Significance of Magnetic Resonance Imaging in Preoperative Evaluation for Patients with Hepatic Alveolar Echinococcosis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIHai-long ¹ , HOULi-zhao ^2,3 , RENLi ^2,3 ,  FANHai-ning ^2,3 , BAOHai-hua ¹ , WENSheng-bao ¹ , LIWei-xia ¹

1. Center of Imaging, Affiliated Hospital of Qinghai University, Xining 810001, Qinghai Province, China;
2. Department of Hepatopancreatobiliary Surgery, Affiliated Hospital of Qinghai University, Xining 810001, Qinghai Province, China;
3. Qinghai Province Key Laboratory of Hydatid Disease Research, Xining 810001, Qinghai Province, China;

Corresponding author：

FANHai-ning, Email: fanhaining@medmail.com.cn

Keywords：

Hepatic alveolar echinococcosis; Magnetic resonance imaging; Preoperative evaluation

DOI：

10.7507/1007-9424.20160143

Video：

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Objective To evaluate roles and advantages of magnetic resonance imaging (MRI) and compute.tomography (CT) in preoperative assessment for hepatic alveolar echinococcosis. Method MRI and CT scan imaging data of 60 patients with hepatic alveolar echinococcosis underwent radical surgery were retrospectively analyzed. Results MRI scanning could accurately identify the peripheral zone and marginal zone of hepatic alveolar echinococcosis lesions, and CT could not accurately show the above structures. In assessment of anatomic relation between vascular and lesions, MRI findings of 52 cases were in full compliance with corresponding intraoperative findings, and 8 cases were partial compliant. However, CT findings of 35 cases were in full compliance with corresponding intraoperative findings, 13 cases were partial compliant, and 12 cases were not compliant at all. In assessment of anatomic relation between biliary and lesions, MRCP could clearly show the bile duct, bile duct stenosis location and degree; CT scanning could only show widened bile duct, but could not accurately judge bile duct dilatation. Conclusions MRI exerts some obvious advantages in preoperative evaluation of hepatic alveolar echinococcosis, and could accurately find relation between lesions and vascular or biliary system. MRI should be used as routine examination for patients with hepatic alveolar echinococcosis.

Citation： LIHai-long, HOULi-zhao, RENLi, FANHai-ning, BAOHai-hua, WENSheng-bao, LIWei-xia. Significance of Magnetic Resonance Imaging in Preoperative Evaluation for Patients with Hepatic Alveolar Echinococcosis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(5): 535-538. doi: 10.7507/1007-9424.20160143 Copy

