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.

417 results found
Article

Thrombolysis in cerebral infarction (TICI) scale

The thrombolysis in cerebral infarction (TICI) grading system was described in 2003 by Higashida et al. 1 as a tool for determining the response of thrombolytic therapy for ischemic stroke. In neurointerventional radiology it is commonly used for patients post endovascular revascularization. Lik...
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Thrombolysis in myocardial infarction (TIMI) risk score

The thrombolysis in myocardial infarction (TIMI) risk score is a prognostic risk stratification system that categorizes the risk of death and ischemic events in patients with unstable angina / NSTEMI and provides a basis for therapeutic decision making. It is thought to have potential to improve...
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Thyroid image reporting and data system (TI-RADS)

TI-RADS is a risk stratification system for classifying thyroid lesions and was recently recognized in an American College of Radiology (ACR) white paper1. Its use is being advocated similar to BI-RADS category for breast lesions.  In 2017, a white paper2 was released by the ACR committee on th...
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Tillaux fracture

Tillaux fractures are Salter-Harris III fractures through the anterolateral aspect of the distal tibial epiphysis, with variable amounts of displacement. Epidemiology It occurs in older children and adolescents when the medial aspect of the distal tibial growth plate has started to fuse. Path...
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Toast classification in acute ischemic stroke

The TOAST (trial of ORG 10172 in acute stroke treatment) classification denotes five sub types of ischemic stroke. large-artery atherosclerosis (embolus / thrombosis)* cardioembolism (high-risk / medium-risk)* small-vessel occlusion (lacune)* stroke of other determined etiology * stroke of ...
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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Torg's classification for proximal 5th metatarsal fractures

Torg's classification of proximal fifth metatarsal fractures is based on the degree of sclerosis adjacent to the fracture on imaging at the time of presentation to determine the fracture age. Classification Type I narrow fracture line with sharp margins and no widening minimal cortical hyper...
Article

Transitional cell carcinoma grading

Transitional cell carcinomas of the urothelium are graded histologically as follows: transitional cell papilloma benign tumor, not a carcinoma but sometimes included in classification systems carcinoma in situ do not penetrate the basement membrane cells resemble those of grade II or III t...
Article

Traumatic abruptio placenta scale

The traumatic abruptio placenta scale (TAPS) was devised to stratify placental injury findings on CT. Since placental abruption is a concern in a pregnant patient who has undergone traumatic injury, CT is occasionally the first imaging modality used to evaluate the placenta. 0: normal homogeneo...
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Triplane fracture

Triplane or triplanar fractures are of the distal tibia only occurring in adolescents. As the physiological closure of the physeal plate begins medially, the lateral (open) physis is prone to this type of fracture. The name is due to the fact of the fracture expanding both in frontal and lateral...
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Trochanteric fracture

A trochanteric fracture is a fracture involving the greater and/or lesser trochanters of the femur. Classification Fractures in these regions can be classified as: intertrochanteric pertrochanteric: intertrochanteric, involving both trochanters subtrochanteric greater trochanteric avulsio...
Article

True hermaphroditism

True hermaphroditism is a form of disorder of gender development.  Pathology Patients with true hermaphroditism have mosaicism of 46XX and 46XY. They therefore have both ovarian and testicular tissues. Subtypes There are three forms of true hermaphroditism: unilateral true hermaphroditism ...
Article

Tuberculous spondylitis versus pyogenic spondylitis

Tuberculous spondylitis and pyogenic spondylitis are both common causes of spinal infection. Imaging findings of these 2 diseases can be challenging to distinguish, yet crucial because the treatments for these infections are particularly different 2. Radiographic features Useful distinguishing...
Article

Tuberous sclerosis (diagnostic criteria)

The tuberous sclerosis diagnostic criteria have been developed to aid the diagnosis of tuberous sclerosis and have most recently been updated in 2012 by the International Tuberous Sclerosis Complex Consensus Group (at time of writing - 2018) 1.  Criteria Genetic criteria The identification of...
Article

Tumors of muscular origin

There are a number of tumors of muscular origin, which overall are relatively uncommon, representing only 1.7% of benign soft tissue tumors, and 10.3% of malignant soft tissue tumors1.  The tumors can be divided according to the type of muscle fiber: Skeletal muscle origin benign rhabdomyoma...
Article

