S-Space College of Medicine/School of Medicine (의과대학/대학원) Parasitology and Tropical Medicine (기생충학전공) Journal Papers (저널논문_기생충학전공)
Imaging diagnosis of clonorchiasis
- Choi, Dongil; Hong, Sung-Tae
- Issue Date
- Korean Society for Parasitology
- Korean J Parasitol. 2007 Jun;45(2):77-85.
- Bile Ducts/parasitology/pathology; *Cholangiography; Clonorchiasis/*diagnosis/ultrasonography; Humans
- Among several diagnostic tools for clonorchiasis (Clonorchis sinensis infection), radiologic examinations are commonly used in clinical practices. During the 2 past decades, many reports regarding imaging findings of clonorchiasis were introduced. The basic imaging finding of clonorchiasis is diffuse dilatation of the peripheral intrahepatic bile ducts, without dilation of the large intrahepatic or extrahepatic bile ducts. By this finding, however, active clonorchiasis cannot be differentiated from cured infection. Some recent radiologic studies suggested specific findings of active clonorchiasis. Besides direct demonstration of worms, increased periductal echogenicity on sonography and periductal enhancement on dynamic contrast-enhanced CT or MR imaging possibly represent active clonorchiasis. Those images of the liver clonorchiasis are known to be correlated with worm burdens (EPG counts) in their frequency and also severity. The images of cholangiocarcinoma associated with clonorchiasis show both the tumor with obstruction images and diffuse dilatation of the peripheral intrahepatic bile ducts. Radiological images can be a good practical alternative diagnostic method of clonorchiasis.
- 0023-4001 (Print)