1 Department of Medicine, Imperial College, London, United Kingdom.2 North West London Pathology, London, United Kingdom.3 Department of Histopathology, Guy's and St. Thomas' National Health Service Foundation Trust, London, United Kingdom.4 Department of Pathology, Erasmus MC, Rotterdam, The Netherlands.5 Department of Pathology, Cedars-Sinai Medical Center, Los Angeles, CA.6 Department of Pathology, University of Chicago, Chicago, IL.7 Paris Translational Research Center for Organ Transplantation, Paris, France.8 Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.9 Department of Transplantology, Nephrology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.10 Department of Pathology, Necker Hospital University Paris Descartes, Paris, France.11 The Johns Hopkins University, Baltimore, MD.12 Institute of Pathology, University Hospital of Cologne, Cologne, Germany.
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The Banff Classification of Allograft Pathology is an international consensus classification for the reporting of biopsies from solid organ transplants. Since its initial conception in 1991 for renal transplants, it has undergone review every 2 years, with attendant updated publications. The rapid expansion of knowledge in the field has led to numerous revisions of the classification. The resultant dispersal of relevant content makes it difficult for novices and experienced pathologists to faithfully apply the classification in routine diagnostic work and in clinical trials. This review shall provide a complete and simple illustrated reference guide of the Banff Classification of Kidney Allograft Pathology based on all publications including the 2017 update. It is intended as a concise desktop reference for pathologists and clinicians, providing definitions, Banff Lesion Scores and Banff Diagnostic Categories. An online website reference guide hosted by the Banff Foundation for Allograft Pathology (www.banfffoundation.org) is being developed, which will be updated with future refinement of the Banff Classification from 2019 onward.