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重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)治疗专家共识由中国医师协会神经调控专业委员会电休克与神经刺激学组专家团队编写。专家共识根据截至2017年11月发表的临床研究并基于循证医学标准,发布rTMS在临床中的治疗方案推荐,包括:抑郁症、疼痛、运动障碍、中风、癫痫、耳鸣、焦虑障碍、强迫症、精神分裂症、物质成瘾和睡眠障碍等疾病。专家共识介绍了临床上rTMS治疗的安全性和有效性,并规范了治疗流程和操作技术。旨在为从事rTMS治疗的临床工作人员制定培训和应用的专业标准,最大程度上提高治疗效果,促进该治疗技术未来的发展。
Abstract:The Chinese Neuromodulation Society experts were commissioned to written a consensus and treatment recommendation for the therapeutic use of repetitive transcranial magnetic stimulation( rTMS) from evidence published up until November 2017,regarding depression,pain,movement disorders,stroke,epilepsy,tinnitus,anxiety disorders,obsessive-compulsive disorder,schizophrenia,craving/addiction and sleep disorders,each summary clinical recommendation is presented with the substantiating peer-reviewed,published evidence supporting that recommendation. It summarizes current evidence for the safety and efficacy of the use of rTMS therapy,aims to determine how to optimize rTMS protocols and techniques to give them relevance in routine clinical practice. In addition,professionals carrying out rTMS protocols should undergo rigorous training to ensure the quality of the technical realization,guarantee the proper care of patients,and maximize the chances of success.
[1]Barker AT,Jalinous R,Freeston IL.Non-invasive magnetic stimulation of human motor cortex[J].Lancet,1985,1(8437):1106-1107.
[2]Rossi S,Hallett M,Rossini PM,et al.Safety,ethical considerations,and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research[J].Clin Neurophysiol,2009,120(12):2008-2039.
[3]Cantello R,Rossi S,Varrasi C,et al.Slow repetitive TMS for drug-resistant epilepsy:clinical and EEG findings of a placebo-controlled trial[J].Epilepsia,2007,48(2):366-374.
[4]Food and Drug Administration.Guidance for Industry and FDA Staff-classⅡspecial controls guidance document:repetitive transcranial magnetic stimulation(r TMS)systems[EB/OL].[2011-07-26](2011-07-26)https://www.fda.gov/medicaldevices/deviceregulationandguidance/guidancedocuments/ucm265269.htm.
[5]Brainin M,Barnes M,Baron JC,et al.Guidance for the preparation of neurological management guidelines by EFNS scientific task forces--revised recommendations 2004[J].Eur J Neurol,2004,11(9):577-581.
[6]O’Reardon JP,Solvason HB,Janicak PG,et al.Efficacy and safety of transcranial magnetic stimulation in the acute treatment of major depression:a multisite randomized controlled trial[J].Biol Psychiatry,2007,62(11):1208-1216.
[7]George MS,Lisanby SH,Avery D,et al.Daily left prefrontal transcranial magnetic stimulation therapy for major depressive disorder:a sham-controlled randomized trial[J].Arch Gen Psychiatry,2010,67(5):507-516.
[8]Levkovitz Y,Isserles M,Padberg F,et al.Efficacy and safety of deep transcranial magnetic stimulation for major depression:a prospective multicenter randomized controlled trial[J].World Psychiatry,2015,14(1):64-73.
[9]Carpenter LL,Janicak PG,Aaronson ST,et al.Transcranial magnetic stimulation(TMS)for major depression:a multisite,naturalistic,observational study of acute treatment outcomes in clinical practice[J].Depress Anxiety,2012,29(7):587-596.
[10]Rachid F.Maintenance repetitive transcranial magnetic stimulation(r TMS)for relapse prevention in with depression:a review[J].Psychiatry Res,2017[Epub ahead of print].
[11]Cruccu G,Aziz TZ,Garcia-Larrea L,et al.EFNS guidelines on neurostimulation therapy for neuropathic pain[J].Eur J Neurol,2007,14(9):952-970.
[12]Leo RJ,Latif T.Repetitive transcranial magnetic stimulation(r TMS)in experimentally induced and chronic neuropathic pain:a review[J].J Pain,2007,8(6):453-459.
[13]Lefaucheur JP,Antal A,Ahdab R,et al.The use of repetitive transcranial magnetic stimulation(r TMS)and transcranial direct current stimulation(t DCS)to relieve pain[J].Brain Stimul,2008,1(4):337-344.
[14]Leung A,Donohue M,Xu R,et al.r TMS for suppressing neuropathic pain:a meta-analysis[J].J Pain,2009,10(12):1205-1216.
