Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.

26 results found
Article

2001 WHO classification of hepatic hydatid cysts

The 2001 World Health Organization (WHO) classification of hepatic hydatid cysts is used to assess the stage of hepatic hydatid cysts on ultrasound and is useful in deciding the appropriate management depending on the stage of the cyst. This classification was proposed by the WHO in 2001 and, at...
Article

AAST injury scoring scales

The American Association for the Surgery of Trauma (AAST) injury scoring scales are the most widely accepted and used system of classifying and categorizing traumatic injuries. Injury grade reflects severity, guides management, and aids in prognosis. Currently (early 2019), 32 different injury s...
Article

AAST liver injury scale

The AAST (American Association for the Surgery of Trauma) liver injury scale, most recently revised in 2018, is the most widely used liver injury grading system 3. The 2018 update incorporates "vascular injury" (i.e. pseudoaneurysm, arteriovenous fistula) into the imaging criteria for visceral ...
Article

Autoimmune pancreatitis (diagnostic criteria)

There are several sets of diagnostic criteria for autoimmune pancreatitis (AIP), with some overlap and contradictions. At the time of writing (July 2016), these are the most widely used sets of diagnostic criteria. Asian 2008 AIP diagnostic criteria both criteria I to be fulfilled one criter...
Article

Balthazar score

The Balthazar score is a subscore within the CT severity index (CTSI) for grading of acute pancreatitis.  The CTSI sums two scores: Balthazar score: grading of pancreatitis (A-E) grading the extent of pancreatic necrosis The Balthazar score was originally used alone, but the addition of a sc...
Article

Bile duct duplication

Bile duct duplication, also known as common bile duct duplication (although in some cases this latter terminology would be erroneous), is a rare congenital anomaly of the biliary system. A double bile duct is considered normal during early human development, but by birth, we expect to see the co...
Article

Bismuth-Corlette classification

The Bismuth-Corlette classification is a classification system for perihilar cholangiocarcinomas, which is based on the extent of ductal infiltration.   Classification type I limited to the common hepatic duct, below the level of the confluence of the right and left hepatic ducts type II in...
Article

Child-Pugh score

The Child-Pugh score is a scoring system to measure the severity of chronic liver disease inclusive of cirrhosis. The intention is to provide a system with which clinicians can objectively communicate about liver function. The score is composed from several categories: total bilirubin, μmol/L ...
Article

Couinaud classification of hepatic segments

The Couinaud classification (pronounced kwee-NO) is currently the most widely used system to describe functional liver anatomy. It is the preferred anatomy classification system as it divides the liver into eight independent functional units (termed segments) rather than relying on the tradition...
Article

CT severity index in acute pancreatitis

The CT severity index (CTSI) is based on findings from an enhanced CT scan to assess the severity of acute pancreatitis. The severity of acute pancreatitis CT findings has been found to correlate well with clinical indices of severity.  The CT severity index sums two scores: Balthazar score: g...
Article

Diffuse hepatic steatosis (grading)

Grading of diffuse hepatic steatosis on ultrasound has been used to communicate to the clinician about the extent of fatty changes in the liver.  Grading grade I: diffusely increased hepatic echogenicity but periportal and diaphragmatic echogenicity is still appreciable grade II: diffusely in...
Article

Hepatobiliary contrast agents and LI-RADS

LI-RADS (Liver Imaging Reporting and Data System) is both a set of standardized terminology and a classification system for imaging findings in liver lesions. The LI-RADS score for a liver lesion is an indication of its relative risk for hepatocellular carcinoma (HCC). The classification system ...
Article

Hepatoblastoma histological classification

Although hepatoblastomas can be histologically classified into a variety of subtypes, it is important to remember that with the possible exception of small cell undifferentiated subtype, prognosis is independent of histology when adjusted for stage gender and age 1. major categories epithelial...
Article

Kasai classification

Kasai classification is used to describe the three main anatomical types of biliary atresia. Classification type I: obliteration of common bile duct (patent cystic and common hepatic duct) type II IIa: obliteration of common hepatic duct (patent cystic and common bile duct), sometimes with a...
Article

Komi classification of bile duct cysts

Komi classification of bile duct cysts divides anomalous union of the pancreatico-bile ducts (AUPBD) into three types based on the angle of union of the ducts 1. Classification type I: union of the ducts at a right angle to each other type Ia: without dilatation or  type Ib: with dilatation ...
Article

Krenning score of neuroendocrine tumor uptake

The Krenning score is a proposed semi-quantitative method of assessing the degree of tracer uptake on octreotide scintigraphy. Parameters Initially designed for assessment of 111In-DTPA on planar imaging, the Krenning score is applicable to SPECT or PET-CT using various radiopharmaceuticals. ...
Article

LI-RADS

Liver Imaging Reporting and Data System (LI-RADS) is both a set of standardized terminology and a classification system for imaging findings in liver lesions. The LI-RADS score for a liver lesion is an indication of its relative risk for hepatocellular carcinoma (HCC). The classification system...
Article

LR2 cirrhosis-associated nodule

LR2 cirrhosis-associated nodules are defined as "probably benign" according to the LI-RADS classification system. They are a common finding in a cirrhotic liver and do not need to be mentioned in the report.  Radiographic features The nodule must demonstrate all of the following: diameter <20...
Article

Meandering main pancreatic duct

Meandering main pancreatic duct (MMPD) denotes a main pancreatic duct that drains normally into the major papilla but performs a hairpin turn (reverse Z-type) or loop (loop-type) in the pancreatic head, in contradistinction to the smooth curvature seen in most cases. These ductal variants are f...
Article

MELD score

The MELD score (Model for End-stage Liver Disease) is a classification used to grade liver dysfunction in preparation for liver transplantation. The score has prognostic value in terms of three month mortality and certain complications. The components of the score are: serum creatinine (mg/dl)...
Article

Neimeier classification of gallbladder perforation

The classification of gallbladder perforation was proposed by Neimeier and later modified by Anderson et al. in 1987, which at the time of writing (July 2016) remains the most widely accepted classification for gallbladder perforation. According to this classification, there are three main clin...
Article

Organ Procurement and Transplantation Network (OPTN) classification

Organ Procurement and Transplantation Network (OPTN) is the unified transplantation network in the United States and runs under the administration of United Network for Organ Sharing (UNOS). OPTN classification is an imaging policy of UNOS to determine the eligibility and priority for liver tran...
Article

Pancreatic trauma injury grading

A number of pancreatic injury grading systems have been proposed for pancreatic trauma. Classifications American Association for the Surgery of Trauma (AAST) 5,7 The proximal pancreas is defined as the gland to the right of the superior mesenteric vein (SMV)-portal vein axis whereas the dista...
Article

Revised Atlanta classification of acute pancreatitis

The Revised Atlanta classification of acute pancreatitis from 2012 is an international multidisciplinary classification of the severity of acute pancreatitis, updating the 1992 Atlanta classification. The worldwide consensus aims for an internationally agreed-upon classification of acute pancre...
Article

Strasberg classification of bile duct injury

The Strasberg classification of bile duct injury is a widely used system to anatomically define these injuries by location 1.  Classification type A: injury to the cystic duct or from minor hepatic ducts draining the liver bed type B: occlusion of the biliary tree, commonly aberrant right hep...
Article

Todani classification of bile duct cysts

The Todani classification of bile duct cysts divides choledochal cysts into five groups. Classification Type I See: type I choledochal cyst account for 80-90% of all bile duct cysts characterized by fusiform dilation of the extrahepatic bile duct a subclassification has been proposed Ia: ...

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