蔡泽俊,王海久

肝囊性包虫病（HCE）是由细粒棘球蚴寄生于肝脏引发的人畜共患寄生虫病，主要流行于畜牧业地区，其诊断与治疗全程依赖影像学技术支撑。本文系统综述HCE的病理分型及各影像学技术的应用现状，重点分析不同影像技术在HCE筛查、诊断、分期、活性评估及治疗随访中的优势与局限性，并探讨人工智能辅助诊断、分子影像学等新兴技术的研究进展。结果表明：超声是HCE首选筛查手段，CT与MRI在精准分期和并发症评估中具有核心价值，超声造影、能谱CT可提升病灶活性判断的准确性，而AI技术有望实现HCE影像诊断的自动化与标准化。未来需进一步推动多模态影像融合及靶向分子影像技术发展，为HCE的全程管理提供更精准的技术支持。

肝囊性包虫病；细粒棘球蚴；影像学诊断；超声造影；磁共振成像

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