Grade | Definition based on CT contrast |
---|---|
Grade 0 (no invasion) | No evidence of vessel invasion, ≥1 mm from the closest pulmonary vessel wall (presence of a fat plane between tumor and vessel wall) |
Grade 1 (minimal invasion) | Tumor invasion with 0 mm to the closest pulmonary vessel wall, no fat plane, without presence of narrowing or truncation of vessels, nor signs of vessel wall damage (irregularity, discontinuity or intra-luminal mass formation) |
Grade 2 (moderate invasion) | Circumferential involvement with narrowing or truncation |
Grade 3 (extensive invasion) | Tumor invading pulmonary vessel extensively with any sign of vessel wall damage: irregularity, discontinuity or intra-luminal mass formation or massive haemorrhage due to the tumor invading pulmonary artery |