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Muscle-ultrasound evaluation in healthy pediatric subjects: Age-related normative data
Silvia Lori1, Francesco Lolli1,2, Elisabetta Molesti1
1University Hospital Careggi, Dipartimento Neuromuscolo Scheletrico e degli organi di senso, Firenze, Italy.
Insights
This study establishes crucial muscle ultrasound normative data for healthy children, revealing age-related increases in muscle width and echogenicity. These findings address gaps in pediatric neuromyopathy diagnostic references.
Area of Science:
- Pediatric Neurology
- Musculoskeletal Imaging
- Biomedical Engineering
Background:
- Muscle ultrasound examination (MUS) is a vital, noninvasive tool for diagnosing neuromyopathies.
- Existing standardized MUS normative data for pediatric populations are insufficient.
Purpose of the Study:
- To establish comprehensive, standardized muscle ultrasound normative data for healthy children.
- To provide essential reference ranges for pediatric neuromyopathy evaluation.
Main Methods:
- A muscle ultrasound study was conducted on 120 healthy children (ages 2-16).
- Bilateral muscle width and echogenicity were measured in 10 key muscle groups.
- Data were analyzed to determine age-related changes and establish confidence limits.
Main Results:
- Muscle thickness significantly increased with age across all measured muscles.
- Echogenicity showed age-dependent increases in specific muscles.
- Normative data and confidence limits for muscle width were established for pediatric age groups.
Conclusions:
- This study provides novel physiological muscle structural data for healthy children.
- The findings enhance the limited available references for pediatric muscle ultrasound.
- This research supports improved diagnostic accuracy for pediatric neuromyopathies using MUS.
Introduction:
The muscle ultrasound examination (MUS) is a noninvasive and inexpensive technique for evaluating neuromyopathies. Standardized MUS normative data are incomplete in pediatric subjects.
Methods:
We performed a MUS study with 120 healthy children (59 males; mean age, 10.44 years; age range, 2-16 years). We measured the width and the echogenicity bilaterally in the following muscles: biceps brachii and brachialis, brachioradialis, forearm-flexors, rectus femoris and vastus intermedius, tibialis anterior, extensor hallucis longus, lateral and medial gastrocnemius.
Results:
The muscle thickness increased with age for all muscles. Confidence limits were set for each age group muscle width. Echogenicity increased with age only in some muscles.
Discussions:
Our MUS study provides new data on physiological muscle structural changes in healthy children to address the limited available references in this age group. Muscle Nerve 58: 245-250, 2018.
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