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.

383 results found
Article

Three column concept of spinal fractures

The three column concept of thoracolumbar spinal fractures was initially devised by Francis Denis and presently CT is mandatory for an accurate classification. While initially developed for classification of thoracolumbar spinal fractures, it can also be applied to the lower cervical spine 3 as...
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Sacroiliitis grading (New York criteria)

Sacroiliitis grading can be achieved using plain radiographs according to the New York criteria 4. Classification grade 0: normal grade I: some blurring of the joint margins - suspicious grade II: minimal sclerosis with some erosion grade III definite sclerosis on both sides of joint 5 se...
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Terms used in radiology

There are numerous terms used in radiology that are worth knowing and this is list of some of them.  General artifact cyst pseudocyst dehiscence wound dehiscence exophytic forme fruste iatrogenic idiopathic incidentaloma in extremis natural history non-specific sequelae serpigino...
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Preinvasive adenocarcinoma lesion of the lung

Preinvasive lesions for lung adenocarcinoma are a category of small noninvasive lung lesions which are closely related to adenocarcinoma of the lung. They may represent a spectrum of premalignant to low-grade malignant lesions. The category includes two types of lesions: atypical adenomatous h...
Article

Spondylolisthesis Wiltse classification

Spondylolisthesis can be classified according to broad aetiologies as described by Wiltse in 1981 1. Typically when reporting studies with spondylolisthesis the Wiltse type is merely stated without referring to its number, whereas the grade of spondylolisthesis is explicitly stated: e.g. "Grade ...
Article

Spondylolisthesis grading system

A commonly adopted method of grading the severity of spondylolisthesis is the Meyerding classification. It divides the superior endplate of the vertebra below into 4 quarters. The grade depends on the location of the posteroinferior corner of the vertebra above. This classification was original...
Article

Multiphase CT angiography collateral score in acute stroke

Multiphase CT angiography (mCTA) collateral score is a simple scoring system that allows quick evaluation of collateral filling delay in acute ischemic stroke, and a better predictor of clinical outcome and eligibility for endovascular therapy than a decision based on single phase CT angiography...
Article

Macrocystic honeycombing

Macrocystic honeycombing refers to a morphological subtype of honeycombing. Many publications consider the individual lung cysts to be greater than 4 mm in diameter to be classified into this category.  This form is considered to be more commonly associated with UIP 3. See also honeycombing m...
Article

Retrotrochlear eminence

The retrotrochlear eminence is located posterior to the peroneal tubercle and the peroneal tendons. It is one of two bony projections or protuberances that may be seen arising from the lateral wall of the calcaneum, the other being the peroneal tubercle. It is seen to be prominent in individua...
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Peroneal tubercle

The peroneal tubercle (also known as the peroneal trochlea) is one of the two bony projections or protuberances that may be seen on the lateral aspect of the calcaneus, the other one being the retrotrochlear eminence. The peroneal tubercle is present immediately inferior to the fibular malleolu...
Article

Congenital cardiovascular anomalies

Congenital cardiovascular anomalies are relatively common, with an incidence of up to 1% if small muscular VSDs are included. As a group, there is a much greater frequency in syndromic infants and in those that are stillborn.  Clinical presentation Broadly, congenital cardiovascular anomalies ...
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

Diagnostic HRCT criteria for usual interstitial pneumonia (UIP) pattern - ATS/ERS/JRS/ALAT (2011)

As a part of international evidence-based guidelines adopted by a collaborative effort of the American Thoracic Society (ATS), the European Respiratory Society (ERS), the Japanese Respiratory Society (JRS), and the Latin American Thoracic Association (ALAT), specific diagnostic HRCT criteria for...
Article

Pulmonary hypertension (2013 classification)

In 2013, the 5th World Symposium on pulmonary hypertension took place in Nice, France and modified the classification system for pulmonary hypertension.  The modified system divides pulmonary hypertension into five groups: group 1: pulmonary arterial hypertension (disorders of the pulmonary ar...
Article

Non-Hodgkin lymphoma

Non-Hodgkin lymphoma (NHL) is a catch-all term for lymphomas that are not of the Hodgkin subtype. It is a heterogeneous group of malignancies in terms of histology, clinical presentation, and prognosis.  See 2008 WHO classification for further information on subtypes. 
Article

