We have read with interest the technical note from Notghi et al.[1] on the renewed interest of the 75 Se-HCAT test in the evaluation of bile acid malabsorption.We agree on the general presentation of the technical note. However, the authors do not make any comment about the possibility of the use of a collimated gamma camera.As the authors mention, the first experiences with 75 Se-HCAT were assessed using a whole-body counter. The difficulties and limited availability limited the widespread use of the method.The method described by the author, the use of an uncollimated gamma camera, simulates a whole-body counter. Nevertheless, the use of an uncollimated gamma camera requires accurate control of background activity (patients, activity transport, contamination, etc.) in the nuclear medicine department as well as in the examination room. Patients being examined at the same time in the department may alter the measurement of the background activity.As bile acid absorption is mostly limited to the terminal ileum and the enterohepatic circuit is localized in the abdomen, the 75 Se activity outside of the abdomen is negligible. Thus, the measurement of abdominal 75 Se activity should be almost the same as the measurement of whole-body activity, especially with the 'new' large fieldof-view gamma cameras.On the basis of these assumptions, in the late 1980s, we began to perform the test using a collimated gamma camera. The results were excellent and we published the method in a letter to the editor in the European Journal of Nuclear Medicine [2] and our results in the Revista Española de Medicina Nuclear [3]. We have continued the use of this methodology for 20 years, with excellent collaboration and agreement between gastroenterologists and nuclear medicine doctors.Unfortunately, during this entire period, the test has been performed in advanced stages of chronic diarrhea, as stated in usual protocols [4].Recently, we have started to apply the test, using the collimated gamma camera, in the early stages and we have published our results in the Revista Española de Medicina Nuclear [5]. We have observed that the prevalence of bile acid malabsorption in patients with chronic diarrhea is about 43% and the response rate of these patients to therapy with bile acid-chelating agents is over 95%.The use of a collimated gamma camera allows patient examinations to be scheduled at any working time. As there is no interference due to patients present in the department, only the room contamination by other causes needs to be controlled. The clinical results we have obtained are excellent. In fact, now, our gastroenterologist prescribes the test as the first line of diagnosis.