In the recent CCI Journal [1], Dr. Cuisset et al. present the results of their study concerning thermistor-based intracoronary thermography and the effect of pressure and flow on the acquired measurements. The study comes from a prestigious institution and the senior authors are recognized experts in the field of endovascular pressure and flow. In this article, the authors conclude that thermistor sensors are not suitable for intravascular measurements due to flaws caused mainly by pressure and less by flow variations. They also question the feasibility of arterial wall thermography in general. Using the experience from our studies, I would like to debate the issue.The existence of temperature heterogeneity on an atherosclerotic plaque was clearly proven in vitro by Dr. Casscells. In his pioneering work [2], using clear methodology, Dr. Casscells successfully correlated macrophage concentration with produced heat in a regional manner and found that heat production was elevated at the sites of macrophage population. Therefore, the existence of hot plaque spots seems above any doubt. However, the big question was-and still is-how we can bring this important finding in-vivo to the cath lab and how we can use the derived data in order to predict heart events. Being one of the investigators who worked intensively in the field [3][4][5][6][7], I can say that this task proved to be more difficult than initially thought. The magnitude of the produced thermal energy at the site of intravascular inflammation is very small and the theater of measurements is more than hostile: pulsative blood flow, metabolic heat, vascular curvature, and irregular plaque surface are only a few obstacles that we have to cross. Therefore, it appeared from the beginning that special instrumentation is needed for such a task. From all the possible measuring methods, we selected the ''contact with the wall'' method, which is to bring one or more sensors in close contact with the arterial wall. The reason behind this selection (versus measuring emitted thermal IR radiation) was that IR failed us at all mathematical models mainly because of the small thermal magnitude and the presence of warm blood stream. Of course this does not mean that IR methods are not a possible future