图像引导下的肝脏活检：介入放射学的观点
Image-Guided Liver Biopsy: Perspectives from Interventional Radiology.
作者信息
Ma Jingqin, Yu Qian, Van Ha Thuong
机构信息
Department of Interventional Radiology, Shanghai Medical School of Fudan University, Zhongshan Hospital, Shanghai, People's Republic of China.
Department of Radiology, University of Chicago Medical Center, University of Chicago, Chicago, Illinois.
出版信息
Semin Intervent Radiol. 2024 Dec 10;41(5):500-506. doi: 10.1055/s-0044-1792174. eCollection 2024 Oct.
Abstract
Liver biopsy is a crucial aspect of interventional radiology and plays a significant role in the management of hepatobiliary diseases. Radiologists commonly perform two major image-guided liver biopsy techniques: percutaneous and transjugular approaches. It is essential for radiologists to understand the role of liver biopsy in diagnosing and treating hepatobiliary conditions, the procedural details involved, and how to manage potential complications. This article reviews the indications, contraindications, techniques, and efficacy of image-guided liver biopsy, with a focus on both percutaneous and transjugular methods.
摘要
肝活检是介入放射学的一个关键方面，在肝胆疾病的管理中发挥着重要作用。放射科医生通常采用两种主要的影像引导肝活检技术：经皮和经颈静脉途径。放射科医生必须了解肝活检在诊断和治疗肝胆疾病中的作用、所涉及的操作细节以及如何处理潜在并发症。本文综述了影像引导肝活检的适应证、禁忌证、技术和疗效，重点关注经皮和经颈静脉方法。
相似文献
1
Image-Guided Liver Biopsy: Perspectives from Interventional Radiology.图像引导下的肝脏活检：介入放射学的观点
Semin Intervent Radiol. 2024 Dec 10;41(5):500-506. doi: 10.1055/s-0044-1792174. eCollection 2024 Oct.
2
Non-invasive diagnostic assessment tools for the detection of liver fibrosis in patients with suspected alcohol-related liver disease: a systematic review and economic evaluation.疑似酒精性肝病患者肝纤维化无创诊断评估工具的系统评价和经济评估。
Health Technol Assess. 2012;16(4):1-174. doi: 10.3310/hta16040.
3
MRI software and cognitive fusion biopsies in people with suspected prostate cancer: a systematic review, network meta-analysis and cost-effectiveness analysis.磁共振成像软件联合认知融合活检用于疑似前列腺癌患者：系统评价、网络荟萃分析和成本效果分析。
Health Technol Assess. 2024 Oct;28(61):1-310. doi: 10.3310/PLFG4210.
4
Image-guided percutaneous mesenteric biopsy: diagnostic yield and safety profile.影像引导下经皮肠系膜活检：诊断率及安全性分析
Abdom Radiol (NY). 2024 Dec 27. doi: 10.1007/s00261-024-04706-w.
5
Standard of care versus standard of care plus Ericksonian hypnosis for percutaneous liver biopsy: Results of a randomized control trial.经皮肝活检中常规护理与常规护理加艾瑞克森催眠疗法的对比：一项随机对照试验的结果
Diagn Interv Imaging. 2025 Mar;106(3):93-97. doi: 10.1016/j.diii.2024.09.009. Epub 2024 Oct 2.
6
Management of urinary stones by experts in stone disease (ESD 2025).结石病专家对尿路结石的管理（2025年结石病专家共识）
Arch Ital Urol Androl. 2025 Jun 30;97(2):14085. doi: 10.4081/aiua.2025.14085.
7
Exploring gender roles in German interventional radiology - how progressive are we?探索德国介入放射学中的性别角色——我们有多进步？
Rofo. 2025 Jul;197(7):814-828. doi: 10.1055/a-2427-0303. Epub 2024 Dec 4.
8
Image-guided core-needle or surgical biopsy for neuroblastoma diagnosis in children: A systematic review and meta-analysis from the International Society of Pediatric Surgical Oncology (IPSO).基于影像学引导的核心针或外科活检用于儿童神经母细胞瘤的诊断：来自国际小儿外科肿瘤学会（IPSO）的系统评价和荟萃分析。
Pediatr Blood Cancer. 2024 Feb;71(2):e30789. doi: 10.1002/pbc.30789. Epub 2023 Nov 27.
