{"id":880,"date":"2017-09-29T17:46:34","date_gmt":"2017-09-29T17:46:34","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=880"},"modified":"2017-09-29T17:47:36","modified_gmt":"2017-09-29T17:47:36","slug":"ijar-2017-322","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-322","title":{"rendered":"IJAR.2017.322"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"http:\/\/www.ijmhr.org\/ijar.5.3\/IJAR.2017.322.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-5-3.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 5; Issue 3.3 (September 2017)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a04326-4332<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2017.322<\/h3>\n<h3 style=\"text-align: justify;\">MORPHOMETRIC STUDY OF HUMAN LIVER IN RELATION TO AGE &amp; SEX BY ULTRASONOGRAPHY METHOD<\/h3>\n<p style=\"text-align: justify;\"><strong>Banvath Anjaneya Babu Naik <sup>1<\/sup>, Suma MP *<sup>2<\/sup>, J Vasu Deva Reddy\u00a0<sup>3<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>1<\/sup> Tutor, Department of antomy, TOMCH&amp;RC, Bengaluru, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><sup>*2 <\/sup>Assistant professor, Department of Anatomy, TOMCH&amp;RC, Bengaluru, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><sup>3<\/sup> Professor, Department of Anatomy, Padmavathi Medical College (SVIMS), Tirupathi, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Correspondence address: <\/strong>Dr Suma M P, Assistant Professor, Department of Anatomy, The Oxford Medical College Hospital &amp;Research Centre, Yadavanahalli,Attibele Hobele, Anekal Tq, Bengaluru-560 107. Mobile-9916166290 <strong>E-Mail:<\/strong> sumaprakashmp@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Introduction:<\/strong> The liver is the largest organ of human body occupying right hypochondrium, epigastrium and partially left hyopchondrium. It is important in maintaining blood glucose and lipid levels which keep tissues of body alive and healthy.\u00a0 As the body grows from infancy to adult-hood, the liver rapidly increases in size.\u00a0 The maximum growth of liver reaches at around 18 years of age.\u00a0 The size of liver varies according to age, sex, and body weight.<\/p>\n<p style=\"text-align: justify;\"><strong>Aim<\/strong>: To study dimensions of\u00a0 liver span in normal individual,\u00a0 Cranio &#8211; caudal dimensions of Right and Left lobes of Liver, and\u00a0 to compare the dimensions of liver in relation to sex &amp; age.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and Methods:<\/strong> 80 healthy subjects\u00a0 which include 38 males and 42 females ranging from 17 years to60 years of age were taken for the study. The sonographic measurements of the liver were collected from real ultrasound images.\u00a0 In this study subjects demographic data such as age, gender, weight, height and had been collected using designed questionnaire. This data is recorded using by weighing machine and stadiometer. The body surface area was calculated with the help of Mosteller\u2019s formula.<\/p>\n<p style=\"text-align: justify;\"><strong>Results<\/strong>: The CCL of right lobe progressively increases as age advances and no increase of CCL is notice in age groups of 41-60years CCL of right lobe is more dependable than the left lobe. As per the data, analysed regarding the liver span of both the genders of various age groups indicate that there is gradual increase of Liver Span as age advances. The parameter is marginally more in females than males.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> Clinical measurement of liver by percussion and palpation can be inaccurate and unreliable.\u00a0 So, clinical evaluation by percussion and palpation is flawed for its inability to provide precise dimensions. Ultrasound is usually the method of choice for screening, diagnostic, prognostic purpose and follow-up after treatment.<\/p>\n<p style=\"text-align: justify;\"><strong>KEY WORDS: <\/strong>Liver, Ultrasonography, Cranio\u00a0 Caudal Length.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Gray H. Anatomy,40theditions. Rio de Janeiro: GuanbaraKoogan; 1988.<\/li>\n<li style=\"text-align: justify;\">Markisz JA, Treves ST, Davis RT.Normal hepatic and splenic size in children sonographic determination. Pediatrradiol 1987;17:273-276.<\/li>\n<li style=\"text-align: justify;\">Bushberg J. T., Seibert J.A., Leidholdt E.M.Jr, Boone J.M. Essential Physics of Medical Imaging. Second Edition.Lippincott Williams &amp; Wilkins:2002;469 \u2013 479.<\/li>\n<li style=\"text-align: justify;\">Houssaint,\u00a01980; Le Douarin,\u00a01975; Medlock and Haar,hepatoblasts delaminate from the epithelium and invade the adjacent septum transversum mesenchyme(STM) to form the liver bud med.1980;2551-13.<\/li>\n<li style=\"text-align: justify;\">NiederauC, AmnonSonnenberg, Jurgen E, Muller, Theo Scholten, Wolf P. Sonographic measurement of normal liver, spleen, pancreas and portal vein. Radiology1983; 149:537-40.<\/li>\n<li style=\"text-align: justify;\">Costell DO, Obrien KD, Muench H, S Ullican S, Krasner N, William R. Estimation of liver sixe by ercussion in normal individuals. Ann Int Med.1969;70:1183-189.<\/li>\n<li style=\"text-align: justify;\">Rosenfield AT, Schneider PB.Rapid evaluation of hepatic size of radioisotope scan. 