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Can the smallest depth of ascitic fluid on sonograms predict the amount of drainable fluid?
Author(s) -
Irshad Abid,
Ackerman Susan J.,
Anis Munazza,
Campbell Amy S.,
Hashmi Atif,
Baker Nathaniel L.
Publication year - 2009
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.20616
Subject(s) - paracentesis , medicine , ascitic fluid , ascites , ultrasound , volume (thermodynamics) , significant difference , nuclear medicine , surgery , radiology , physics , quantum mechanics
Abstract Purpose To investigate the correlation between the ‘smallest fluid depth’ (SFD) measured on sonography (US) at the ‘paracentesis pocket’ with the amount of fluid drained in patients referred for US‐guided large‐volume paracentesis. Methods US examinations performed to guide 60 paracenteses in 29 patients with large‐volume ascites were reviewed and the SFD measured at the site of the paracentesis. The SFD was measured from the most superficial bowel loop to the abdominal wall. The SFD measurements were compared with the drained fluid volume (DFV) measurements. Results The average DFV per paracentesis was 5.2 L with an average SFD measurement of 5.4 cm. For every 1‐cm increase in the measured SFD, there was an average 1‐L increase in the DFV. After applying this relationship to the measured depth in each case, the comparison between the estimated fluid volume (EFV) on US and the DFV demonstrated a <1‐L difference in 38 of 60 paracenteses (63.3%) and a <2‐L difference in 51 of 60 paracenteses (85%). Conclusion The SFD measured at the site of paracentesis shows a correlation with the drained fluid volume and can be used for fluid volume estimation on US. © 2009 Wiley Periodicals, Inc. J Clin Ultrasound, 2009