9
Comparison of outcomes of an 18-gauge vs 16-gauge ultrasound-guided percutaneous renal biopsy: a systematic review and meta-analysis.18 号与 16 号超声引导经皮肾活检的结局比较：系统评价和荟萃分析。
Ren Fail. 2023;45(2):2257806. doi: 10.1080/0886022X.2023.2257806. Epub 2023 Sep 19.
10
Leveraging Representation Learning for Bi-parametric Prostate MRI to Disambiguate PI-RADS 3 and Improve Biopsy Decision Strategies.利用表征学习进行双参数前列腺磁共振成像，以区分PI-RADS 3并改进活检决策策略。
Invest Radiol. 2025 Jun 30. doi: 10.1097/RLI.0000000000001218.
本文引用的文献
1
Clinical benefits of MRI-guided freehand biopsy of small focal liver lesions in comparison to CT guidance.MRI 引导徒手肝活检小病灶与 CT 引导的临床获益比较。
Eur Radiol. 2024 Sep;34(9):5507-5516. doi: 10.1007/s00330-024-10623-9. Epub 2024 Feb 6.
2
Contrast-Enhanced Ultrasound for Image-Guided Procedures.对比增强超声在影像引导操作中的应用。
Tech Vasc Interv Radiol. 2023 Sep;26(3):100913. doi: 10.1016/j.tvir.2023.100913. Epub 2023 Oct 20.
3
Percutaneous liver interventions with robotic systems: a systematic review of available clinical solutions.经皮肝脏介入机器人系统：现有临床解决方案的系统评价。
Br J Radiol. 2023 Dec;96(1152):20230620. doi: 10.1259/bjr.20230620. Epub 2023 Oct 24.
4
Comparison of the Safety of Transjugular and Percutaneous Liver Biopsies.经颈静脉和经皮肝脏活检的安全性比较。
J Vasc Interv Radiol. 2023 Dec;34(12):2120-2127.e2. doi: 10.1016/j.jvir.2023.08.023. Epub 2023 Aug 23.
5
Technical Success, Sample Adequacy, and Complications of Pediatric Transjugular Liver Biopsy: A Systematic Review and Meta-Analysis.儿科经颈静脉肝活检的技术成功率、样本充足性和并发症：系统评价和荟萃分析。
Dig Dis Sci. 2023 Oct;68(10):3846-3856. doi: 10.1007/s10620-023-08071-4. Epub 2023 Aug 9.
6
Percutaneous CT-guided Biopsy of Focal Liver Lesions - Long- term Experience with more than 300 Procedures.经皮 CT 引导下肝脏局灶性病变活检 - 300 余例长期经验。
J Gastrointestin Liver Dis. 2023 Jun 22;32(2):197-205. doi: 10.15403/jgld-4653.
7
Hepatic venous pressure gradient evaluates the Scheuer stage of liver fibrosis by transjugular liver biopsy: a multicenter study.经颈静脉肝活检评估肝静脉压力梯度与 Scheuer 肝纤维化分期：一项多中心研究。
HPB (Oxford). 2023 Jun;25(6):644-649. doi: 10.1016/j.hpb.2023.02.006. Epub 2023 Feb 14.
8
Contrast-enhanced ultrasound for abdominal image-guided procedures.用于腹部图像引导手术的超声造影
Abdom Radiol (NY). 2023 Apr;48(4):1438-1453. doi: 10.1007/s00261-023-03804-5.
9
Clinical significance of measuring hepatic venous pressure gradient on transjugular liver biopsy for patients with pre-cirrhotic bridging fibrosis liver disease.经颈静脉肝活检时测量肝静脉压力梯度对肝硬化前桥接纤维化肝病患者的临床意义。
Clin Imaging. 2023 Apr;96:44-48. doi: 10.1016/j.clinimag.2023.02.004. Epub 2023 Feb 10.
10
Diagnostic outcome and safety of plugged liver biopsy in high-risk patients: a systematic review and meta-analysis.经皮肝穿刺活检在高危患者中的诊断结果和安全性：系统评价和荟萃分析。
Acta Radiol. 2023 May;64(5):1775-1782. doi: 10.1177/02841851231151513. Epub 2023 Jan 24.
Zotero 插件