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33 results found

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...

AAST spleen injury scale

The American Association for the Surgery of Trauma (AAST) splenic injury scale, most recently revised in 2018, is currently the most widely used grading system for splenic trauma. The 2018 update incorporates "vascular injury" (i.e. pseudoaneurysm, arteriovenous fistula) into the imaging criter...

Amsterdam criteria for HNPCC

The Amsterdam criteria are used in the diagnosis hereditary non polyposis colorectal cancer (HNPCC). Amsterdam Criteria I Initial description in 1991: > or equal to 3 relatives with colorectal cancer (CRC) > or equal to 1 case in a first degree relative > or equal to 2 successive generation...

Balthazar score

The Balthazar score is a subscore within the CT severity index (CTSI) for grading of acute pancreatitis. The CTSI sums two scores: Balthazar score: grading of pancreatitis (A-E) grading the extent of pancreatic necrosis The Balthazar score was originally used alone, but the addition of a sc...

Bethesda criteria of hereditary non-polyposis colorectal cancer

The Bethesda criteria are an alternative to the Amsterdam criteria for the clinical diagnosis of hereditary non-polyposis colorectal cancer (HNPCC). Diagnosis of HNPCC is made if any of the following criteria are fulfilled: Amsterdam criteria are met 2 or more HNPCC related malignancies pa...

Choi response criteria

The solitary use of the size of the tumor during evaluation for response to chemotherapy has some pitfalls and limitations, especially for specific tumors such as gastrointestinal stromal tumor (GIST). The Choi response criteria for GIST proposed that tumor attenuation could provide an addition...

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...

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: localized, peripheral shunt with one or more communications in a single hep...

CT colonography reporting and data system

CT Colonography Reporting and Data System (C-RADS) is a method devised to standardize CT colonography reporting. Classification It primarily classifies abnormalities into colonic (C) and extra-colonic (E). Colonic classification C0: inadequate study C1: normal colon/benign lesion: routine s...

CT severity index in acute pancreatitis

The CT severity index (CTSI) is based on findings from an enhanced CT scan to assess the severity of acute pancreatitis. The severity of acute pancreatitis CT findings has been found to correlate well with clinical indices of severity. The CT severity index sums two scores: Balthazar score: g...

Degloving injury

Degloving injuries can refer to a number of conditions: degloving soft tissue injury Morel-Lavallée lesion (closed degloving soft tissue injury) intramuscular degloving injury degloving bowel injury

Duplex appendix

Duplex appendix is a rare anomaly of the appendix and is usually discovered incidentally during surgery for appendicitis. Epidemiology Duplication of the vermiform appendix is extremely rare. It is found in only 1 in 25,000 patients (incidence ~0.004%) operated on for acute appendicitis. Altho...

Fukuoka consensus guidelines

Fukuoka consensus guidelines, also referred to as the Tanaka criteria, 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 later ...

Gastric cancer (TNM staging)

Gastric cancer staging is routinely performed using the TNM staging system. This article is based on the 7th edition of the TNM classification of malignant tumors. TNM staging (7th edition) T T1 T1a: tumor invades the lamina propria and or muscularis mucosae T1b: tumor invades submucosa ...

Gastric lymph node stations

The gastric lymph node stations were originally divided into 16 groups, as proposed by the Japanese Research Society for Gastric Cancer in 1963. Gross anatomy The stomach regions and their drainage into regional lymph nodes: cardia and proximal lesser curvature drain into left gastric lymph n...

Hinchey classification of acute diverticulitis

Edward John Hinchey et al. 3 proposed a classification for acute diverticulitis, (anywhere along the bowel, not just the colon) that has been variously adapted, and is useful not only in academia but also in outlining successive stages of severity. Classification stage Ia: phlegmon stage Ib: ...

