Skip to main content
Log in

Multi-detector CT in Evaluation of Hemoptysis

  • Thoracic Imaging (T Buxi, Section Editor)
  • Published:
Current Radiology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Hemoptysis is an important symptom, which can be potentially life-threatening in some cases. Presence of hemoptysis necessitates a prompt and comprehensive evaluation so as to determine the underlying abnormality in the pulmonary parenchyma and/or thoracic vasculature. This would facilitate initiation of timely and accurate management.

Recent Findings

Mutli-detector row computed tomographic angiography (MDCT angiography) is a non invasive imaging tool, which provides all-inclusive information about the pulmonary parenchyma, airways and lung vasculature, correctly identifies the cause and site of bleeding in majority of the patients and serves as a guide for further management.

Summary

MDCT angiography an extremely useful imaging modality in initial evaluation of patients with hemoptysis and should be an integral part of preliminary assessment of all such cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Bruzzi JF, Rémy-Jardin M, Delhaye D, Teisseire A, Khalil C, Rémy J. Multi-detector row CT of hemoptysis. RadioGraphics. 2006;26:3–22. doi:10.1148/rg.261045726.

    Article  PubMed  Google Scholar 

  2. Davoodi M, Kordi M, Gharibvand MM, Shoushtari MH, Borsi H, Bahadoram M. Hemoptysis: comparison of diagnostic accuracy of multi detector CT Scan and bronchoscopy. Glob J Health Sci. 2015;7(3):9736–44. doi:10.5539/gjhs.v7n3p373.

    Google Scholar 

  3. Khalil A, Fartoukh M, Parrot A, Bazelly B, Marsault C, Carette MF. Impact of MDCT angiography on the management of patients with hemoptysis. AJR. 2010;195:772–8. doi:10.2214/AJR.09.4161.

    Article  PubMed  Google Scholar 

  4. Khalil A, Fartoukh M, Tassart M, Parrot A, Marsault C, Carette MF. Role of MDCT in identification of the bleeding site and the vessels causing hemoptysis. AJR. 2007;188:117–25. doi:10.2214/AJR.05.1578.

    Article  Google Scholar 

  5. Gupta M, Srivastava DN, Seith A, Sharma S, Thulkar S, Gupta R. Clinical impact of multidetector row computed tomography before bronchial artery embolization in patients with hemoptysis: a prospective study. Can Assoc Radiol J. 2013;64:61–73. doi:10.1016/j.carj.2011.08.002.

    Article  PubMed  Google Scholar 

  6. Yoon W, Kim JK, Kim YH, Chung TW, Kang HK. Bronchial and non-bronchial systemic artery embolization for life- threatening hemoptysis: a comprehensive review. Radiographics. 2002;22:1395–409. doi:10.1148/rg.226015180.

    Article  PubMed  Google Scholar 

  7. Ittrich H, Klose H, Adam G. Radiologic Management of haemoptysis: diagnostic and interventional bronchial arterial embolisation. Fortschr Röntgenstr. 2015;187:248–59. doi:10.1055/s-0034-1385457.

    Article  CAS  Google Scholar 

  8. Abdel-Ghany AF, Nassef MA, Osman NM. Multidetector CT chest with bronchial and pulmonary angiography determining causes, site and vascular origin of bleeding in patients with hemoptysis. Egypt J Radiol Nucl Med. 2013;44:769–78. doi:10.1016/j.ejrnm.2013.07.011.

    Article  Google Scholar 

  9. Savvidou D, Malagari K, Kampanarou M, Laspas F, Rousakis A, Kelekis D, et al. The role of multislice computed angiography of the bronchial arteries before arterial embolization in patients with hemoptysis. Open J Med Imaging. 2014;4:133–41. doi:10.4236/ojmi.2014.43019.

    Article  Google Scholar 

  10. Mohamed SAA, Mousa EM, Hamed AM, Amin SE, Abdel Aziz NMA. Utility of multidetector row computed tomography in the management of hemoptysis: an experience from upper Egypt. Egypt J Chest Tuberc. 2016;65:331–40. doi:10.1016/j.ejcdt.2015.08.014.

