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The principle of independence is a fundamental yet often disregarded assumption in statistical inference. It is observed that the implications of correlations, if not considered, can lead to a conservative estimation of Type I error in the presence of positive linear correlations when utilizing the Kolmogorov-Smirnov (KS) test. Conversely, negative linear correlations may engender a liberal estimation of Type I error. To address the impact of spatial autocorrelation in the analysis of Positron Emission Tomography (PET) images, we have proposed an innovative methodology to reconstruct a grid map of human heart scans using spherical coordinates. We have examined the distribution of the KS test statistic under spatial autocorrelation through Monte Carlo (MC) simulation and have introduced a KS test with a spatial adjustment. The newly proposed KS test with spatial adjustment demonstrates a controlled Type I error and power that is not inferior when compared to the original KS test. This suggests its potential utility in the analysis of spatially autocorrelated data. [ABSTRACT FROM AUTHOR]

A letter to the editor is presented in response to the article regarding the coronary collateral growth induced by physical exercise by S. Möbius-Winkler and colleagues that was published in the previous issue.