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(Stroke. 1996;27:1304-1305.)
© 1996 American Heart Association, Inc.

Articles

The ABCs of Measuring Intracerebral Hemorrhage Volumes

Rashmi U. Kothari, MD; Thomas Brott, MD; Joseph P. Broderick, MD; William G. Barsan, MD; Laura R. Sauerbeck, RN, BSN; Mario Zuccarello, MD Jane Khoury, MS

the Departments of Emergency Medicine (R.U.K.), Neurology (T.B., J.P.B., L.R.S.), Neurosurgery (M.Z.), and Environmental Health (J.K.), University of Cincinnati (Ohio), and the Section of Emergency Medicine, Department of Surgery, University of Michigan, Ann Arbor (W.G.B.).

Background and Purpose Hemorrhage volume is a powerful predictor of 30-day mortality after spontaneous intracerebral hemorrhage (ICH). We compared a bedside method of measuring CT ICH volume with measurements made by computer-assisted planimetric image analysis.

Methods The formula ABC/2 was used, where A is the greatest hemorrhage diameter by CT, B is the diameter 90° to A, and C is the approximate number of CT slices with hemorrhage multiplied by the slice thickness.

Results The ICH volumes for 118 patients were evaluated in a mean of 38 seconds and correlated with planimetric measurements (R2=.96). Interrater and intrarater reliability were excellent, with an intraclass correlation of .99 for both.

Conclusions We conclude that ICH volume can be accurately estimated in less than 1 minute with the simple formula ABC/2.


Key Words: blood volume • computed tomography • intracerebral hemorrhage




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