    Google Scholar 

  11. • Larici AR, Franchi P, Occhipinti M, Contegiacomo A, del Ciello A, Calandriello L, et al. Diagnosis and management of hemoptysis. Diagn Interv Radiol. 2014:20:299–309. Doi:10.5152/dir.2014.13426. An excellent review article elaborating all the diagnostic modalities in evaluation and management of hemoptysis. Authors highlight the usefulness of MDCT in workup of patients with hemoptysis.

  12. Spinu C, González EC, Andreu M, Gallardo X, Mata Duaso JM, Tortajada Bustelo JC, et al. Life-threatening hemoptysis: role of MDCT angiography. ECR 2013 poster no: C-1432. Doi:10.1594/ecr2013/C-1432.

  13. Andersen PE. Imaging and interventional radiological treatment of hemoptysis. Acta Radiol. 2006;47:780–92. doi:10.1080/02841850600827577.

    Article  CAS  PubMed  Google Scholar 

  14. Sirajuddin A, Mohammad TL. A 44- year old man with hemoptysis: a review of pertinent imaging studies and radiographic interventions. Cleve Clin J Med. 2008;75:601–7. doi:10.3949/ccjm.75.8.601.

    Article  PubMed  Google Scholar 

  15. • Walker CM, Rosado-de-Christenson ML, Martínez-Jiménez S, Kunin JR, Wible BC. Bronchial Arteries: anatomy, function, hypertrophy, and anomalies. Radiographics 2015:35:32–49. Doi:10.1148/rg.351140089. Article discusses in detail the anatomy, functions, variants of the bronchial arteries. All pathologies resulting in bronchial artery dilatation are discussed.

  16. Morita Y, Takase K, Ichikawa H, Yamada T, Sato A, Higano S. Bronchial artery anatomy: preoperative 3D simulation with multidetector CT. Radiology. 2010;255(3):934–43.

    Article  PubMed  Google Scholar 

  17. Chung MJ, Lee JH, Lee KS, Yoon YC, Kwon OJ, Kim TS. Bronchial and non-bronchial systemic arteries in patients with hemoptysis: depiction on MDCT Angiography. AJR. 2006;186:649–55. doi:10.2214/AJR.04.1961.

    Article  PubMed  Google Scholar 

  18. Yoon YC, Lee KS, Jeong YJ, Shin SW, Chung MJ, Kwon OJ. Hemoptysis: bronchial and non-bronchial systemic arteries at 16–detector row CT. Radiology. 2005;234:292–8. doi:10.1148/radiol.2341032079.

    Article  PubMed  Google Scholar 

  19. Zhang LJ, Yang GF, Lu GM. Non invasive diagnosis of bronchial artery aneurysm using dual source computed tomography angiography. Acta Radiol. 2008;49(3):291–4. doi:10.1080/02841850701753714.

    Article  PubMed  Google Scholar 

  20. Noë GD, Jaffé SM, Molan MP. CT and CT angiography in massive haemoptysis with emphasis on pre-embolization assessment. Clin Radiol. 2011;66:869–75. doi:10.1016/j.crad.2011.03.001.

    Article  PubMed  Google Scholar 

  21. Ceylan N, Bayraktaroglu S, Mehmet Erturk S, Savas R, Alper H. Pulmonary and vascular manifestations of Behçet disease: imaging findings. AJR. 2010;194:158–64. doi:10.2214/AJR.09.2763.

    Article  Google Scholar 

  22. Chae EJ, Do KH, Seo JB, Park SH, Kang JW, Jang YW, et al. Radiologic and clinical findings of Behçet Disease: comprehensive review of multi systemic involvement. Radiographics. 2008;28:e31. doi:10.1148/r.ge31.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sandeep Vohra.

Ethics declarations

Conflict of interest

Sandeep Vohra and Veena Chowdhury each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by the authors.

Additional information

This article is part of the Topical Collection on Thoracic Imaging.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vohra, S., Chowdhury, V. Multi-detector CT in Evaluation of Hemoptysis. Curr Radiol Rep 5, 14 (2017). https://doi.org/10.1007/s40134-017-0208-x

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s40134-017-0208-x

Keywords

Navigation