Ultrasound diagnosis of cystic echinococcosis: updates and implications for clinical management

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-17 DOI:10.1017/s0022149x2400021x

F. Tamarozzi

引用次数: 0

Abstract

The diagnosis of cystic echinococcosis (CE) is based on imaging. Detection of a focal lesion with morphological characteristics of Echinococcus granulosus sensu lato metacestode is the starting point for the diagnostic workup. In organs explorable with ultrasound (US), this is the method of choice for both aetiological diagnosis of CE and staging of the CE cyst. Staging in terms of lesion morphology is also needed when serology is added to the diagnostic workflow when imaging alone is inconclusive. Finally, staging guides the clinical management of uncomplicated CE, especially in the liver. This commentary provides an overview of the most up-to-date evidence backing the above-mentioned role of US in the diagnosis and clinical management of CE. Finally, we outline future perspectives for the improvement of CE diagnosis.

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囊性棘球蚴病的超声诊断：最新进展及对临床管理的影响

囊性棘球蚴病（CE）的诊断基于影像学检查。诊断工作的起点是发现具有正常包虫形态特征的病灶。在超声波（US）可探查的器官中，这是进行棘球蚴病病因诊断和棘球蚴囊肿分期的首选方法。如果仅靠影像学检查无法确诊，则需要在诊断流程中加入血清学检查，这时也需要根据病变形态进行分期。最后，分期对无并发症的 CE（尤其是肝脏 CE）的临床治疗具有指导意义。本评论概述了支持上述 US 在 CE 诊断和临床管理中作用的最新证据。最后，我们概述了改进 CE 诊断的未来前景。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.