Extrahepatic alveolar echinococcus on multi-slice computed tomography and magnetic resonance imaging

Abstract Alveolar echinococcus (AE) is a severe health problem in endemic areas. In recent years, the incidence of this disease in China has been increasing. The study was designed to illustrate the multi-slice computed tomography (MSCT) and magnetic resonance imaging (MRI) features of extrahepatic...

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Autores principales: Hui Guo, Wenya Liu, Jian Wang, Yan Xing
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/f32b45b4bd394ffc9d710253d59cc009
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spelling oai:doaj.org-article:f32b45b4bd394ffc9d710253d59cc0092021-12-02T17:39:32ZExtrahepatic alveolar echinococcus on multi-slice computed tomography and magnetic resonance imaging10.1038/s41598-021-89101-x2045-2322https://doaj.org/article/f32b45b4bd394ffc9d710253d59cc0092021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89101-xhttps://doaj.org/toc/2045-2322Abstract Alveolar echinococcus (AE) is a severe health problem in endemic areas. In recent years, the incidence of this disease in China has been increasing. The study was designed to illustrate the multi-slice computed tomography (MSCT) and magnetic resonance imaging (MRI) features of extrahepatic AE. A cohort of 33 patients who suffered from extrahepatic AE was enrolled consecutively from January 2012 to December 2017. The MSCT and MRI features of extrahepatic AE were recorded and analyzed by experienced radiologists. All cases secondary to hepatic AE, except two primary extrahepatic AE, were found in this study. Locations of extrahepatic AE included 19 (57.6%) lung, 10 (30.3%) adrenal gland, 9 (27.3%) brain, 5 (15.2%) peritoneal cavity, 5 (15.2%) spleen, 4 (12.1%) diaphragm, 3 (9.1%) kidney, 3 (9.1%) retroperitoneal, and 2 (6.1%) vertebra; Involvement of 1 (3.0%) heart, 1 (3.0%) mediastinum, 1 (3.0%) muscle, and 1 (3.0%) pancreas was rare. AE of the lung usually appeared as irregular and scattered nodules with small vacuoles or cavities inside and peripheral distribution. Multiple cerebral nodules with calcification and surrounding edema were the most common features seen in brain AE. Adrenal gland AE presented as plaques containing different sizes of hypodense areas and different amounts of calcification. Injection of contrast medium showed no enhancement of lesions except in the brain. MSCT and MRI are reliable imaging methods for the diagnosis of extrahepatic AE. When one AE patient is clinically confirmed, MSCT scan from the chest to the abdomen should be performed to exclude other organs AE.Hui GuoWenya LiuJian WangYan XingNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hui Guo
Wenya Liu
Jian Wang
Yan Xing
Extrahepatic alveolar echinococcus on multi-slice computed tomography and magnetic resonance imaging
description Abstract Alveolar echinococcus (AE) is a severe health problem in endemic areas. In recent years, the incidence of this disease in China has been increasing. The study was designed to illustrate the multi-slice computed tomography (MSCT) and magnetic resonance imaging (MRI) features of extrahepatic AE. A cohort of 33 patients who suffered from extrahepatic AE was enrolled consecutively from January 2012 to December 2017. The MSCT and MRI features of extrahepatic AE were recorded and analyzed by experienced radiologists. All cases secondary to hepatic AE, except two primary extrahepatic AE, were found in this study. Locations of extrahepatic AE included 19 (57.6%) lung, 10 (30.3%) adrenal gland, 9 (27.3%) brain, 5 (15.2%) peritoneal cavity, 5 (15.2%) spleen, 4 (12.1%) diaphragm, 3 (9.1%) kidney, 3 (9.1%) retroperitoneal, and 2 (6.1%) vertebra; Involvement of 1 (3.0%) heart, 1 (3.0%) mediastinum, 1 (3.0%) muscle, and 1 (3.0%) pancreas was rare. AE of the lung usually appeared as irregular and scattered nodules with small vacuoles or cavities inside and peripheral distribution. Multiple cerebral nodules with calcification and surrounding edema were the most common features seen in brain AE. Adrenal gland AE presented as plaques containing different sizes of hypodense areas and different amounts of calcification. Injection of contrast medium showed no enhancement of lesions except in the brain. MSCT and MRI are reliable imaging methods for the diagnosis of extrahepatic AE. When one AE patient is clinically confirmed, MSCT scan from the chest to the abdomen should be performed to exclude other organs AE.
format article
author Hui Guo
Wenya Liu
Jian Wang
Yan Xing
author_facet Hui Guo
Wenya Liu
Jian Wang
Yan Xing
author_sort Hui Guo
title Extrahepatic alveolar echinococcus on multi-slice computed tomography and magnetic resonance imaging
title_short Extrahepatic alveolar echinococcus on multi-slice computed tomography and magnetic resonance imaging
title_full Extrahepatic alveolar echinococcus on multi-slice computed tomography and magnetic resonance imaging
title_fullStr Extrahepatic alveolar echinococcus on multi-slice computed tomography and magnetic resonance imaging
title_full_unstemmed Extrahepatic alveolar echinococcus on multi-slice computed tomography and magnetic resonance imaging
title_sort extrahepatic alveolar echinococcus on multi-slice computed tomography and magnetic resonance imaging
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/f32b45b4bd394ffc9d710253d59cc009
work_keys_str_mv AT huiguo extrahepaticalveolarechinococcusonmultislicecomputedtomographyandmagneticresonanceimaging
AT wenyaliu extrahepaticalveolarechinococcusonmultislicecomputedtomographyandmagneticresonanceimaging
AT jianwang extrahepaticalveolarechinococcusonmultislicecomputedtomographyandmagneticresonanceimaging
AT yanxing extrahepaticalveolarechinococcusonmultislicecomputedtomographyandmagneticresonanceimaging
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