Table 2

Summary of the Banff 1997 criteria for scoring acute cellular rejection in liver allografts

Parameter scoredCriteria*RAI score
Portal inflammationInflammation in minority of portal tracts, not expanding and mostly lymphocytic1
Inflammation in and expanding majority or all portal tracts, mixed lymphocytic including occasional blast/activated lymphocytes and neutrophils, eosinophils2
Inflammation in and expanding majority or all portal tracts, mixed lymphocytic including numerous blast/activated forms and neutrophils, eosinophils, with spillover to interface/periportal hepatocytes3
Bile duct injury/inflammationInflammation affecting duct epithelium in minority of portal tracts with mild evidence of epithelial injury such as increased nucleocytoplasmic ratio, or irregular spacing in epithelium1
Inflammation affecting duct epithelium in most portal tracts with marked evidence of epithelial injury in few ducts, such as increased nucleocytoplasmic ratio, cytoplasmic vacuolisation, disordered polarity and/or irregular spacing in epithelium2
Inflammation affecting duct epithelium in most portal tracts with marked evidence of epithelial injury in most ducts, such as increased nucleocytoplasmic ratio, cytoplasmic vacuolisation, disordered polarity and/or irregular spacing in epithelium; outright duct necrosis can be seen in some ducts3
Venous phlebitisSubendothelial lymphocytes in some but not the majority of portal and/or hepatic venules1
Subendothelial lymphocytes in most portal and/or hepatic venules2
  • The table is modified from the Banff schema for grading liver allograft rejection: an international consensus document.38

  • *Key features differentiating one score in each parameter from the next higher score are underlined.

  • RAI, Rejection Activity Index.