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.

Muscle & Nerve
|April 22, 2018
PubMed

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.
Abstract

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