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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2022; 32(01): 062-070
DOI: 10.1055/s-0041-1741089
Review Article

CT-Based Definition and Structured Reporting of Abdominal Lymph Node Stations

Ishan Kumar 
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Srishti Sharma
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Adity Prakash
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Priyanka Aggarwal
2   Division of Pediatric hematology and Oncology, Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Ram C. Shukla
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Ashish Verma
1   Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
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Abstract

Background Meticulous evaluation of abdominal lymph nodes on computed tomography (CT) is a fundamental task in radiological practice especially in oncological reporting. Although various reporting systems exist to define abdominal nodal stations for malignancies of individual abdominal organs, a complete and uniform framework for radiological reporting of abdominal lymph nodes does not exist in the literature.

Purpose The goal of this review was to provide a step-wise reporting template and precise definitions of the radiological anatomy of abdominal lymph nodes and to generate a CT-based illustration of the lymph node stations of the abdomen.

Conclusion This CT-based illustration and reporting template will help the radiologists to aptly describe the extent of the lymph nodal diseases and will help in comparison with posttherapy scans.

Keywords

lymph node - anatomy - CT

Compliance with Ethical Standards

*Disclosure of potential conflicts of interest: The authors declare that there is no conflict of interest regarding this manuscript.


*Research involving human participants and/or animals: This was not a study involving human participants/ animals.


Informed Consent

Written informed consent has been taken from the patients whose images have been used in this article.




Publication History

Article published online:
06 April 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 McDaniel KP, Charnsangavej C, DuBrow RA, Varma DG, Granfield CA, Curley SA. Pathways of nodal metastasis in carcinomas of the cecum, ascending colon, and transverse colon: CT demonstration. AJR Am J Roentgenol 1993; 161 (01) 61-64
    CrossrefPubMedSearch in Google Scholar
  • 2 Granfield CA, Charnsangavej C, Dubrow RA. et al. Regional lymph node metastases in carcinoma of the left side of the colon and rectum: CT demonstration. AJR Am J Roentgenol 1992; 159 (04) 757-761
    CrossrefPubMedSearch in Google Scholar
  • 3 Dorfman RE, Alpern MB, Gross BH, Sandler MA. Upper abdominal lymph nodes: criteria for normal size determined with CT. Radiology 1991; 180 (02) 319-322
    CrossrefPubMedSearch in Google Scholar
  • 4 Japanese Gastric Cancer Association. Japanese classification of gastric carcinoma: 3rd English edition. Gastric Cancer 2011; 14 (02) 101-112
    CrossrefPubMedSearch in Google Scholar
  • 5 Rosa F, Costamagna G, Doglietto GB, Alfieri S. Classification of nodal stations in gastric cancer. Transl Gastroenterol Hepatol 2017; 2: 2
    CrossrefPubMedSearch in Google Scholar
  • 6 Meyers MA, Charnsangavej C, Oliphant M. Meyers' Dynamic Radiology of the Abdomen: Normal and Pathologic Anatomy. New York: Springer; 2010
    Search in Google Scholar
  • 7 Snell, Richard S. Clinical Anatomy for Medical Students. 4th edition. Boston: Little, Brown, and Company; 1992: 53-54
    Search in Google Scholar
  • 8 Rouviere H, Tobias MJ. Eds. Anatomy of the Human Lymphatic System. Ann Arbor, MI: Edward Brothers; 1938: 209-210
    Search in Google Scholar
  • 9 Park JM, Charnsangavej C, Yoshimitsu K, Herron DH, Robinson TJ, Wallace S. Pathways of nodal metastasis from pelvic tumors: CT demonstration. Radiographics 1994; 14 (06) 1309-1321
    CrossrefPubMedSearch in Google Scholar
  • 10 Paño B, Sebastià C, Buñesch L. et al. Pathways of lymphatic spread in male urogenital pelvic malignancies. Radiographics 2011; 31 (01) 135-160
    CrossrefPubMedSearch in Google Scholar
  • 11 Paño B, Sebastià C, Ripoll E. et al. Pathways of lymphatic spread in gynecologic malignancies. Radiographics 2015; 35 (03) 916-945
    CrossrefPubMedSearch in Google Scholar
  • 12 Harisinghani MG. Ed. Atlas of Lymph Node Anatomy. New York: Springer Publishing; 2013
    CrossrefSearch in Google Scholar
  • 13 Morón FE, Szklaruk J. Learning the nodal stations in the abdomen. Br J Radiol 2007; 80 (958) 841-848
    CrossrefPubMedSearch in Google Scholar