How do you determine TMS intensity? Is it always 120% of MT?

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FLORIDA TMS CLINIC
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FLORIDA TMS CLINIC - Tampa TMS Therapy Center
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At Florida TMS Clinic we treat depression differently. We use TMS or Transcranial Magnetic Stimulation. TMS is an effective, proven treatment for depression that is FDA approved and covered by insurance. TMS is safe and has no systemic side effects. While antidepressant medications and psychotherapy can be helpful for some, many others don't respond to medications and therapy. Some others may not be able to tolerate the side effects of medications. TMS therapy is a drug-free alternative treatment for depression. We love what we do! We enjoy seeing our patients blossom throughout their treatment course with TMS therapy.
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Disclaimer: Although I am a psychiatrist, this is not professional advice as I am not familiar with the specifics of your unique situation; please contact a psychiatrist in your area with more questions. This disclaimer is added to my answers on social media after consulting with the American Psychiatric Association.
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Опубликовано:

17 сен 2024

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Комментарии : 9

@darioambrosio4623 7 месяцев назад

Thank you, I'm preparing a thesis on TMS and your explanation was very much appreciated!

@johnwoodallmd 9 месяцев назад

Here's a heresy: I rarely use even 100% of MT and get fantastic results and 100% compliance. No one leaves treatment.

@venture9692 2 года назад

Have you found bald patients experience more pain on neuro navigation TMS machines where there isn't a swim cap on the patient's head to act as a buffer between the coil and the scalp? Halfway through ITBS 50hz left DLPFC treatment I was at 95% MT on Nexstim neuro navigation (no cap) and then the next day switched to MagVenture (cap) at 120% MT. Despite the 25% dosage increase within a day on MagVenture, it was MUCH less painful than Nexstim. They re-did the mapping when switching machines. Could the cap on the head be reducing the magnetic field by creating a gap between the coil and scalp, thus I'm actually getting a lower dosage? Or could it be the slight variation in mapping that changes the pain? It's a significant difference within 1 day, I know pain is supposed to reduce over time but this is a drastic change within 1 day. The pain on Nexstim would vary wildly depending on wether my head was touching the coil or if there is a 1-2mm air gap. It was very "touchy".

@floridatmsclinic1239 2 года назад

Excellent question that is worthy of a video answer. The quick answer, for now, is: If all other factors are equal, pain may be different from one machine to another based on the pulse width. I will record a video answer which will publish in the next week.

@johnwoodallmd 9 месяцев назад

Is it so that each machine has different strength capacity (measured as %)? My take was that all devices use the same range so that 50% on one device is the same as 50% on another. Is this correct?

@martinlutherkingjr.5582 2 года назад

1:14 “We set it at 60” - What are the units of the dosage numbers you were mentioning like 50, 55, 60, etc? Volts? Milliliters? Miles? Is it 60% of the machine’s maximum magnetic field output and the % sign is dropped to avoid confusion between % of motor threshold and % of machine max output?

@floridatmsclinic1239 2 года назад

You are correct. When we map a patient and we see MT is 50%. This is 50% of the maximum magnetic output of this particular machine that activates this particular patient's brain. When we treat. We aim for 120% of MT which in this case is 60% of the maximum output of the machine. If we change the patient to another machine, we have to repeat the mapping process for the particular machine and particular patient.

@martinlutherkingjr.5582 2 года назад

@@floridatmsclinic1239 Thank you for the clarification