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ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 37 Issue 4
Apr.  2021
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Article Contents

Expert consensus on the imaging diagnosis of hepatic echinococcosis

DOI: 10.3969/j.issn.1001-5256.2021.04.014
  • Received Date: 2021-02-20
  • Accepted Date: 2021-02-20
  • Published Date: 2021-04-20
  • Echinococcosis is a zoonotic disease with global distribution and has become an issue seriously affecting public health around the world. Imaging technology plays an important role in the early diagnosis, preoperative evaluation, and treatment outcome monitoring of hepatic echinococcosis. At present, no consensus has been reached on the imaging diagnosis of echinococcosis, which brings difficulties in the learning and training of imaging professionals and the standard diagnosis and treatment of echinococcosis in clinical practice. For this reason, Beijing YouAn Hospital, Capital Medical University, and The First Affiliated Hospital of Xinjiang Medical University organized the radiologists engaged in infection and inflammation from several hospitals to reach a consensus on the basis, principles, and criteria for the imaging diagnosis of echinococcosis and the differential diagnosis of echinococcosis, with reference to international guidelines, related articles, the latest research findings in China and globally, and the methodological requirements for the establishment of guidelines and standards in evidence-based medicine, so as to provide a clear diagnostic basis for clinicians in the clinical application of hepatic echinococcosis imaging.

     

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  • [1]
    QIAN MB, ZHOU XN. Walk together to combat echinococcosis[J]. Lancet Infect Dis, 2018, 18(9): 946. DOI: 10.1016/S1473-3099(18)30466-3.
    [2]
    FLISSER A. Eliminating cystic echinococcosis in the 21st century[J]. Lancet Infect Dis, 2018, 18(7): 703-704. DOI: 10.1016/S1473-3099(18)30299-8.
    [3]
    DEPLAZES P, RINALDI L, ALVAREZ ROJAS CA, et al. Global distribution of alveolar and cystic echinococcosis[J]. Adv Parasitol, 2017, 95: 315-493. DOI: 10.1016/bs.apar.2016.11.001.
    [4]
    LI HJ. Radiology of infectious disease: Volume 2[M]. Berlin: Springer, 2016.
    [5]
    LI HJ. Radiology of parasitic diseases[M]. Beijing: Science Press, 2016.

