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A Novel Application of Musculoskeletal Ultrasound Imaging

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Reporting the results of diagnostic neuromuscular ultrasound: an educational report

Lisa D Hobson-Webb¹, Andrea J Boon

¹Department of Medicine, Division of Neurology, Duke University, Durham, North Carolina, USA.

|February 6, 2013

Abstract

Introduction:

Neuromuscular ultrasound (NMUS), an emerging diagnostic subspecialty field, has become an important extension of the electrodiagnostic examination. However, there are no formal guidelines on how to appropriately report NMUS results.

Methods:

The AANEM convened an expert panel to develop recommendations for reporting NMUS findings.

Results:

Providers should describe the reason for referral, the nerves or muscles studied, and normal values as well as numerical values for the results of imaging. Muscle imaging reports should also include a description of how gray-scale values were calculated. NMUS-guided needle placement reports should include a description of the length and gauge of needle, the type of probe used, and an indication of how well the patient tolerated the procedure. All reports should clearly state whether the findings were normal or abnormal and include a definitive diagnosis.

Conclusions:

NMUS reports should provide comprehensive information along with a succinct conclusion, mirroring guidelines for electrodiagnostic reports.

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