Is it correct that most liver biopsy is altra sound guided these days?
Would this create less risk by being able to see where the needle is penitrating?
Ahan. Do you live in the USA?
If one's HBV DNA levels are above 2000iu which yours are, and alt levels are elevated which yours are as well, then most guidelines would indeed indicate treatment. I think you should consider going on treatment regardless of liver biopsy because even if the biopsy didn't indicate much damage just yet, you're likely to experience damage in future without treatment (inferring by your high ALT). To be on the safe side, start treatment man. It will keep your liver in an optimal shape for when a cure comes out, your liver would be able to handle the therapeutic 'flares' without significant damage.
My liver biopsy was done while my gall bladder was removed. I was under general anaesthesia. No side effect. I could recover the gall bladder surgery in a week' time.
Liver biopsy revealed:
1. Steatosis 10%
2. Mild Hepatitis (NASH).
3. Portal fibrosis 2/6 (Ishak stage)
4. HAI = 2+1+0+0 = 3/18
Hi.. my MRE revealed just 2.1KPA stiffness and Liver function tests too appeared okay... but the biopsy.. which was just done incidentally when my Gall blade was removed last year revealed that I had NASH and portal fibrosis 2/6. At leader my experience shows that imaging or elastograms don't detect the problem early enough.
Why would your doctor suggest it in the first place?