Home | About us | Editorial Board | Search | Ahead of print | Current Issue | Archives | Instructions | Online submissionContact Us   |  Subscribe   |  Advertise   |  Login  Page layout
Wide layoutNarrow layoutFull screen layout
Lung India Official publication of Indian Chest Society  
  Users Online: 296   Home Print this page  Email this page Small font size Default font size Increase font size

  Table of Contents    
Year : 2012  |  Volume : 29  |  Issue : 1  |  Page : 89-90  

Author's reply

1 Department of Community Medicine, R. G. Kar Medical College and Hospital, 1 Kshudiram Bose Sarani, Kolkata, India
2 Department of Pulmonary Medicine Institute of Pulmocare and Research, CB 16, Sector I, Salt Lake, Kolkata, India
3 Department of Community Medicine, Burdwan Medical College and Hospital, Burdwan, India

Date of Web Publication28-Jan-2012

Correspondence Address:
Abhijt Mukherjee
Department of Community Medicine, R. G. Kar Medical College and Hospital, 1 Kshudiram Bose Sarani, Kolkata
Login to access the Email id

Source of Support: None, Conflict of Interest: None

Rights and PermissionsRights and Permissions

How to cite this article:
Mukherjee A, Bhattacharyya P, Saha I, Paul R. Author's reply. Lung India 2012;29:89-90

How to cite this URL:
Mukherjee A, Bhattacharyya P, Saha I, Paul R. Author's reply. Lung India [serial online] 2012 [cited 2020 Jan 29];29:89-90. Available from: http://www.lungindia.com/text.asp?2012/29/1/89/92378


We would like to thank the readers [1] for showing interest in our article. [2] It is true that digital images of fingers to assess clubbing by measuring hyponychial angle can be analyzed directly by the use of appropriate softwares. The two softwares we have come across, which are useful for this purpose, are the Quartz PCI Scientific Image Management System, as used by Husarik and co- workers [3] and CAD (Computer-Aided Design). Of these two software, Quartz PCI system was not available to us and we found CAD difficult to handle in the absence of specialized training. We are not aware of other better or easier ones for measuring such small angles.

On the other hand, the shadowgram technique, although a little more complicated compared to taking a digital photograph from a mobile phone camera, requires basic computer skills and measurement with a standard protractor. It is not costly and easy to set up in any typical clinic setting. Most physicians and technicians, we believe, would be able to easily adopt this technique without specialized knowledge of complicated software. Hence, we used the same in our work. Of course, the use of statistical software to directly measure the angles on digital photographs would be a much easier way provided availability of the required software as well as training is ensured.

It has been correctly pointed out that references to [Table 1] have been omitted. We are sorry for the inadvertent omissions.

   References Top

1.De S. Bedside evaluation of clubbing. Lung India 2012;29:89.  Back to cited text no. 1
  Medknow Journal  
2.Mukherjee A, Bhattacharyya P, Saha I, Paul R. Evaluation of a simple bedside tool developed to measure different parameters of clubbing. Lung India 2011;28:228-9.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
3.Husarik D, Vavricka SR, Mark M, Schaffner A, Walter RB. Assessment of digital clubbing in medical inpatients by digital photography and computerized analysis. Swiss Med Wkly 2002;132:132-8.  Back to cited text no. 3


    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

  In this article

 Article Access Statistics
    PDF Downloaded225    
    Comments [Add]    

Recommend this journal