Evidence map›Paper›PMID 37217771›Full record

ReviewNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2024

Accelerated TMS - moving quickly into the future of depression treatment.

Sanne J H van Rooij, Amanda R Arulpragasam, William M McDonald, Noah S Philip

Erratum issued 2 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 69 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 4 pooled it
13.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06830980 nacompletednot on this mapstarted 2025, after this paper: background citation

TMS (Transcranial Magnetic Stimulation) for Methamphetamine Use Disorder in People Living With HIV

TypeinterventionalSponsorGopalkumar RakeshRan2025 to 2026Enrolled12ConditionsMethamphetamine Use Disorders, HIVArmsintermittent theta burst stimulation (iTBS), continuous theta burst stimulation (cTBS), Sham TMS
NCT07684911 recruitingnot on this mapstarted 2026, after this paper: background citation

Longitudinal Study on the Sustainability of Transcranial Magnetic Stimulation Protocols - Biomarkers

TypeobservationalSponsorHospital Center Guillaume RégnierRan2026 to 2029Enrolled30ConditionsDepression - Major Depressive Disorder, Depression Bipolar, Depression UnipolarArmsRepetitive transcranial magnetic stimulation
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 4 syntheses or guidelines pooled it, 110 citations in OpenAlex.

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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Sanne J H van RooijEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, Atlanta, GA, USA.ORCID 0000-0002-0160-7248
Amanda R ArulpragasamAlpert Medical School of Brown University, Department of Psychiatry and Human Behavior, Providence, RI, USA.
William M McDonaldEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, Atlanta, GA, USA.
Noah S PhilipAlpert Medical School of Brown University, Department of Psychiatry and Human Behavior, Providence, RI, USA. Noah_Philip@brown.edu.ORCID 0000-0002-4889-8775
Brown University · USEmory University · US

Funding

Neuroimaging and Neuromodulation CoreP20GM130452 · NIGMS · BUTLER HOSPITAL (PROVIDENCE, RI) · PI GREENBERG, BENJAMIN D · 2019 to 2023
$11.3M
Low intensity focused ultrasound: a new paradigm for depression and anxietyU01MH123427 · NIMH · OCEAN STATE RESEARCH INSTITUTE, INC. · PI PHILIP, NOAH STEPHEN · 2021 to 2024
$2.4M
Effect of TMS on PTSD Neuroimaging and Psychophysiological BiomarkersK01MH121653 · NIMH · EMORY UNIVERSITY · PI VAN ROOIJ, SANNE JH · 2020 to 2024
$894k
VA RR&D Center for Neurorestoration and NeurotechnologyI50RX002864 · VA · PROVIDENCE VA MEDICAL CENTER · PI BENJAMIN D GREENBERG, LEIGH R HOCHBERG · 2018 to 2026
–
HSRD VA I01 HX002572NIGMS NIH HHS P20 GM130452NIMH NIH HHS K01 MH121653NIMH NIH HHS U01 MH123427RRD VA I50 RX002864
6 · The paper itself

Abstract

Accelerated TMS is an emerging application of Transcranial Magnetic Stimulation (TMS) aimed to reduce treatment length and improve response time. Extant literature generally shows similar efficacy and safety profiles compared to the FDA-cleared protocols for TMS to treat major depressive disorder (MDD), yet accelerated TMS research remains at a very early stage in development. The few applied protocols have not been standardized and vary significantly across a set of core elements. In this review, we consider nine elements that include treatment parameters (i.e., frequency and inter-stimulation interval), cumulative exposure (i.e., number of treatment days, sessions per day, and pulses per session), individualized parameters (i.e., treatment target and dose), and brain state (i.e., context and concurrent treatments). Precisely which of these elements is critical and what parameters are most optimal for the treatment of MDD remains unclear. Other important considerations for accelerated TMS include durability of effect, safety profiles as doses increase over time, the possibility and advantage of individualized functional neuronavigation, use of biological readouts, and accessibility for patients most in need of the treatment. Overall, accelerated TMS appears to hold promise to reduce treatment time and achieve rapid reduction in depressive symptoms, but at this time significant work remains to be done. Rigorous clinical trials combining clinical outcomes and neuroscientific measures such as electroencephalogram, magnetic resonance imaging and e-field modeling are needed to define the future of accelerated TMS for MDD.

Indexed as

Major Depressive DisorderDepressionElectroencephalographyHumansPrefrontal CortexTranscranial Magnetic StimulationTreatment Outcome

Identifiers

PMID37217771
PMCPMC10700378
OpenAlexW4377288914

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.