Critics have claimed that, without avian air sacs, modest improvements in a few aspects of a modern reptile's circulatory and respiratory systems would enable the reptile to achieve 50% to 70% of the oxygen flow of a mammal of similar size, and that lack of avian air sacs would not prevent the development of endothermy. Very few formal rebuttals have been published in scientific journals of Ruben et al.'s claim that dinosaurs could not have had avian-style air sacs; but one points out that the "Sinosauropteryx" fossil on which they based much of their argument was severely flattened and therefore it was impossible to tell whether the liver was the right shape to act as part of a hepatic piston mechanism. Some recent papers simply note without further comment that Ruben et al. argued against the presence of air sacs in dinosaurs.