most have focused on imaging and are based on arbitrary landmarks delineated on the lateral chest radiograph. The International Thymic Malignancy Interest Group has developed a classification system based on cross-sectional imaging, defining specific prevascular, visceral, and paravertebral compartments, that has been accepted as a new standard and is the topic of this review.
已经创建了许多系统来将纵隔划分为特定的隔室,以便针对影像学上发现的肿块和其他异常情况生成有针对性的鉴别诊断,规划活检和手术干预,并促进多学科环境中医疗保健专业人员之间的沟通。大多数系统都侧重于影像学,并基于侧胸射线照片上划定的任意地标。国际胸腺恶性肿瘤兴趣小组已经开发了一种基于横断面成像的分类系统,定义了特定的血管前、内脏和椎旁隔室,该系统已被接受为新标准,也是本综述的主题。