Efficient stereological approaches for the volumetry of a normal or enlarged spleen from MDCT images.

Objectives: To introduce efficient stereological approaches for estimating the volume of a normal or enlarged spleen from MDCT.Methods: All study participants underwent an abdominal MDCT. The first group included 20 consecutive patients with splenomegaly and the second group consisted of 20 subjects...

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Publicado en:European Radiology Vol. 25; no. 6; pp. 1761 - 1768
Autores principales: Mazonakis, Michalis, Stratakis, John, Damilakis, John
Formato: research Journal Article
Publicado: Springer Nature Jun2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2015
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00330-014-3561-7
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        atl: Efficient stereological approaches for the volumetry of a normal or enlarged spleen from MDCT images.
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          Mazonakis, Michalis
          Stratakis, John
          Damilakis, John
      sug:
        subj:
          Splenomegaly Pathology
          Spleen Anatomy and Histology
          Multidetector Computed Tomography Methods
          Reference Values
          Spleen
          Sensitivity and Specificity
          Male
          Middle Age
          Human
          Body Weights and Measures
          Aged
          Multidetector Computed Tomography Standards
          Splenomegaly
          Female
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objectives: To introduce efficient stereological approaches for estimating the volume of a normal or enlarged spleen from MDCT.Methods: All study participants underwent an abdominal MDCT. The first group included 20 consecutive patients with splenomegaly and the second group consisted of 20 subjects with a normal spleen. Splenic volume estimations were performed using the stereological point counting method. Stereological assessments were optimized using the systematic slice sampling procedure. Planimetric measurements based on manual tracing of splenic boundaries on each slice were taken as reference values.Results: Stereological analysis using five to eight systematically sampled slices provided enlarged splenic volume estimations with a mean precision of 4.9 ± 1.0 % in a mean time of 2.3 ± 0.4 min. A similar measurement duration and error was observed for normal splenic volume assessment using four to seven systematically selected slices. These stereological approaches slightly but insignificantly overestimated the volume of a normal and enlarged spleen compared to planimetry (P > 0.05) with a mean difference of -1.3 ± 4.3 % and -2.7 ± 5.2 %, respectively. The two methods were highly correlated (r ≥ 0.96). The variability of repeated stereological estimations was below 3.8 %.Conclusions: The proposed stereological approaches enable the rapid, reproducible, and accurate splenic volume estimation from MDCT data in patients with or without splenomegaly.Key Points: • New efficient stereological approaches are proposed for spleen volumetry from MDCT • These volumetric approaches are applicable in patients with or without splenomegaly • Stereological splenic volume estimations from MDCT are rapid, reproducible, and accurate.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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