Abstract
Repeat liver biopsy guided by CT and ultrasound was performed in ten prospectively selected patients with chronic liver disease, small liver size, and a previous unsuccessful biopsy. Biopsy sites selected by both radiographic techniques were essentially similar and within 1 cm of each other. The bulk of the liver was located more posteriorly and superiorly than expected, explaining the failure of the previous unsuccessful biopsies. Adequate cores of liver 1–2.5 cm in length were easily obtained with radiologic guidance. This technique is especially useful in patients with chronic active hepatitis complicated by cirrhosis.
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References
Menghini G: One-second biopsy of the liver—problems of its clinical application. N Engl J Med 283:582–585, 1970
Rasmussen SN, Holm HH, Kristensen JK, Barlebo H: Ultrasonically guided liver biopsy. Br Med J 2:500–502, 1972
Haaga JR, Alfidi RJ: Precise biopsy localization by computed tomography. Radiology 118:603–607, 1976
Haaga JR, Vanek J: Computed tomographic guided liver biopsy using the Menghini needle. Radiology 133:405–408, 1979
Harbin WP, Robert NJ, Ferrucci JT: The diagnosis of cirrhosis by regional changes in hepatic morphology: A radiologic and pathologic analysis. Radiology 135:273–283, 1980
Last RJ: Anatomy: Regional and Applied, 5th ed. Baltimore, Williams and Wilkins, 1972, pp 463
Summerskill WHJ: Chronic active liver disease reexamined. Prognosis hopeful. Gastroenterology 70:1161–1171, 1974
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Bjork, J.T., Foley, W.D. & Varma, R.R. Percutaneous liver biopsy in difficult cases simplified by CT or ultrasonic localization. Digest Dis Sci 26, 146–148 (1981). https://doi.org/10.1007/BF01312233
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DOI: https://doi.org/10.1007/BF01312233