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Results The acoustic standoff pad and pUSI demonstrated strong agreement (ICC[3,3] 0.85); however, the mCSAs were different (p 0.85; SEM = 0.6-1.5 cm2). Image acquisition was highly feasible, but there were some limitations in analyzing the images. Conclusions pUSI and an acoustic standoff pad are two reliable techniques for measuring mCSA, but the measurements are not directly comparable. Future studies should evaluate the accuracy of the acoustic standoff pad compared with gold-standard methods.Purpose The aim of this study was t