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Accuracy of TMS through the Neuronavigator

In recent years, Transcranial Magnetic Stimulation (TMS) and neuronavigation have been used together to investigate and modulate brain activity with greater precision. The neuronavigator is used to precisely locate the brain region to be stimulated with TMS and to guide the position of the magnetic stimulation coil. This allows for more precise and targeted stimulation of the brain region of interest.

Additionally, some studies have used the neuronavigator to guide the placement of electroencephalography (EEG) electrodes during transcranial magnetic stimulation with simultaneous EEG (TMS-EEG). Precise electrode placement is important to obtain high-quality EEG signals during transcranial magnetic stimulation.

The neuronavigator is composed of several components, including a medical image acquisition system, a tracking system, and planning and navigation software. Medical imaging system such as computed tomography (CT) and magnetic resonance imaging (MRI) is used to obtain detailed images of the patient's brain. The tracking system uses sensors to track the movements of the patient and surgical instruments in real time. Planning and navigation software combines medical images and tracking information to create a three-dimensional representation of the patient's brain, which is used to plan and guide surgery.

Since 2017 FIVAN has the neuronavigator The Neural Navigator in the treatments performed with Transcranial Magnetic Stimulation, providing greater precision, personalization and reproducibility to the treatment, which can improve the effectiveness and quality of the therapy and facilitate research in the field of brain stimulation.

The neuronavigator brings the following benefits to TMS:

  1. Spatial precision: The neuronavigator uses magnetic resonance imaging (MRI) of the patient's brain to guide precise placement of the TMS coil relative to brain areas of interest. This improves the spatial precision of the stimulation and reduces variability between sessions.

  2. Personalization of treatment: By using images of the patient's brain, the neuronavigator allows stimulation to be tailored to the individual brain anatomy. This facilitates the personalization of treatment and the optimization of therapeutic results.

  3. Reproducibility: The neuronavigator allows stimulation coordinates to be recorded and stored, making it easy to reproduce TMS coil placement in subsequent sessions and ensuring treatment consistency over time.

  4. Greater effectiveness: The greater precision and personalization provided by the neuronavigator can increase the effectiveness of TMS treatment, resulting in better clinical outcomes and a greater likelihood of therapeutic response.

  5. Research: In the context of research, the neuronavigator can be useful to explore the function of different brain areas and their connections, as well as to evaluate the effects of TMS on brain activity and cognitive function.

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