1.	温浩. 包虫病影像诊断技术和手术治疗进展. 国际医学寄生虫病杂志, 2009, 36(5):299-306.
2.	Wen H, Dong JH, Zhang JH, et al. Ex vivo liver resection followed by autotransplantation for end-stage hepatic alveolar echinococcosis. Chin Med J (Engl), 2011, 124(18):2813-2817.
3.	张昀昊, 任利, 阳丹才让, 等. 肝泡型包虫病根治性切除163例回顾性分析, 中国普通外科杂志, 2016, 25(2):257-263.
4.	张昀昊, 樊海宁. 肝泡型包虫病的外科治疗. 临床医药文献, 2016, 3(5):987, 990.
5.	He YB, Bai L, Aji T, et al. Application of 3D reconstruction for surgical treatment of hepatic alveolar echinococcosis. World J Gastroenterol, 2015, 21(35):10200-10207.
6.	Sasaki F, Ohkawa Y, Sato N, et al. Imaging diagnosis of alveolar echinococcosis in young patients. Pediatr Radiol, 1997, 27(1):63-66.
7.	叶慧义. 加强肝移植前后的"一站式"影像评估. 中华放射学杂志, 2008, 42(5):453-455.
8.	潘晶晶, 张静."一站式" MRI在活体肝移植术前评估中的价值. 中国临床医学影像杂志, 2014, 25(9):627-629.
9.	Becce F, Pomoni A, Uldry E, et al. Alveolar echinococcosis of the liver:Diffusion-weighted MRI findings and potential role in lesion characterisation. Eur J Radiol, 2014, 83(4):625-631.
10.	杨政汗, 冯逢, 王霄英. 磁共振成像技术指南. 北京:人民军医出版社, 2010.
11.	Lerut JP, Mazza D, van Leeuw V, et al. Adult liver transplandation and abnormalities of splanchnic veins:experience in 53 patients. Transpl Int, 1997, 10(2):125-132.
12.	Thian YL, Riddell AM, Koh DM. Liver-specific agents for contrastenhanced MRI:role in oncological imaging. Cancer Imaging the Official Publication of the International Cancer Imaging Society, 2013, 13(4):567-79.
13.	李扬, 杜勇, 罗天友. 多层螺旋CT肝脏血管成像. 国外医学放射学杂志, 2008, 31(40):247-250.
14.	刘禄明, 都基权, 张鹏, 等.64层螺旋CT肝动脉血管成像的临床应用. 医学影像学杂志, 2008, 18(10):1137-1139.
15.	孙艳秋, 张永海, 杨梅, 等. CT与MRI在晚期肝泡型包虫病离体肝切除自体肝移植中的应用. 中国医学影像学杂志, 2015, 23(8):610-613.
16.	温浩, 董家鸿, 张金辉, 等. 体外肝切除联合自体肝移植治疗肝泡型包虫病. 中华消化外科杂志, 2011, 10(2):148-149.
17.	McManus DP, Zhang W, Li J, et al. Echinococcosis. Lancet, 2003, 362(9392):1295-1304.
18.	杨军, 吴建伟.3.0T磁共振动态增强在肝移植术中的应用价值. 中国医疗设备, 2012, 27(1):116-118.
19.	Bresson-Hadni S, Delabrousse E, Blagosklonov O, et al. Imaging aspects and non-surgical interventional treatment in human alveolar echinococcosis. Parasitol Int, 2006, 55:Suppl S267-S272.
20.	Kodama Y, Fujita N, Shimizu T, et al. Alveolar echinococcosis:MR findings in the liver. Radiology, 2003, 228(1):172-177.
21.	陈自谦, 肖慧, 倪萍, 等. 三维MRA技术在肝脏血管成像中的应用研究. 中国临床医学影像杂志, 2008.19(2):81-85.
22.	方佳, 贾宁, 吴晓明, 等. 动态增强MRA在胸腹部大血管成像中的应用. 实用放射学杂志, 2004, 20(9):854-855.
23.	朱志军, 李俊杰, 张建军, 等. 肝脏血管解剖与活体肝移植供者选择. 中华器官移植杂志, 2010, 31(3):167-169.
24.	俞哲锋, 周敏彭. MR胆道成像评价活体肝移植供体胆道结构的应用价值. 中华放射学杂志, 2009, 43(11):1152-1155.
25.	Song GW, Lee SG, Hwang S, et al. Preopemfive evaluation of biliary anatomy of donor in living donor liver transplantation byconventional nonenhanced magnetic resonanoe cholangiography. Transpl Int, 2007, 20(2):167-173.

