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Updated: Jan 9, 2026

Implantation and Monitoring by PET/CT of an Orthotopic Model of Human Pleural Mesothelioma in Athymic Mice
Published on: December 21, 2019
Staging pleural mesothelioma revitalized
R E Benamore1, C Xie1, I Sobirov2
1Department of Radiology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 7LJ, United Kingdom.
The 9th edition of the TNM staging system offers validated, imaging-based updates for malignant pleural mesothelioma (PM). These advancements improve tumor staging accuracy, aiding treatment decisions and patient prognostication.
Area of Science:
- Oncology
- Radiology
- Thoracic Surgery
Background:
- Malignant pleural mesothelioma (PM) is the most common primary pleural tumor.
- Accurate staging is crucial for guiding treatment selection and predicting patient outcomes.
- Current staging systems require refinement to incorporate modern diagnostic capabilities.
Purpose of the Study:
- To explore the scientific rationale behind the TNM 9th edition for PM staging.
- To evaluate the clinical utility of the updated TNM 9 classification.
- To highlight the role of imaging techniques in the new staging system.
Main Methods:
- Review of the TNM 9th edition classification criteria for PM.
- Analysis of imaging modalities used for T, N, and M staging.
- Discussion of automated tumor volume assessment techniques.
- Exploration of artificial intelligence in future staging.
Main Results:
- The TNM 9th edition incorporates validated, imaging-based updates for tumor (T), node (N), and metastasis (M) staging.
- These updates aim to enhance the accuracy of staging for PM.
- The classification emphasizes the role of advanced imaging techniques.
Conclusions:
- The TNM 9th edition represents a significant advancement in PM staging.
- Imaging-based criteria and automated assessments improve prognostic accuracy.
- Future developments in AI hold promise for further refining staging accuracy.
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