Bone tumours

There are a bewildering number of bone tumours with a wide variety of radiological appearances: bone-forming tumours osteoid osteoma osteoblastoma osteoma osteosarcoma cartilage-forming tumours enchondroma enchondromatosis-Ollier disease Maffucci syndrome osteochondroma: hereditary mu...
Article

Pulmonary nodule

Pulmonary nodules are small, rounded opacities within the pulmonary interstitium. Pulmonary nodules are common and, as the spatial resolution of CT scanners has increased, detection of smaller and smaller nodules has occurred, which are more often an incidental finding. Classification Pulmonar...
Article

Cognard classification of dural arteriovenous fistulas

The Cognard classification of dural arteriovenous fistulas correlates venous drainage patterns with increasingly aggressive neurological clinical course. It was first described in 1995 1 and at the time of writing (July 2016) is probably the most widely used classification system for dural arter...
Article

Bosniak classification system of renal cystic masses

The Bosniak classification system of renal cystic masses divides renal cystic masses into five categories based on imaging characteristics on contrast-enhanced CT. It is helpful in predicting a risk of malignancy and suggesting either follow up or treatment. Classification Bosniak 1 simple cy...
Article

ACR Thyroid Imaging Reporting and Data System (ACR TI-RADS)

ACR TI-RADS is a reporting system for thyroid nodules on ultrasound proposed by the American College of Radiology (ACR) 1. This uses a standardised scoring system for reports providing users with recommendations for when to use fine needle aspiration (FNA) or ultrasound follow-up of suspicious ...
Article

Acute coronary syndrome

Acute coronary syndrome (ACS) is a group of cardiac diagnoses along a spectrum of severity due to the interruption of coronary blood flow to the myocardium, which in decreasing severity are: ST elevation myocardial infarction (STEMI) non-ST elevation myocardial infarction (non-STEMI) unstable...
Article

Castellvi classification of lumbosacral transitional vertebrae

The Castellvi classification is used for lumbosacral transitional vertebra (LSTV): type I: enlarged and dysplastic transverse (at least 19 mm) Ia: unilateral Ib: bilateral type II: pseudoarticulation of the transverse process and sacrum with incomplete lumbarisation/sacralisation; enlargemen...
Article

Non-specific interstitial pneumonia

Non-specific interstitial pneumonia (NSIP) is the second most common morphological and pathological pattern of the interstitial lung diseases. NSIP has two main subtypes: fibrotic type: most common, having a more dismal outcome cellular type: less common, but carries a much better prognosis du...
Article

Tumours of the male urethra

Tumours of the male urethra are uncommon. They can be categorised 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

Osteoarthritis of the hip (grading)

Osteoarthritis of the hip can be graded according to severity on imaging. Conventional radiograph grading grade 0: normal grade 1: possible joint space narrowing and subtle osteophytes grade 2: definite joint space narrowing, defined osteophytes and some sclerosis, especially in the acetabul...
Article

Salter-Harris classification

The Salter-Harris classification was proposed by Salter and Harris in 1963 1 and at the time of writing (June 2016) remains the most widely used system for describing physeal fractures.  Classification Conveniently the Salter-Harris types can be remembered by the mnemonic SALTR. type I slipp...
Article

Neuroendocrine tumours

Neuroendocrine tumours (NETs) represent a wide spectrum of disease. They consist of a large heterogeneous group of malignancies that are derived from embryonic neural crest tissue found in various organ such as the hypothalamus, pituitary gland, thyroid gland, adrenal medulla, and gastrointestin...
Article

Isomerism

Isomerism is a term which in general means 'mirror-image'. It is used in the context of heterotaxy and is of two types: left isomerism right isomerism Left isomerism Mirror image of the structures on the left side of the chest along the left-right axis of the body, i.e. patients with isomeri...
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

McDonald diagnostic criteria for multiple sclerosis: 2017 (current)

McDonald diagnostic criteria for multiple sclerosis are clinical, radiographic, and laboratory criteria used in the diagnosis of multiple sclerosis. They were originally introduced in 2001 1, revised in 2005 2, 2010 3, 2016 (by MAGNIMS) 4 and most recently in 2017 5. The 2017 revision is the foc...
Article