1. 温浩. 包虫病影像诊断技术和手术治疗进展. 国际医学寄生虫病杂志, 2009, 36(5):299-306.
2. Wen H, Dong JH, Zhang JH, et al. Ex vivo liver resection followed by autotransplantation for end-stage hepatic alveolar echinococcosis. Chin Med J (Engl), 2011, 124(18):2813-2817.
3. 张昀昊, 任利, 阳丹才让, 等. 肝泡型包虫病根治性切除163例回顾性分析, 中国普通外科杂志, 2016, 25(2):257-263.
4. 张昀昊, 樊海宁. 肝泡型包虫病的外科治疗. 临床医药文献, 2016, 3(5):987, 990.
5. He YB, Bai L, Aji T, et al. Application of 3D reconstruction for surgical treatment of hepatic alveolar echinococcosis. World J Gastroenterol, 2015, 21(35):10200-10207.
6. Sasaki F, Ohkawa Y, Sato N, et al. Imaging diagnosis of alveolar echinococcosis in young patients. Pediatr Radiol, 1997, 27(1):63-66.
7. 叶慧义. 加强肝移植前后的"一站式"影像评估. 中华放射学杂志, 2008, 42(5):453-455.
8. 潘晶晶, 张静."一站式" MRI在活体肝移植术前评估中的价值. 中国临床医学影像杂志, 2014, 25(9):627-629.
9. Becce F, Pomoni A, Uldry E, et al. Alveolar echinococcosis of the liver:Diffusion-weighted MRI findings and potential role in lesion characterisation. Eur J Radiol, 2014, 83(4):625-631.
10. 杨政汗, 冯逢, 王霄英. 磁共振成像技术指南. 北京:人民军医出版社, 2010.
11. Lerut JP, Mazza D, van Leeuw V, et al. Adult liver transplandation and abnormalities of splanchnic veins:experience in 53 patients. Transpl Int, 1997, 10(2):125-132.
12. Thian YL, Riddell AM, Koh DM. Liver-specific agents for contrastenhanced MRI:role in oncological imaging. Cancer Imaging the Official Publication of the International Cancer Imaging Society, 2013, 13(4):567-79.
13. 李扬, 杜勇, 罗天友. 多层螺旋CT肝脏血管成像. 国外医学放射学杂志, 2008, 31(40):247-250.
14. 刘禄明, 都基权, 张鹏, 等.64层螺旋CT肝动脉血管成像的临床应用. 医学影像学杂志, 2008, 18(10):1137-1139.
15. 孙艳秋, 张永海, 杨梅, 等. CT与MRI在晚期肝泡型包虫病离体肝切除自体肝移植中的应用. 中国医学影像学杂志, 2015, 23(8):610-613.
16. 温浩, 董家鸿, 张金辉, 等. 体外肝切除联合自体肝移植治疗肝泡型包虫病. 中华消化外科杂志, 2011, 10(2):148-149.
17. McManus DP, Zhang W, Li J, et al. Echinococcosis. Lancet, 2003, 362(9392):1295-1304.
18. 杨军, 吴建伟.3.0T磁共振动态增强在肝移植术中的应用价值. 中国医疗设备, 2012, 27(1):116-118.
19. Bresson-Hadni S, Delabrousse E, Blagosklonov O, et al. Imaging aspects and non-surgical interventional treatment in human alveolar echinococcosis. Parasitol Int, 2006, 55:Suppl S267-S272.
20. Kodama Y, Fujita N, Shimizu T, et al. Alveolar echinococcosis:MR findings in the liver. Radiology, 2003, 228(1):172-177.
21. 陈自谦, 肖慧, 倪萍, 等. 三维MRA技术在肝脏血管成像中的应用研究. 中国临床医学影像杂志, 2008.19(2):81-85.
22. 方佳, 贾宁, 吴晓明, 等. 动态增强MRA在胸腹部大血管成像中的应用. 实用放射学杂志, 2004, 20(9):854-855.
23. 朱志军, 李俊杰, 张建军, 等. 肝脏血管解剖与活体肝移植供者选择. 中华器官移植杂志, 2010, 31(3):167-169.
24. 俞哲锋, 周敏彭. MR胆道成像评价活体肝移植供体胆道结构的应用价值. 中华放射学杂志, 2009, 43(11):1152-1155.
25. Song GW, Lee SG, Hwang S, et al. Preopemfive evaluation of biliary anatomy of donor in living donor liver transplantation byconventional nonenhanced magnetic resonanoe cholangiography. Transpl Int, 2007, 20(2):167-173.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Significance of Magnetic Resonance Imaging in Preoperative Evaluation for Patients with Hepatic Alveolar Echinococcosis

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