Time slot's time in Taipei (GMT+8)
 2025/11/21 14:00-17:30  Room 101 AB
  • Kick-on Seminar V
NCS-EMG: UUpdated Concept of Laboratory Routine and Diagnosis Algorithm
  • Time
  • Topic
  • Speaker
  • Moderator
(Taiwan)
  • Ming-Hong  Chang
  • MD
  • Professor, National Chung Hsing University
    Attending Physcian, Taichung Veterans General Hospital
    E-mail:cmh500809@gmail.com@gmail.com
Executive Summary:
He graduated from Kaohsiung Medical University at 1986 and completed neurological training at Taipei and Kaohsiung Veterans General Hospital at 1991. He was promoted to be Head of Neurological Institute at Taichung Veterans General Hospital at 2014 and currently, he has been served as Professor of Medical College of National Chung Hsing University since 2021. His research interest is on Electrodiagnosis, esp. on electrodiagnosis and treatment of carpal tunnel syndrome and recently on the topics of Neuromuscular Diseases, for example, focusing on identification of risk factors for the occurrence of DM neuropathy, esp. on painful symptoms. He has already published more than 120 peer review SCI papers and got more than 4000 citations and H index around 34.
Lecture Abstract:
Abstract
Introduce the basic knowledge concerning electrodiagnosis, cases presentation and supplement techniques for clinical history and physical examination.
Part I: Nerve conduction study
1) Recognize basic parameters for NCS, for example, distal latency (DL), compound muscle action potentials (CMAP), sensory nerve action potentials (SNAP), nerve conduction velocity (NCV) and F waves etc.
2) Measurement and interpretation of nerve conduction study (NCS).
3) Supplement techniques, for example, imaging studies and genetics, help us to conclude clinical diagnosis
4) Provide electrodiagnostic clues for clinical diagnosis.
5) NCS is enough to diagnose peripheral nervous diseases.
Part II
1) Recognize basic parameters for electromyography (EMG), for example, rest states including spontaneous activity, complex repetitive discharges (CRD), myotonia, and voluntary contraction including recruitment patterns and analysis of motor units action potential (MUAP).
2) Interpretation of electromyographic findings.
3) Supplement techniques help us to conclude clinical diagnosis
4) Provide EMG hints for clinical diagnosis.
5) NCS/EMG is indicated to diagnose peripheral nervous diseases.
Part III
Presentations of video, photo and NCS/EMG data of clinical cases and understand the pitfalls in electrodiagnosis.

  • Time
  • Topic
  • Speaker
  • Moderator
(Colombia)
  • Jorge Eduardo Gutiérrez
  • MD, MSc
  • Medical director, Potenciales Center of Electrodiagnosis
    E-mail:jegutier@gmail.com
Executive Summary:
Dr. Jorge Gutierrez completed his specialist training in Physical Medicine and Rehabilitation at Universidad del Valle in Cali, Colombia. He established the EMG laboratory at Universidad del Cauca in Popayán, Colombia, and founded the PM&R service at the same institution. Later, Dr. Gutierrez led the EMG laboratory at Hospital Universitario del Valle in Cali.
He held the position of President of the Colombian Society of PM&R and served as President of the Colombian Association of Electrodiagnostic Medicine. Additionally, he acted as Treasurer and subsequently President of the Latin-American chapter of the International Federation of Clinical Neurophysiology (IFCN). Dr. Gutierrez has also been an ExCo member of the International Society of Physical and Rehabilitation Medicine (ISPRM) and served as President of the ISPRM 2023 World Congress.

Dr. Gutierrez is the current secretary of the IFCN ExCo and co-chair of the scientific program committee for the 2026 International Congress of Clinical Neurophysiology in Cartagena, Colombia.

He specializes in electrophysiology and the pathophysiology of peripheral nerve disorders, particularly those caused by trauma. He began his work in intraoperative monitoring in the early 1990s and established himself as a leading pioneer in this field within his country. Other areas of focus include evaluation of plexopathies, use of somatosensory evoked potentials for diagnosing sensory mononeuropathies, neurophysiological assessments of the pelvic floor, and neuromuscular disorders linked to cancer and its treatments.

