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.

33 results found
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

Barrow classification of caroticocavernous fistulae

Barrow caroticocavernous fistula classification divides caroticocavernous fistulas into direct (type A) or indirect (types B-D). This classification was proposed by Barrow et al. in 1985 1 and at the time of writing (mid 2016) remains the most widely used system for describing caroticocavernous ...
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 set of clinical and risk factors for BCVI.  Class...
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Borden classification of dural arteriovenous fistulas

The Borden classification of dural arteriovenous fistulas (DAVF) groups these lesions into three types based upon the site of venous drainage and the presence or absence of cortical venous drainage. It was first proposed in 1995 1. At the time of writing (July 2016), it is probably less popular ...
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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 (19...
Article

Central venous catheter

Central venous catheters (CVC) or lines (CVL) refer to a wide range of central venous access devices but can broadly be divided into four categories. They may be inserted by medical, surgical, anaesthetic/ITU, or radiology specialists. Classification peripherally inserted central catheters (PI...
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Classification of endoleaks

Endoleaks occur when an aneurysmal sac continues to be pressurised despite endoluminal stent placement. Classification There are five types: type I: leak at graft ends (inadequate seal) - most common after repair of thoracic aortic aneurysms 4 Ia: proximal Ib: distal Ic: iliac occluder ty...
Article

Congenital extrahepatic portosystemic shunt classification

This congenital extrahepatic portosystemic shunt classification was proposed by Morgan and Superina in 1994 1: type 1: complete diversion of portal blood into the Inferior vena cava with congenital absence of the portal vein 1a: superior mesenteric vein and splenic vein do not join to form a c...
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Congenital intrahepatic portosystemic shunt classification

This congenital intrahepatic portosystemic shunt classification was proposed by Park et al in 1990 1: type 1: single large vessel of constant diameter connecting the right portal vein to the Inferior vena cava type 2: localised, peripheral shunt with one or more communications in a single hepa...
Article

DeBakey classification

Along with the Stanford classification, the DeBakey classification is used to separate aortic dissections into those that need surgical repair, and those that usually require only medical management. Classification The DeBakey classification divides dissections into 1-5: type I: involves asce...
Article

Fibromuscular dysplasia classification

Fibromuscular dysplasia is classified into 5 categories according to the vessel wall layer affected: intima   intimal fibroplasia (1%) media  medial dysplasia (70%, the commonest type) perimedial (subadventitial) fibroplasia (15-20%) medial hyperplasia (8-10%) adventitia adventital fibro...
Article

Fisher scale

The Fisher scale is the initial and best known system of classifying the amount of subarachnoid haemorrhage on CT scans, and is useful in predicting the occurrence and severity of cerebral vasospasm, highest in grade 3 2.  Numerous other scales have been proposed, incorporating various paramete...
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Gradman and Steinburg inferior vena cava aneurysm classification

Gradman and Steinburg inferior vena cava aneurysm classification is one method of classing aneurysmal dilatation of the inferior vena cava, which is an uncommon finding. When present it can be often associated with other caval anomalies. Gradman and Steinburg method classifies them as 1: type I...
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Hunt and Hess grading system

The Hunt and Hess scale describes the severity of subarachnoid haemorrhage, and is used as a predictor of survival. grade 1 asymptomatic or minimal headache and slight neck stiffness 70% survival grade 2 moderate to severe headache; neck stiffness; no neurologic deficit except cranial nerve...
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

Lasajunias 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

Lie classification of vasculitis

The Lie classification of vasculitis was proposed in 1994.  Classification Primary vasculitides affecting large, medium, and small blood vessels (see large vessel vasculitides) Takayasu arteritis temporal arteritis (giant cell arteritis) isolated angiitis of the central nervous system Hug...
Article

Peripheral arterial disease

Peripheral arterial disease is a common and debilitating condition. Epidemiology The age-adjusted prevalence of peripheral arterial disease is ~12% 3. Pathology Atherosclerosis is the leading cause of occlusive arterial disease of the extremities in patients over 40 years of age with the hig...
Article

Pulmonary artery stenosis types

A pulmonary arterial stenosis can be classified into several types 1,2: type I: involving main pulmonary artery type II: involving bifurcation type III: multiple peripheral stenoses type IV: central and peripheral stenoses See also congenital pulmonary stenosis
Article

Pulmonary hypertension (2003 classification)

There are numerous causes of pulmonary hypertension, and thus not surprisingly there have been many classification systems. In 2003, the Third World Symposium on PAH met in Venice and produced an updated classification system (this has been further revised on the Dana Point classification of pu...
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, modified Montreal scale or the Raymond Montreal scale. class I: complete ...
Article

Revised International Chapel Hill Consensus Conference nomenclature of vasculitides

Following months of preparation, experts in the field of vasculitis from 12 different countries proposed an update to the 1994 International Chapel Hill Consensus Conference nomenclature of vasculitides. This 2012 update at the time of writing (mid-2016) remains the most widely used system for d...
Article

Situs classification

Situs classification can be a daunting topic, but it falls into three main groups : situs solitus: the normal configuration of thoracic and abdominal organs situs inversus: mirror image of normal situs ambiguus: an intermediate configuration with duplication (isomerism) Situs is best thought...
Article

Situs solitus

Situs solitus refers to the normal position of the thoracic and abdominal organs. Radiographic features Plain radiograph On plain radiograph, careful attention should be directed at the location of the aortic arch, gastric fundus, cardiac apex, pulmonary fissures and the branching pattern of ...
Article

Spetzler-Martin arteriovenous malformation grading system

The Spetzler-Martin AVM grading system allocates points for various features of intracranial arteriovenous malformations to give a grade between 1 and 5. Grade 6 is used to describe inoperable lesions. The score correlates with operative outcome. Grading size of nidus small (<3cm) = 1 medium...
Article

Spinal AVM classification

Spinal arteriovenous malformations can be classified in a number of ways: intramedullary extramedullary: 80% 1 Or into four types 2: type I: single coiled vessel (dural AV fistula) type II: intramedullary glomus AVM type III: juvenile  type IV: intradural perimedullary (AV fistula) sub t...
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

Superior vena cava obstruction (grading)

SVC obstruction can cause SVC syndrome which is the most common condition affecting this vessel. It can be secondary to an extrinsic compression or intraluminal thrombosis/stenosis. Collateral pathways, with the azygos vein being the most important collateral vessel, form in response to severe n...
Article

Suzuki staging system for Moyamoya

The staging system for moyamoya disease first described by Suzuki and Takaku in their seminal 1969 article1 is still in use today. Formally, the staging refers to findings on conventional angiography, although there are efforts to apply similar systems to MR angiography.2 Suzuki stage appears t...
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 ischaemic stroke. In neurointerventional radiology it is commonly used for patients post endovascular revascularisation. Lik...
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

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 haemorrhage. This grading system was proposed in 1988, and this is one of the accepted systems (although not conside...
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...

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