A NEW ULTRASONIC CRITERION OF EVALUATING SPLEEN DIMENSIONS IN CHILDREN AND DETERMINATION OF THE RANGE OF NORMAL ORGAN’S DIMENSIONS
https://doi.org/10.15690/pf.v11i3.1016
Abstract
The study was aimed at establishing a new ultrasonic criterion of evaluating spleen dimensions in children (area of the maximum axial section) and determining the range of normal spleen dimensions. Patients and methods: We analyzed 838 ultrasonic spleen examinations in 3‑15‑year-old children and determined the area of the maximum axial section by tracing the scan obtained with a medical device. Results: on the basis of ultrasonic examination data analysis, we established a formula, which helps to calculate the spleen section area with the organ’s length and thickness. We performed retrospective analysis of 4,001 standard ultrasonic examinations followed by formula evaluation of the area of maximum axial section. Conclusion: on the basis of the comparative analysis of the measured and calculated areas of the maximum spleen axial section, we established a range of normal values of this parameter taking age and sex into account.
About the Authors
O. V. VozgomentRussian Federation
MD, senior research scientist, ultrasonic diagnostician at the Federal scientific center for medical and preventive technologies of managing population health risks (Federal Budgetary Scientific Institution)
M. I. Pykov
Russian Federation
N. V. Zaytseva
Russian Federation
A. A. Akatova
Russian Federation
Y. A. Ivashova
Russian Federation
V. M. Chigvintsev
Russian Federation
References
1. Naumovich E. G. Kompleksnaya ul'trazvukovaya diagnostika ochagovykh i diffuznykh zabolevanii selezenki. Avtoref. dis…kand. med. nauk [Complex Ultrasound Diagnosis of Focal and Diffuse Diseases of the Spleen. Author’s abstract]. Moscow, RMAPO, 2004. 117 p.
2. Naumovich E.G., Mit'kov V.V., Mit'kova M.D. Ul'trazvukovaya i funktsional'naya diagnostika = Ultrasonic and functional diagnostics. 2002; 2: 24–29.
3. Profilakticheskaya pediatriya: Rukovodstvo dlya vrachei. Pod red. A.A. Baranova [Preventive Pediatrics. Guideline. Edited by A.A. Baranov]. Moscow, Soyuz pediatrov Rossii, 2012. 692 p.
4. Drozdov A. A., Drozdova M. V. Zabolevaniya krovi. Polnyi spravochnik [Blood Diseases. Complete Reference Book]. Moscow, Eksmo, 2008. 608 p.
5. Dolgikh O.V., Zaitseva N.V., Dianova D.G. et al. Osobennosti limfotsitarno-kletochnogo zvena u detei, prozhivayushchikh na tekhnogenno nagruzhennykh territoriyakh. Sbornik statei mezhdunarodnoi konferentsii «Retseptory i vnutrikletochnaya signalizatsiya» [Peculiarities of Lymphocytic-cellular Segment in the Children Living in the Industrially Burdened Territories. Collected works of International Conference “Receptors and Intracellular Signaling”]. Pushchino, 2011. pp. 478–483.
6. Vozgoment O. V., Zaitseva N. V., Pykov M. I., Perlova Yu. A., Aminova A. I., Sumenko V. V. Doktor.Ru. = Doctor.Ru. 2013; 9 (87): 69–75.
7. Pykov M.I., Vatolin K.V. Detskaya ul'trazvukovaya diagnostika [Child Ultrasound Diagnostics]. Moscow, Vidar, 2001. 680 p.
8. Dvoryakovskii I.V., Sugak A.B., Dvoryakovskaya G.M. et al. Ul'trazvukovaya i funktsional'naya diagnostika = Ultrasonic and functional diagnostics. 2007; 1: 20–29.
9. Loftus W. K., Metreweli S. Ultrasound assessment of mild splenomegaly: spleen/kidney ratio. Pediatr Radiol. 1998; 28 (2): 98–100.
10. Vozgoment O.V., Pykov M.I., Zaitseva N.V. Ul'trazvukovaya i funktsional'naya diagnostika = Ultrasonic and functional diagnostics. 2013; 6: 56–63.
11. Vozgoment O.V., Zaitseva N.V., Pykov M.I., Kir'yanov D.A., Perlova Yu.A., Patlusova E.S., Chigvintsev V.M. Sposob otsenki sootvetstviya razmerov selezenki norme ili otkloneniya ot nee u detei metodom ul'trazvukovoi diagnostiki. Patent 2502471, Rossiiskaya Federatsiya, MPK A61V. Zayavitel' i patentoobladatel'. Federal'noe byudzhetnoe uchrezhdenie nauki «Federal'nyi nauchnyi tsentr mediko-profilakticheskikh tekhnologii upravleniya riskami zdorov'yu naseleniya» (FBUN «FNTs mediko-profilakticheskikh tekhnologii upravleniya riskami zdorov'yu naseleniya», RU). № 2012136029; zayavl. 21.08.2012; opubl. 27.12.2013, byul. № 36 [Method of Estimating Correspondence of Spleen Dimensions to Norm or Deviation from it in Children by method of ultrasonic diagnostics . Patent No. 2502471, Russian Federation, MPK A61V. Applicant and Proprietor of the Patent – Federal Budgetary Scientific Institution “Federal Scientific Center of Medical-Preventive Public Health Risk Management Technologies” (FBSI “FSC of Medical-Preventive Public Health Risk Management Technologies”, RU). No. 2012136029; applied: 21.08.2012; published: 27.12.2013; Bulletin No. 36].
12. Mit'kov V.V. Klinicheskoe rukovodstvo po ul'trazvukovoi diagnostike v 5 tomakh [Clinical Reference on Ultrasound Examination in 5 Volumes]. Moscow, Vidar, 1996.
13. Glants S. Mediko-biologicheskaya statistika [Biomedical Statistics]. Moscow, Praktika, 1999. 459 p.
Review
For citations:
Vozgoment O.V., Pykov M.I., Zaytseva N.V., Akatova A.A., Ivashova Y.A., Chigvintsev V.M. A NEW ULTRASONIC CRITERION OF EVALUATING SPLEEN DIMENSIONS IN CHILDREN AND DETERMINATION OF THE RANGE OF NORMAL ORGAN’S DIMENSIONS. Pediatric pharmacology. 2014;11(3):89-92. https://doi.org/10.15690/pf.v11i3.1016