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CT Severity Index in Pancreatitis
Aka: CT Severity Index in Pancreatitis, Balthazar Computed Tomography Severity Index
- See Also
- Acute Pancreatitis
- Ranson Criteria
- BALI Score
- BISAP Score
- Revised Atlanta Criteria for Acute Pancreatitis Severity
- Acute Physiology and Chronic Health Evaluation II (APACHE II Score)
- Modified Glasgow Severity Criteria for Pancreatitis (Imrie Scoring System for Pancreatitis, PANCREAS Score)
- Criteria: CT Score
- Score 0: Normal Pancreas (Grade A)
- Score 1: Edematous Pancreas (Grade B)
- Score 2: Edematous Pancreas and mild extrapancreatic changes (Grade C)
- Score 3: Severe extrapancreatic changes AND one fluid collection (Grade D)
- Score 4: Multiple or extensive fluid collections (Grade E)
- Criteria: Necrosis Score
- Score 0: No necrosis
- Score 2: Necrosis <33%
- Score 4: Necrosis 33% to 50%
- Score 6: Necrosis 50% or more
- Interpretation
- Based on total = CT Score + Necrosis Score
- CT Severity Index Score 5 or greater (compared with score <5)
- Longer length of hospitalization
- Mortality increased 15 fold
- References
- Balthazar (1990) Radiology 174(2): 331-6 [PubMed]
- Balthazar (1994) Radiology 193(2): 297-306 [PubMed]
- Leung (2005) World J Gastroenterol 11(38): 6049-52 [PubMed]