[15]O’Connell NE,Wand BM,Marston L,et al.Non-invasive brain stimulation techniques for chronic pain[J].Cochrane Database Syst Rev,2010(9):CD008208.
[16]O’Connell NE,Wand BM,Marston L,et al.Non-invasive brain stimulation techniques for chronic pain.a report of a Cochrane systematic review and meta-analysis[J].Eur J Phys Rehabil Med,2011,47(2):309-326.
[17]Perera T,George MS,Grammer G,et al.The clinical TMS society consensus review and treatment recommendations for TMS therapy for major depressive disorder[J].Brain Stimul,2016,9(3):336-346.
[18]Pleger B,Janssen F,Schwenkreis P,et al.Repetitive transcranial magnetic stimulation of the motor cortex attenuates pain perception in complex regional pain syndrome typeⅠ[J].Neurosci Lett,2004,356(2):87-90.
[19]Picarelli H,Teixeira MJ,De Andrade DC,et al.Repetitive transcranial magnetic stimulation is efficacious as an addon to pharmacological therapy in complex regional pain syndrome(CRPS)typeⅠ[J].J Pain,2010,11(11):1203-1210.
[20]Filipovic'SR,Rothwell JC,Bhatia K.Low-frequency repetitive transcranial magnetic stimulation and off-phase motor symptoms in Parkinson’s disease[J].J Neurol Sci,2010,291(1/2):1-4.
[21]Filipovic'SR,Bhatia KP,Rothwell JC.1-Hz repetitive transcranial magnetic stimulation and diphasic dyskinesia in Parkinson’s disease[J].Mov Disord,2013,28(2):245-246.
[22]Shirota Y,Ohtsu H,Hamada M,et al.Supplementary motor area stimulation for Parkinson disease:a randomized controlled study[J].Neurology,2013,80(15):1400-1405.
[23]Filipovic'SR,Rothwell JC,van de Warrenburg BP,et al.Repetitive transcranial magnetic stimulation for levodopainduced dyskinesias in Parkinson’s disease[J].Mov Disord,2009,24(2):246-253.
[24]Filipovic'SR,Rothwell JC,Bhatia K.Slow(1 Hz)repetitive transcranial magnetic stimulation(r TMS)induces a sustained change in cortical excitability in patients with Parkinson’s disease[J].Clin Neurophysiol,2010,121(7):1129-1137.
[25]Fregni F,Santos CM,Myczkowski ML,et al.Repetitive transcranial magnetic stimulation is as effective as fluoxetine in the treatment of depression in patients with Parkinson’s disease[J].J Neurol Neurosurg Psychiatry,2004,75(8):1171-1174.
[26]Fregni F,Ono CR,Santos CM,et al.Effects of antidepressant treatment with r TMS and fluoxetine on brain perfusion in PD[J].Neurology,2006,66(11):1629-1637.
[27]Pal E,Nagy F,Aschermann Z,et al.The impact of left prefrontal repetitive transcranial magnetic stimulation on depression in Parkinson’s disease:a randomized,doubleblind,placebo-controlled study[J].Mov Disord,2010,25(14):2311-2317.
[28]Boggio PS,Fregni F,Bermpohl F,et al.Effect of repetitive TMS and fluoxetine on cognitive function in patients with Parkinson’s disease and concurrent depression[J].Mov Disord,2005,20(9):1178-1184.
[29]Dias AE,Barbosa ER,Coracini K,et al.Effects of repetitive transcranial magnetic stimulation on voice and speech in Parkinson’s disease[J].Acta Neurol Scand,2006,113(2):92-99.
[30]Cardoso EF,Fregni F,Martins Maia F,et al.r TMS treatment for depression in Parkinson’s disease increases BOLD responses in the left prefrontal cortex[J].Int J Neuropsychopharmacol,2008,11(2):173-183.
[31]Khedr EM,Etraby AE,Hemeda M,et al.Long-term effect of repetitive transcranial magnetic stimulation on motor function recovery after acute ischemic stroke[J].Acta Neurol Scand,2010,121(1):30-37.
[32]Emara T,El Nahas N,Elkader HA,et al.MRI can predict the response to therapeutic repetitive transcranial magnetic stimulation(r TMS)in stroke p4atients[J].J Vasc Interv Neurol,2009,2(2):163-168.
[33]Emara TH,Moustafa RR,Elnahas NM,et al.Repetitive transcranial magnetic stimulation at 1Hz and 5Hz produces sustained improvement in motor function and disability after ischaemic stroke[J].Eur J Neurol,2010,17(9):1203-1209.
[34]Tsai PY,Wang CP,Ko JS,et al.The persistent and broadly modulating effect of inhibitory r TMS in nonfluent aphasic patients:a sham-controlled,double-blind study[J].Neurorehabil Neural Repair,2014,28(8):779-787.
