Body Surface Area (BSA) Calculator
Calculate your body surface area using multiple medical formulas. BSA is used for medication dosing, burn assessment, and other clinical applications. Accurate calculations with DuBois, Mosteller, Boyd, and Gehan-George methods.
📋 Quick Navigation
Mosteller Formula
DuBois Formula
Boyd Formula
Gehan-George
📊 BSA Calculation Comparison
| Formula | BSA Result (m²) | Year Developed | Common Use |
|---|---|---|---|
| Mosteller | — | 1987 | Most commonly used today |
| DuBois | — | 1916 | Original formula, still widely used |
| Boyd | — | 1935 | Pediatric and obese patients |
| Gehan-George | — | 1970 | Pediatric oncology dosing |
🧠 Understanding Body Surface Area
What is Body Surface Area (BSA)?
Body Surface Area is the total surface area of the human body measured in square meters (m²). Unlike body weight, BSA accounts for both height and weight proportionally, providing a better representation of body composition. The average adult BSA ranges from 1.5 to 2.5 m², with typical values around 1.7-2.0 m².
Why is BSA Important?
Medication Dosing: Many drugs, especially chemotherapy agents, are dosed based on BSA rather than weight to ensure appropriate drug concentration. Burn Assessment: Determining the percentage of BSA affected helps calculate fluid replacement needs and guides treatment urgency. Clinical Trials: BSA standardizes results across patients with different body sizes. Fitness Assessment: BSA is used in various fitness and athletic assessments.
Normal BSA Ranges by Age
Newborns: 0.25-0.35 m². Young children (2-10 years): 0.5-1.0 m². Adolescents (10-18 years): 1.0-1.7 m². Adults: 1.5-2.5 m² (most common 1.7-2.0 m²). Variation: BSA varies significantly based on individual height, weight, and body composition.
🧮 BSA Calculation Formulas
Mosteller Formula (Most Common)
OR in imperial units:
BSA (m²) = √[(Height (in) × Weight (lbs)) / 3131]
Example: 175 cm tall, 70 kg
BSA = √[(175 × 70) / 3600]
BSA = √[12250 / 3600]
BSA = √3.403
BSA = 1.84 m²
DuBois Formula (Original, 1916)
OR:
BSA (m²) = 0.00007184 × Height (in)^0.725 × Weight (lbs)^0.425
Note: Most accurate for average adults
Boyd Formula (1935)
× Height (cm)^0.3
Note: Often used for obese and pediatric patients
Gehan-George Formula (1970)
Note: Commonly used in pediatric oncology for chemotherapy dosing
💊 Medical Applications of BSA
Chemotherapy Dosing
Most chemotherapy drugs are dosed according to BSA. For example, a typical chemotherapy dose might be "1200 mg/m²", meaning the patient receives 1200 mg multiplied by their BSA in m². This ensures that regardless of patient size, they receive an appropriate drug concentration in their bloodstream. Dosing adjustments may be made for kidney or liver dysfunction.
Burn Severity Assessment
Healthcare providers use the "Rule of Nines" to estimate the percentage of BSA affected by burns. Total body water requirements and fluid replacement therapy are calculated based on BSA affected. For example, extensive burns affecting 40% of BSA may require significant fluid resuscitation calculated as: (% BSA burned × Body weight in kg) × 4 mL of crystalloid fluid over 24 hours.
Hydration Requirements
Daily fluid requirements are sometimes calculated using BSA, especially in pediatric patients or those with significant metabolic changes. The Holliday-Segar method uses BSA to determine total daily fluid needs. Healthcare providers may use this in intensive care settings or for patients with unusual fluid requirements.
Body Mass Index (BMI) Correlation
While BSA and BMI are different measurements, they're related. BMI uses height and weight to assess weight status. BSA provides a more complete picture of body size for medical purposes. A person with the same BMI but different height/weight distributions may have slightly different BSA values.
Cardiac Function Assessment
Cardiac output, ejection fraction, and other heart measurements are sometimes indexed to BSA for comparison across patients of different sizes. This helps physicians determine if cardiac function is appropriate for the patient's body size. Cardiac index (cardiac output / BSA) is used in clinical cardiology.