Abstract
In order to evaluate the faculty of computed tomography in the diagnosis of hepatic cirrhosis, we analyzed the transverse image of the liver and spleen with morphometric approach. Splenomegaly index (S max) was defined as the ratio of maximum area of the cross section of the spleen to the total area of intraperitoneal space. If the S max is greater than 10%, cirrhosis can be diagnosed with 38% sensitivity (8 cases among 21 cases) and 10.3% false positive rate. On the other hand, the best index for separating cirrhotic livers from noncirrhotic ones is the caudate to right lobe (C/RL) ratio proposed by Harbin et al. If the C/RL ratio is greater than 50%, cirrhosis can be diagnosed with 67% sensitivity (12 cases among 18 cases) and 13% false positive rate. The combination of these two indices showed 89% sensitivity and 22% false positive rate. Not only did it improve the diagnostic sensitivity, but it also seemed to be useful in etiological analysis of cirrhotic livers and differential diagnosis between hepatic cirrhosis and idiopathic portal hypertension.
Yajima, Y;
Narui, T;
Ohtsuki, M;
Gotoh, Y;
[1]
Endo, S
- Tohoku Univ., Sendai (Japan). School of Medicine
Citation Formats
Yajima, Y, Narui, T, Ohtsuki, M, Gotoh, Y, and Endo, S.
Computed tomography in the diagnosis of hepatic cirrhosis. Splenomegaly index and caudate to right lobe ratio.
Japan: N. p.,
1982.
Web.
Yajima, Y, Narui, T, Ohtsuki, M, Gotoh, Y, & Endo, S.
Computed tomography in the diagnosis of hepatic cirrhosis. Splenomegaly index and caudate to right lobe ratio.
Japan.
Yajima, Y, Narui, T, Ohtsuki, M, Gotoh, Y, and Endo, S.
1982.
"Computed tomography in the diagnosis of hepatic cirrhosis. Splenomegaly index and caudate to right lobe ratio."
Japan.
@misc{etde_6515781,
title = {Computed tomography in the diagnosis of hepatic cirrhosis. Splenomegaly index and caudate to right lobe ratio}
author = {Yajima, Y, Narui, T, Ohtsuki, M, Gotoh, Y, and Endo, S}
abstractNote = {In order to evaluate the faculty of computed tomography in the diagnosis of hepatic cirrhosis, we analyzed the transverse image of the liver and spleen with morphometric approach. Splenomegaly index (S max) was defined as the ratio of maximum area of the cross section of the spleen to the total area of intraperitoneal space. If the S max is greater than 10%, cirrhosis can be diagnosed with 38% sensitivity (8 cases among 21 cases) and 10.3% false positive rate. On the other hand, the best index for separating cirrhotic livers from noncirrhotic ones is the caudate to right lobe (C/RL) ratio proposed by Harbin et al. If the C/RL ratio is greater than 50%, cirrhosis can be diagnosed with 67% sensitivity (12 cases among 18 cases) and 13% false positive rate. The combination of these two indices showed 89% sensitivity and 22% false positive rate. Not only did it improve the diagnostic sensitivity, but it also seemed to be useful in etiological analysis of cirrhotic livers and differential diagnosis between hepatic cirrhosis and idiopathic portal hypertension.}
journal = []
volume = {27:3}
journal type = {AC}
place = {Japan}
year = {1982}
month = {Mar}
}
title = {Computed tomography in the diagnosis of hepatic cirrhosis. Splenomegaly index and caudate to right lobe ratio}
author = {Yajima, Y, Narui, T, Ohtsuki, M, Gotoh, Y, and Endo, S}
abstractNote = {In order to evaluate the faculty of computed tomography in the diagnosis of hepatic cirrhosis, we analyzed the transverse image of the liver and spleen with morphometric approach. Splenomegaly index (S max) was defined as the ratio of maximum area of the cross section of the spleen to the total area of intraperitoneal space. If the S max is greater than 10%, cirrhosis can be diagnosed with 38% sensitivity (8 cases among 21 cases) and 10.3% false positive rate. On the other hand, the best index for separating cirrhotic livers from noncirrhotic ones is the caudate to right lobe (C/RL) ratio proposed by Harbin et al. If the C/RL ratio is greater than 50%, cirrhosis can be diagnosed with 67% sensitivity (12 cases among 18 cases) and 13% false positive rate. The combination of these two indices showed 89% sensitivity and 22% false positive rate. Not only did it improve the diagnostic sensitivity, but it also seemed to be useful in etiological analysis of cirrhotic livers and differential diagnosis between hepatic cirrhosis and idiopathic portal hypertension.}
journal = []
volume = {27:3}
journal type = {AC}
place = {Japan}
year = {1982}
month = {Mar}
}