Indications for Neuromuscular Ultrasound: Expert Opinion and Review of the Literature

For much of the last fifty years, there has been remarkable uniformity in electrodiagnostic practice. Aside from the rare patient who might need referral to a specialized center for a single fiber EMG study, patients have been able to receive consistent diagnostic evaluations with comparable results regardless of the size of the laboratory or its geographic location. However, now a number of laboratories provide advanced ultrasound imaging in addition to standard electrophysiological assessment of nerve and muscle, a trend that appears to be accelerating, and this is creating an unprecedented gap between ultrasound enhanced and standard clinical neurophysiology practice.

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