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Liver Boipsy:
A liver biopsy is done using a needle inserted between two of the right lower ribs to remove a sample of liver tissue. The tissue sample is sent to a laboratory and looked at under a microscope to see if there are any liver problems.
Alternatives to Liver Boipsy:
Abdominal Imaging Studies:
In some instances, abdominal imaging studies can help make a diagnosis. As an example, blood tests might suggest that a patient is suffering from iron overload related to hereditary hemochromatosis. Specially-tailored MRI scans can help determine whether or not iron overload is truly present without the need for a liver biopsy.
Increasingly, non-invasive approaches are being used to assess the severity of chronic hepatitis C.
Commercially available blood tests like Hepascore® and FibroSURE® assess blood levels of hyaluronic acid and other chemicals to help estimate the degree of liver inflammation and fibrosis (i.e. scarring) in patients with chronic hepatitis C.
Fibroelastography:
It remains to be determined whether fibroelastography will provide as accurate an assessment of liver fibrosis in other disease states (for example, chronic hepatitis B or alcoholic liver disease) as in chronic hepatitis C. Fibroelastography is undergoing testing in the United States and is not widely available at this time.
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