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Sonographic assessment and grading of spleen size
Author(s) -
Ishibashi Hiromi,
Higuchi Noriaki,
Shimamura Ryuji,
Hirata Yasuhiko,
Kudo Jiro,
Niho Yoshiyuki
Publication year - 1991
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1870190106
Subject(s) - spleen , medicine , grading (engineering) , ultrasonography , ultrasound , pathology , radiology , nuclear medicine , civil engineering , engineering
Ultrasonography was used to evaluate spleen size in patients with various clinical conditions including those of the liver, blood, collagen, or autoimmune disease. To express spleen size, a spleen index ( SI ), the product of the transverse diameter and its perpendicular diameter measured on the maximum cross‐sectional image of the spleen, was used. SI correlated well with the volumes of resected spleens. Splenomegaly was present in high percentages of patients with liver, blood, collagen, and autoimmune disease, even though a majority of these spleens were not large enough to palpate. By grading the SI , characteristic distributions of SI were obtained for patients with different types of diseases. Obtaining and grading the SI by the use of ultrasound appears to be a significant supplemental aid for evaluating spleen size, especially in patients whose spleens are not palpable.