The 9th International Thymic Malignancy Interest Group Annual Meeting (ITMIG 2018) was held from October 24th to 27th, 2018 in Seoul, Korea. It was a great honor for the editorial team of Mediastinum to conduct a brief interview with Dr. Jeanne Ackman, Director of Thoracic MRI and Radiologist at Massachusetts General Hospital, who shared with us the progress and the current challenges of TNM staging system for diagnosis and treatment of thymic Tumors.