DR. Gutierrez has authored several publications and book chapters on Electrodiagnosis and is regularly invited to participate in international conferences focused on clinical neurophysiology.
Lecture Abstract:
Electrophysiological studies are indispensable tools in the diagnosis and management of neuromuscular disorders, providing objective data that complement clinical assessments and guide therapeutic decisions. However, even experienced practitioners may encounter significant challenges in accurately interpreting electrophysiological findings. This lecture will explore the most prevalent pitfalls encountered in nerve conduction studies (NCS), electromyography (EMG), and evoked potentials, with a focus on practical strategies to enhance diagnostic accuracy.
We will begin by examining technical errors, such as improper electrode placement, patient preparation, filter and calibration issues, which can lead to artefactual results and misinterpretations. The impact of physiological variables—including age, temperature, and comorbidities—on test outcomes will be discussed, highlighting the importance of contextual awareness. We will also review common interpretative errors, such as mistaking normal variants for pathological findings or overlooking subtle abnormalities due to confirmation bias or inadequate clinical correlation.
Through illustrative case studies and real-world examples, the lecture will emphasize the critical role of standardized protocols, meticulous technique, and continuous education in minimizing diagnostic errors. Attendees will learn to recognize red flags that suggest technical or interpretative missteps, and will acquire practical tips for troubleshooting ambiguous findings. Additionally, we will address the importance of integrating electrophysiological data with clinical context, imaging, and laboratory results to arrive at robust diagnoses.
By the end of this session, participants will be equipped with actionable insights to sharpen their diagnostic skills, avoid the most common pitfalls, and ultimately provide higher-quality care for patients with neuromuscular disorders. This lecture is designed for neurologists, clinical neurophysiologists, and allied health professionals seeking to deepen their expertise in electrophysiological diagnosis.

  • Time
  • Topic
  • Speaker
  • Moderator
(Denmark)
  • Hatice  Tankisi
  • MD,PhD
  • Clinical professor, Consultant in Clinical Neurophysiology, Department of Clinical Neurophysiology, Aarhus University Hospital
    E-mail:hatitank@rm.dk
Executive Summary:
Hatice Tankisi, is a consultant in Clinical Neurophysiology at Aarhus University Hospital and professor at Aarhus University, Denmark. She is serving as the president of Europe-Middle East-Africa Chapter, International Federation of Clinical Neurophysiology (EMEAC-IFCN) since 2022. She is Associate Editor of Clinical Neurophysiology Practice and Neurophysiology Clinique. She is a member of the Teaching Course sub-Committee of European Academy of Neurology (EAN).

She was born and studied medicine and trained as a neurologist in Turkey and then moved to Denmark in 2000, trained as a clinical neurophysiologist and did her PhD in Denmark. Her main research interests are peripheral nerve, muscle and cortical excitability tests with threshold tracking and motor unit number estimation methods for diagnosis and understanding disease pathophysiology in neurological disorders, particularly ALS, myopathy and polyneuropathy. These new neurophysiological methods can explore the structures in the nervous system that cannot be examined with traditional methods, while simultaneously being both faster, more cost-effective and user-friendly.
Lecture Abstract:
Conventional nerve conduction studies (NCS) and electromyography (EMG) are widely used in the diagnosis of neuromuscular disorders. However, they have limitations, and new techniques are needed to obtain a more comprehensive understanding of the pathophysiology of nerve and muscle disorders.
Nerve and muscle excitability tests are such techniques, providing insights into axonal and muscle membrane properties, respectively. These tests have contributed to a better understanding of disease mechanisms and have supported the diagnosis of various neurological conditions, particularly nerve and muscle channelopathies.
This lecture will summarise these techniques and their applications in both research and clinical settings.

