Current Updates on Newer Forms of Transcranial Magnetic Stimulation in Major Depression

被引:31
作者
Cheng, Chih-Ming [1 ,2 ,3 ]
Li, Cheng-Ta [1 ,2 ,3 ,4 ]
Tsai, Shih-Jen [1 ,2 ,3 ]
机构
[1] Taipei Vet Gen Hosp, Dept Psychiat, Taipei, Taiwan
[2] Natl Yang Ming Univ, Sch Med, Div Psychiat, Taipei, Taiwan
[3] Natl Yang Ming Univ, Sch Med, Inst Brain Sci, Taipei, Taiwan
[4] Natl Cent Univ, Inst Cognit Neurosci, Jhongli, Taiwan
来源
MAJOR DEPRESSIVE DISORDER: RETHINKING AND UNDERSTANDING RECENT DISCOVERIES | 2021年 / 1305卷
关键词
Repetitive transcranial magnetic stimulation (rTMS); Prolonged intermittent theta burst stimulation TBS (piTBS); Accelerated rTMS (aTMS); Deep TMS (dTMS); Priming TMS (pTMS); Synchronized TMS (sTMS); Magnetic seizure therapy (MST); THETA-BURST STIMULATION; PREFRONTAL CORTEX; SEIZURE THERAPY; PRIMING STIMULATION; SUICIDAL IDEATION; DOUBLE-BLIND; EFFICACY; SAFETY; RTMS; TMS;
D O I
10.1007/978-981-33-6044-0_18
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
100103 [病原生物学]; 100218 [急诊医学];
摘要
Repetitive transcranial magnetic stimulation (rTMS) is an FDA-approved technique for treating medication-resistant depression. Conventional rTMS includes high frequency (HF) to left dorsolateral prefrontal cortex (DLPFC) and low frequency to right DLPFC. However, not all depressed patients could benefit from standard rTMS protocols. Meta-analytical evidence indicated that there was an average response rate of 29.3% for patients receiving the most commonly adopted HF rTMS to the left DLPFC. Hence, newer forms of rTMS paradigms are warranted to improve antidepressant response and remission rate in patients with depression, especially those who are refractory to adequate antidepressant trials. In the current chapter, we review newer forms of rTMS paradigms and the content will cover standard theta burst stimulation (TBS), prolonged iTBS (piTBS), accelerated rTMS (aTMS), deep TMS (dTMS), priming TMS (pTMS), synchronized TMS (sTMS), and magnetic seizure therapy (MST).
引用
收藏
页码:333 / 349
页数:17
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