Klinik Araştırma
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Evaluation of Spleen with Ultrasonography: Single Measurement or Volume Detection?

Yıl 2023, Cilt: 5 Sayı: 2, 90 - 94, 28.06.2023
https://doi.org/10.52827/hititmedj.1194800

Öz

Introduction
Splenomegaly is an important finding for many diseases. Splenic long axis greater than eleven cm are investigated and sometimes invasive examinations are performed. Splenic size may differ depending on the age, gender, body mass index and racial differences. The aim of this study is to investigate the relationship between splenic dimensions and volume in the patients attended to gastroenterology outpatient clinics
Material and Method
Patients without a known disease and applied to gastroenterology outpatient clinic needed basic evaluation with ultrasonography are included in the study. A single skilled radiologist performed ultrasonographic measurements. Splenic volume is calculated by prolate ellipsoid formula (length × width × depth × 0.523).
Results/Findings
A total of 245 patients (146 female, 99 male) were enrolled in the study. In correlation analysis of spleen volume was positively correlated with height (r=0.505; p<0.05), weight (r=0.367; p<0.00), waist circumference(r=0.208; p<0.05), and body surface area (r=0.269; p<0.05) and negatively correlated with age (r=-0.269; p<0.05). ın logistic regression analysis, the main determinants of maximal length were found to be body surface area (BSA), age, and weight.
Conclusion
Splenic volume measurements are the mostly correlated with width of spleen. Splenic volume decreases with age and correlated with BSA and weight. Measuring splenic volume may be helpful in detecting splenomegaly.

Destekleyen Kurum

no funding

Kaynakça

  • 1. Bezerra AS, D’Ippolito G, Faintuch S, Szejnfeld J, Ahmed M. Determination of splenomegaly by CT: is there a place for a single measurement? Am J Roentgenol. 2005;184:1510–
  • 2. Prassopoulos P, Cavouras D. CT assessment of normal splenic size in children. Acta Radiol. 1994;35:152–4.
  • 3. Mustapha Z, Tahir A, Tukur M, Bukar M, Lee WK. Sonographic determination of normal spleen size in an adult African population. Eur J Radiol. 2010;75:133–5.
  • 4. Srisajjakul S, Prapaisilp P, Laorratkul N. Normal splenic volume assessment on CT in 426 adults. Siriraj Med J. 2012;64:43–6.
  • 5. Lamb PM, Lund A, Kanagasabay RR, Martin A, Webb JA, Reznek RH. Spleen size: how well do linear ultrasound measurements correlate with three-dimensional CT volume assessments? Br J Radiol. 2002;75:573–7. 6. Loftus W, Chow LTC, Metreweli C. Sonographic measurement of splenic length: correlation with measurement at autopsy. J Clin Ultrasound. 1999;27:71–4.
  • 7. Yetter EM, Acosta KB, Olson MC, Blundell K. Estimating splenic volume: sonographic measurements correlated with helical CT determination. Am J Roentgenol. 2003;181:1615–20.
  • 8. Kaneko J, Sugawara Y, Matsui Y, Ohkubo T, Makuuchi M. Normal splenic volume in adults by computed tomography. Hepatogastroenterology. 2002;49:1726–7.
  • 9. Geraghty EM, Boone JM, McGahan JP, Jain K. Normal organ volume assessment from abdominal CT. Abdom Imaging. 2004;29:482–90
  • 10. Badran DH, Kalbouneh HM, Al-Hadidi MT, Shatarat AT, Tarawneh ES, Hadidy AM, et al. Ultrasonographic assessment of splenic volume and its correlation with body parameters in a Jordanian population. Saudi Med J. 2015;36:967–72
  • 11. Caglar V, Kumral B, Uygur R, Alkoc OA, Ozen OA, Demirel H. Study of volume, weight and size of normal pancreas, spleen and kidney in adult autopsies. FMAR. 2014;2:63–
  • 12. Loftus WK, Metreweli C. Normal splenic size in a Chinese population. JUltrasound Med. 1997;16:345–7.
  • 13. Arora N, Sharma PK, Sohai A, Singh R. Sonographic measurements of the spleen in relation to age: a prospective study in North Indian adults. J Anat Soc India. 2010;59:177–81.
  • 14. Krumbhaar EB, Lippincott SW. The post-mortem weight of the “normal” human spleen at different ages. Am J Med Sci. 1939;197:344–9.
  • 15. Hosey RG, Kriss V, Uhl TL, DiFiori J, Hecht S, Wen DY. Ultrasonographic evaluation of splenic enlargement in athletes with acute infectious mononucleosis. Br J Sports Med. 2008;42:974–7.
  • 16. Spielmann AL, DeLong DM, Kliewer MA. Sonographic evaluation of spleen size in tall healthy athletes. AJR Am J Roentgenol. 2005;184:45–9.
  • 17. Prassopoulos P, Daskalogiannaki M, Raissaki M, Hatjidakis A, Gourtsoyiannis N. Determination of normal splenic volume on computed tomography in relation to age, gender and body habitus. Eur Radiol. 1997;2:246–8.
  • 18. Chow KU, Luxembourg B, Seifried E, Bonig H. Spleen size is significantly influenced by body height and sex: establishment of normal values for spleen size at US with a cohort of 1200 healthy individuals. Radiology. 2016;279:306–13.
  • 19. Mazonakis M, Damilakis J, Maris T, Prassopoulos P, Gourtsoyiannis N. Estimation of spleen volume using MR imaging and a random marking technique. Eur Radiol. 2000;10:1899–903.
  • 20. Farraher SW, Jara H, Chang KJ, Hou A, Soto JA. Liver and spleen volumetry with quantitative MR imaging and dual-space clustering segmentation. Radiology. 2005;237:322–8
  • 21. Breiman RS, Beck JW, Korobkin M, Glenny R, Akwari OE, Heaston DK, et al. Volume determinations using computed tomography. AJR Am J Roentgenol. 1982;138:329–33

