Assessment of liver cranio-caudal dimensions using sonography in healthy adult Bangladeshi people

Shahinoor Akter; Mohammad Abdus Salam Sikder; Samira Ananna; Ananya Chakraborty; Nusrat Jahan; Najia Tahsin Sharna

doi:10.18203/2320-6012.ijrms20260238

Authors

Shahinoor Akter Department of Anatomy, Dhaka National Medical College, Dhaka, Bangladesh
Mohammad Abdus Salam Sikder Upazila Health Complex, Brahmonpara, Cumilla, Bangladesh
Samira Ananna Department of Anatomy, Ibn Sina Medical College Hospital, Kallyanpur, Dhaka, Bangladesh
Ananya Chakraborty Department of Anatomy, Sapporo Dental College and Hospital, Dhaka, Bangladesh
Nusrat Jahan Department of Anatomy, Dhaka National Medical College, Dhaka, Bangladesh
Najia Tahsin Sharna Department of Anatomy, Ashiyan Medical College, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/2320-6012.ijrms20260238

Keywords:

Liver size, Ultrasonography, Cranio-caudal length, Anthropometry, Body surface area

Abstract

Background: Accurate assessment of liver size is an essential component of hepatobiliary evaluation and ultrasonography remains the preferred modality for routine measurement. Population-specific normative data are necessary to improve diagnostic accuracy, yet limited evidence exists for Bangladeshi adults. This study aimed to determine the cranio-caudal length (CCL) of the liver in healthy Bangladeshi adults and examine its relationship with sex, body mass index (BMI) and body surface area (BSA).

Methods: A cross-sectional analytical study was conducted among 70 healthy adults (35 males, 35 females) at Sir Salimullah Medical College, Dhaka, Bangladesh. Anthropometric variables were recorded and liver CCL was measured via standardized ultrasonography using a 3.5 MHz convex transducer during maximal inspiration. Data were analyzed using t-tests and Pearson’s correlation. A p≤0.05 was considered statistically significant.

Results: Males had significantly greater liver CCL (12.17±0.82 cm) than females (11.65±0.88 cm; p=0.014). BMI demonstrated no significant correlation with liver length in either sex, whereas BSA showed a significant positive correlation among females (r=0.35, p=0.04). No meaningful association was observed between liver length and BSA in males.

Conclusions: Liver CCL varies significantly by sex in healthy Bangladeshi adults, while BMI shows limited predictive value. BSA exhibits a modest association with liver size among females. These findings provide population-specific reference values that may enhance the clinical interpretation of hepatic ultrasonography.

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