Skip to main content
. 2020 Jul 21;30(12):6570–6581. doi: 10.1007/s00330-020-07061-8

Table 2.

CT severity index (CTSI) for spleen and liver injury (AAST): CTSI

Spleen Liver
Grade Injury description Grade Injury description
I Subcapsular haematoma < 1 cm depth I Subcapsular haematoma < 1 cm depth
Laceration < 1 cm depth Laceration < 1 cm depth
Parenchymal haematoma < 1 cm diameter Parenchymal haematoma < 1 cm diameter
II Subcapsular haematoma 1–3 cm depth II Subcapsular haematoma 1–5 cm depth
Laceration 1–3 cm parenchymal depth laceration 1–5 cm depth
Parenchymal haematoma 1–3 cm diameter Parenchymal haematoma 1–5 cm diameter
III Laceration > 3 cm depth III Laceration > 5 cm depth
Parenchymal haematoma > 3 cm diameter Parenchymal haematoma > 5 cm diameter
Subcapsular haematoma > 5 cm depth
IVA Active intraparenchymal and subcapsular splenic bleeding IVA Active intraparenchymal and subcapsular splenic bleeding
Splenic vascular injury (pseudoaneurysm or AV-fistula) Hepatic vascular injury (pseudoaneurysm or AV-fistula)
Shattered spleen Shattered liver
IVB Active intraperitoneal bleeding IVB Active intraperitoneal bleeding