2023 Workshop Handout Bundle-Basic NM US (Dr. Cartwright)

Basic NM US (Dr. Cartwright)

Pdf Summary

The provided document titled "Basic NMUS" is a detailed guide on neuromuscular ultrasound (NMUS), primarily intended for beginners, but also as a review for more experienced practitioners. The document, authored by Dr. Michael Cartwright and colleagues from the Wake Forest University School of Medicine, delves into the techniques, safety measures, and practical applications of NMUS.<br /><br />Neuromuscular ultrasound is highlighted as a safe, non-invasive procedure with minimal risks, except for some caution required when imaging the optic nerve to avoid eye damage. The document emphasizes the importance of using ample ultrasound gel to minimize sound energy loss and ensure optimal imaging. The guide also elaborates on the types of transducers used, particularly linear array and hockey stick probes, explaining their specific uses and variations in imaging.<br /><br />The document offers hands-on advice on holding and positioning the transducer for optimal images and describes standard imaging positions for common conditions like carpal tunnel syndrome. It also covers basic ultrasound physics, explaining how sound energy interacts with different tissues and the implications for image quality and depth.<br /><br />Furthermore, the document provides detailed instructions on muscle and nerve imaging, including how to measure muscle size and brightness. It explains how to recognize pathological changes in muscles, such as increased echogenicity due to atrophy or fibrosis, and how to identify fasciculations.<br /><br />Additionally, the guide covers nerve measurements and pathology. It details how to measure the cross-sectional area (CSA) of nerves, interpret changes in nerve size and echogenicity, and use Doppler ultrasound to assess nerve vascularity.<br /><br />Throughout the text, the importance of proper technique and familiarity with ultrasound equipment is stressed. The document also suggests that continuous practice and experience are key to mastering NMUS.<br /><br />In summary, this extensive guide serves as a comprehensive introduction and review of neuromuscular ultrasound, covering technical, anatomical, and practical aspects to aid clinicians in accurately diagnosing and evaluating neuromuscular conditions.

Keywords

neuromuscular ultrasound

NMUS

ultrasound

ultrasound techniques

safety measures

transducers

muscle imaging

nerve imaging

pathological changes

Doppler ultrasound

clinical practice

ultrasound

nmus

sono