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. LenshinRussian 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
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
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
Russian Federation
Sergey A. Kraynov, MD, Roentgenologist of Department of X-Ray Diagnostics
22 Kalinina Str., Blagoveshchensk, 675000, Russian Federation
J. M. Perelman
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