A new device to improve target localization for transcranial magnetic stimulation therapy.

Abstract:

BACKGROUND:Accurate identification of cranial midline structures is essential for many targeting techniques that use repetitive transcranial magnetic stimulation (rTMS), including the Beam F3 method used for depression treatment. OBJECTIVE:Evaluate whether a novel, laser-sighted device will assist with more accurate identification of the cranial midline relative to standard scalp-based measurement procedures. METHODS:Three trained TMS technicians performed repeated scalp-based measurements to identify the inion and vertex on five subjects (n = 54 measurements). Measurements were compared to points identified with the midline localizer device and the true midline as defined by MRI midline structures. RESULTS:Use of the midline localizer was more accurate for midline identification than technician measurement (p = 0.00025) and the ratio of localizing the midline within 5 mm was higher (78% versus 54%, p = 0.008). CONCLUSION:Use of a laser-sighted midline localizer device can improve the accuracy of scalp measurements associated with target localization for rTMS treatment protocols.

journal_name

Brain Stimul

journal_title

Brain stimulation

authors

Trapp NT,Uitermarkt B,King Johnson M,Koscik TR,Garrett L,Heinzerling A,Zanaty M,Holland MT,Howard M,Boes AD

doi

10.1016/j.brs.2019.07.028

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

1600-1602

issue

6

eissn

1935-861X

issn

1876-4754

pii

S1935-861X(19)30343-2

journal_volume

12

pub_type

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