Enum: ImageDefinedRiskFactor
Image-defined risk factors (IDRFs) used in INRGSS staging to determine surgical risk. Presence of any IDRF upgrades a tumor from L1 to L2.
URI: valuesets:ImageDefinedRiskFactor
Permissible Values
| Value | Title | Meaning | Description |
|---|---|---|---|
| IPSILATERAL_TUMOR_EXTENSION_TO_BODY_CAVITIES | Ipsilateral tumor extension within two body compartments | Tumor extension from neck to chest, chest to abdomen, or abdomen to pelvis. | |
| NECK_ENCASING_CAROTID_OR_VERTEBRAL | Neck - Tumor encasing carotid and/or vertebral artery | Tumor encasing carotid artery and/or vertebral artery. | |
| NECK_ENCASING_JUGULAR | Neck - Tumor encasing internal jugular vein | Tumor encasing internal jugular vein. | |
| NECK_EXTENDING_TO_SKULL_BASE | Neck - Tumor extending to base of skull | Tumor extending to base of skull. | |
| NECK_COMPRESSING_TRACHEA | Neck - Tumor compressing trachea | Tumor compressing the trachea. | |
| CERVICOTHORACIC_ENCASING_BRACHIAL_PLEXUS | Cervico-thoracic junction - Tumor encasing brachial plexus roots | Tumor encasing brachial plexus roots (C5-T1). | |
| CERVICOTHORACIC_ENCASING_SUBCLAVIAN | Cervico-thoracic junction - Tumor encasing subclavian vessels | Tumor encasing subclavian vessels and/or vertebral artery and/or carotid artery. | |
| CERVICOTHORACIC_COMPRESSING_TRACHEA | Cervico-thoracic junction - Tumor compressing trachea | Tumor compressing the trachea. | |
| THORAX_ENCASING_AORTA | Thorax - Tumor encasing aorta and/or major branches | Tumor encasing aorta and/or major branches. | |
| THORAX_COMPRESSING_TRACHEA_BRONCHI | Thorax - Tumor compressing trachea and/or principal bronchi | Tumor compressing trachea and/or principal bronchi. | |
| THORAX_LOWER_MEDIASTINUM_INFILTRATING | Thorax - Lower mediastinal tumor infiltrating costo-vertebral junction | Lower mediastinal tumor infiltrating the costo-vertebral junction between T9 and T12. | |
| THORACOABDOMINAL_ENCASING_AORTA_CELIAC | Thoraco-abdominal - Tumor encasing aorta and/or vena cava | Tumor encasing the aorta and/or vena cava. | |
| ABDOMEN_PELVIS_ENCASING_CELIAC_SMA | Abdomen/pelvis - Tumor encasing celiac axis and/or SMA | Tumor encasing celiac axis and/or superior mesenteric artery. | |
| ABDOMEN_PELVIS_ENCASING_RENAL_VESSELS | Abdomen/pelvis - Tumor encasing origin of renal vessels | Tumor encasing origin of renal vessels. | |
| ABDOMEN_PELVIS_ENCASING_AORTA_IVC | Abdomen/pelvis - Tumor encasing aorta and/or IVC | Tumor encasing aorta and/or inferior vena cava. | |
| ABDOMEN_PELVIS_ENCASING_ILIAC_VESSELS | Abdomen/pelvis - Tumor encasing iliac vessels | Tumor encasing iliac vessels. | |
| ABDOMEN_PELVIS_PELVIC_CROSSING_SCIATIC_NOTCH | Abdomen/pelvis - Pelvic tumor crossing sciatic notch | Pelvic tumor crossing the sciatic notch. | |
| INTRASPINAL_EXTENSION | Intraspinal tumor extension | Intraspinal tumor extension provided that more than one third of the spinal canal in the axial plane is invaded and/or the perimedullary leptomeningeal spaces are not visible and/or spinal cord signal is abnormal. | |
| ADJACENT_ORGAN_INFILTRATION | Infiltration of adjacent organs/structures | Infiltration of adjacent organs/structures such as pericardium, diaphragm, kidney, liver, duodeno-pancreatic block, and mesentery. |
See Also
Identifier and Mapping Information
Annotations
| property | value |
|---|---|
| source | INRG Task Force |
Schema Source
- from schema: https://w3id.org/linkml/valuesets
LinkML Source
name: ImageDefinedRiskFactor
instantiates:
- valuesets_meta:ValueSetEnumDefinition
annotations:
source:
tag: source
value: INRG Task Force
description: Image-defined risk factors (IDRFs) used in INRGSS staging to determine
surgical risk. Presence of any IDRF upgrades a tumor from L1 to L2.
title: Image-Defined Risk Factor
from_schema: https://w3id.org/linkml/valuesets
see_also:
- https://pmc.ncbi.nlm.nih.gov/articles/PMC2650389/
contributors:
- orcid:0000-0002-6601-2165
- https://github.com/anthropics/claude-code
status: RELEASED
rank: 1000
permissible_values:
IPSILATERAL_TUMOR_EXTENSION_TO_BODY_CAVITIES:
text: IPSILATERAL_TUMOR_EXTENSION_TO_BODY_CAVITIES
description: Tumor extension from neck to chest, chest to abdomen, or abdomen
to pelvis.
