Frontal-Occipital Horn Ratio (FOHR)

Frontal-occipital horn ratio: (frontal-horn + occipital-horn width) / (2 × biparietal diameter); >= 0.55 marks clinically significant ventriculomegaly.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Maximum frontal-horn width
38 mm
Maximum occipital-horn width
42 mm
Biparietal diameter
110 mm

Result: Frontal-occipital horn ratio 0.36 — within the normal reference (mean 0.37).

The tool opens with these values already filled in. Replace them with your own.

What the result means

<= 0.37
Within the normal reference (mean 0.37).
0.37-0.55
Above the normal mean.
>= 0.55
Clinically significant ventriculomegaly. A ratio, not a diagnosis.

What you enter

  • Maximum frontal-horn width
  • Maximum occipital-horn width
  • Biparietal diameter
How this is calculated

O’Hayon BB, Drake JM, Ossip MG, Tuli S, Clarke M. Frontal and occipital horn ratio: a linear estimate of ventricular size for multiple imaging modalities in pediatric hydrocephalus. Pediatr Neurosurg. 1998;29(5):245-249. (>= 0.55 threshold: Ambati R, et al. AJR Am J Roentgenol. 2019.) Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.