Spondylolisthesis

Spondylolisthesis denotes the slippage of one vertebra relative to the one below. Spondylolisthesis can occur anywhere but is most frequent, particularly when due to spondylolysis, at L5/S1 and to a lesser degree L4/L5.  Terminology Although etymologically it is directionless (see below) and c...
Article

Overall visual assessment of coronary artery calcification

Overall visual assessment of coronary artery calcification is a simple scoring system for risk assessment of coronary heart disease mortality by an overall "gestalt" of none, mild, moderate or heavy coronary artery calcification. It is comparable to the Agatston score but has the advantage of be...
Article

Varicocele grading on colour Doppler

Varicocele grading on colour 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 diam...
Article

Stahl classification of Kienböck disease

The Stahl classification of Kienböck disease, modified by Lichtman, is the most commonly used staging system and is useful in the treatment of Kienböck disease (avascular necrosis of the lunate). This system divides the disease into four stages:  stage I: normal radiograph stage II: increased...
Article

Agatston score

Agatston score is a semi-automated tool to calculate a score based on the extent of coronary artery calcification detected by an unenhanced low-dose CT scan, which is routinely performed in patients undergoing cardiac CT. Due to an extensive body of research, it allows for an early risk stratifi...
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

Facial fractures

Facial fractures are commonly caused by blunt or penetrating trauma at moderate or high levels of force. Such injuries may be sustained during a fall, physical assault, motor vehicle collision, or gunshot wound. The facial bones are thin and relatively fragile making them susceptible to injury. ...
Article

WHO grading of CNS tumours

WHO (World Health Organisation) grading of CNS tumours 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 tumours.  It should be noted that at the ti...
Article

2005 WHO histological classification of odontogenic tumours

The 2005 WHO histological classification of odontogenic tumours lays out a classification system for neoplasms and other tumours related to the odontogenic apparatus. At the time of writing (2016), it is still the most widely used classification system although a new revision is due to come up i...
Article

Sarcopenia

Sarcopenia can be defined as significant loss of muscle function as a result of decreased muscle bulk. The definition was originally restricted to elderly individuals only, however many use it for people of any age. A direct evaluation of muscle mass on imaging can be performed. Conversely, a r...
Article

Mayfield classification of carpal instability (perilunate instability)

Mayfield classification of carpal instability, also known as perilunate instability classification (carpal dislocations), describes carpal ligament injuries.  Instability has been divided into four stages 1-2: stage I: scapholunate dissociation (rotatory subluxation of the scaphoid) disruptio...
Article

Lung-RADS

Lung-RADSTM (or lung imaging reporting and data system) is a classification proposed to aid with findings in low-dose CT screening exams for lung cancer. The goal of the classification system is to standardize follow-up and management decisions. The system is similar to the Fleischner criteria b...
Article

Mellado-Bencardino classification of Morel-Lavallée lesions

The Mellado-Bencardino classification of Morel-Lavallée lesions is based on shape, signal and enhancement characteristics, and the presence or absence of a capsule 1:  type I: laminar shaped and seroma-like with increased T2 signal type II: oval-shape that resembles a subacute hematoma with in...
Article

Diffuse axonal injury (grading)

Grading of diffuse axonal injury has been described histologically according to the anatomic distribution of injury, which correlated with outcome 1-3. The classification was first proposed by Adams in 1989 4 and divides diffuse axonal injury (DAI) into three grades: grade I: involves grey-whit...
Article

Coronary Artery Disease - Reporting and Data System

Coronary Artery Disease - Reporting and Data System (CAD-RADSTM) classification is proposed by the Society for Cardiovascular Computed Tomography (SCCT), the American College of Radiology (ACR), and the North American Society for Cardiovascular Imaging (NASCI), last updated in 2016. This recomm...
Article

Mueller-Weiss syndrome (classification)

Mueller Weiss syndrome refers to a spontaneous adult onset osteonecrosis of the tarsal navicular. This syndrome is multifactorial and related to chronic loading on a suboptimally ossified navicular bone which is susceptible to central osteonecrosis due to its centripetal blood supply. It is dist...
Article

Cervical degenerative spondylosis (grading)

Cervical degenerative disease can be graded using a very old but reliable classification given by Kellgren et al. It is based on findings on a lateral cervical spine radiograph although it can also be applied to MRI evaluation of spine. The key parameters are osteophyte formation, intervertebra...
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...
Article