Ultrasonografi ile Splenomegali Tespiti: Tek Ölçüm mü Yoksa Hacim Hesabı Mı?

Yıl 2023, Cilt: 5 Sayı: 2, 90 - 94, 28.06.2023
https://doi.org/10.52827/hititmedj.1194800

Öz

Giriş: Splenomegali birçok hastalık için önemli bir bulgudur. Dalak uzun ekseni on üç cm'den büyük ise araştırılır ve bazen invaziv incelemeler yapılır. Dalak büyüklüğü yaşa, cinsiyete, vücut kitle indeksine ve ırksal farklılıklara bağlı olarak değişebilir. Bu çalışmanın amacı, sağlıklı bireylerde dalak boyutları ve hacmi arasındaki ilişkiyi araştırmaktır.
Gereç ve yöntem: Bilinen bir hastalığı olmayan ve gastroenteroloji polikliniğine başvuran, ultrasonografi ile temel değerlendirme yapılan hastalar çalışmaya dâhil edildi. Ultrasonografik ölçümler tek bir uzman radyolog tarafından yapıldı. Dalak hacmi, prolate elipsoid formülüyle hesaplandı (uzunluk × genişlik × derinlik × 0.523).
Bulgular: Çalışmaya toplam 245 hasta (146 kadın, 99 erkek) dâhil edildi. Dalak hacmi korelasyon analizinde boy (r=0.505; p<0.05), ağırlık (r=0.367; p<0.00), bel çevresi (r=0.208; p<0.05) ve vücut yüzey alanı ile pozitif korelasyon (r =0.269; p<0.05) ve yaş ile negatif korelasyon (r=-0.269; p<0.05) gösterdi. lojistik regresyon analizinde maksimal uzunluğun ana belirleyicilerinin vücut yüzey alanı, yaş ve ağırlık olduğu bulundu.
Sonuç: Dalak hacmi ölçümleri çoğunlukla dalak genişliği ile ilişkilidir. Dalak hacmi yaşla birlikte azalır ve vücut ağırlığı ve vücut yüzey alanı ile ilişkilidir. Dalak hacminin ölçülmesi, splenomegalinin saptanmasında yardımcı olabilir.