    李宏军. 寄生虫病影像学[M]. 北京: 科学出版社, 2016.
    [6]
    PICCOLI L, BAZZOCCHI C, BRUNETTI E, et al. Molecular characterization of Echinococcus granulosus in south-eastern Romania: Evidence of G1-G3 and G6-G10 complexes in humans[J]. Clin Microbiol Infect, 2013, 19(6): 578-582. DOI: 10.1111/j.1469-0691.2012.03993.x.
    [7]
    WEN H, VUITTON L, TUXUN T, et al. Echinococcosis: Advances in the 21st Century[J]. Clin Microbiol Rev, 2019, 32(2). DOI: 10.1128/CMR.00075-18.
    [8]
    BHUTANI N, KAJAL P. Hepatic echinococcosis: A review[J]. Ann Med Surg (Lond), 2018, 36: 99-105. DOI: 10.1016/j.amsu.2018.10.032.
    [9]
    KERN P, MENEZES DA SILVA A, AKHAN O, et al. The echinococcoses: Diagnosis, clinical management and burden of disease[J]. Adv Parasitol, 2017, 96: 259-369. DOI: 10.1016/bs.apar.2016.09.006.
    [10]
    CASULLI A, BARTH T, TAMAROZZI F. Echinococcus multilocularis[J]. Trends Parasitol, 2019, 35(9): 738-739. DOI: 10.1016/j.pt.2019.05.005.
    [11]
    GOTTSTEIN B, SOBOSLAY P, ORTONA E, et al. Immunology of alveolar and cystic echinococcosis (AE and CE)[J]. Adv Parasitol, 2017, 96: 1-54. DOI: 10.1016/bs.apar.2016.09.005.
    [12]
    FENG X, WEN H, ZHANG Z, et al. Dot immunogold filtration assay (DIGFA) with multiple native antigens for rapid serodiagnosis of human cystic and alveolar echinococcosis[J]. Acta Trop, 2010, 113(2): 114-120. DOI: 10.1016/j.actatropica.2009.10.003.
    [13]
    CHEN X, CHEN X, LU X, et al. The production and comparative evaluation of native and recombinant antigens for the fast serodiagnosis of cystic echinococcosis with dot immunogold filtration assay[J]. Parasite Immunol, 2015, 37(1): 10-15. DOI: 10.1111/pim.12151.
    [14]
    ZHANG W, WEN H, LI J, et al. Immunology and immunodiagnosis of cystic echinococcosis: An update[J]. Clin Dev Immunol, 2012, 2012: 101895. DOI: 10.1155/2012/101895.
    [15]
    CISAK E, SROKA J, WÓJCIK-FATLA A, et al. Evaluation of reactivity to Echinococcus spp. among rural inhabitants in Poland[J]. Acta Parasitol, 2015, 60(3): 525-529. DOI: 10.1515/ap-2015-0074.
    [16]
    TERRACCIANO L, BROZEK J, COMPALATI E, et al. GRADE system: New paradigm[J]. Curr Opin Allergy Clin Immunol, 2010, 10(4): 377-383. DOI: 10.1097/ACI.0b013e32833c148b.
    [17]
    CONRATHS FJ, PROBST C, POSSENTI A, et al. Potential risk factors associated with human alveolar echinococcosis: Systematic review and meta-analysis[J]. PLoS Negl Trop Dis, 2017, 11(7): e0005801. DOI: 10.1371/journal.pntd.0005801.
    [18]
    CAI DM, WANG HY, WANG XL, et al. Ultrasonographic findings of small lesion of hepatic alveolar echinococcosis[J]. Acta Trop, 2017, 174: 165-170. DOI: 10.1016/j.actatropica.2016.01.030.
    [19]
    LIU W, DELABROUSSE É, BLAGOSKLONOV O, et al. Innovation in hepatic alveolar echinococcosis imaging: Best use of old tools, and necessary evaluation of new ones[J]. Parasite, 2014, 21: 74. DOI: 10.1051/parasite/2014072.
    [20]
    STOJKOVIC M, ROSENBERGER K, KAUCZOR HU, et al. Diagnosing and staging of cystic echinococcosis: How do CT and MRI perform in comparison to ultrasound?[J]. PLoS Negl Trop Dis, 2012, 6(10): e1880. DOI: 10.1371/journal.pntd.0001880.
    [21]
    ZHENG J, WANG J, ZHAO J, et al. Diffusion-weighted MRI for the initial viability evaluation of parasites in hepatic alveolar echinococcosis: Comparison with positron emission tomography[J]. Korean J Radiol, 2018, 19(1): 40-46. DOI: 10.3348/kjr.2018.19.1.40.
    [22]
    KANTARCI M, PIRIMOGLU B. Diffusion-weighted MR imaging findings in a growing problem: Hepatic alveolar echinococcosis[J]. Eur J Radiol, 2014, 83(10): 1991-1992. DOI: 10.1016/j.ejrad.2014.07.013.
    [23]
    BULAKÇ M, KARTAL MG, Y LMAZ S, et al. Multimodality imaging in diagnosis and management of alveolar echinococcosis: An update[J]. Diagn Interv Radiol, 2016, 22(3): 247-256. DOI: 10.5152/dir.2015.15456.
    [24]
    LI J, DONG J, YANG L, et al. Comparison of[18F]fluorodeoxyglucose positron emission tomography and contrast-enhanced ultrasound for evaluation of hepatic alveolar echinococcosis activity[J]. Ultrasound Med Biol, 2018, 44(11): 2199-2208. DOI: 10.1016/j.ultrasmedbio.2018.06.010.
    [25]
    GHARBI HA, HASSINE W, BRAUNER MW, et al. Ultrasound examination of the hydatic liver[J]. Radiology, 1981, 139(2): 459-463. DOI: 10.1148/radiology.139.2.7220891.
    [26]
    KERN P, WEN H, SATO N, et al. WHO classification of alveolar echinococcosis: Principles and application[J]. Parasitol Int, 2006, 55 Suppl: s283-s287. DOI: 10.1016/j.parint.2005.11.041.
    [27]
    WEN H, LUAN MX, YANG WG, et al. Study on standard classification and clinical significance for hepatic echinococcosis[J]. J Xinjiang Med Univ, 2002, 25(2): 129-130. DOI: 10.3969/j.issn.1009-5551.2002.02.005.
    [28]
    KODAMA Y, FUJITA N, SHIMIZU T, et al. Alveolar echinococcosis: MR findings in the liver[J]. Radiology, 2003, 228(1): 172-177. DOI: 10.1148/radiol.2281020323.
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