title: Ipsilateral tumor extension within two body compartments
NECK_ENCASING_CAROTID_OR_VERTEBRAL:
text: NECK_ENCASING_CAROTID_OR_VERTEBRAL
description: Tumor encasing carotid artery and/or vertebral artery.
title: Neck - Tumor encasing carotid and/or vertebral artery
NECK_ENCASING_JUGULAR:
text: NECK_ENCASING_JUGULAR
description: Tumor encasing internal jugular vein.
title: Neck - Tumor encasing internal jugular vein
NECK_EXTENDING_TO_SKULL_BASE:
text: NECK_EXTENDING_TO_SKULL_BASE
description: Tumor extending to base of skull.
title: Neck - Tumor extending to base of skull
NECK_COMPRESSING_TRACHEA:
text: NECK_COMPRESSING_TRACHEA
description: Tumor compressing the trachea.
title: Neck - Tumor compressing trachea
CERVICOTHORACIC_ENCASING_BRACHIAL_PLEXUS:
text: CERVICOTHORACIC_ENCASING_BRACHIAL_PLEXUS
description: Tumor encasing brachial plexus roots (C5-T1).
title: Cervico-thoracic junction - Tumor encasing brachial plexus roots
CERVICOTHORACIC_ENCASING_SUBCLAVIAN:
text: CERVICOTHORACIC_ENCASING_SUBCLAVIAN
description: Tumor encasing subclavian vessels and/or vertebral artery and/or
carotid artery.
title: Cervico-thoracic junction - Tumor encasing subclavian vessels
CERVICOTHORACIC_COMPRESSING_TRACHEA:
text: CERVICOTHORACIC_COMPRESSING_TRACHEA
description: Tumor compressing the trachea.
title: Cervico-thoracic junction - Tumor compressing trachea
THORAX_ENCASING_AORTA:
text: THORAX_ENCASING_AORTA
description: Tumor encasing aorta and/or major branches.
title: Thorax - Tumor encasing aorta and/or major branches
THORAX_COMPRESSING_TRACHEA_BRONCHI:
text: THORAX_COMPRESSING_TRACHEA_BRONCHI
description: Tumor compressing trachea and/or principal bronchi.
title: Thorax - Tumor compressing trachea and/or principal bronchi
THORAX_LOWER_MEDIASTINUM_INFILTRATING:
text: THORAX_LOWER_MEDIASTINUM_INFILTRATING
description: Lower mediastinal tumor infiltrating the costo-vertebral junction
between T9 and T12.
title: Thorax - Lower mediastinal tumor infiltrating costo-vertebral junction
THORACOABDOMINAL_ENCASING_AORTA_CELIAC:
text: THORACOABDOMINAL_ENCASING_AORTA_CELIAC
description: Tumor encasing the aorta and/or vena cava.
title: Thoraco-abdominal - Tumor encasing aorta and/or vena cava
ABDOMEN_PELVIS_ENCASING_CELIAC_SMA:
text: ABDOMEN_PELVIS_ENCASING_CELIAC_SMA
description: Tumor encasing celiac axis and/or superior mesenteric artery.
title: Abdomen/pelvis - Tumor encasing celiac axis and/or SMA
ABDOMEN_PELVIS_ENCASING_RENAL_VESSELS:
text: ABDOMEN_PELVIS_ENCASING_RENAL_VESSELS
description: Tumor encasing origin of renal vessels.
title: Abdomen/pelvis - Tumor encasing origin of renal vessels
ABDOMEN_PELVIS_ENCASING_AORTA_IVC:
text: ABDOMEN_PELVIS_ENCASING_AORTA_IVC
description: Tumor encasing aorta and/or inferior vena cava.
title: Abdomen/pelvis - Tumor encasing aorta and/or IVC
ABDOMEN_PELVIS_ENCASING_ILIAC_VESSELS:
text: ABDOMEN_PELVIS_ENCASING_ILIAC_VESSELS
description: Tumor encasing iliac vessels.
title: Abdomen/pelvis - Tumor encasing iliac vessels
ABDOMEN_PELVIS_PELVIC_CROSSING_SCIATIC_NOTCH:
text: ABDOMEN_PELVIS_PELVIC_CROSSING_SCIATIC_NOTCH
description: Pelvic tumor crossing the sciatic notch.
title: Abdomen/pelvis - Pelvic tumor crossing sciatic notch
INTRASPINAL_EXTENSION:
text: INTRASPINAL_EXTENSION
description: Intraspinal tumor extension provided that more than one third of
the spinal canal in the axial plane is invaded and/or the perimedullary leptomeningeal
spaces are not visible and/or spinal cord signal is abnormal.
title: Intraspinal tumor extension
ADJACENT_ORGAN_INFILTRATION:
text: ADJACENT_ORGAN_INFILTRATION
description: Infiltration of adjacent organs/structures such as pericardium, diaphragm,
kidney, liver, duodeno-pancreatic block, and mesentery.
title: Infiltration of adjacent organs/structures