IR - Liver Biopsy

Question 1

The Liver is shaped like a _______ and is about the size of a ________

Answer 1

Shape = Cone
Size = Football

Question 2

A healthy liver has a _______ color and weighs ______

Answer 2

Color = Dark, Reddish Brown

Weight = 3 Pounds

Question 3

What are the two (2) distinct sources that supply blood into the liver:

Answer 3

1. Hepatic Artery
2. Hepatic Portal Vein

Question 4

It is the liver’s source of oxygenated blood

Answer 4

Hepatic Artery

Question 5

It is the liver’s source of nutrient-rich blood

Answer 5

Hepatic Portal Vein

Question 6

It is an organ which regulates most chemical levels in the
blood and secretes product called bile, which helps carry away waste product from the liver.

Answer 6

Liver

Question 7

The liver sits under the _______ on the _____side of the abdomen.

Answer 7

1. Rib Cage
2. Right

Question 8

Liver disease can be inherited, or more so obtained via ______

Answer 8

Genetics

Question 9

TRUE OR FALSE

If early treatment is given, the liver has time to heal

Answer 9

TRUE

Question 10

TRUE OR FALSE

Liver is the only organ that can regenerate over time

Answer 10

TRUE

Question 11

This pertains to the yellowish discoloration of the skin due to liver disease ?

Answer 11

Jaundice

Question 11

Liver disease causes can be (3):

Answer 11

1. Infection
2. Immune System Abnormality
3. Genetics

Question 12

This occurs when the immune system
mistakenly attacks the body’s own cells, including those in the liver. It can lead to liver damage and diseases

Answer 12

Immune System Abnormality

Question 12

The most common type of liver infection is ________

Answer 12

Hepatitis Viruses

Question 13

The three main types of Hepatitis are:

Answer 13

1. Autoimmune Hepatitis
2. Primary Biliary Cholangitis
3. Primary Sclerosing Cholangitis

Question 14

Abnormal gene inherited from one or both parents can cause substances to build up in the liver,

Answer 14

Genetics

Question 15

The two (2) main genetically derived liver diseases are:

Answer 15

1. Wilson Disease
2. Hemochromatosis

Question 16

TRUE OR FALSE

The liver is the smallest solid organ and the smallest gland in the human body.

Answer 16

FALSE

The liver is the LARGEST solid organ and the LARGEST gland in the human body.

Question 16

A type of cancer that originates in liver cells.

Answer 16

Liver Cancer

Question 16

Some of the liver’s well-known essential tasks are (4):

Answer 16

1. Production of Bile
2. Production of Certain Proteins from Blood Plasma
3. Production of Cholesterol and Special Protein
4. Conversion of Excessive Glucose into Glycogen for Storage

Question 17

A medical test commonly performed by a surgeon, interventional radiologist, or an interventional cardiologist which involves extraction of sample cells or tissues for examination to determine the presence or extent of a disease.

Answer 17

Biopsy

Question 18

A procedure where liver cells are obtained by a needle
inserted directly into the liver through the
abdominal wall, in the stomach area, and examined

Answer 18

Image-Guided Liver Biopsy

Question 19

What are the two (2) main imaging methods used in Liver Biopsy ?

Answer 19

Ultrasound and CT Scan

Question 20

Liver Biopsy may be divided into two (2) types, namely:

Answer 20

1. Core Biopsy
2. Fine Needle Aspiration

Question 21

This is liver biopsy used to assess the liver tissue for general liver disease, such as cirrhosis that requires medical imaging and a larger gauge needle to retrieve a small cylinder of liver tissue

Answer 21

Core Biopsy

Question 22

An image-guided procedure carried out with a much thinner needle used for taking a biopsy at a specific lesion or abnormality

Answer 22

Fine Needle Aspiration

Question 23

The main difference between the two types of liver biopsy is the _______

Answer 23

Size of the Needle

Question 24

Fasting before liver biopsy is required to be undertaken for how many hours to reduce the chance of stomach and bowel gas interference.

Answer 24

4-6 Hours

Question 25

Anticoagulants or antiplatelet medication must be discontinued usually ______ days before undergoing a biopsy

Answer 25

7-10 Days

Question 26

TRUE OR FALSE Most patients find liver biopsy uncomfortable, usually experiencing discomfort and excessive pain

Answer 26

FALSE Most patients find the procedure bearable, usually experiencing some discomfort, but not excessive pain.

Question 27

What is the most common side effect of liver biopsy ?

Answer 27

Discomfort in the Area of the Biopsy

Question 28

Side effects of Liver Biopsy usually last only for _______

Answer 28

1-2 Days

Question 28

Pain may be normally controlled with ______, that may also be administered intravenously

Answer 28

Analgesics (Pain Killers)

Question 29

Liver Biopsy approximately takes _______ for the preliminary ultrasound or CT scan, cleaning and dressing, and giving the local anesthetic

Answer 29

10 Minutes

Question 30

The actual liver biopsy can take between ______ up to a _______

Answer 30

1. A Few Seconds 2. Minute

Question 31

If the tumor is deep and not clearly visible on an ultrasound, a ______ will be used instead

Answer 31

CT Scan

Question 32

Major effects of livery biopsy are generally rare with less than _____ of cases

Answer 32

1 %

Question 33

Bleeding is usually mild and only results in pain/discomfort in less than _____ of cases

Answer 33

5 %

Question 34

It is an extremely rare event or risk that occurs perhaps by a chance of 1/5000

Answer 34

Patient Death

Question 35

TRUE OR FALSE Liver imaging also reduces (but does not eliminate) the risks of complications

Answer 35

TRUE

Question 36

Who is the medical professional responsible for carrying out the image-guided liver biopsy ?

Answer 36

Radiologist

Question 37

This medical professional may also be involved in the set-up of equipment and cleaning/preparation of patient.

Answer 37

Radiology Nurse

Question 38

TRUE OR FALSE Liver biopsy will be performed where the machine is located, depending on the modality that will be used.

Answer 38

TRUE

Question 39

Which hepatitis virus spreads through ingestion of contaminated food and water ?

Answer 39

Hepatitis A Virus

Question 40

TRUE OR FALSE The roles of the liver include: Detoxification, Protein, Synthesis, and the Production of Chemicals that help digest food.

Answer 40

TRUE