Comparison of the ABC/2 estimation technique to computer-assisted volumetric analysis of intraparenchymal and subdural hematomas complicating the GUSTO-1 trial
Comparison of the ABC/2 estimation technique to computer-assisted volumetric analysis of intraparenchymal and subdural hematomas complicating the GUSTO-1 trial
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DOI：
10.1161/01.str.29.9.1799
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发表时间：
1998-09-01
期刊：
影响因子：
8.3
通讯作者：
Mahaffey, KW
中科院分区：
文献类型：
--
作者：
Gebel, JM;Sila, CA;Mahaffey, KW
背景和目的-在一些报道中，脑出血的体积已经被证明是死亡率的一个重要的独立预测因子。(1-5)一种用于估计血肿体积的技术，称为ABC/2法，已被证明是一种可靠、简单的床边脑实质内出血体积测量技术。(6-8)硬膜下血肿也有很大的死亡风险，但更适合手术清除。一个可靠的，简单的床旁测量硬膜下血肿体积可能会证明一个有价值的工具，在prestication和管理的病人与此entity. Methods-计算机断层扫描（CT）脑扫描的244例颅内出血的GUSTO-1试验进行了系统的审查。ABC/2技术测量了298例脑实质内血肿的体积，并对44例硬膜下血肿的体积进行了测量，并与计算机辅助体积分析进行了比较。（r=0.842;斜率，0.982）和脑实质内血肿体积测量（r=0.929;结论：ABC/2法是一种测量脑实质内血肿体积的简单而准确的技术，并且简单的调整也允许对硬膜下血肿体积进行类似的精确测量。
Background and Purpose-The volume of an intracerebral hemorrhage has been shown to be an important independent predictor of mortality in several reports.(1-5) A technique for estimating hematoma volume, known as the ABC/2 method, has been proven a reliable, simple bedside technique for the volume measurement of intraparenchymal intracerebral hemorrhage.(6-8) Subdural hematomas also carry a significant mortality risk but are more amenable to surgical evacuation. A reliable, simple bedside measurement of subdural hematoma volume may prove a valuable tool in prognostication and management of patients with this entity.Methods-Computed tomographic (CT) brain scans of 244 patients suffering from intracranial hemorrhage in the GUSTO-1 trial were systematically reviewed. The volumes of 298 intraparenchymal hematomas were measured by the ABC/2 technique, and the volumes of 44 subdural hematomas were measured by an adaptation of this technique and compared to computer-assisted volumetric analysis.Results-Excellent correlation between the techniques were achieved for both subdural (r=0.842; slope, 0.982) and intraparenchymal hematoma volume measurements (r=0.929; slope, 1.11).Conclusions-The ABC/2 method is a simple and accurate technique for the measurement of intraparenchymal hematoma volume, and a simple adaptation allows for a similarly accurate measurement of subdural hematoma volume as well.