<img height="1" width="1" style="display:none" src="https://www.facebook.com/tr?id=1056215754466548&amp;ev=PageView&amp;noscript=1">
280 W River Park Drive Suite 110 Provo, UT

 

Accelerated Transcranial Magnetic Stimulation

79

 
     Remission rate of depression utilizing a personalized fMRI-guided TMS treatment protocol.

33

 
  Typical remission rate for individuals taking SSRIs and other antidepressant medications. Based on STAR*D trial and Cipriani et al 2018.

38

 
Typical remission rate for non-guided TMS treatment for people suffering from depression and treatment-resistant depression.

Functional Brain Scan

 

  • Functional MRI of the brain.

 

  • Determines the exact coordinates of the DLPFC for each patient.

 

  • Ensures the treatment target area is correctly located, leading to better outcomes.

Pre and Post Tx Brains TMS-04-03
Pre and Post Tx Brains TMS-04-04
Brain Regions 1

Precision Targeting

 

  • Creates a 3D map of your brain based on your fMRI.

 

  • Utilizes neuronavigation to guide the magnetic coil to the precise location for stimulation.

 

  • High targeting accuracy nearly doubles the chance of depression remission.

TMS Treatment 

 

  • 5 Day Treatment Course

     

  • 10 Treatment Sessions a Day

  • FMRI Guided - Individualized Target

 

  • FDA-Approved Theta Burst Pulse
TMS-01

Treatment Results

 

  • 79% achieve remission utilizing a fMRI guided theta burst approach.

 

  • Theta burst treatment has been FDA-approved since 2018.

 

  • Rapid-acting, minimal side effects, durable results.

TMS Depression Response Rate
fMRI Guided Treatment almost doubles the effectiveness. (Caulfield et al 2022)
fMRI TMS vs Sham Treatment

Grey represent fMRI guided TMS and black is sham treatment. (Cole et al 2022)

How fMRI Guided TMS Works
Accelerated Transcranial Magnetic Stimulation Review

“The Most Impressive Therapy I’ve Ever Tried” — Tim Ferriss On Transcranial Magnetic Stimulation

Patient Reviews

Frequently Asked Questions

How confident should I be that fMRI guided Transcranial Magnet Stimulation can help?

TMS has been around for over 20 years. rTMS the most common type of TMS is delivered once a day for six weeks. fMRI-guided Theta Burst TMS is administered in 10-minute sessions, 10 times a day for one week.  This new approach has been shown to almost double the efficacy of treatment. 79% of patients reported their depression in remission after treatment.

TMS Depression Response Rate

 

Why is the fMRI important for TMS treatment success?

For patients with depression or treatment-resistant depression, the target site is called the Dorsolateral Prefrontal Cortex (DLPFC). This site is found in rTMS therapy by finding the motor cortex and measuring down 5.5cm. This approach can lead to many different targets based on head size and shape which vary from patient to patient.  The fMRI allows us to precisely target the DLPFC and ensure we place the coil in the right location every time.

efield Transcranial Magnetic Stimulation Chen et al 2024

Chen et al 2024

How is the Cognitive FX TMS protocol different from other TMS clinics?

There are two main differences: 1) We target the correct site with fMRI, and 2) We have a neuro-navigation device that ensures that we are right on target for every treatment session. Most clinics don't have these devices and use rule-of-thumb measurements to get the coil placed in the area they think is correct. This can lead to coil placement in less-than-optimal locations.

 

Ant Neuro Neuro Navigated TMS for Depression Treatment

 

What is the TMS depression treatment like?

Treatment will last one week, 10 hours a day. The stimulation protocol will last about 12 minutes each hour, and then the remaining time will be used for cardio or rest. You will have your own private room to relax in during the rest period of treatment. TMS is a very safe protocol. Less than one in 10,000 treatments has an adverse outcome; the most commonly reported side effects are headache, scalp tenderness, and muscle twitching during treatment.  

How do I know if treatment is right for me?

If you are dealing with symptoms of depression, TMS treatment could be right for you. If SSRIs haven't worked or you don't like the way you feel on medication, TMS could be a good option. As of now, fMRI-guided TMS has been shown to be the most effective treatment option for those dealing with depression.

How much does fMRI Guided TMS cost?

Pricing ranges from $7000 to $12000 depending on what other services you might need. Currently, insurance only covers the rTMS protocol, which takes six weeks and is about 45-50% effective. Given the recent FDA clearance of fMRI-guided Theta Burst treatment, most insurance companies have yet to add it to the formularies they cover. Medicare covers in-hospital treatment for $19,703.00. Treatment is eligible for HSA and FSA reimbursement.

TMS Articles

Learn more about different aspects of accelerated fMRI-guided TMS. See if treatment can help you live the life you want to live.

Post-TIA Fatigue: Why Am I So Tired?
Post-TIA Fatigue: Why Am I So Tired?
SAINT Depression Treatment: 79% Remission in One Week
SAINT Depression Treatment: 79% Remission in One Week
Anxious Depression Treatment: What Patients Need to Know
Anxious Depression Treatment: What Patients Need to Know
Sleep Problems After a TBI: Causes & Treatment
Sleep Problems After a TBI: Causes & Treatment
Can TMS Make Depression Worse? Risks & What to Expect
Can TMS Make Depression Worse? Risks & What to Expect

DISCLAIMER: SAINT™ is a trademark of The Board of Trustees of the Leland Stanford Junior University (“Stanford”) and has exclusively licensed such mark to Magnus Medical. Cognitive FX is neither endorsed Stanford nor utilizes Magnus Medical equipment nor claims to be offering the SAINT protocol as prescribed by Stanford University et. al. or Magnus Medical.  We provide fMRI guided intermittent theta burst TMS with target locations determined by fMRI and our prescribing physician.