Sarner and Cotton reported findings from an International
Workshop for classifying pancreatitis. This included a scheme for grading the
findings seen on imaging studies. The authors are from King's College at Cambridge.
|
Number of Abnormal Branches
|
Main Duct
|
Additional Findings
|
Grade
|
|
none
|
normal
|
absent
|
normal (Grade 1)
|
|
1 - 3
|
normal
|
0-1 not marked
|
equivocal (Grade 2)
|
|
> 3
|
normal
|
2+ not marked
|
mild (Grade 3)
|
|
> 3
|
abnormal
|
2+ not marked
|
moderate (Grade 4)
|
|
> 3
|
abnormal
|
marked
|
marked (Grade 5)
|
• Equivocal disease may have 1 mild-to-moderate abnormal
finding.
|
Additional Findings
|
Mild-to-Moderate
|
Marked
|
|
cavities
|
<= 10 mm
|
> 10 mm
|
|
gross gland enlargement
|
1.1 - 2.0 times normal
|
> 2 times normal
|
|
intraduct findings
|
|
filling defect or calculi
|
|
duct irregularities
|
mild to moderate
|
severe
|
|
duct lesions
|
increased echoes
|
obstruction or stricture
|
|
adjacent organ
|
|
invasion into
|
|
main duct enlargement
|
< 4 mm
|
>= 4 mm
|
|
acute pancreatitis
|
focal
|
|
|
parenchyma
|
heterogenous
|
|
|
contour of head or body
|
irregular
|
|