REVIEW

Navigated transcranial magnetic stimulation: brief review of engineering solutions

About authors

1 Tomsk National State University, Tomsk, Russia

2 Federal Research and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical Biological Agency, Moscow, Russia

Correspondence should be addressed: Ivan Yu. Zemlyakov
Rosy Luxemburg, 1, Tomsk, 634009, Russia; ur.liam@mez_y_i

About paper

Funding: the study was performed as part of the State Assignment 84.007.22.800 ”Construction and Clinical Approbation of Experimental Rehabilitation Robotic Hardware and Software Complex with Biological Feedback for Correction of Motor Deficits in Post-stroke Patients”.

Acknowledgments: we would like to thank N.G. Abdulkina, Deputy General Director at the National Medical Research Center of Rehabilitation and Balneology of FMBA of Russia, for support of the research team; A.B. Vorozhtsov, Vice-Rector for Science and Innovation at the National Research Tomsk State University, for assistance with the development of research in the field of medical robotics.

Author contribution: Zemlyakov IYu — manuscript writing, drawing conclusions; Zhdanov DS — review of experimental design for nTMS systems; Bureev ASh — review of the principles of construction and performance of the commercially available nTMS complexes; Kosteley YaV — search for information about the available nTMS complexes; Golobokova EV — search for information about the directions of development and designs for nTMS systems.

Compliance with ethical standards: the study was approved by the Ethics Committee of the National Medical Research Center of Rehabilitation and Balneology of FMBA of Russia (protocol № 1 of 6 July 2022).

Received: 2023-08-03 Accepted: 2023-09-09 Published online: 2023-09-30
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Transcranial magnetic stimulation (TMS) stands out among the rapidly developing methods for clinical rehabilitation of patients after cerebral vascular accidents. The method is widely used not only in post-stroke rehabilitation, but also in sports medicine, psychiatry and other fields of medicine. However, there is an unresolved issue related to precise targeting and holding the magnetic field focus on the points of interest in the brain when performing TMS. Unprecise magnetic field focus localization may result in the emergence of side effects during the TMS session. The review provides the existing solutions of these problems, comparison of the commercially available navigation devices for TMS, analysis of their composition and operation algorithms; promising directions of developing hardware for TMS navigation are proposed.

Keywords: neuroimaging, transcranial magnetic stimulation, technology overview, medical robots, positioning

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