Intended for healthcare professionals

Rapid response to:

Editor's Choice

Non-alcoholic fatty liver disease

BMJ 2011; 343 doi: (Published 20 July 2011) Cite this as: BMJ 2011;343:d4652

Rapid Response:

Cover Art

The use of a false colour CT image on the front cover is
disappointing. Hepatic steatosis may be demonstrated elegantly on
ultrasound, CT or MRI, however the cover art used not only fails to show
this condition, but also suggests that a colour scale may be used to
diagnose and grade hepatic steatosis. Worse, the use of colour may
actually be obscuring the subtle alteration of density of the hepatic
parenchyma which is seen with steatosis.

The BMJ has a history of producing such false colour images, which
are presumably created for supposed visual impact rather than veracity.
Unfortunately they invariably turn out as poor and visually unappealing
substitutes for the powerful images diagnostic imaging is capable of

Competing interests: No competing interests

23 July 2011
Antony Goode
Consultant Radiologist
Royal Free Hospital