University College London (UCL) Centre for Medical Imaging, Division of Medicine, UCL, London, UK; Department of Imaging, University College London Hospital (UCLH) NHS Trust, London, UK.
The Hospital for Tropical Diseases, London School of Hygiene and Tropical Medicine, UK.
Clin Radiol. 2019 Apr;74(4):247-256. doi: 10.1016/j.crad.2019.01.007. Epub 2019 Feb 10.
Alveolar hydatid disease or alveolar echinococcosis (AE) is caused by the parasite Echinococcus multilocularis and is increasingly seen as an imported disease in non-endemic areas such as the UK. It is rare compared to cystic echinococcosis (CE), but like CE commonly affects the liver. AE does have imaging features that can aid in diagnosis, but is often initially misdiagnosed as liver malignancy. It is usually fatal if untreated, underscoring the importance of early diagnosis. This review highlights the role of imaging in AE diagnosis with the broader objective of increasing radiologists' awareness of this unusual, but increasingly prevalent disease.
泡型包虫病或泡型棘球蚴病（alveolar hydatid disease 或 alveolar echinococcosis，AE）是由寄生虫多房棘球绦虫引起的，在英国等非流行地区，这种病越来越多地被视为一种输入性疾病。与囊型包虫病（cystic echinococcosis，CE）相比，AE 较为罕见，但与 CE 一样，常累及肝脏。AE 确实有一些影像学特征可以辅助诊断，但通常最初被误诊为肝恶性肿瘤。如果不治疗，AE 通常是致命的，这凸显了早期诊断的重要性。本综述强调了影像学在 AE 诊断中的作用，其更广泛的目标是提高放射科医生对这种不常见但越来越普遍的疾病的认识。
