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I thank Dr Cook for his comments regarding cardiac nomenclature used
to describe nuclear images.
I feel that his comments are justified.
Drs Sabharwal and Lahiri are to be congratulated on their review. And
their pictures, particularly the one chosen for the cover illustration,
are exquisite. The labelling of this image, however, illustrates a
fundamental problem with the way that nuclear cardiologists currently
describe the heart, as we pointed out in our recent Editorial published in Heart.
The image that is described...
The image that is described as "Anterior" by Sabharwal and Lahiri, in
reality, shows the superior aspect of the ventricular mass. We are well
aware that the designation shown by your authors is the one chosen by the
joint European - North American radiological working group, but that does
not alter the fact that it is anatomically incorrect. It is the septal
surface of the left ventricle that is anterior when the heart is viewed in
attitudinally correct orientation. The surface labelled as being
"anterior" should be correctly re-labelled as being "superior".
(1) Cook AC, Anderson RH. Attitudinally correct nomenclature. Heart