Journal article
ACR Appropriateness Criteria (R) Hemoptysis
Journal of the American College of Radiology, Vol.17(5), pp.S148-S159
05/01/2020
DOI: 10.1016/j.jacr.2020.01.043
PMID: 32370959
Abstract
Hemoptysis, the expectoration of blood, ranges in severity from nonmassive to massive. This publication reviews the literature on the imaging and treatment of hemoptysis. Based on the literature, the imaging recommendations for massive hemoptysis are both a chest radiograph and CT with contrast or CTA with contrast. Bronchial artery embolization is also recommended in the majority of cases. In nonmassive hemoptysis, both a chest radiograph and CT with contrast or CTA with contrast is recommended. Bronchial artery embolization is becoming more commonly utilized, typically in the setting of failed medical therapy. Recurrent hemoptysis, defined as hemoptysis that recurs following initially successful cessation of hemoptysis, is best reassessed with a chest radiograph and either CT with contrast or CTA with contrast. Bronchial artery embolization is increasingly becoming the treatment of choice in recurrent hemoptysis, with the exception of infectious causes such as in cystic fibrosis.
The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
Details
- Title: Subtitle
- ACR Appropriateness Criteria (R) Hemoptysis
- Creators
- Kathryn M. Olsen - Radiology AssociatesShawdi Manouchehr-pour - Keck Hospital of USCEdwin F. Donnelly - Vanderbilt University Medical CenterTravis S. Henry - University of California, San FranciscoMark F. Berry - Society of Thoracic SurgeonsPhillip M. Boiselle - Florida Atlantic UniversityPatrick M. Colletti - University of Southern CaliforniaNicholas E. Harrison - American College of Emergency PhysiciansChristopher T. Kuzniewski - Naval Medical Center PortsmouthArchana T. Laroia - University of Iowa Hospitals and ClinicsFabien Maldonado - American College of Chest PhysiciansJason W. Pinchot - University of Wisconsin–MadisonConstantine A. Raptis - MallinckrodtKyungran Shim - John H. Stroger, Jr. Hospital of Cook CountyBetty C. Tong - Society of Thoracic SurgeonsCarol C. Wu - The University of Texas MD Anderson Cancer CenterJeffrey P. Kanne - University of Wisconsin–MadisonExpert Panel on Thoracic Imaging
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Radiology, Vol.17(5), pp.S148-S159
- Publisher
- Elsevier
- DOI
- 10.1016/j.jacr.2020.01.043
- PMID
- 32370959
- ISSN
- 1546-1440
- eISSN
- 1558-349X
- Number of pages
- 12
- Language
- English
- Date published
- 05/01/2020
- Academic Unit
- Radiology; Internal Medicine
- Record Identifier
- 9984318805402771
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