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)
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 ...
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...
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 ...
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...
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.
peripherally inserted central catheters (PI...
Endoleaks occur when an aneurysmal sac continues to be pressurised despite endoluminal stent placement.
There are five types:
type I: leak at graft ends (inadequate seal) - most common after repair of thoracic aortic aneurysms 4
Ic: iliac occluder
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...
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 hep...
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.
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.
The DeBakey classification divides dissections into 1-5:
type I: involves asce...
Fibromuscular dysplasia is classified into 5 categories according to the vessel wall layer affected:
intimal fibroplasia (1%)
medial dysplasia (70%, the commonest type)
perimedial (subadventitial) fibroplasia (15-20%)
medial hyperplasia (8-10%)
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...
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:
Hamburg classification system of vascular malformations is one of the more commonly used systems to describe the wide range of vascular malformations, largely replacing the many various eponymous syndromes traditionally used. It accounts for the underlying anatomical, histological, and pathophys...
The Hunt and Hess scale describes the severity of subarachnoid haemorrhage, and is used as a predictor of survival.
asymptomatic or minimal headache and slight neck stiffness
moderate to severe headache; neck stiffness; no neurologic deficit except cranial nerve...
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...
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.
The Lie classification of vasculitis was proposed in 1994.
affecting large, medium, and small blood vessels (see large vessel vasculitides)
temporal arteritis (giant cell arteritis)
isolated angiitis of the central nervous system
The International Thymic Malignancy Interest Group (ITMIG) classification of mediastinal compartments was developed to reflect a division of the mediastinum based on cross-sectional imaging. It was in part an effort to consolidate prior discrepant classification systems in use by different medic...
Peripheral arterial disease (PAD) is a common and debilitating condition.
The age-adjusted prevalence of peripheral arterial disease is ~12% 3.
Atherosclerosis is the leading cause of occlusive arterial disease of the extremities in patients over 40 years of age with t...
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
congenital pulmonary stenosis
There are numerous causes of pulmonary hypertension, and thus not surprisingly there have been many classification systems.
In 2003, the 3rd World Symposium on PAH met in Venice and produced an updated classification system (this has been further revised in the Dana Point classification of pulm...
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...
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...
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...
Situs solitus refers to the normal position of the thoracic and abdominal organs.
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 ...
The Spetzler-Martin arteriovenous malformation (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.
size of ni...
Spinal arteriovenous malformations can be classified in a number of ways:
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)
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...
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...
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...
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. Li...
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...
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.
baseline greyscale study in supine position and measure the diam...
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...
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).
type I: small pure cisternal fistula between the vein of Galen (voG) and either the pericallosal arteries (anteri...