RT Journal Article SR Electronic T1 Early signs of hemoptysis, the advance CT approach JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP p583 VO 38 IS Suppl 55 A1 Tamara Milosavljevic A1 Aleksandar Ivkovic YR 2011 UL http://erj.ersjournals.com/content/38/Suppl_55/p583.abstract AB Hemoptysis, the act of coughing up blood, is an important symptom since it frequently reflects serious underlying lung disease. If the hemoptysis is substantial, persistent, or recurrent then further evaluation is indicated, particularly since patients with chronic bronchitis related to smoking are at high risk for lung cancer.The aim of the study is to incorporate advance CT procedures in determining the right cause of hemoptysis and finding the right area of bleeding.Material and methods: All patients were examined of 16 or 64 MDCT. We use standard lung procedure and all advanced MDCT methods, like 3D virtual bronchoscopy, nodule check, MDCT pulmonary angiography, very slow infusion injection of contrast agent, very fast bolus injection of contrast agent and wide specter of filters.Results: We examined 1536 patients with coughing up blood and compared results on the most common causes with standard methods. Male patients were 917 and female 619, middle age of patients were 56.4 years. Our first aim was to find lung cancers in patients with recurrent hemoptysis where standard methods were insufficient. We found 18.76% more lung carcinomas in compare with standard procedures. Our second aim was to find right place of bleeding. In compare with standard methods we found the right place of bleeding in 21.54% more patients that with standard methods.Conclusion: Improvements with advanced technics are significant. Important is to notice that advanced technics are not invasive and in any case danger to patients health.