BSA Calculation Methods - Complete Guide to Body Surface Area Formulas

Comprehensive comparison of different BSA calculation formulas for medical professionals and researchers

What is Body Surface Area?

Body Surface Area (BSA) is the measured or calculated surface area of the human body. It is widely used in medicine, particularly to calculate drug dosages and assess metabolic processes.

Different formulas have been developed to calculate BSA, each optimized for specific populations or body types. Our calculator offers multiple formulas to provide the most accurate results for different individuals.

Medical Uses of BSA

Body Surface Area calculations are used in various medical applications:

  • Drug dosage calculations, especially for chemotherapy
  • Cardiac index and metabolic rate assessments
  • Burn treatment planning and fluid replacement
  • Pediatric medication dosing
  • Research studies and clinical trials

BSA Formula Comparison

Each formula has been developed for specific populations and use cases. Here's a detailed comparison:

Du Bois Formula (1916)

BSA = 0.007184 Γ— Height^0.725 Γ— Weight^0.425

The original and most widely used BSA formula, developed from measurements of 9 subjects.

Suitability: General adult population, widely accepted standard

Limitations:: Less accurate for very obese or very thin individuals

Mosteller Formula (1987)

BSA = √(Height Γ— Weight / 3600)

Simplified formula that's easier to calculate and widely used in clinical practice.

Suitability: General population, preferred for ease of calculation

Limitations:: May be less accurate for extreme body types

Haycock Formula (1978)

BSA = 0.024265 Γ— Height^0.3964 Γ— Weight^0.5378

Developed specifically for pediatric patients and infants.

Suitability: Children and infants, pediatric medicine

Limitations:: Less validated for adult populations

Boyd Formula (1935)

BSA = 0.0003207 Γ— Height^0.3 Γ— Weight^(0.7285 - 0.0188 Γ— log(Weight))

Complex formula that accounts for non-linear weight relationships.

Suitability: Research applications, complex calculations

Limitations:: Complex calculation, limited clinical use

Gehan & George Formula (1970)

BSA = 0.0235 Γ— Height^0.42246 Γ— Weight^0.51456

Developed for cancer patients receiving chemotherapy.

Suitability: Cancer patients, chemotherapy dosing

Limitations:: Specific to cancer patient population

Fujimoto Formula (1968)

BSA = 0.008883 Γ— Height^0.663 Γ— Weight^0.444

Developed specifically for Japanese populations.

Suitability: Asian populations, Japanese patients

Limitations:: May not be accurate for other ethnicities

Takahira Formula (1925)

BSA = 0.007241 Γ— Height^0.725 Γ— Weight^0.425

Early formula similar to Du Bois, developed for Japanese patients.

Suitability: Historical reference, Asian populations

Limitations:: Limited modern validation

Schlich Formula (2010)

BSA = 0.000975482 Γ— Height^0.655 Γ— Weight^0.441

Modern formula based on 3D body scanning technology.

Suitability: Modern applications, high accuracy

Limitations:: Limited clinical adoption

Which Formula Should You Use?

For general adult populations, the Du Bois or Mosteller formulas are most commonly used and widely accepted.

For pediatric patients, the Haycock formula is specifically designed and recommended.

For specific populations (Asian, cancer patients), consider the specialized formulas developed for those groups.

Conclusion

The choice of BSA formula should be based on the patient population, clinical application, and institutional preferences. While differences between formulas are usually small, selecting the appropriate formula can improve accuracy for specific use cases.