anatomia radiologica del mediastino - unimi.it
TRANSCRIPT
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Anatomia Radiologica del
Mediastino
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Diverse classificazioni...
• SUPERIORE
• ANTERIORE
• MEDIO
• POSTERIORE
ANATOMIA MEDIASTINO
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T5
T4
T10
PMA
T5
T4
T10
PMA
S
M
P
A
M
P
A
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ANATOMIA MEDIASTINO
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ANATOMIA MEDIASTINO
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ANATOMIA MEDIASTINO
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ANATOMIA MEDIASTINO
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ANATOMIA MEDIASTINO
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ANATOMIA MEDIASTINO
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ANATOMIA MEDIASTINO
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ANATOMIA MEDIASTINO
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ANATOMIA MEDIASTINO
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ANATOMIA MEDIASTINO
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ANATOMIA MEDIASTINO
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ANATOMIA MEDIASTINO
- Silhouette Cardiaca -
Marano R. et al. Chest 2011.
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ANATOMIA MEDIASTINO
- Silhouette Cardiaca -
Silhouette cardiaca
“Segno della Silhouette”:
cancellazione del profilo
First described by Felson in 1950 states that:
‘‘an intrathoracic lesion touching a border of the heart, aorta,
or diaphragm will obliterate that border on the roentgenogram.
An intrathoracic lesion not anatomically contiguous with a
border of one of these structures will not obliterate that border.’
Felson. Radiology; 1950
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ANATOMIA TORACE
“Lines and stripes”
Finestra aorto-polmonare
Spazio disposto tra la parete inferiore dell’arco aortico superiormente, la parete
superiore dell’arteria polmonare sinistra inferiormente, la parete posteriore
dell’aorta ascendente anteriormente, dalla parete sinistra della trachea
medialmente, dalla pleura lateralmente e posteriormente dalla parete
anteriore del’aorta discendente.
CXR: normalmente ha profilo concavo o lineare. Se convesso, spesso è
patologico.
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ANATOMIA TORACE
“Lines and stripes”
Finestra aorto-polmonare
Spazio disposto tra la parete inferiore dell’arco aortico superiormente, la parete
superiore dell’arteria polmonare sinistra inferiormente, la parete posteriore
dell’aorta ascendente anteriormente, dalla parete sinistra della trachea
medialmente, dalla pleura lateralmente e posteriormente dalla parete
anteriore del’aorta discendente.
CXR: normalmente ha profilo concavo o lineare. Se convesso, spesso è
patologico.
Marano R et al. Chest 2011.
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ANATOMIA TORACE
“Lines and stripes”
Finestra aorto-polmonare
Spazio disposto tra la parete inferiore dell’arco aortico superiormente, la parete
superiore dell’arteria polmonare sinistra inferiormente, la parete posteriore
dell’aorta ascendente anteriormente, dalla parete sinistra della trachea
medialmente, dalla pleura lateralmente e posteriormente dalla parete
anteriore del’aorta discendente.
CXR: normalmente ha profilo concavo o lineare. Se convesso, spesso è
patologico.
Sussmann, Ko. Clinical Radiology 2010
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ANATOMIA TORACE
“Lines and stripes”
Finestra aorto-polmonare
Sussmann, Ko. Clinical Radiology 2010
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ANATOMIA TORACE
“Lines and stripes”
Finestra aorto-polmonare
Feragalli B et al. Radiol med 2011
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ANATOMIA
LINFONODI
MEDIASTINICI
TNM 7th ed.
www.iaslc.org
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The IASLC Lung Cancer Staging Project: A Proposal for a New International Lymph
Node Map in the Forthcoming Seventh Edition of the TNM Classification for Lung
Cancer.
Rusch, Valerie; Asamura, Hisao; Watanabe, Hirokazu; Giroux, Dorothy; Rami-Porta,
Ramon; Goldstraw, Peter
Journal of Thoracic Oncology. 4(5):568-577, May 2009.
DOI: 10.1097/JTO.0b013e3181a0d82e
ANATOMIA
LINFONODI
MEDIASTINICI
TNM 7th ed.
www.iaslc.org
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ANATOMIA
LINFONODI
MEDIASTINICI
TNM 7th ed.
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ANATOMIA
LINFONODI
MEDIASTINICI
TNM 7th ed.
Retrotracheali
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ANATOMIA
LINFONODI
MEDIASTINICI
TNM 7th ed.
Retrotracheali
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ANATOMIA
LINFONODI
MEDIASTINICI
TNM 7th ed.
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ANATOMIA
LINFONODI
MEDIASTINICI
TNM 7th ed.
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ANATOMIA
LINFONODI
MEDIASTINICI
TNM 7th ed.
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ANATOMIA
LINFONODI
MEDIASTINICI
TNM 7th ed.
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ANATOMIA
LINFONODI
MEDIASTINICI
TNM 7th ed.
8 Paraesofagei (sotto la carena)
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