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Body Surface Area Calculator

Calculate your Body Surface Area (BSA), a measurement used in medicine, particularly for determining chemotherapy and other drug dosages.

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Understanding Body Surface Area (BSA) in Medicine

A comprehensive guide to what BSA is, why it's crucial in medical settings, and how it's calculated.

The Body Surface Area (BSA) is a measurement of the total surface area of the human body. While it might seem like an obscure metric, it is one of the most important calculations in medicine, particularly for determining drug dosages for medications with a narrow therapeutic index, such as those used in chemotherapy.

Why is BSA Important?

Many physiological processes, including metabolic rate and drug metabolism, are more closely related to an individual's body surface area than to their weight or Body Mass Index (BMI). Using BSA to calculate dosages helps to normalize drug administration across patients of different sizes, from small children to large adults. This ensures a more consistent and safer therapeutic effect.

Key applications of BSA include:

  • Oncology: Calculating dosages for many chemotherapy drugs to minimize toxicity while maximizing effectiveness.
  • Cardiology: Determining cardiac index, which relates heart performance to the size of the individual.
  • Nephrology: Assessing glomerular filtration rate (GFR) in some contexts.
  • Burn Assessment: While less common for initial assessment (the "Rule of Nines" is often used), BSA is critical for calculating fluid replacement and nutritional needs during recovery.

How is BSA Calculated?

BSA is estimated using mathematical formulas that require a patient's height and weight. Our calculator uses several widely accepted formulas to provide a comprehensive result. Direct measurement of BSA is impractical, so these estimations, known as nomograms, are the clinical standard.

Common BSA Formulas:

Formula NameEquationNotes
Mosteller FormulaBSA (m²) = √((Height(cm) × Weight(kg)) / 3600)Widely used for its simplicity and accuracy, especially for adults.
Du Bois FormulaBSA (m²) = 0.007184 × Height(cm)⁰.⁷²⁵ × Weight(kg)⁰.⁴²⁵An older but still very common and reliable formula.
Haycock FormulaBSA (m²) = 0.024265 × Height(cm)⁰.³⁹⁶⁴ × Weight(kg)⁰.⁵³⁷⁸Often preferred for calculating BSA in children and infants.
Boyd FormulaBSA (m²) = 0.0003207 × Height(cm)⁰.³ × (1000 × Weight(g))⁰.⁷²⁸⁵⁻⁰.⁰¹⁸⁸ ᴸᵒᵍ₁₀(ᵍʳᵃᵐˢ)A more complex formula, also considered accurate for children.

Example Calculation

Let's calculate the BSA for an adult who is 175 cm tall and weighs 70 kg, using the Mosteller formula:

1. Multiply Height and Weight: 175 cm × 70 kg = 12250

2. Divide by 3600: 12250 / 3600 = 3.4027

3. Take the Square Root: √3.4027 ≈ 1.84 m²

The estimated Body Surface Area for this individual is approximately 1.84 square meters. A healthcare professional would then use this value to calculate the appropriate drug dose.

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