  • Time
  • Topic
  • Speaker
  • Moderator
(Taiwan)
  • Jia-Ying Sung Sung
  • MD. PhD
  • Professor, Department of Neurology/Taipei Medical University
    Doctor, Department of Neurology/ Taipei Municipal Wanfang Hosputal
    E-mail:sung.jiaying@gmail.com
Executive Summary:
Dr. Jia-Ying Sung is a Professor of Neurology at Taipei Medical University, with joint appointments in the PhD Program in Medical Neuroscience and clinical service at Taipei Municipal Wanfang Hospital. She had served as Director of Neurological Department of Taipei Municipal Wanfang Hospital, Director of the Peripheral Nerve Disorders at the Taipei Neuroscience Institute, and Director of Clinical Research Center at Wanfang Hospital.
Dr. Sung earned his MD degree from Taipei Medical University and later completed a PhD in Neurology at Chiba University, Japan. Her research focuses on neuromuscular disorders, peripheral nerve pathophysiology, and advanced neurophysiological techniques, with particular expertise in nerve excitability testing. She has published extensively on topics including diabetic neuropathy, chronic inflammatory demyelinating polyneuropathy (CIDP), POEMS syndrome, fibromyalgia, and axonal excitability as a biomarker of neuropathic disease.
Her research profile demonstrates a sustained impact in clinical neurophysiology and neuromuscular medicine, with numerous peer-reviewed publications and international citations. Dr. Sung is also an active contributor to international neurology conferences, invited as a speaker and moderator on topics related to neurophysiological study, autoimmune neuropathies and advanced electrodiagnostic methods.
Lecture Abstract:
Electrophysiological assessment plays a pivotal role in the diagnosis and neurological localization of brachial and lumbosacral plexopathies. Clinical presentations of plexus lesions are often complex, overlapping with radiculopathies, mononeuropathies, and polyneuropathies; electrodiagnostic testing provides an indispensable objective tool for localization and prognostication. Nerve conduction studies (NCS) are particularly valuable in differentiating neuropathies from radiculopathies, since sensory nerve action potentials are preserved when the lesion is proximal to the dorsal root ganglion but are affect in polyneuropathy. Motor NCS further clarify the extent of axonal involvement and, in cases of demyelination, may reveal conduction block or temporal dispersion. Needle electromyography (EMG) provides main information to detect acute denervation and chronic changes via different changes of motor unit action potentials. A hallmark feature is the presence of abnormalities in muscles supplied by multiple peripheral nerves and root levels, with relative sparing of paraspinal muscles—an important distinction from radiculopathy. In addition, advanced electrophysiological techniques such as late responses (F-waves, H-reflexes) may further delineate the physiological impact of plexus or root injury and aid in identifying clinical involvement. Together, these modalities enable clinicians to establish the diagnosis, assess severity, and predict recovery, guiding both medical management and surgical planning. Given the diverse etiologies of plexopathies—including trauma, neoplastic infiltration, radiation injury, diabetic amyotrophy, and immune-mediated syndromes—electrophysiological studies remain a cornerstone of neuromuscular specialists’ practice, ensuring accurate diagnosis and informed therapeutic decision.

  • Time
  • Topic
  • Speaker
  • Moderator
(Taiwan)
Executive Summary:
Dr. Ming-Feng Liao graduated from Chang Gung University and completed his neurology residency at Chang Gung Memorial Hospital–Linkou Medical Center. He earned a Ph.D. from National Taiwan Normal University, focusing on molecular changes in neuropathic pain using rodent chronic constriction injury (CCI) models. From August 2022 to July 2023, he was a visiting scientist at McLean Hospital (Harvard-affiliated), where he studied VIP-positive neurons in the amygdala related to neuropathic pain via chemogenetics. Dr. Liao also began a clinical study on rTMS for treating diabetic peripheral neuropathic pain. Clinically, he specializes in peripheral nerve disorders, including chronic inflammatory demyelinating polyneuropathy (CIDP).
Lecture Abstract:
The 2021 European Academy of Neurology/Peripheral Nerve Society (EAN/PNS) guidelines classify patients with autoantibodies against different nodal-paranodal proteins, for example myelin associated glycoprotein (MAG) and neurofascin, as "autoimmune nodopathies" rather than chronic inflammatory demyelinating polyneuropathy (CIDP) variants. These patients have unique clinical features and often respond poorly to standard CIDP treatments like intravenous immunoglobulin (IVIg), making early identification important. Due to different pathophysiology, autoimmune nodopathies show distinct nerve conduction study (NCS) patterns—affecting distal latency, compound muscle action potential (CMAP) amplitude, F-wave latency, and conduction block—compared to typical CIDP. This lecture reviews NCS findings to help distinguish autoimmune polyneuropathies from other typical CIDP.

  • Time
  • Topic
  • Speaker
  • Moderator
(Taiwan)
  • Wei-Chih  Hsu
  • MD, PhD
  • Supervisor, Department of Neurology, Shin-Kong WHS Memorial Hospital
    E-mail:hamp.london@msa.hinet.net


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