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Korean J Radiol. 2018 Sep-Oct;19(5):866-871. doi: 10.3348/kjr.2018.19.5.866. Epub 2018 Aug 6.

2018 Korean Clinical Imaging Guideline for Hemoptysis.

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Department of Radiolgoy, InJe University Sanggye Paik Hospital, Seoul 01757, Korea.
Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon 35015, Korea.
Department of Radiology, Gachon University Gil Hospital, Incheon 21565, Korea.
Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul 05505, Korea.
Department of Radiology, Kyungpook National University Medical Center, Daegu 41944, Korea.
Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul 05278, Korea.
Department of Radiology, Seoul National University Hospital, Seoul 03080, Korea.
Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 08308, Korea.
Division for Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul 04554, Korea.
Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.


In 2014, the American College of Radiology (ACR) announced the guideline for the appropriate diagnostic approach and treatment of patients according to the severity of hemoptysis and risk for lung cancer. However, the application of the ACR guideline in Korea may not be appropriate, because many patients in Korea have active tuberculosis or pulmonary fibrosis due to previous tuberculosis. The Korean Society of Radiology and Korean Society of Thoracic Radiology have proposed a new guideline suitable for Korean practice. This new guideline was prepared through the consensus of a development committee, working party, and an advisory committee. The guideline proposal process was based on an evidence-based clinical imaging guideline proposed by the development committee. Clinical imaging guideline for adult patients with hemoptysis is as follows: Chest radiography is an initial imaging modality to evaluate hemoptysis. Contrast-enhanced chest CT is recommended in patients with two risk factors for lung cancer (> 40 years old and > 30 pack-year smoking history), moderate hemoptysis (> 30 mL/24 hours) or recurrent hemoptysis. Contrast-enhanced chest CT is also recommended in patients with massive hemoptysis (> 400 mL/24 hours) without cardiopulmonary compromise.


Computed tomography; Evidence; Guideline; Hemoptysis; Lung; Radiography; Republic of Korea; Thorax; X-ray

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