RT Journal A1 Stein JH T1 CArdiovascular disease risk prediction measures JF JAMA JO JAMA YR 2012 FD December 19 VO 308 IS 23 SP 2455 OP 2456 DO 10.1001/jama.2012.65884 UL http://dx.doi.org/10.1001/jama.2012.65884 AB In their article, the authors stated that clinical use of common CIMT measurements has been recommended, and they referenced the 2008 American Society of Echocardiography (ASE) consensus statement.2 However, that consensus statement did not recommend using common CIMT measurement as an isolated ultrasound predictor of cardiovascular disease risk because common CIMT measurements are not as sensitive to the severity of subclinical arterial injury as bifurcation, internal CIMT measurement, or the presence of carotid plaques. The ASE consensus statement required that a circumferential plaque scan be performed in addition to measuring common CIMT.2 Also, for the purposes of risk prediction, the ASE consensus statement only considered common CIMT measurements in the highest quartile as indicative of increased cardiovascular disease risk.2 The risk estimates associated with high common CIMT measurements are very different than those associated with continuous common CIMT measurements, as presented in the USE-IMT article.1