Tumors of the male urethra

Tumors of the male urethra are uncommon. They can be categorized both on the grounds of histology and location. Histology squamous cell carcinoma of the urethra: 80% urothelial/transitional cell carcinoma of the urethra: 15% (predominantly posterior urethra) adenocarcinoma of the urethra: 5%...
Article

Tumors of the meninges (differential)

Tumors of the meninges are a heterogeneous group of lesions which usually occur as extra-axial masses.  Although a large number of lesions that can involve meninges are scattered throughout the  WHO classification of CNS tumors, the main entities to be considered include:  meningioma and numero...
Article

Tumors of the seminal vesicles

Tumors arising primarily from the seminal vesicles are rare. Most frequently, when a mass is seen in the seminal vesicles, it represents a contiguous spread from tumors in adjacent organs, in particular, the prostate. Epithelial tumors adenocarcinoma of the seminal vesicle the most common pri...
Article

Ultrasound assessment of carotid arterial atherosclerotic disease

Ultrasound assessment of carotid arterial atherosclerotic disease has become the first choice for carotid artery stenosis screening, permitting the evaluation of both the macroscopic appearance of plaques as well as flow characteristics in the carotid artery. This article focus on internal caro...
Article

Ultrasound "U" classification of thyroid nodules

The ultrasound "U" classification of thyroid nodules has been developed by the British Thyroid Association (BTA) as part of their 2014 guidelines on the management of thyroid cancer 1. It allows for stratifying thyroid nodules as benign, suspicious or malignant based on ultrasound appearances t...
Article

Uterine biophysical profile

Uterine biophysical profile refers to assessment of uterus to produce a successful conception and implantation environment.  Uterine scoring system for reproduction (USS) The uterine scoring system for reproduction comprises the following parameters, taken in mid-cycle: 1. endometrial thickne...
Article

Vancouver classification of periprosthetic hip fractures

The Vancouver classification of periprosthetic hip fractures proposed by Duncan and Masri is the most widely used classification system. It takes into account the fracture site, the status of the femoral implant, and the quality of surrounding femoral bone stock. type A: fractures involve the t...
Article

Varicocele grading on color Doppler

Varicocele grading on color Doppler can be done variably. The most elaborate and widely-accepted grading was given by Sarteschi, as below.  For a general discussion of this condition refer to the article: varicocele. Evaluation baseline greyscale study in supine position and measure the diame...
Article

VASARI MRI feature set

The VASARI (Visually AcceSAble Rembrandt Images) MRI feature set is a system designed to enable consistent description of gliomas using a set of defined visual features and controlled vocabulary. It is the result of work by The Cancer Imaging Archive (TCIA) who publish relevant guides to use, an...
Article

Vesicoureteric reflux (grading)

Vesicoureteric reflux (VUR) grading divides vesicoureteric reflux according to the height of reflux up the ureters and degree of dilatation of the ureters: grade 1: reflux limited to the ureter grade 2: reflux up to the renal pelvis grade 3: mild dilatation of ureter and pelvicalyceal system ...
Article

Weber classification of ankle fractures

The Weber ankle fracture classification (or Danis-Weber classification) is a simple system for classification of lateral malleolar fractures, relating to the level of the fracture in relation to the ankle joint. It has a role in determining treatment.  Classification type A below the level of...
Article

Weiss classification of lateral humeral condyle fractures

The Weiss classification is one of the classification systems used for lateral humeral condyle fractures and is based on the degree of displacement measured on an internal oblique view of the elbow: type 1: <2 mm displacement type 2: 2-4 mm displacement type 3: >4 mm displacement The degree ...
Article

WFNS grading system

The WFNS (World Federation of Neurosurgical Societies) grading system uses the Glasgow Coma Scale and presence of focal neurological deficits to grade the severity of subarachnoid hemorrhage. This grading system was proposed in 1988, and this is one of the accepted systems (although not consider...
Article

WHO classification of anal canal tumors

The World Health Organization classifies anal canal neoplasms into intraepithelial neoplasms and invasive neoplasms which are further divided to epithelial and non-epithelial tumors and secondary lesions: Epithelial tumors squamous cell carcinoma of anal canal adenocarcinoma of anal canal mu...
Article

WHO classification of anal margin tumors

The WHO classification of anal margin tumors or perianal skin tumors is: intraepithelial tumors Bowen disease (precursor of squamous cell carcinoma) Paget's disease (precursor of adenocarcinoma) invasive tumors squamous cell carcinoma adenocarcinoma basal cell carcinoma  verrucous carcin...
Article