ISSVA classification of vascular anomalies

The ISSVA classification of vascular anomalies is based on the initial classification published by Mulliken and Glowacki in 1982, and encompasses all vascular malformations and tumours in a framework of internationally consistent nomenclature. The classification was revised in 2014. It is proba...
Article

Abdominal hernia

Abdominal hernias (herniae also used) may be congenital or acquired and come with varying eponyms. They are distinguished primarily based on location and content. 75-80% of all hernias are inguinal. Content of the hernia is variable, and may include: small bowel loops mobile colon segments (s...
Article

Prostate Imaging Reporting and Data System

PI-RADS (Prostate Imaging Reporting and Data System) refers to a structured reporting scheme for evaluating the prostate for prostate cancer. It is designed to be used in a pre-therapy patient. The original PI-RADS score was annotated, revised and published as the second version, PI-RADS v2 6, ...
Article

Schatzker classification of tibial plateau fractures

Schatzker classification system is one method of classifying tibial plateau fractures. Increase in type number denotes increasing severity, reflecting an increase in energy imparted to the bone at the time of injury and also an increasingly worse prognosis 1. The most common fracture of the tib...
Article

Pipkin femoral head fracture classification

Pipkin classification is the most commonly used classification for femoral head fractures, which are uncommon but are associated with hip dislocations. Classification type I: fracture distal to the fovea capitis, a small fracture not involving the weightbearing surface type II: fracture proxi...
Article

Modality

Modality is the term used in radiology to refer to one form of imaging e.g. CT scanning. It is often used in the plural form, e.g. various modalities can be employed to evaluate this liver lesion. More generally, in clinical medicine, the term modality is used for different types of procedures ...
Article

Lymph node levels of the neck

Lymph nodes in the neck have been divided into seven levels, generally for the purpose of squamous cell carcinoma staging. This system is not inclusive of several important groups, however, such as the supraclavicular, parotid, retropharyngeal space, and occipital nodes.  Level I   below myloh...
Article

Modified Ringertz grading system for diffuse astrocytomas

The modified Ringertz grading system has historically been one of the more frequently used grading systems for diffuse astrocytomas, but has not essentially been replaced by the WHO grading system. Unlike the WHO grading system and St Anne-Mayo grading system (also known as the Dumas-Duport gra...
Article

Lodwick classification

The Lodwick classification is a system for describing the margins of a lucent/lytic bone lesion. The terms used in the description suggest the level of concern for an aggressive, and possibly malignant, process. Classification type 1: geographic 1A: thin, sclerotic margin 1B: distinct, well-...
Article

Raymond–Roy occlusion classification of intracranial aneurysms

The Raymond–Roy occlusion classification (RROC) is an angiographic classification scheme for grading the occlusion of endovascularly treated intracranial aneurysms 1. It is also known as the Raymond class, Montreal scale or the Raymond Montreal scale. class I: complete obliteration class II: r...
Article

Limbus fracture types

Limbus fractures represent bony fractures of the vertebral body rim at the site of attachment of the Sharpey fibres of the intervertebral disc. They should not to be confused with a limbus vertebra. They can be classified as follows: type I: avulsions of the posterior cortical vertebral rim ty...
Article

Spinal metastases

Spinal metastases is a vague term which can be variably taken to refer to metastatic disease to any of the following: vertebral metastases (94%) may have epidural extension intradural extramedullary metastases (5%) intramedually metastases (1%) Each of these are discussed separately. Below ...
Article

Gynaecologic imaging reporting and data system (GI-RADS)

The Gynecologic Imaging Reporting and Data System (GI-RADS) is a reporting system that was created for reporting the findings in adnexal masses based on transvaginal ultrasonography. Classification Findings are classified into five categories 1: GI-RADS 1 normal ovaries identified and no adn...
Article

Rockwood classification of acromioclavicular joint injury

The Rockwood classification (1998) is the most common classification system in use for acromioclavicular joint injuries 3. This well known 6-type system is a modification of the earlier 3-class classification system described by Allman (1967) 2 and Tossy (1963). It takes into account not only t...
Article

