Evidence map›Paper›PMID 40636571›Full record

ArticleiLIVER2023

More precise measurement of irregular splenic volume in cirrhotic patients with portal hypertension.

Xiao Chen, Tao Yang, Dong Wang, Bo Huang, Yanlong Cao, Jianguo Lu, Lei Cai, Jikai Yin

Abstract read
In one paragraph

Article in iLIVER, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xiao ChenDepartment of General Surgery, Tangdu Hospital of the Fourth Military Medical University, Xi'an 710038, China.
Tao YangDepartment of General Surgery, Tangdu Hospital of the Fourth Military Medical University, Xi'an 710038, China.
Dong WangDepartment of General Surgery, Tangdu Hospital of the Fourth Military Medical University, Xi'an 710038, China.
Bo HuangDepartment of General Surgery, Tangdu Hospital of the Fourth Military Medical University, Xi'an 710038, China.
Yanlong CaoDepartment of General Surgery, Tangdu Hospital of the Fourth Military Medical University, Xi'an 710038, China.
Jianguo LuInstitute of Hepatopancreatobiliary Surgery, Chongqing General Hospital, University of Chinese Academy of Sciences, Chongqing 404100, China.
Lei CaiDepartment of General Surgery, Tangdu Hospital of the Fourth Military Medical University, Xi'an 710038, China.
Jikai YinDepartment of General Surgery, Tangdu Hospital of the Fourth Military Medical University, Xi'an 710038, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: Splenomegaly often occurs in cirrhotic patients with portal hypertension (PHT), and therefore, the efficacy and accuracy of conventional methods for measuring splenic volume are a matter of question in these patients. Here, we developed a novel approach to assess true splenic volume more precisely. Methods: High-quality thin-slice computed tomography data of 112 cirrhotic patients with PHT were obtained and reviewed. Both the conventional measurement and a novel formula obtained from 3-dimensional reconstruction software were used to estimate splenic volume, and the accuracy was compared and verified. Results: In PHT patients, the splenic volume calculated using the conventional method was significantly less than that calculated using the 3-dimensional software. We found that the splenic volume was significantly positively correlated with splenic indices of length (L), thickness (T), and width (W) and also the diameter of the splenic vein. Using these indices, we propose 2 novel formulas using the software to estimate the splenic volume more accurately: SV = 69.686 × L + 53.077 × W + 103.525 × T + 314.510 × diameter of splenic vein -2266.209 ( Conclusion: Although the conventional formula has been widely used for years, it is not suitable for an enlarged spleen. We developed 2 novel formulas for estimating splenic volume from clinical data that were more appropriate for cirrhotic patients with PHT.

Indexed as

Liver cirrhosisPortal hypertensionSplenic volume

Identifiers

PMID40636571
PMCPMC12212706

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.