Related publications: BALI: An MRI-Based Semiquantitative Index for the Evaluation of Brain Atrophy and Lesions

Categorizing and grading criteria of the BALI

Categories Criteria
GM-SV (gray matter lesions and small vessels) 0 = absence; 1 = punctuate foci in gray matter or multiple small vessels in subcortical area; 2 = beginning confluence of foci in gray matter or diffuse small vessels in subcortical area; 3 = large confluent lesions in gray matter (rare, evidence for stroke-related malacia foci)
PV (periventricular lesions) 0 = absence; 1 = ‘caps’ or pencil-thin lining; 2 = smooth ‘halo’; 3 = irregular periventricular abnormal signal intensities extending into the deep white matter
DWM (deep white matter lesions) 0 = absence; 1 = punctuate foci; 2 = beginning of confluence foci; 3 = large confluent areas; 4 = large confluent white matter areas involving all cerebral lobes; 5 = complete confluent white matter disease
BG (basal ganglia and surrounding area lesions) 0 = absence; 1 = 1 focal lesion; 2 = >1 focal lesion; 3 = large confluent lesions IT (infratentorial region lesions) 0 = absence; 1 = 1 focal lesion; 2 = >1 focal lesion; 3 = large confluent lesions
GA (global atrophy) 0 = no obvious atrophy; 1 = mild atrophy; 2 = moderate atrophy; 3 = severe atrophy
Other lesions 0 = no other kind of disease; 1 = any 1 kind of brain neoplasm, deformation or trauma; 2 = any 2 kinds of brain neoplasm, deformation or trauma; 3 = simultaneous presence of brain neoplasm, deformation and trauma





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