A New Practical Intracerebral Hematoma Volume Calculation Method and Comparison to simple ABC/2
Related Experiment Video
Updated: Jan 21, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Ferhat Cuce1, Gokalp Tulum, Ozgur Dandin
1Gulhane Education and Training Hospital, Department of Radiology, Ankara, Turkey.
Aim:
To find a more practical and effective formula than simple ABC/2 (sABC/2) to calculate the hematoma volume in patients with subdural and parenchymal haemorrhage.
Material And Methods:
We reviewed the records of 157 patients who underwent brain computed tomography examinations for stroke from January to October 2017. Our method, sABC/2 formula, and the planimetric method (the gold standard) were used for measuring the volumes of hematoma.
Results:
The concordance in brain hematoma volumes calculated by sABC/2 and the proposed method as compared to planimetry were 0.92 and 0.93, respectively (p < 0.05). The proposed method calculates the subdural hematoma volumes much better than the conventional one, and the root mean square error (RMSE) values were 32.17 and 20.62 ml for sABC/2 and our new method, respectively, whereas the RMSE values for parenchymal hematomas were 25.01 and 20.46 ml for sABC/2 and our new method, respectively.
Conclusion:
Our new formula for calculating the volume of subdural and parenchymal hematomas is as practical as sABC/2 and allows the clinician to apply the method bedside.
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