Department of Neurology at Wake Forest School of Medicine, Medical Center Blvd, Winston-Salem, NC, USA.
Department of Rehabilitation Medicine, National INeurolnstitutes of Health, Bethesda, MD 20892, USA.
Clin Neurophysiol. 2018 Dec;129(12):2658-2679. doi: 10.1016/j.clinph.2018.09.013. Epub 2018 Sep 25.
Over the last two decades, dozens of applications have emerged for ultrasonography in neuromuscular disorders. We wanted to measure its impact on practice in laboratories where the technique is in frequent use. After identifying experts in neuromuscular ultrasound and electrodiagnosis, we assessed their use of ultrasonography for different indications and their expectations for its future evolution. We then identified the earliest papers to provide convincing evidence of the utility of ultrasound for particular indications and analyzed the relationship of their date of publication with expert usage. We found that experts use ultrasonography often for inflammatory, hereditary, traumatic, compressive and neoplastic neuropathies, and somewhat less often for neuronopathies and myopathies. Usage significantly correlated with the timing of key publications in the field. We review these findings and the extensive evidence supporting the value of neuromuscular ultrasound. Advancement of the field of clinical neurophysiology depends on widespread translation of these findings.
在过去的二十年中，超声技术在神经肌肉疾病中的应用已经层出不穷。我们希望衡量它对该技术经常使用的实验室实践的影响。在确定了神经肌肉超声和电诊断方面的专家后，我们评估了他们对不同适应症的超声使用情况以及对其未来发展的期望。然后，我们确定了最早的提供超声对特定适应症有用性的令人信服证据的论文，并分析了其出版日期与专家使用之间的关系。我们发现，专家经常将超声用于炎症性、遗传性、外伤性、压迫性和肿瘤性神经病，而较少用于神经元病和肌病。使用情况与该领域关键出版物的时间密切相关。我们回顾了这些发现以及广泛支持神经肌肉超声价值的大量证据。临床神经生理学领域的进步取决于这些发现的广泛转化。
