Neuronavigation Guided TMS

Transcranial Magnetic Stimulation: A safe, non-invasive method to stimulate neurons in precisely targeted areas of the brain to treat post-brain-injury symptoms including depression.

Transcranial Magnetic Stimulation (TMS) is a proven non-invasive treatment that alleviates symptoms of brain disorders such as depression* by sending timed magnetic pulses to targeted regions of the brain. The magnetic pulses alter brain activity to establish a “new-normal” level of neural activity, so patients feel positive changes that last beyond the course of treatment.

Because every brain is different, pinpointing the precise location for TMS treatment can be a challenge. At Kaizen, we go above and beyond the standard of care for TMS by using Brainsight Neuronavigation to guide the process. Brainsight Neuronavigation allows us to accurately position a TMS coil over a target location using an individual’s MRI-generated 3D brain reconstruction. This is especially beneficial for patients with a history of traumatic brain injury/concussion, as neuro-navigation serves as a GPS to allow us to move around potential lesions for improved safety.

*TMS is FDA-approved for treatment-resistant depression, CE-approved for Alzheimer’s disease, Autism, Bipolar Disorder, chronic pain, Parkinson’s disease, PTSD, schizophrenia and smoking cessation, and research-supported for symptoms of traumatic brain injury (TBI).

How It Works

To meet the complex needs of our patients, we employ a collaborative approach to TMS treatment. Before beginning TMS, every patient undergoes evaluation by our neuropsychiatrist and neurologist. In addition, patients undergo a baseline MRI so that we may accurately focus our treatment protocol on the individual’s needs.

  • Cortical Mapping – During your first visit, our neurologist and TMS technician use Cortical Motor Mapping to locate the precise treatment site in the region of the brain with the strongest response to the lowest power stimulus.
  • Neuro-Navigation Guidance – We then use Brainsight Neuronavigation as a GPS tool to allow us to go around potential lesions and target the healthiest tissue for improved safety.
  • Daily Treatment – Once the treatment site has been mapped, the patient begins daily treatment. A TMS session typically lasts 30-40 minutes a day, 5 days a week for one to six weeks.

Each day the technician positions a magnetic coil on the patient’s head at the treatment site determined during motor mapping. The coil then sends magnetic pulses to change neural activity in mood-regulating areas of the brain. The pulses feel like a light tapping to the scalp, and the power of the pulses can be adjusted to maximize patient comfort.

The TMS Technician guides the patient throughout the process, from screening for TMS safety and setting up the treatment to ensuring comfort and answering questions and concerns.

  • In the TMS Room – The patient is seated in a comfortable chair in a private room with pillows and blankets available for added comfort. Patients may choose to watch documentaries or animated movies, or listen to music during the therapy.

You will be fully alert! There are little to no side effects with TMS, so after treatments patients can leave and resume everyday activities like driving or working.