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Table 2 Pathological features and Banff score

From: Histopathological findings in transplanted kidneys

Feature

Banff term

Banff Score

0

1

2

3

Interstitial inflammation (% of nonfibrotic cortex)

i

<10%

10–25%

26–50%

>50%

Total inflammation (% all cortex)

ti

<10%

10–25%

26–50%

>50%

Tubulitis (maximum mononuclear cells/tubule)

t

0

1–4

5–10

>10

Arterial inflammation (% lumen endarteritis)

V

None

<25%

>25%

Transmural or necrosis

Glomerulitis (% glomeruli involved)

g

None

<25%

26–50%

>50%

Capillaritis (cells per cortical PTC, requires >10% of PTC to be affected for scoring)

ptc

<10%

<5/PTC

5–10/PTC

>10/PTC

C4d deposition in PTC (% positive)

C4d

0%

l–9%

10–50%

>50%

Interstitial fibrosis (% of cortex)

ci

<5%

6–25%

26–50%

>50%

Tubular atrophy (% cortex)

ct

0%

<25%

26–50%

>50%

Arterial intimal thickening (% narrowing lumen of most severely affected glomerulus)

cv

0%

<25%

26–50%

>50%

Transplant glomerulopathy (% of capillaries with duplication in most severely affected glomerulus)

cg

0%

<25%

26–50%

>50%

Arteriolar hyalinosis (number with focal or circumferential hyaline)

ah

None

1 focal

>1 focal

1 circumferential >50%

Mesangial matrix increase (% affected glomeruli)

mm

0%

<25%

26–50%

>50%