Ishikawa classification of venous involvement by pancreatic ductal adenocarcinoma

Ishikawa classification system describes the degree of involvement of adjacent portal vein and SMV by pancreatic ductal adenocarcinoma based on caliber of the vein: type I: normal type II: smooth shift/displacement with normal caliber type III: unilateral narrowing type IV: bilateral nar...

Krenning score of neuroendocrine tumor uptake

The Krenning score is a proposed semi-quantitative method of assessing the degree of tracer uptake on octreotide scintigraphy. Parameters Initially designed for assessment of 111In-DTPA on planar imaging, the Krenning score is applicable to SPECT or PET/CT using various radiopharmaceuticals. ...

Limberg score

Limberg score is a semiquantitative color Doppler ultrasound assessment of the bowel wall vascularity in inflammatory bowel disease. grade 0: normal bowel wall with no thickening, well-delineated mural stratification, no mural flow (no color Doppler signal) grade 1: wall thickening (hypoe...

Meandering main pancreatic duct

Meandering main pancreatic duct (MMPD) comprises of a reverse Z-type and loop-type of pancreatic ducts. These ductal variants are found in ERCP and MRCP studies. The exact incidence is not known. Increased incidence of meandering pancreatic duct has been reported in patients with idiopathic re...

Modified CT severity index

The modified CT severity index is an extension of the original CT severity index (CTSI) which was developed by Balthazar and colleagues in 1994 for distinguishing mild, moderate and severe forms of acute pancreatitis. The original CT severity index has been followed internationally and has been...

Mucinous neoplasms of the appendix

Mucinous neoplasms of the appendix are epithelial tumors of the appendix that produce mucin. They represent a spectrum of malignant potential, and are the most common cause of pseudomyxoma peritonei. Pathology Classification According to a panel of specialists consensus published in 2016 (Per...

Necrotizing enterocolitis (staging)

Necrotizing enterocolitis (NEC) can be staged into three groups, to guide appropriate treatment based on the work of Bell et al. 1. In general, stage I and II are managed medically whereas stage III is managed surgically. stage I clinical signs lethargy, temperature instability, apnea, bradyc...

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...

Pancreatic trauma injury grading

A number of pancreatic injury grading systems have been proposed. Classifications American Association for the Surgery of Trauma (AAST) grade 1: hematoma with minor contusion/laceration but without duct injury grade 2: major contusion/laceration but without duct injury grade 3: distal lacer...

Perianal disease

Perianal disease (also known as anorectal disease) is the collective name given to a group of diseases that primarily affect the anal canal +/- rectum. The disease spectrum ranges from the typically benign, e.g. hemorrhoids, to the potentially more serious, e.g. perianal fistula 1-3. hemorrhoid...

Ranson criteria

Ranson criteria are useful in assessing prognosis in early acute pancreatitis. The more of the criteria are met the higher the mortality. Ranson criteria are assessed both at admission and at 48 hours. Criteria On admission age: >55 years white blood count: >16 000/mL blood glucose level: >...

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...

Revised Atlanta classification of acute pancreatitis

The Revised Atlanta classification of acute pancreatitis from 2012 is an international multidisciplinary classification of the severity of acute pancreatitis, updating the 1992 Atlanta classification. The worldwide consensus aims for an internationally agreed-upon classification of acute pancre...

Siewert-Stein classification of esophageal adenocarcinoma

The Siewert-Stein classification of esophageal adenocarcinoma classes these tumors according to their relationship to anatomical landmarks 1. It was initially proposed by Siewert et al in 1996, becoming widely used in predicting lymph node spread and directing optimal management. As of the 7th e...

Terminology of rectal cancer staging

The terminology used in describing the stage and features of rectal cancer staging is based on using abbreviations and prefixes to denote the specific stage identifier, modality of assessment and the patient's position in the treatment journey 1. Terminology Abbreviations and letters used in s...

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...

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 disease (precursor of adenocarcinoma) invasive tumors squamous cell carcinoma adenocarcinoma basal cell carcinoma verrucous carcinom...

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