CT Severity Index (Pancreatitis)

Predict complication and mortality rate in pancreatitis, based on CT findings (Balthazar score)


CT severity index is an attempt to improve early prognostic value of CT in cases of acute pancreatitis. Contrast enhanced CT scans can be used to assess pancreatic necrosis in the form of reduced enhancement. While pancreatic necrosis develops early within the first 24-48 hours, CT scans obtained 3 days after clinical onset yield higher accuracy in the depiction of necrotizing pancreatitis & discrimination of normal variants or equivocal areas of ischemia from pancreatic necrosis.


Balthazar EJ, Robinson DL et al.

Radiology 1990, 174 (2): 331-6

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1. Grade of Acute Pancreatitis?

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