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ICH volume calculator

Estimate intracerebral haemorrhage volume by ABC/2 using perpendicular CT diameters and slice extent, with an optional weighted slice count.

Calculator

For feet, enter decimal feet: 5 ft 6 in is 5.5 ft.

For feet, enter decimal feet: 5 ft 6 in is 5.5 ft.

For feet, enter decimal feet: 5 ft 6 in is 5.5 ft.

Estimated ABC/2 volume
12
Effective slice count
4.0
Effective depth C (cm)
2.000
Diameter A (cm)
4.000
Diameter B (cm)
3.000
Slice thickness (cm)
0.500

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How this calculator works

ABC/2 approximates an ellipsoid using the largest CT diameter, its perpendicular diameter on the same slice and craniocaudal extent. Weighted mode follows the original slice method: count areas above 75% of the largest as 1, 25% through 75% as 0.5 and below 25% as 0. This is a rough imaging estimate. Irregular or separated haemorrhages need segmentation rather than an invented shape adjustment. The result is an estimate for information only and is not medical advice.

Formula

Volume = A × B × C / 2. C = effective slice count × slice thickness. In cm, the result is cm³, equal to mL.

Worked example

A 4 cm by 3 cm haemorrhage on four 0.5 cm slices gives C 2 cm and volume 12 mL. Three full plus two half-weight slices also give effective count 4.

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Frequently asked questions

Are A and B measured on different slices?

No. Use the greatest diameter and its perpendicular on the same largest haemorrhage slice.

Can slices have different thicknesses?

This page assumes a common thickness. Use segmented volume or a suitable method for variable slice spacing.

Why is there no irregular-shape divisor?

A universal replacement divisor is not assumed. ABC/2 is less reliable for irregular, multifocal or multilobular haemorrhage.

Sources

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