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.
40 results found
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
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 (NSTEMI)
unstable an...
Article
Boyden classification of bronchi
The Boyden classification of bronchi refers to the standard nomenclature used to describe bronchopulmonary segmental anatomy.
Each lung has 10 segments, however on the left, the first two segments share a common trunk and are hence B1/2. Also given the shared trunk on the left of the lower lobe...
Article
Brasfield scoring system
The Brasfield scoring system is a scoring system for patients with cystic fibrosis. The score is based on conventional chest radiographic findings and has been reported to have good correlation with pulmonary function. There can be intra- and interobserver variability between radiologists.
Ther...
Article
Cardiogenic pulmonary edema
Cardiogenic pulmonary edema is a subtype of pulmonary edema where the underlying etiology is due to left ventricular dysfunction.
Causes include:
left heart failure
congestive cardiac failure
mitral regurgitation
aortic stenosis
arrhythmias
myocardial pathology
myocarditis
cardiomyopathy
Article
Chrispin-Norman scoring system for cystic fibrosis
The Chrispin-Norman score is used to provide a summative assessment of structural lung changes in patients with cystic fibrosis on plain chest radiographs.
It is useful to monitor disease progression or treatment response and can be used to compare between different patients in research studies...
Article
Chronic suppurative lung disease
Chronic suppurative lung disease (CSLD) refers to a group of conditions which includes:
cystic fibrosis
bronchiectasis
primary ciliary dyskinesia
This term is usually used in the context of pediatric patients.
Article
Congenital cardiovascular anomalies
Congenital cardiovascular anomalies are relatively common, with an incidence of up to 1% if small muscular ventricular septal defects (VSDs) are included. As a group, there is a much greater frequency in syndromic infants and in those that are stillborn.
Epidemiology
In a large study in the U...
Article
Coronary Artery Calcium Data and Reporting System
Coronary Artery Calcium Data and Reporting System (CAC-DRS) is a structured reporting scheme for all non-contrast CT scans in the evaluation of coronary artery disease, which can help in communication between clinicians and radiologists. These guidelines have been recommended by the Society of C...
Article
Cyanotic congenital heart disease
A number of entities can present as cyanotic congenital heart disease. These can be divided into those with increased (pulmonary plethora) or decreased pulmonary vascularity :
increased pulmonary vascularity
total anomalous pulmonary venous return (TAPVR) (types I and II)
transposition of the...
Article
DeBakey classification
The DeBakey classification, along with the Stanford 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 asc...
Article
Diagnostic HRCT criteria for usual interstitial pneumonia (UIP) pattern - ATS/ERS/JRS/ALAT (2018)
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
Herder risk model
British Thoracic Society (BTS) guidelines for pulmonary nodules1 recommend the application of the Herder risk model in predicting malignancy in pulmonary nodules.
The Herder model 2 predicts the risk of malignancy in solid pulmonary nodules using patient characteristics, nodules characteristics...
Article
Hereditary connective tissue disease
Hereditary connective tissue diseases are an enlarging group of connective tissue diseases that have a degree of inheritance risk. They include:
Marfan syndrome: genetic disease causing abnormal fibrillin
Ehlers-Danlos syndrome: progressive deterioration of collagen and affects joints, heart ...
Article
Ichikado CT scoring of acute respiratory distress syndrome
CT scoring systems have been proposed in patients with acute respiratory distress syndrome (ARDS) to predict clinical outcomes. This scoring system was established by Ichikado et al. in 2006 2 and at the time of writing (July 2016), this is the most widely used CT scoring system.
Classification...
Article
Isomerism
Isomerism is a term which in general means 'mirror-image' and refers to finding normally-asymmetric bilateral structures to be similar. 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 o...
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.
Standard-of-care lung cancer staging ideally should be performed in a multidisciplinary meeting using the information provided ...
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
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
Mediastinal mass
Mediastinal masses may be caused by a wide variety of neoplastic and non-neoplastic pathologies. It is helpful to identify the location of the mass since this significantly reduces the breadth of the differential diagnosis.
There are four conceptual compartments of the mediastinum which are di...
Article
Mediastinum (ITMIG classification)
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...
Article
Modified PIOPED II criteria for diagnosis of pulmonary embolus
The modified PIOPED II criteria for the diagnosis of pulmonary embolus indicate the presence or absence of pulmonary emboli based on findings on V/Q scan (ventilation-perfusion scintigraphy). The following article reflects the modified interpretation criteria promulgated in 2008 1 based on recat...
Article
Non-specific interstitial pneumonia
Non-specific interstitial pneumonia (NSIP) is the second most common morphological and pathological pattern of 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 due to...
Article
Esophageal atresia (classification)
Esophageal atresia is closely related to tracheo-esophageal fistula and can be divided into1:
type A: isolated esophageal 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%)
ty...
Article
Pediatric mediastinal masses
Pediatric mediastinal masses are the most common chest masses in children, with the anterior mediastinum being the most common site 1.
As in adults, mediastinal masses are classified depending on anatomical sites:
anterior mediastinal masses
middle mediastinal masses
posterior mediastinal ma...
Article
Penetration-aspiration scale
The penetration-aspiration scale (PAS) is a means of grading the severity of penetration or aspiration observed in a videofluoroscopic swallow study and is widely used 2.
The term aspiration is used for material that passes inferior to the level of the vocal folds. If material enters the larynx...
Article
PISAPED criteria for diagnosis of pulmonary embolus
The PISAPED criteria for the diagnosis of pulmonary embolus indicate the presence or absence of pulmonary emboli based on findings on perfusion scintigraphy (only the Q portion of the V/Q scan) in combination with chest radiography. The criteria were validated in the Prospective Investigative St...
Article
Preinvasive adenocarcinoma lesion of the lung
Preinvasive lesions for lung adenocarcinoma are a category of small non-invasive 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 ...
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 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...
Article
Pulmonary hypertension (2008 classification)
The classification system for pulmonary hypertension was revised at the 4th World Symposium on Pulmonary Hypertension held in Dana Point, California, in 2008 1.
This system is as follows:
group 1: pulmonary arterial hypertension
1.1: idiopathic pulmonary arterial hypertension
1.2: heritable ...
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
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
Pulmonary edema grading
One pulmonary edema grading based on chest radiograph appearances and pulmonary capillary wedge pressure (PCWP) is as follows:
grade 0: normal chest radiograph, PCWP 8-12 mmHg
grade 1: shows evidence of upper lobe diversion on a chest radiograph, PCWP 13-18 mmHg
grade 2: shows interstitial ed...
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
Situs classification
Situs classification (plural: sitūs) or body situs 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 the normal configuration
situs ambiguus (heterotaxy): an intermediate confi...
Article
Situs solitus
Situs solitus (rare plural: sitūs soliti) refers to the normal position of the thoracic and abdominal organs. This will include a left-sided heart, also known as levocardia.
Radiographic features
Plain radiograph
On plain radiograph, careful attention should be directed at the location of the...
Article
Stanford classification of aortic dissection
Along with the DeBakey classification, the Stanford classification 7 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 a...
Article
Thoracic sarcoidosis (staging)
Thoracic sarcoidosis can be staged on a chest radiograph with implications for prognosis although HRCT and FDG-PET provide more information to help guide treatment.
Usage
Chest radiographs have been the mainstay of staging thoracic sarcoidosis for many decades with fair interobserver concord...
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...