medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2022-21-27-31medalphabet-2812Research ArticleНЕВРОЛОГИЯ И ПСИХИАТРИЯNEUROLOGY AND PSYCHIATRYНавигационная транскраниальная магнитная стимуляция: вопрос о точностиNavigated transcranial magnetic stimulation: Question of accuracyhttps://orcid.org/0000-0003-0448-7402ВойтенковВ. Б.VoitenkovV. B.

Войтенков Владислав Борисович, к. м. н., зав. отделением функциональной диагностики, доцент кафедры нервных болезней и нейрореабилитации

РИНЦ: 643867

Санкт-Петербург

Voitenkov Vladislav B., PhD Med, head of Clinical Dept of Neurophysiology, associate professor of Dept of Nervous Diseases and Neurorehabilitation

RINC: 643867

Saint Petersburg

vlad203@inbox.ruhttps://orcid.org/0000-0002-3638-6094ЕкушеваЕ. В.EkushevaE. V.

Екушева Евгения Викторовна, д. м. н., проф., зав. кафедрой нервных болезней и нейрореабилитации, с. н. с. лаборатории «Проблемы старения» НИУ

Москва

Ekusheva Evgenia V., DM Sci (habil.), professor, head of Dept of Nervous Diseases and Neurorehabilitation, senior researcher at Laboratory ‘Problems of Aging’ of National Research University

Moscow

МаслюковаА. В.MaslyukovaA. V.

Маслюкова Анна Валерьевна, к. м. н., доцент кафедры биохимии

Иваново

Maslyukova Anna V., PhD Med, associate professor at Biochemistry Dept

Ivanovo

КлимкинА. В.KlimkinA. V.

Климкин Андрей Васильевич, к. м. н., и. о. руководителя научно-исследовательского отдела функциональных и лучевых методов диагностики

Санкт-Петербург

Klimkin Andrey V., PhD Med, acting head of Scientific Dept of Neurophysiology

Saint Petersburg

https://orcid.org/0000-0001-8924-5300БедоваМ. А.BedovaM. A.

Бедова Мария Алексеевна, м. н. с. научно-исследовательского отдела функциональных и лучевых методов диагностики

Санкт-Петербург

Bedova Mariia A., junior researcher at Research Dept of Neurophysiology

Saint Petersburg

ФГБУ «Детский научно-клинический центр инфекционных болезней» ФМБА; Академия постдипломного образования ФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий Федерального медико-биологического агентства»РоссияPediatric Research and Clinical Centre for Infectious Diseases; Academy of Postgraduate Education of the Federal Research and Clinical Centre for Specialized Medical Care and Medical Technologies of Federal Medical- Biological AgencyRussian FederationАкадемия постдипломного образования ФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий Федерального медико-биологического агентства»; ФГАОУ ВО «Белгородский государственный национальный исследовательский университет»РоссияAcademy of Postgraduate Education of the Federal Research and Clinical Centre for Specialized Medical Care and Medical Technologies of Federal Medical- Biological Agency; Belgorod State National Research UniversityRussian FederationФГБОУ ВО «Ивановская государственная медицинская академия»РоссияIvanovo State Medical AcademyRussian FederationФГБУ «Детский научно-клинический центр инфекционных болезней» ФМБАРоссияPediatric Research and Clinical Centre for Infectious DiseasesRussian Federation202201112022021Неврология и психиатрия (3)2731Copyright © Войтенков В.Б., Екушева Е.В., Маслюкова А.В., Климкин А.В., Бедова М.А., 20222022Войтенков В.Б., Екушева Е.В., Маслюкова А.В., Климкин А.В., Бедова М.А.Voitenkov V.B., Ekusheva E.V., Maslyukova A.V., Klimkin A.V., Bedova M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2812

В обзоре литературных и собственных данных мы приводим сведения о навигационной транскраниальной магнитной стимуляции (ТМС). В настоящее время накоплен значительный объем знаний о применении ТМС – как диагностической, так и терапевтической – в реальной клинической практике. В наибольшей степени изучена и отработана диагностическая ТМС. Тем не менее, несмотря на несомненный клинический эффект ТМС терапевтической, вопрос о необходимости максимально точного целеуказания для наибольшей эффективности лечения остается спорным. В ряде публикаций подчеркивается и обосновывается необходимость такого целеуказания, но в других сообщается о положительном клиническом эффекте стимуляции вне зависимости от точного расположения индуктора. Это со всей несомненностью делает актуальными дальнейшие исследования в этой области с оценкой сравнительной эффективности максимально точной ритмической ТМС с другими протоколами ее применения.

In this literature review and our own data, we provide information about navigational transcranial magnetic stimulation (TMS). At present, a significant amount of knowledge has been accumulated about the use of TMS, both diagnostic and therapeutic, in real clinical practice. Diagnostic TMS has been studied and developed maximally. Nevertheless, despite the undoubted clinical effect of therapeutic TMS, the question of the need for the most accurate target designation for the greatest effectiveness of treatment remains controversial. A number of publications emphasize and justify the need for such target designation, but others report a positive clinical effect of stimulation regardless of the exact location of the inductor. This undoubtedly makes further research in this area relevant with an assessment of the comparative effectiveness of the most accurate rhythmic TMS with other protocols for its use.

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The authors declare that there are no conflicts of interest present.