e-CASES: Balthazar modified score - CTSI
Balthazar's scoring system for severity of acute pancreatitis
Balthazar scoring based on CT :
Grade A: Normal CT - 0 points
Grade B: Focal or diffuse enlargement of the pancreas - 1 point
Grade C: Pancreatic gland abnormalities and peripancreatic inflammation - 2 points
Grade D: Fluid collection in a single location - 3 points
Grade E: Two or more fluid collections and / or gas bubbles in or adjacent to pancreas - 4 points
Necrosis Score based on percentage of necrosis on CT
No necrosis: 0 points
0 to 30% necrosis: 2 points
30 to 50% necrosis: 4 points
Over 50% necrosis :6 points
CT severity index = CT grade point + points for necrosis
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