Estimation of liver volume in the western Indian population.
BACKGROUND
A number of formulae to estimate standard liver volume (SLV) exist. However, studies have shown that only certain formulae are applicable to a particular patient population, whereas the other formulae have not been accurate in estimating the SLV. Aim of this study was to assess which formula is most accurate in estimating SLV in the western Indian population.


METHODS
Data for donors of living donor liver transplantation from September 2014 to July 2015 was analyzed. Liver volumes were measured using computed tomography volumetry (CTV). SLV was calculated using formulae by the currently existing formulae. The mean SLV and CTV, percentage error in the SLV, and the correlation between SLV and CTV were calculated.


RESULTS
Fifty-nine healthy subjects underwent donor hepatectomy [28 (47.5 %) males]. The mean age, mean body mass index (BMI), and mean body surface area (BSA) were 31.8 ± 8.8 years, 23.8 ± 3.7 kg/m(2), and 1.6 ± 0.4, respectively. Mean CTV was 1178 ± 246.8 mL. Difference between mean SLV and mean CTV ranged from -133.5 (±189) mL to 632.2 (±190.2) mL. Mean SLV was significantly different from CTV by all the formulae except Urata. Percentage of population whose SLV was within 15 % of the mean CTV ranged from 1.7 % to 67.8 %, with the highest percentage obtained by using Fu-Gui's formula. However, there was wide inter-individual variation on scatter plots between SLV and CTV by both these formulae.


CONCLUSIONS
Currently existing formulae were not accurate in estimating SLV in our population.
Department of Hepatobiliary Surgery and Liver Transplantation, Global Hospital Superspeciality and Transplant Center, Parel, Mumbai, 400 012, India. gauravdr18@yahoo.co.in.
Gaurav
G
Chaubal
Department of Hepatology, Global Hospital Superspeciality and Transplant Center, Parel, Mumbai, 400 012, India.
Vibhor V
VV
Borkar
Department of Hepatobiliary Surgery and Liver Transplantation, Global Hospital Superspeciality and Transplant Center, Parel, Mumbai, 400 012, India.
Guruprasad
G
Shetty
Department of Hepatobiliary Surgery and Liver Transplantation, Global Hospital Superspeciality and Transplant Center, Parel, Mumbai, 400 012, India.
Somnath
S
Chattopadhyay
Department of Hepatobiliary Surgery and Liver Transplantation, Global Hospital Superspeciality and Transplant Center, Parel, Mumbai, 400 012, India.
Upasna
U
Bahure
Department of Radiodiagnosis, Global Hospital Superspeciality and Transplant Center, Parel, Mumbai, 400 012, India.
Rashmi
R
Badhe
Department of Radiodiagnosis, Global Hospital Superspeciality and Transplant Center, Parel, Mumbai, 400 012, India.
Ashlesha
A
Udare
Department of Hepatology, Global Hospital Superspeciality and Transplant Center, Parel, Mumbai, 400 012, India.
Samir
S
Shah
Department of Hepatology, Global Hospital Superspeciality and Transplant Center, Parel, Mumbai, 400 012, India.
Parijat
P
Gupte
Department of Hepatology, Global Hospital Superspeciality and Transplant Center, Parel, Mumbai, 400 012, India.
Akash
A
Shukla
Department of Hepatobiliary Surgery and Liver Transplantation, Global Hospital Superspeciality and Transplant Center, Parel, Mumbai, 400 012, India.
Mohammed
M
Rela
Department of Hepatobiliary Surgery and Liver Transplantation, Global Hospital Superspeciality and Transplant Center, Parel, Mumbai, 400 012, India.
Ravi
R
Mohanka
D000328:Adult; D005260:Female; D006801:Humans; D007194:India; D008099:Liver / Q000033:anatomy & histology* / Q000000981:diagnostic imaging*; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D009929:Organ Size; D014057:Tomography, X-Ray Computed; D055815:Young Adult
Computed tomography volumetry; Living donor liver transplantation; Standard liver volume