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Utilizing the Banff Guidelines

Joel Murphy, MD
By Joel Murphy, MD

Jul 01, 2022

Banff and Beyond Intro Graphic

Welcome to our new transplant series, Banff and Beyond!

Throughout this series, Dr. Murphy will provide short, concise examples of transplant cases and look at how renal pathologists utilize the Banff criteria to arrive at a diagnosis. While the world of transplant rejection can have its grey areas, these cases are meant to provide “classic” examples of transplant cases. We begin the series by discussing T-cell and antibody-mediated rejection and then move into other diagnoses that can also be found in the transplant setting including recurrent and de novo diseases. In this first episode, before we can assess a biopsy for rejection, the first decision a pathologist must make is whether a biopsy is adequate. Banff criteria for an adequate biopsy include at least ten glomeruli and two arteries with at least two cores of cortex or two areas of cortex in the same core. Minimal criteria include seven glomeruli and 1 artery.

 

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Quick note: This post is to be used for informational purposes only and does not constitute medical or health advice. Each person should consult their own doctor with respect to matters referenced. Arkana Laboratories assumes no liability for actions taken in reliance upon the information contained herein.