Kaynakça

  • 1. Bezerra AS, D’Ippolito G, Faintuch S, Szejnfeld J, Ahmed M. Determination of splenomegaly by CT: is there a place for a single measurement? Am J Roentgenol. 2005;184:1510–
  • 2. Prassopoulos P, Cavouras D. CT assessment of normal splenic size in children. Acta Radiol. 1994;35:152–4.
  • 3. Mustapha Z, Tahir A, Tukur M, Bukar M, Lee WK. Sonographic determination of normal spleen size in an adult African population. Eur J Radiol. 2010;75:133–5.
  • 4. Srisajjakul S, Prapaisilp P, Laorratkul N. Normal splenic volume assessment on CT in 426 adults. Siriraj Med J. 2012;64:43–6.
  • 5. Lamb PM, Lund A, Kanagasabay RR, Martin A, Webb JA, Reznek RH. Spleen size: how well do linear ultrasound measurements correlate with three-dimensional CT volume assessments? Br J Radiol. 2002;75:573–7. 6. Loftus W, Chow LTC, Metreweli C. Sonographic measurement of splenic length: correlation with measurement at autopsy. J Clin Ultrasound. 1999;27:71–4.
  • 7. Yetter EM, Acosta KB, Olson MC, Blundell K. Estimating splenic volume: sonographic measurements correlated with helical CT determination. Am J Roentgenol. 2003;181:1615–20.
  • 8. Kaneko J, Sugawara Y, Matsui Y, Ohkubo T, Makuuchi M. Normal splenic volume in adults by computed tomography. Hepatogastroenterology. 2002;49:1726–7.
  • 9. Geraghty EM, Boone JM, McGahan JP, Jain K. Normal organ volume assessment from abdominal CT. Abdom Imaging. 2004;29:482–90
  • 10. Badran DH, Kalbouneh HM, Al-Hadidi MT, Shatarat AT, Tarawneh ES, Hadidy AM, et al. Ultrasonographic assessment of splenic volume and its correlation with body parameters in a Jordanian population. Saudi Med J. 2015;36:967–72
  • 11. Caglar V, Kumral B, Uygur R, Alkoc OA, Ozen OA, Demirel H. Study of volume, weight and size of normal pancreas, spleen and kidney in adult autopsies. FMAR. 2014;2:63–
  • 12. Loftus WK, Metreweli C. Normal splenic size in a Chinese population. JUltrasound Med. 1997;16:345–7.
  • 13. Arora N, Sharma PK, Sohai A, Singh R. Sonographic measurements of the spleen in relation to age: a prospective study in North Indian adults. J Anat Soc India. 2010;59:177–81.
  • 14. Krumbhaar EB, Lippincott SW. The post-mortem weight of the “normal” human spleen at different ages. Am J Med Sci. 1939;197:344–9.
  • 15. Hosey RG, Kriss V, Uhl TL, DiFiori J, Hecht S, Wen DY. Ultrasonographic evaluation of splenic enlargement in athletes with acute infectious mononucleosis. Br J Sports Med. 2008;42:974–7.
  • 16. Spielmann AL, DeLong DM, Kliewer MA. Sonographic evaluation of spleen size in tall healthy athletes. AJR Am J Roentgenol. 2005;184:45–9.
  • 17. Prassopoulos P, Daskalogiannaki M, Raissaki M, Hatjidakis A, Gourtsoyiannis N. Determination of normal splenic volume on computed tomography in relation to age, gender and body habitus. Eur Radiol. 1997;2:246–8.
  • 18. Chow KU, Luxembourg B, Seifried E, Bonig H. Spleen size is significantly influenced by body height and sex: establishment of normal values for spleen size at US with a cohort of 1200 healthy individuals. Radiology. 2016;279:306–13.
  • 19. Mazonakis M, Damilakis J, Maris T, Prassopoulos P, Gourtsoyiannis N. Estimation of spleen volume using MR imaging and a random marking technique. Eur Radiol. 2000;10:1899–903.
  • 20. Farraher SW, Jara H, Chang KJ, Hou A, Soto JA. Liver and spleen volumetry with quantitative MR imaging and dual-space clustering segmentation. Radiology. 2005;237:322–8
  • 21. Breiman RS, Beck JW, Korobkin M, Glenny R, Akwari OE, Heaston DK, et al. Volume determinations using computed tomography. AJR Am J Roentgenol. 1982;138:329–33
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makaleleri
Yazarlar

Olga Metin 0000-0003-4673-5099

Defne Gurbuz 0000-0003-0280-1197

Yayımlanma Tarihi 28 Haziran 2023
Gönderilme Tarihi 15 Kasım 2022
Kabul Tarihi 13 Mart 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 5 Sayı: 2

Kaynak Göster

AMA Metin O, Gurbuz D. Evaluation of Spleen with Ultrasonography: Single Measurement or Volume Detection?. Hitit Medical Journal. Haziran 2023;5(2):90-94. doi:10.52827/hititmedj.1194800