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A formula for determining the standard liver volume in children: a special reference for neonates and infants
Isamu Saeki1, Shoji Tokunaga, Toshiharu Matsuura
1Department of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University Hospital, Fukuoka, Japan. isamu@pedsurg.med.kyushu-u.ac.jp
Insights
A new formula estimates the standard liver volume (SLV) in children, crucial for pediatric liver transplantation. This calculation is more accurate for neonates and infants, improving transplant outcomes.
Area of Science:
- Pediatric surgery
- Medical imaging
- Transplantation
Background:
- Accurate standard liver volume (SLV) calculation is vital for successful pediatric liver transplantation.
- Existing formulas for SLV are not well-established for pediatric populations, particularly neonates and infants.
Purpose of the Study:
- To estimate the SLV in children, including neonates and infants.
- To establish a new, accurate formula for calculating pediatric SLV.
Main Methods:
- Liver volumes (LV) of 100 children (7 neonates, 15 infants) were measured using thin-slice helical CT scans.
- Body surface area (BSA) was calculated from height and weight.
- A regression formula was derived to estimate SLV based on BSA.
Main Results:
- A novel formula for estimating SLV in children was established: SLV (mL) = 689.9 × BSA (m²) - 24.7.
- The calculated SLV in children was significantly lower than previously reported values (p < 0.001).
Conclusions:
- A reliable formula for calculating SLV in pediatric patients, including neonates, has been developed.
- This new formula is expected to enhance the precision of graft selection and improve outcomes in pediatric liver transplantation.
Abstract:
Accurately evaluating the ratio of GV to the SLV (GV/SLV) is important in successful pediatric liver transplantation. However, the formula used to calculate the SLV of children, including neonates and infants, has not yet been established. The aim of the current study was to estimate the SLV of children, including neonates, and to establish an accurate formula. The LV of 100 children (including 7 neonates and 15 infants) were measured using thin slice (3-5 mm) helical CT images. Their BSA was calculated from height and weight. A new formula to estimate the SLV was established as follows: SLV (mL) =689.9 × BSA (m(2)) -24.7. The SLV of children was significantly lower than that in previous reports (p < 0.001). A formula for calculating the SLV of children including neonates was established. This new formula will be useful in pediatric liver transplantation.
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