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🩺 Modified CT Severity Index (Pancreatitis)

UseWhen to use: contrast-enhanced CT staging after early resuscitation (often >72 h).

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Strata0–3 mild; 4–6 moderate; 7–10 severe teaching bands.

LimitsWhen not to use: very early CT before necrosis declares. · Pitfall: non-contrast underestimation. · Not a sole drain/OR order.

SourceModified CT Severity Index (Mortele) for acute pancreatitis

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Scene next step
📋pancreatitisOpen scene pack →
Related scores
Matching pathway
🧭acute_pancOpen pathway →
Score + version; reference only — not a substitute for care · no HIS write

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Methodology · worked example, guidelines & full notes
Clinical takeaway

Max 10.

When to use

When to use: contrast-enhanced CT staging after early resuscitation (often >72 h).

How it works

Inflammation 0/2/4 + necrosis 0/2/4/6.

Key points

  • Max 10.
  • Mortele mCTSI.
  • Next: Atlanta / BISAP / clinics.

References

  • Modified CT Severity Index (Mortele) for acute pancreatitis

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Pancreatic inflammation2 — intrinsic pancreatic abnormalities ± peripancreatic fat stranding
Pancreatic necrosis2 — ≤30%

→mCTSI4/10

  • Cue：4–6 — moderate teaching band
Pancreatic inflammation0 — normal pancreas
Pancreatic necrosis0 — none

→mCTSI0/10

  • Cue：0–3 — mild teaching band
Verification & sources · governance
FAQ

Frequently asked questions

Does Modified CT Severity Index (Pancreatitis) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Modified CT Severity Index (Pancreatitis) calculated in practice? Can you show a worked example?
Inputs: Pancreatic inflammation 2 — intrinsic pancreatic abnormalities ± peripancreatic fat stranding, Pancreatic necrosis 2 — ≤30% → Result: mCTSI 4 /10（Cue: 4–6 — moderate teaching band） Inputs: Pancreatic inflammation 0 — normal pancreas, Pancreatic necrosis 0 — none → Result: mCTSI 0 /10（Cue: 0–3 — mild teaching band）
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