Parth Hospital

Deep TMS

Deep TMS

Advanced Brain Stimulation Treatment

What Is It?

  • Non-invasive brain stimulation using magnetic fields
  • Similar to MRI technology
  • 20-minute sessions in office setting
  • Uses specialized H-Coil helmet
  • 1

    How It Works?

  • Targets left dorsolateral prefrontal cortex
  • Generates focused magnetic pulses
  • Creates small electrical currents
  • Activates neurotransmitters (serotonin, norepinephrine, dopamine)
  • 2

    Key Benefits

  • Reaches deeper brain structures
  • Broader coverage of brain regions
  • No decrease in magnetic field intensity
  • No neuronavigation equipment needed
  • 3

    Treatment Applications

  • FDA-approved: Depression (MDD), OCD
  • CE-marked: Multiple psychiatric conditions
  • Effective for anxious depression
  • Helps with smoking addiction
  • 4

    Patient Experience

  • Comfortable outpatient procedure
  • No anesthesia required
  • No hospitalization needed
  • Minimal side effects
  • 5

    Comparison of Deep TMS v/s Conventional TMS

    ASPECT DEEP TMS CONVENTIONAL TMS
    Coil type H-shaped coil inside a helmet Figure 8 coil
    Magnetic stimulation depth 1.25 inches 0.27 inches
    Session length 20 minutes per session 30-40 minutes per session
    FDA treatment indications MDD, OCD, short-term smoking cessation MDD
    European CE certification mark MDD, OCD, AD, Autism, Bipolar Disorder, Chronic Pain, MS, Parkinson’s Disease, post-stroke rehabilitation, PTSD, the negative symptoms of Schizophrenia, and smoking cessation MDD, certain migraine headaches
    Magnetic pulse depth 1.25 inches 0.27 inches
    Field of stimulation Wider More focal
    Targeting Direct stimulation of deeper and wider ranges of the brain More focal
    Effectiveness Shown to be more effective in treating certain patients and conditions, such as OCD and moderate-to-severe depression Generally less effective in treating deeper brain structures and conditions requiring broader stimulation
    ASPECT DEEP TMS CONVENTIONAL TMS
    Coil type H-shaped coil inside a helmet Figure 8 coil
    Magnetic stimulation depth 1.25 inches 0.27 inches
    Session length 20 minutes per session 30-40 minutes per session
    FDA treatment indications MDD, OCD, short-term smoking cessation MDD
    European CE certification mark MDD, OCD, AD, Autism, Bipolar Disorder, Chronic Pain, MS, Parkinson’s Disease, post-stroke rehabilitation, PTSD, the negative symptoms of Schizophrenia, and smoking cessation MDD, certain migraine headaches
    Magnetic pulse depth 1.25 inches 0.27 inches
    Field of stimulation Wider More focal
    Targeting Direct stimulation of deeper and wider ranges of the brain More focal
    Effectiveness Shown to be more effective in treating certain patients and conditions, such as OCD and moderate-to-severe depression Generally less effective in treating deeper brain structures and conditions requiring broader stimulation
    Key points about Deep TMS for Major Depressive Disorder (MDD)
    Learn More
    Key findings on Deep TMS for OCD
    Learn More
    Key points about Deep TMS for smoking cessation
    Learn More

    Comparison of Deep TMS with ECT in treatment of Depression

    ASPECT DEEP TMS ECT
    Mechanism Magnetic fields targeting deep brain structures Electric currents inducing therapeutic seizure
    Side Effects Minimal; patients remain awake Headache, muscle pain, nausea, memory loss
    FDA Status Cleared for depression, OCD, smoking cessation Not FDA-approved for all conditions
    Process Outpatient, helmet with H-Coil Hospital setting, general anesthesia
    Effectiveness High success rate, preferred first-line Higher efficacy for treatment-resistant cases
    Treatment Setting Can be done in clinics Requires hospital setup
    Cost & Access More accessible, lower cost More expensive, limited availability
    ASPECT DEEP TMS ECT
    Mechanism Magnetic fields targeting deep brain structures Electric currents inducing therapeutic seizure
    Side Effects Minimal; patients remain awake Headache, muscle pain, nausea, memory loss
    FDA Status Cleared for depression, OCD, smoking cessation Not FDA-approved for all conditions
    Process Outpatient, helmet with H-Coil Hospital setting, general anesthesia
    Effectiveness High success rate, preferred first-line Higher efficacy for treatment-resistant cases
    Treatment Setting Can be done in clinics Requires hospital setup
    Cost & Access More accessible, lower cost More expensive, limited availability
    Know The Procedure

    Deep TMS for Major Depressive Disorder (MDD)

    Effectiveness

  • 1/3 patients achieved remission after 4 weeks
  • Over 80% responded during continuation phase
  • Real-world study (1,300+ patients):
    1. 80% achieved response
    2. 67% achieved remission after 30+ sessions
  • More effective than pharmacotherapy alone in ~2/3 of participants
  • Treatment Features

  • Non-invasive
  • Uses magnetic waves
  • Deeper brain penetration than traditional TMS
  • Targets mood regulation areas
  • FDA-cleared for MDD, OCD, and smoking cessation
  • Quality Factors

  • Well-tolerated
  • High success rate
  • Effective for treatment-resistant depression
  • Comparable results to 12-week pharmacotherapy but in 6 weeks
  • Deep TMS

    Deep TMS for OCD

    Effectiveness

  • Over 1/3 of treatment-resistant patients achieved >30% reduction in OCD severity
  • Post-marketing study (200+ patients): 60% showed >30% reduction in severity
  • 90% maintained improvement for over 1 year
  • Response rate: 38.1% with active treatment vs 11.1% with sham
  • Treatment Details

  • Targets medial prefrontal cortex and anterior cingulate cortex
  • High-frequency (20 Hz) stimulation
  • Daily treatments for 6 weeks
  • Improvement typically seen within 20 sessions
  • Key Benefits

  • Safety & Practicality
  • Non-invasive
  • No systemic or long-lasting side effects
  • No recovery period needed
  • Can be integrated into daily schedule
  • Deep TMS

    Deep TMS for smoking cessation

    Efficacy

  • 28% quit rate with active treatment vs. 11.7% with sham treatment
  • More effective in people under 40 (4x higher quit rate)
  • Better results in those with >12 years education (7x higher quit rate)
  • More successful in those with shorter smoking history (10 years less than non- quitters)
  • Treatment Protocol

  • Daily sessions for 3 weeks
  • Weekly sessions for additional 3 weeks
  • Includes brief smoking provocation before treatment
  • Uses H-Coil targeting bilateral insular and prefrontal cortices
  • Safety

  • Generally well-tolerated
  • Main side effect: headache during initial sessions