Lasjaunias classification of vein of Galen aneurysmal malformations

The Lasjaunias classification, at the time of writing (mid 2016), is one of the two commonly used systems for classifying vein of Galen malformations. It relies on dividing the entity into choroidal or mural types, depending on the number and origin of feeding arteries.  Classification choroid...
Article

Vancouver classification

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

Risser classification

The Risser classification is used to grade skeletal maturity based on the level of ossification and fusion of the iliac crest apophyses. It is primarily in planning corrective surgery for scoliosis. Classification stage 0: no ossification center at the level of iliac crest apophysis stage 1: ...
Article

Lung cancer (staging - IASLC 8th edition)

The IASLC (International Association for the Study of Lung Cancer) 8th edition lung cancer staging system was introduced in 2016 and supersedes the IASLC 7th edition.  TNM system T: primary tumour Tx: primary tumour cannot be assessed or tumour proven by the presence of malignant cells in spu...
Article

RASopathy

RASopathies are a class of developmental disorders caused by germline mutations in genes that encode for components or regulators of the Ras/mitogen activated protein kinase (MAPK) pathway. Epidemiology As a group, RASopathies represent one of the most common malformation syndromes, with an in...
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

Pulmonary sarcoidosis (staging on chest radiograph)

Pulmonary sarcoidosis may be classified on a chest radiograph into 5 stages 1-2: stage 0: normal chest radiograph 5-10% of patients at presentation stage I: hilar or mediastinal nodal enlargement only 45-65% of patients at presentation 60% go onto a complete resolution stage II: nodal enla...
Article

Odontoid fracture

Odontoid process fracture, also known as the peg or dens fracture, occurs where there is a fracture through the odontoid process of C2. Pathology The mechanism of injury is variable, and can occur both during flexion or extension with or without compression 5. Classification There are two cl...
Article

Metaphyseal diaphyseal angle

The metaphyseal-diaphyseal angle (of Drennan) is an important measurement used to distinguish between tibia vara (Blount disease) and physiological bowleg.  This angle is measured by drawing a line along the long axis of the tibia, creating a perpendicular to this line, and drawing another line...
Article

Revised Atlanta classification of acute pancreatitis

The Revised Atlanta classification of acute pancreatitis is an international multidisciplinary classification of the severity of acute pancreatitis, updating the 1992 Atlanta classification. It was initially revised in 2012 and then further updated in 2016 6. The worldwide consensus aims for an...
Article

Bouthillier classification of internal carotid artery segments

Bouthillier et al. described (in 1996) 1 a seven segment internal carotid artery (ICA) classification system. It remains the most widely used system for describing ICA segments at the time of writing (mid-2016). There are a few other classifications systems including those proposed by Fisher (1...
Article

Stanford classification of aortic dissection

Along with the DeBakey classification, the Stanford classification is used to separate aortic dissections into those that need surgical repair, and those that usually require only medical management. The Stanford classification divides dissections by the most proximal involvement: type A: A aff...
Article

APACHE score

The Acute Physiology and Chronic Health Evaluation (APACHE) score is a illness severity score commonly used in critical care medicine to predict mortality upon admission to an intensive care unit.  Criteria It involves two sections - one assessing the severity of the acute illness and another ...
Article

Global cortical atrophy scale

The global cortical atrophy (GCA) scale, also known as the Pasquier scale, is a qualitative rating system developed to assess cerebral atrophy, especially in the context of neurodegenerative diseases. It evaluates atrophy in 13 brain regions assessed separately in each hemisphere and resulting i...
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

RECIST 1.1: comparison with RECIST 1.0

Response Evaluation Criteria In Solid Tumours (RECIST) was updated to version 1.1 in 2009. For both RECIST 1.0 and 1.1, the requirement for measurable disease at baseline depends on the endpoints of the clinical trial. The fundamental concept common to both versions of RECIST is that measurabl...
Article

Hypertrophic cardiomyopathy

Hypertrophic cardiomyopathy (HCM) is a type of cardiomyopathy and is the leading cause of sudden death (from arrhythmias) in infants, teenagers and young adults. Terminology Although hypertrophic cardiomyopathy can generally describe a hypertrophied and non-dilated left ventricle due to any ca...
Article

Cardiomyopathy (WHO/ISFC 1995 classification)

