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. 2022 Nov 15;12(11):2804. doi: 10.3390/diagnostics12112804

Table 1.

Modified CT scoring system.

0 1 2 3
Wall thickness 3 mm≥ 4–5 mm 6–7 mm ≥8 mm
Wall enhancement
(compared to
adjacent vessels)
Normal Mild; minor increase, but less than vessels Moderate; moderate increase but less than vessels Severe; marked increase, similar to vessels
Enhancement pattern Normal § Homogenous ¥ Mucosal £ Layered
Lesion length None 5 cm 5–15 cm 15 cm≤
Comb sign No Yes
None: no signs of active disease
Mild: total scores ≤6 or no features with score 3
Moderate: total scores 7–10 or presence of any one feature ≥3
Severe: total scores ≥11 or presence of at least one complication including abscess, fistula or stenosis

§ one-layered bowel wall with enhancement. ¥ two-layered bowel wall with inner layer enhancement. £ three-layered bowel wall with inner and outer layer enhancements and hypo-enhancement of the middle layer.