Abstract
Carotid artery intima–media thickness (IMT) measurements and their interpretation in the pediatric age group represent a special challenge. We appreciate, therefore, the data given by Doyon et al1 on reference values for carotid artery IMT and distensibility.1 Given the wide variety of normal values of IMT published up to date, the large patient group included in the study of Doyon et al1 deserves special attention and should guarantee reliable results. We regret, however, that the method applied for IMT measurement seems to raise questions about the comparability of the results. The authors describe their method according to the so-called caliper method, in which manual measurement of the IMT complex is performed and punctual manual measurements (how …
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