Keywords:
Vascular, Neuroradiology brain, CNS, CT, Diagnostic procedure, Comparative studies, Computer Applications-3D, Haemorrhage, Acute, Pathology
Authors:
S. Jankovic1, D. Ilic1, D. A. Stojanov2, Z. Radovanovic1; 1Nis/RS, 2Nis, SERBIA/RS
DOI:
10.26044/ecr2019/C-1622
Aims and objectives
Intracerebral hemorrhage (ICH) is an urgent neurological and neurosurgical condition with potentially high mortality.
The most common causes of ICH are hypertension,
arteriovenous malformation,
head trauma,
tumors and aneurysms [1].
The initial volume of the hematoma correlates with clinical outcome and is used as a guide for acute treatment and prognosis [2].
Thirty-day mortality is 44%,
with half of the deaths occuring in the acute phase,
especially during the first 48 hours [3].
There is no proven effective treatment as well as the ability to promptly determine the prognosis of the patient.
The volume of hemorrhage,
level of consciousness and existence of intraventricular expansion represent the prognostic factors for clinical outcome of ICH [4]. Volumetric measurement of ICH therefore has an important clinical and prognostic meaning [5].
Computed tomography (CT) is used as an imaging technique of choice in the diagnosis of intracerebral hemorrhage [6].
Volume of ICH can be measured by several methods [7].
The most common methods used for volumetric measurement of ICH are the method with the application of formula for the elliptic equation - ABC/2 method and computer semiautomatic method.
The aim of this study was to compare methods which are being used to measure ICH volume: the ABC/2 method and semiautomatic method with computer volumetric programme.