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🧠 ABC/2 Intracerebral Hemorrhage Volume

UseMeasure the longest diameter on the largest slice (A), the perpendicular diameter (B), and the vertical exten…

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SourceKothari RU, et al. The ABCs of measuring intracerebral hemorrhage volumes. Stroke. 1996.

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Score + version; reference only — not a substitute for care · no HIS write

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Methodology · worked example, guidelines & full notes
Clinical takeaway

A hematoma >30 mL—especially supratentorial—is associated with poor outcome and high mortality and is a component of the ICH score (original synthesis · not guideline verbatim).

When to use

Measure the longest diameter on the largest slice (A), the perpendicular diameter (B), and the vertical extent (C); the tool returns the ellipsoid volume.

How it works

Volume (mL) = (A × B × C) / 2, with all diameters in centimeters; C = number of slices with hemorrhage × slice thickness.

Key points

  • A hematoma >30 mL—especially supratentorial—is associated with poor outcome and high mortality and is a component of the ICH score (original synthesis · not guideline verbatim).
  • ABC/2 assumes a near-ellipsoid shape and overestimates irregular or lobulated clots; use volumetric software when accuracy matters.
  • Serial scans tracking volume growth (>33% or >6 mL) identify early deterioration.

References

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

A: longest diameter on the largest slice4 cm
B: largest diameter perpendicular to A3 cm
C: vertical extent (slices × slice thickness)2.5 cm

→Estimated hematoma volume15mL

  • Formula:(A×B×C)/2
Verification & sources · governance
FAQ

Frequently asked questions

What are the limits and cautions when using ABC/2 Intracerebral Hemorrhage Volume?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does ABC/2 Intracerebral Hemorrhage Volume upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is ABC/2 Intracerebral Hemorrhage Volume calculated in practice? Can you show a worked example?
Inputs: A: longest diameter on the largest slice 4 cm, B: largest diameter perpendicular to A 3 cm, C: vertical extent (slices × slice thickness) 2.5 cm → Result: Estimated hematoma volume 15 mL(Formula: (A×B×C)/2)
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