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Topography of the mediastinum departments in the X-ray image in the context of differentiation of volume mediastinal formations

https://doi.org/10.36604/1998-5029-2022-84-100-115

Abstract

The division of the mediastinum into specific departments is necessary for targeted differential diagnosis of mediastinal masses in imaging studies and planning biopsies and surgical procedures. The majority of radiological classifications are based on arbitrary marks that are conventionally labeled on a lateral chest radiograph. At present, the use of multislice computed tomography (MSCT) with a wide range of post-processing of axial tomographic images has become the gold standard for visualization of diseases of the chest organs. A new scheme based on cross-sectional imaging during MSCT has been developed by the International Thymic Malignancy Interest Group (ITMIG) and adopted as the standard. Using the example of diagnosing some solid formations (own clinical and radiological observations), this article sets out various classifications of the mediastinal sections according to the radiograph of the lungs in the lateral projection, which are the place of priority localization of a number of pathological formations, which greatly simplifies the identification of this pathology.

About the Authors

A. V. Lenshin
Far Eastern Scientific Center of Physiology and Pathology of Respiration
Russian Federation

Anatoliy V. Lenshin, MD, PhD, DSc (Med.), Professor, Roentgenologist, Leading Staff Scientist of Laboratory of Functional Research of Respiratory System

22 Kalinina Str., Blagoveshchensk, 675000, Russian Federation



A. V. Il’in
Far Eastern Scientific Center of Physiology and Pathology of Respiration
Russian Federation

Andrey V. Il’in, MD, PhD (Med.), Roentgenologist, Head of Department of X-Ray Diagnostics

22 Kalinina Str., Blagoveshchensk, 675000, Russian Federation



E. A. Ignat’eva
Far Eastern Scientific Center of Physiology and Pathology of Respiration
Russian Federation

Elena A. Ignat’eva, MD, Roentgenologist of Department of X-Ray Diagnostics, Postgraduate Student of the Laboratory of Functional Research of Respiratory System

22 Kalinina Str., Blagoveshchensk, 675000, Russian Federation



S. A. Kraynov
Far Eastern Scientific Center of Physiology and Pathology of Respiration
Russian Federation

Sergey A. Kraynov, MD, Roentgenologist of Department of X-Ray Diagnostics

22 Kalinina Str., Blagoveshchensk, 675000, Russian Federation



J. M. Perelman
Far Eastern Scientific Center of Physiology and Pathology of Respiration
Russian Federation

Juliy M. Perelman, MD, PhD, DSc (Med.), Corresponding member of RAS, Рrofessor, Deputy Director on Scientific Work, Head of Laboratory of Functional Research of Respiratory System

22 Kalinina Str., Blagoveshchensk, 675000, Russian Federation



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Review

For citations:


Lenshin A.V., Il’in A.V., Ignat’eva E.A., Kraynov S.A., Perelman J.M. Topography of the mediastinum departments in the X-ray image in the context of differentiation of volume mediastinal formations. Bulletin Physiology and Pathology of Respiration. 2022;(84):100-115. (In Russ.) https://doi.org/10.36604/1998-5029-2022-84-100-115

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ISSN 1998-5029 (Print)