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.	?溫浩. 包蟲病影像診斷技術和手術治療進展. 國際醫學寄生蟲病雜志, 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.	張昀昊, 任利, 陽丹才讓, 等. 肝泡型包蟲病根治性切除163例回顧性分析, 中國普通外科雜志, 2016, 25(2):257-263.
4.	張昀昊, 樊海寧. 肝泡型包蟲病的外科治療. 臨床醫藥文獻, 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.	葉慧義. 加強肝移植前后的"一站式"影像評估. 中華放射學雜志, 2008, 42(5):453-455.
8.	潘晶晶, 張靜."一站式" MRI在活體肝移植術前評估中的價值. 中國臨床醫學影像雜志, 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.	楊政汗, 馮逢, 王霄英. 磁共振成像技術指南. 北京:人民軍醫出版社, 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.	李揚, 杜勇, 羅天友. 多層螺旋CT肝臟血管成像. 國外醫學放射學雜志, 2008, 31(40):247-250.
14.	劉祿明, 都基權, 張鵬, 等.64層螺旋CT肝動脈血管成像的臨床應用. 醫學影像學雜志, 2008, 18(10):1137-1139.
15.	孫艷秋, 張永海, 楊梅, 等. CT與MRI在晚期肝泡型包蟲病離體肝切除自體肝移植中的應用. 中國醫學影像學雜志, 2015, 23(8):610-613.
16.	溫浩, 董家鴻, 張金輝, 等. 體外肝切除聯合自體肝移植治療肝泡型包蟲病. 中華消化外科雜志, 2011, 10(2):148-149.
17.	McManus DP, Zhang W, Li J, et al. Echinococcosis. Lancet, 2003, 362(9392):1295-1304.
18.	楊軍, 吳建偉.3.0T磁共振動態增強在肝移植術中的應用價值. 中國醫療設備, 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.	陳自謙, 肖慧, 倪萍, 等. 三維MRA技術在肝臟血管成像中的應用研究. 中國臨床醫學影像雜志, 2008.19(2):81-85.
22.	方佳, 賈寧, 吳曉明, 等. 動態增強MRA在胸腹部大血管成像中的應用. 實用放射學雜志, 2004, 20(9):854-855.
23.	朱志軍, 李俊杰, 張建軍, 等. 肝臟血管解剖與活體肝移植供者選擇. 中華器官移植雜志, 2010, 31(3):167-169.
24.	俞哲鋒, 周敏彭. MR膽道成像評價活體肝移植供體膽道結構的應用價值. 中華放射學雜志, 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. ?溫浩. 包蟲病影像診斷技術和手術治療進展. 國際醫學寄生蟲病雜志, 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. 張昀昊, 任利, 陽丹才讓, 等. 肝泡型包蟲病根治性切除163例回顧性分析, 中國普通外科雜志, 2016, 25(2):257-263.
4. 張昀昊, 樊海寧. 肝泡型包蟲病的外科治療. 臨床醫藥文獻, 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. 葉慧義. 加強肝移植前后的"一站式"影像評估. 中華放射學雜志, 2008, 42(5):453-455.
8. 潘晶晶, 張靜."一站式" MRI在活體肝移植術前評估中的價值. 中國臨床醫學影像雜志, 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. 楊政汗, 馮逢, 王霄英. 磁共振成像技術指南. 北京:人民軍醫出版社, 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. 李揚, 杜勇, 羅天友. 多層螺旋CT肝臟血管成像. 國外醫學放射學雜志, 2008, 31(40):247-250.
14. 劉祿明, 都基權, 張鵬, 等.64層螺旋CT肝動脈血管成像的臨床應用. 醫學影像學雜志, 2008, 18(10):1137-1139.
15. 孫艷秋, 張永海, 楊梅, 等. CT與MRI在晚期肝泡型包蟲病離體肝切除自體肝移植中的應用. 中國醫學影像學雜志, 2015, 23(8):610-613.
16. 溫浩, 董家鴻, 張金輝, 等. 體外肝切除聯合自體肝移植治療肝泡型包蟲病. 中華消化外科雜志, 2011, 10(2):148-149.
17. McManus DP, Zhang W, Li J, et al. Echinococcosis. Lancet, 2003, 362(9392):1295-1304.
18. 楊軍, 吳建偉.3.0T磁共振動態增強在肝移植術中的應用價值. 中國醫療設備, 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. 陳自謙, 肖慧, 倪萍, 等. 三維MRA技術在肝臟血管成像中的應用研究. 中國臨床醫學影像雜志, 2008.19(2):81-85.
22. 方佳, 賈寧, 吳曉明, 等. 動態增強MRA在胸腹部大血管成像中的應用. 實用放射學雜志, 2004, 20(9):854-855.
23. 朱志軍, 李俊杰, 張建軍, 等. 肝臟血管解剖與活體肝移植供者選擇. 中華器官移植雜志, 2010, 31(3):167-169.
24. 俞哲鋒, 周敏彭. MR膽道成像評價活體肝移植供體膽道結構的應用價值. 中華放射學雜志, 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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