Report of Spectroscopy Findings Not the First

Foerster et al¹ were right to report their proton MR spectroscopy findings in children with hepatic encephalopathy but were wrong to claim to be the first. I draw your attention to their article, in which the authors make the statement, “Our study is the first….” This kind of statement adds nothing to the scientific or educational value of the report and is especially concerning because it is not true. In 1995, we used proton MR spectroscopy to assess children with hepatic encephalopathy before and after liver transplantation.² Both articles show that brain spectroscopy is helpful in assessing hepatic encephalopathy in children.

• Copyright © American Society of Neuroradiology