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Accuracy of ultrasonography in assessing spleen and liver size in patients with Gaucher disease: comparison to computed tomography measurements. J ultrasound Med. 1997;16:209-211.<\/li>\n<li style=\"text-align: justify;\">Jungthiraporich J, Kaewtubtim J, poovorwon Y. A new reference line for measuring the liver size in healthy new borns.\u00a0 J Med Assoc Thai 1998;81:938-43.<\/li>\n<li style=\"text-align: justify;\">Gyton AC., Hall JE. Textbook of Medical physiology Philadelphia: Elsevier Saunders; 2006; 859.<\/li>\n<li style=\"text-align: justify;\">Rocha SMS, Ferrer APS, O liveira IRS, Weidman A,Chammas MC, Tarawneh.Sonographic determination of liver size in healthy newborns, infants and children under 7 years of age. Radiol Bras 2009;42:7-13.<\/li>\n<li style=\"text-align: justify;\">Balitreri WF. Manifestation of liver disease. In: Behrmann RE, Kliegman RM, Jenson HB, editors.\u00a0 Nelson\u2019s Textbook of paediatrics.\u00a0 16<sup>th<\/sup> Philadelphia: WB Saunders 2000. p.1198.44<\/li>\n<li style=\"text-align: justify;\">Mahgoub H, Gasim G I, Musa IR, Adam I: Severe Plasmodium Vivax Malaria among Sudanese Children atNew Half Hospital, Eastern Sudan. Parasite Vectors. 2012;5:154.<\/li>\n<li style=\"text-align: justify;\">Douglas C. Clinical Methods: The History, Physical, and Laboratory Examinations. Evaluation of the Size, Shape, and Consistency of the Liver Med. 2010;205-45.<\/li>\n<li style=\"text-align: justify;\">Marco P., Vincenzo M., Rosanna C., Ernsto S., Roberto M., Antonio S., Giuliana F. and Bruno R. Measurement of Spleen volume by ultrasound scaning in patients with Thrombocytosis: A prospective study. Blood Journal 2002;99(11):4228-4230.<\/li>\n<li style=\"text-align: justify;\">Houssaint, Le Douarin, Medlock and Haar. Hepatoblasts delaminate from the epithelium and invade the adjacent septum transversum mesenchyme(STM) to form the liver bud med.1980;,2551-13.<\/li>\n<li style=\"text-align: justify;\">Konus O.L., Ozdemir A., Akkaya A., Erbas G. Celik H and Isik, S. Normal liver, spleen and kidney dimensions in neonants, infants and children:Evaluation with sonography.Am.JRoentgenol, 1998;171;1693-1698.<\/li>\n<li style=\"text-align: justify;\">Singh K, Bhasin D K, Rreddy DN, KoshyA.Liver span in normal Indian. Indian J gastroenterology 1985;4:73-75.<\/li>\n<li style=\"text-align: justify;\">Zaret,\u00a0A; Zhao and Duncan, These studies show that much of hepatogenesis is evolutionarily conserved and occurs through a progressive series of reciprocal tissue.2008;214-5.<\/li>\n<li style=\"text-align: justify;\">Lithan KL. Liver span, Wikipedia. http:\/\/en.wikipedia.org\/wiki\/Liver_span Accessed 8 January 2015.<\/li>\n<li style=\"text-align: justify;\">Patzak M, Pronzner M, Oeztuerk S, et al. Assessment of liver size by ultrasonography. Journal of Clinical Ultrasound. 2014;7:42<\/li>\n<li style=\"text-align: justify;\">Williams CD, Stengel J, Asike MI et al. Prevalence of non-alcoholic fatty liver disease and non-alcoholic steno hepatitis among a largely middle-aged population utilizing ultrasound and liver biopsy: a prospective study. Gastroenterology 2011;140(1):124\u2013131.<\/li>\n<li style=\"text-align: justify;\">Udoaka A.I., Enyi C. And Agi C.E. Sonological evaluation of the liver, spleen and the kidneys in an adult Southern Nigerian population. Asian J. Med.Sci. 2013;5(2):33-36.<\/li>\n<li style=\"text-align: justify;\">Zhang B, Lewis S. A study of the reliability of clinical palpation of the spleen. Clinical Lab Haematol. 1989;11:7-10.<\/li>\n<li style=\"text-align: justify;\">Zeeh J, Platt D. The aging liver: structural and functional changes and their consequences for drug treatment in old age. Gerontology. 2002;48:121.<\/li>\n<li style=\"text-align: justify;\">Kratzer W, Fritz V, Mason RA, Haenle MM, Kaechele V, Roemerstein study group. Factors affecting liver size: a sonographic survey of 2080 subjects. J Ultrasound Med 2003; 22:1155-1161.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Banvath Anjaneya Babu Naik, Suma MP, J Vasu Deva Reddy. MORPHOMETRIC STUDY OF HUMAN LIVER IN RELATION TO AGE &amp; SEX BY ULTRASONOGRAPHY METHOD. Int J Anat Res 2017;5(3.3):4326-4332. <strong>DOI:\u00a0<\/strong>10.16965\/ijar.2017.322\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 5; Issue 3.3 (September 2017) Page No.:\u00a04326-4332 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2017.322 MORPHOMETRIC STUDY OF HUMAN LIVER IN RELATION TO AGE &amp; SEX BY ULTRASONOGRAPHY METHOD Banvath Anjaneya Babu Naik 1, Suma MP *2, J Vasu Deva Reddy\u00a03. 1 Tutor, Department of antomy, TOMCH&amp;RC, Bengaluru, Karnataka, India. *2 Assistant professor, Department of Anatomy, TOMCH&amp;RC,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-322\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/880"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=880"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/880\/revisions"}],"predecessor-version":[{"id":885,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/880\/revisions\/885"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=880"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}