Kratzer Wolfgang
Department of Internal Medicine I, University Hospital Ulm, Ulm, Germany.
Visc Med. 2025 May 3:1-7. doi: 10.1159/000545080.
Alveolar echinococcosis (AE) is a rare, potentially fatal zoonosis. In recent years, imaging diagnostics have become increasingly important compared to serologic diagnostics in AE. We will provide an overview of the importance of ultrasound diagnostics in AE in the detection of the disease and its significance in follow-up, as well as the typical sonographic presentation patterns and pitfalls.
The use of the ultrasound classification developed by us and the use of contrast-enhanced ultrasound (CEUS) helps make the diagnosis faster and better. Without CEUS, the hemangioma-like pattern and the metastasis-like pattern in particular cannot be diagnosed with certainty. The limitations of ultrasound diagnostics on the patient side, in terms of examiner experience and equipment, remain.
Ultrasound is an important procedure in the detection and follow-up of AE. Contrast-enhanced sonography is indispensable. Fundamental limitations of ultrasound diagnostics such as examiner experience remain.
肺泡型棘球蚴病（AE）是一种罕见的、潜在致命的人畜共患病。近年来，与AE的血清学诊断相比，影像学诊断变得越来越重要。我们将概述超声诊断在AE疾病检测中的重要性及其在随访中的意义，以及典型的超声表现模式和陷阱。
使用我们开发的超声分类方法以及对比增强超声（CEUS）有助于更快、更好地进行诊断。没有CEUS，特别是血管瘤样模式和转移样模式无法确诊。在患者方面，超声诊断在检查者经验和设备方面的局限性仍然存在。
超声是AE检测和随访中的重要检查方法。对比增强超声检查不可或缺。超声诊断的基本局限性，如检查者经验，仍然存在。
