丹增耶昂

由多房棘球绦虫幼虫引起的致命性人畜共患寄生虫病肝泡性包虫病（Hepatic Alveolar Echinococcosis, HAE），由于浸润性生长方式和转移潜能，常被形象地称为“虫癌”。传统影像学技术在评估HAE生物学行为方面时有较大局限性，而影像组学通过提取医学图像中的高通量定量特征，为HAE的精确诊断和治疗开辟了新的方向。本文系统整合了影像组学在HAE生物学活性评估、远处转移预测（肺、脑）、HAE的鉴别诊断、术后并发症及淋巴结状态预测判断等方面的研究进展。很多研究显示，影像组模型基于 CT 、 MRI 和超声，结合多模态影像和病理特征，可有效预测 HAE 病灶边缘微血管侵犯、生物学活性和远处转移风险，并且预测效能会进一步提高。所以本文总和了影像组学在HAE生物学活性评估、转移预测及治疗决策中的研究进展，也客观讨论了其应用现状与挑战，旨在为HAE个体化精准诊疗提供参考。

肝泡性包虫病；影像组学；应用与进展

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