Role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis
Abstract Echinococcosis is a parasitic disease caused by two zoonotic tapeworms (cestodes) of the Echinocococcus genus. It can be classified as either alveolar or cystic echinococcosis. Although the two forms differ significantly in terms of imaging findings, they share similarities in terms of mana...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-04-01
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| Series: | Insights into Imaging |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13244-022-01190-y |
| _version_ | 1811260527277506560 |
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| author | Paul Calame Mathieu Weck Andreas Busse-Cote Eleonore Brumpt Carine Richou Celia Turco Alexandre Doussot Solange Bresson-Hadni Eric Delabrousse |
| author_facet | Paul Calame Mathieu Weck Andreas Busse-Cote Eleonore Brumpt Carine Richou Celia Turco Alexandre Doussot Solange Bresson-Hadni Eric Delabrousse |
| author_sort | Paul Calame |
| collection | DOAJ |
| description | Abstract Echinococcosis is a parasitic disease caused by two zoonotic tapeworms (cestodes) of the Echinocococcus genus. It can be classified as either alveolar or cystic echinococcosis. Although the two forms differ significantly in terms of imaging findings, they share similarities in terms of management and treatment. In parallel to medical treatment with albendazole (ABZ), and surgery, historically used in these diseases, various imaging-guided interventional procedures have recently emerged (drainage, stenting, or Puncture, aspiration, injection, and reaspiration (PAIR)). These options open up a new range of therapeutic options. As in oncology, multidisciplinary consultation meetings now play a major role in adapted management and patient care in hepatic echinococcosis. Consequently, diagnostic imaging and interventional expertise have brought radiologists to the fore as important members of these multidisciplinary team. The radiologist will need to evaluate parasite activity in both forms of the disease, to guide the choice of the appropriate therapy from among medical treatment, interventional radiology procedures and/or surgical treatment. Knowledge of the specific complications of the two forms of echinococcosis will also help radiologists to discuss the appropriate treatment and management. The aim of this review is to describe the core knowledge that what a radiologist should possess to actively participate in multidisciplinary meetings about hepatic echinococcosis. We discuss the role of imaging, from diagnosis to treatment, in alveolar (AE) and cystic echinococcosis (CE), respectively. |
| first_indexed | 2024-04-12T18:48:44Z |
| format | Article |
| id | doaj.art-0188d9817cd642099d6bdd36b35d3ada |
| institution | Directory Open Access Journal |
| issn | 1869-4101 |
| language | English |
| last_indexed | 2024-04-12T18:48:44Z |
| publishDate | 2022-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Insights into Imaging |
| spelling | doaj.art-0188d9817cd642099d6bdd36b35d3ada2022-12-22T03:20:32ZengSpringerOpenInsights into Imaging1869-41012022-04-0113112010.1186/s13244-022-01190-yRole of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosisPaul Calame0Mathieu Weck1Andreas Busse-Cote2Eleonore Brumpt3Carine Richou4Celia Turco5Alexandre Doussot6Solange Bresson-Hadni7Eric Delabrousse8Department of Radiology, University of Bourgogne Franche-Comté, University Hospital BesançonDepartment of Radiology, University of Bourgogne Franche-Comté, University Hospital BesançonDepartment of Radiology, University of Bourgogne Franche-Comté, University Hospital BesançonDepartment of Radiology, University of Bourgogne Franche-Comté, University Hospital BesançonDepartment of Hepatology, University of Bourgogne Franche-Comté, University Hospital BesançonDepartment of Digestive Surgery, University of Bourgogne Franche-Comté, University Hospital BesançonDepartment of Digestive Surgery, University of Bourgogne Franche-Comté, University Hospital BesançonLaboratoire de Parasitologie-Mycologie, University Hospital BesançonDepartment of Radiology, University of Bourgogne Franche-Comté, University Hospital BesançonAbstract Echinococcosis is a parasitic disease caused by two zoonotic tapeworms (cestodes) of the Echinocococcus genus. It can be classified as either alveolar or cystic echinococcosis. Although the two forms differ significantly in terms of imaging findings, they share similarities in terms of management and treatment. In parallel to medical treatment with albendazole (ABZ), and surgery, historically used in these diseases, various imaging-guided interventional procedures have recently emerged (drainage, stenting, or Puncture, aspiration, injection, and reaspiration (PAIR)). These options open up a new range of therapeutic options. As in oncology, multidisciplinary consultation meetings now play a major role in adapted management and patient care in hepatic echinococcosis. Consequently, diagnostic imaging and interventional expertise have brought radiologists to the fore as important members of these multidisciplinary team. The radiologist will need to evaluate parasite activity in both forms of the disease, to guide the choice of the appropriate therapy from among medical treatment, interventional radiology procedures and/or surgical treatment. Knowledge of the specific complications of the two forms of echinococcosis will also help radiologists to discuss the appropriate treatment and management. The aim of this review is to describe the core knowledge that what a radiologist should possess to actively participate in multidisciplinary meetings about hepatic echinococcosis. We discuss the role of imaging, from diagnosis to treatment, in alveolar (AE) and cystic echinococcosis (CE), respectively.https://doi.org/10.1186/s13244-022-01190-yEchinococcosisRadiology (Interventional)RadiologistsDiagnostic imagingAlveolar echinococcosisCystic Echinococcosis |
| spellingShingle | Paul Calame Mathieu Weck Andreas Busse-Cote Eleonore Brumpt Carine Richou Celia Turco Alexandre Doussot Solange Bresson-Hadni Eric Delabrousse Role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis Insights into Imaging Echinococcosis Radiology (Interventional) Radiologists Diagnostic imaging Alveolar echinococcosis Cystic Echinococcosis |
| title | Role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis |
| title_full | Role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis |
| title_fullStr | Role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis |
| title_full_unstemmed | Role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis |
| title_short | Role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis |
| title_sort | role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis |
| topic | Echinococcosis Radiology (Interventional) Radiologists Diagnostic imaging Alveolar echinococcosis Cystic Echinococcosis |
| url | https://doi.org/10.1186/s13244-022-01190-y |
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