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Paper Information

Journal:   TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)   2004 , Volume 62 , Number 7; Page(s) 572 To 579.
 
Paper: 

SONOGRAOHIC ASSESSMENT AND GRADING OF SPLENIC INDEX IN VARIOUS DISEASES

 
 
Author(s):  SHABANI SAMGHABADI M.A., SABERI H., FIROOZNIA K., RAHMANI M., SHARIFIAN R.
 
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Abstract: 

Background: Splenomegay is a common finding in numerous diseases such as hepatic, hematologic and metabolic diseases and also in any systemic inflammation. The purpose of this study was to evaluate the grading of splenomegaly in various diseases and to compare them with healthy control subjects.
Materials and Methods: Sonography was used to evaluate splenic index (SI) in 640 patients and 200 healthy control subjects prospectively in Imam Khomeini hospital between 13,79 and 1381. To express spleen size, splenic index was used which is a known method. SI was obtained by the following formula: SI(cm2)= a(cm)x b(cm) where a is the transverse and b is the vertical diameter of the largest coronal sectional image of spleen.
Results & Conclusion: Splenomegaly was present in high percentage of the patients, even though a majority of these spleens were not large enough to palpate. By grading of SI ,characteristic distributions of SI for different types of diseases were obtained. Obtaining and grading the SI by sonography appears to be a significant supplemental aid for evaluating and sub grouping splenomegaly, specially in patients whose spleen are not palpable.

 
Keyword(s): SPLEEN SIZE, SPLENIC INDEX, SONOGRAPHY
 
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