Cardiomyopathy classification separates the various cardiomyopathies into several subtypes. A cardiomyopathy is defined as a "disease of the myocardium with associated cardiac dysfunction". It was initially classified according to the 1995 World Health Organisation / International Society and F...
Article

Supracondylar humeral fracture

Supracondylar humeral fractures, often simply referred to as supracondylar fractures, are a classic paediatric injury which require vigilance as imaging findings can be subtle. Epidemiology Simple supracondylar fractures are typically seen in younger children, and are uncommon in adults; 90% a...
Article

Bent bone dysplasias (differential)

Bent bone dysplasias are a class of dysplasia included in a 2010 classification of genetic skeletal disorders 1. campomelic dysplasia Stuve-Weidemann dysplasia kyphomelic dysplasias, a diverse class, including congenital bowing of the long bones cartilage-hair hypoplasia (CHH; metaphyseal d...
Article

Modified Noyes grading of chondromalacia

The modified Noyes grading of chondromalacia was published in 2009 and is divided into four grades by MRI, typically using fat saturated proton density sequences. The original Noyes grading system was based on arthroscopic findings. Classification grade 0: normal cartilage grade 1: increased ...
Article

Modified Outerbridge grading of chondromalacia

The modified Outerbridge grading of chondromalacia is divided into four grades by MRI, typically using fat saturated proton density sequences. This grading system was originally devised for arthroscopy initially for assessment of chondromalacia patella, but then modified and extended for all cho...
Article

Ficat and Arlet classification of avascular necrosis of femoral head

The Ficat and Arlet classification uses a combination of plain radiographs, MRI, and clinical features to stage avascular necrosis of the femoral head. Classification stage 0 plain radiograph: normal MRI: normal clinical symptoms: nil stage I plain radiograph: normal or minor osteopenia ...
Article

Biffl scale for blunt cerebrovascular injury

The Biffl scale or grade illustrates the spectrum of blunt cerebrovascular injury (BCVI) seen on angiography (both CTA and DSA). Some authors refer to the grading scale as the Denver scale, which is not to be confused with the Denver criteria, a series of clinical indications and risk factors fo...
Article

Modified treatment in cerebral ischaemia (mTICI) score

The modified treatment in cerebral infarction (mTICI) score was developed from the original Thrombolysis in Cerebral Infarction (TICI) scale by a consensus group in 2013 1. The recommendations included a name change to better reflect the increasing use of endovascular therapy for stroke, and sim...
Article

Fukuoka consensus guidelines

The Tanaka criteria, also referred to as the Fukuoka consensus guidelines, is a classification system for intraductal papillary mucinous neoplasms (IPMNs) and mucinous cystic neoplasms (MCNs).  The prior international consensus guidelines (2006) were referred to as the Sendai criteria, which la...
Article

Oesophageal atresia (classification)

Oesophageal atresia is closely related to tracheo-oesophageal fistula and can be divided into1: type A: isolated oesophageal atresia (8%) type B: proximal fistula with distal atresia (1%) type C: proximal atresia with distal fistula (85%) type D: double fistula with intervening atresia (1%) ...
Article

CT severity index in acute pancreatitis

The CT severity index (CTSI) is based on findings from a CT scan with intravenous contrast to assess the severity of acute pancreatitis. The severity of computed tomography findings have been found to correlate well with clinical indices of severity.  The CTSI sums two scores: Balthazar score:...
Article

AO classification of thoracolumbar injuries

The AO classification of thoracolumbar injuries aims to simplify and universalise the process of classifying spinal injuries and improve interobserver and intraobserver reliability 3. The AOSpine thoracolumbar classification system consists of only three classes of thoracolumbar injuries. Unlik...
Article

Thoracolumbar injury classification and severity score (TLICS)

The thoracolumbar injury classification and severity score (TLICS), also sometimes known as the thoracolumbar injury severity score (TISS), was developed by the Spine Trauma Group in 2005 to overcome some of the perceived difficulties regarding the use of other thoracolumbar spinal fracture clas...
Article

Thoracolumbar spinal fracture classification systems

The two most commonly currently used thoracolumbar spinal fracture classification systems are the AO classification and the TLICS although a number of other classification systems have been proposed over the years 1. Each has benefits and drawbacks and each incorporates various features in an at...

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