Under what terms analysis appoint a liver biopsy and is it possible to provide treatment and monitoring its effectiveness without a biopsy of HCV RNA quantitative - 175000 cop / ml HCV RNA genotyping - 1B

Respond Stanislav Y. Karpov, hepatology, gastroenterology, hepatology and gastroenterology clinic Medal liver biopsy appointed, usually with genotype 1b or 1a, especially if the patient is constantly normal levels of AST and ALT. Can be treated without a liver biopsy, but given that the likelihood of successful treatment of genotype 1b does not exceed 60%, then to evaluate the indications for re-treatment liver biopsy is repeated for comparison with the first similar question: Decode please: PHK HCV quantitative analysis, 4 3E 0.5 kopecks / ml oznochaet