WHO classification of CNS tumors

The WHO classification of CNS tumors is the most widely accepted system for classifying CNS tumors and was based on the histological characteristics of the tumor. Although the most recent version of the 'blue book' is the 4th edition from 2007, an update has been released in 2016 3, which should...
Article

WHO classification of head and neck tumors

The World Health Organization (WHO) classification of head and neck tumors is the most widely used pathologic classification system for such disorders. The current revision, part of the 4th edition of the WHO series, was published in 2017 and is reflected in the article below 1. Classification ...
Article

WHO classification of tumors of hematopoietic and lymphoid tissues

The World Health Organization (WHO) classification of tumors of hematopoietic and lymphoid tissues is the most widely used pathologic classification system for hematolymphoid neoplasms. The current revision, known as the 4th revised edition, was published in 2016, supersedes the 4th edition publ...
Article

WHO classification of tumors of the kidney

The World Health Organization (WHO) classification of tumors of the kidney is the most commonly used pathologic classification system for such disorders. The current revision, part of the 4th edition of the WHO series, was published in 2016 as part of the WHO Classification of Tumors of the Urin...
Article

WHO classification scheme for thymic epithelial tumors

The WHO classification scheme for thymic epithelial tumors is one of many classifications systems for thymoma and related tumors, and classifies them according to histology: type a medullary thymoma spindle cell thymoma type ab: mixed thymoma type b1: lymphocyte rich predominantly cortical...
Article

WHO grading of CNS tumors

WHO (World Health Organization) grading of CNS tumors is based on histological characteristics such as cellularity, mitotic activity, pleomorphism, necrosis, and endothelial proliferation (neoangiogenesis). It is used in the WHO classification of CNS tumors.  It should be noted that at the time...
Article

WHO grading system for diffuse astrocytomas

 The WHO grading system is the most widely used system for grading diffuse astrocytomas (at the time of writing i.e. mid-2016) and is an adaptation of the now superseded St Anne-Mayo grading system (also known as the Daumas-Duport grading system).  Grade I is reserved for localized astrocytomas...
Article

WHO histological classification of benign renal neoplasms

Benign renal tumors were histologically classified according to the WHO in 2004 1. This system has been superceded by the 2016 WHO classification of renal tumors. Renal cell tumors renal oncocytoma renal papillary adenoma - renal adenoma Metanephric tumors metanephric adenoma of kidney met...
Article

WHO histological classification of tumors of the uterine cervix

The WHO histological classification is a detailed classification of tumors of the uterine cervix. epithelial tumors squamous tumors and precursors squamous cell carcinoma, not otherwise specified - 8070/3 keratinizing - 8071/3 non-keratinizing - 8072/3 basaloid - 8083/3 verrucous - 8051/3...
Article

Wiberg classification of patella shape

Wiberg classification is a system used to describe the shape of the patella based mainly on the asymmetry between the patellar medial and lateral facets on axial views of the patella. Increasing number type indicates a larger degree of asymmetry. Classification Wiberg type 1 or a roughly symm...
Article

Winquist classification of femoral shaft fractures

The Winquist classification of femoral shaft fractures is based on fracture comminution and was proposed by Winquist in 1980. This classification is used with regards to management decision making, in determining whether a fracture requires an intramedullary nail or open reduction.  Type 0: no ...
Article

Yasargil classification of vein of Galen aneurysmal malformations

The Yasargil classification is one of the two common systems for classifying vein of Galen malformations that is currently in use at the time of writing (mid 2016).  Classification type I: small pure cisternal fistula between the vein of Galen (voG) and either the pericallosal arteries (anteri...
Article

Young and Burgess classification of pelvic ring fractures

The Young and Burgess classification is a modification of the Tile classification 1. It is the recommended 5 and most widely used classification system for pelvic ring fractures. It takes into account force type, severity, and direction, as well as injury instability. Anteroposterior compress...
Article

Zabramski classification of cerebral cavernous malformations

The Zabramski classification of cerebral cavernomas has been proposed as a way of classifying cerebral cavernous malformations, and although not used in clinical practice it is useful in scientific publications that seek to study cavernous malformations. The classification was proposed in 1994 ...
Article

Zurich pituitary score

The Zurich pituitary score (ZPS) is a quantitative classification of pituitary adenomas based on coronal T1W magnetic resonance imaging with contrast, although the score can also be obtained with computed tomography. The ZPS is based on the ratio (R) between horizontal tumor diameter over inter...

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