[35]Khedr EM,Abo El-Fetoh N,Ali AM,et al.Dual-hemisphere repetitive transcranial magnetic stimulation for rehabilitation of poststroke aphasia:a randomized,doubleblind clinical trial[J].Neurorehabil Neural Repair,2014,28(8):740-750.
[36]Nyffeler T,Cazzoli D,Hess CW,et al.One session of repeated parietal theta burst stimulation trains induces longlasting improvement of visual neglect[J].Stroke,2009,40(8):2791-2796.
[37]Cazzoli D,Muri RM,Schumacher R,et al.Theta burst stimulation reduces disability during the activities of daily living in spatial neglect[J].Brain,2012,135(Pt 11):3426-3439.
[38]Theodore WH,Hunter K,Chen R,et al.Transcranial magnetic stimulation for the treatment of seizures:a controlled study[J].Neurology,2002,59(4):560-562.
[39]Fregni F,Otachi PT,Do Valle A,et al.A randomized clinical trial of repetitive transcranial magnetic stimulation in patients with refractory epilepsy[J].Ann Neurol,2006,60(4):447-455.
[40]Sun W,Mao W,Meng X,et al.Low-frequency repetitive transcranial magnetic stimulation for the treatment of refractory partial epilepsy:a controlled clinical study[J].Epilepsia,2012,53(10):1782-1789.
[41]Anders M,Dvorakova J,Rathova L,et al.Efficacy of repetitive transcranial magnetic stimulation for the treatment of refractory chronic tinnitus:a randomized,placebo controlled study[J].Neuro Endocrinol Lett,2010,31(2):238-249.
[42]Cohen H,Kaplan Z,Kotler M,et al.Repetitive transcranial magnetic stimulation of the right dorsolateral prefrontal cortex in posttraumatic stress disorder:a double-blind,placebo-controlled study[J].Am J Psychiatry,2004,161(3):515-524.
[43]Boggio PS,Rocha M,Oliveira MO,et al.Noninvasive brain stimulation with high-frequency and low-intensity repetitive transcranial magnetic stimulation treatment for posttraumatic stress disorder[J].J Clin Psychiatry,2010,71(8):992-999.
[44]Watts BV,Landon B,Groft A,et al.A sham controlled study of repetitive transcranial magnetic stimulation for posttraumatic stress disorder[J].Brain stimul,2012,5(1):38-43.
[45]Mantovani A,Aly M,Dagan Y,et al.Randomized sham controlled trial of repetitive transcranial magnetic stimulation to the dorsolateral prefrontal cortex for the treatment of panic disorder with comorbid major depression[J].J Affect Disord,2013,144(1/2):153-159.
[46]Mantovani A,Simeon D,Urban N,et al.Temporo-parietal junction stimulation in the treatment of depersonalization disorder[J].Psychiatry Res,2011,186(1):138-140.
[47]Greenberg BD,George MS,Martin JD,et al.Effect of prefrontal repetitive transcranial magnetic stimulation in obsessive-compulsive disorder:a preliminary study[J].Am J Psychiatry,1997,154(6):867-869.
[48]Mansur CG,Myczkowki ML,de Barros Cabral S,et al.Placebo effect after prefrontal magnetic stimulation in the treatment of resistant obsessive-compulsive disorder:a randomized controlled trial[J].Int J Neuropsychopharmacol,2011,14(10):1389-1397.
[49]Gomes PV,Brasil-Neto JP,Allam N,et al.A randomized,double-blind trial of repetitive transcranial magnetic stimulation in obsessive-compulsive disorder with three-month follow-up[J].J Neuropsychiatry Clin Neurosci,2012,24(4):437-443.
[50]Ruffini C,Locatelli M,Lucca A,et al.Augmentation effect of repetitive transcranial magnetic stimulation over the orbitofrontal cortex in drug-resistant obsessive-compulsive disorder patients:a controlled investigation[J].Prim Care Companion J Clin Psychiatry,2009,11(5):226-230.
[51]Hoffman RE,Boutros NN,Hu S,et al.Transcranial magnetic stimulation and auditory hallucinations in schizophrenia[J].Lancet,2000,355(9209):1073-1075.
[52]Hoffman RE,Gueorguieva R,Hawkins KA,et al.Temporoparietal transcranial magnetic stimulation for auditory hallucinations:safety,efficacy and moderators in a fifty patient sample[J].Biol Psychiatry,2005,58(2):97-104.
[53]Poulet E,Brunelin J,Bediou B,et al.Slow transcranial magnetic stimulation can rapidly reduce resistant auditory hallucinations in schizophrenia[J].Biol Psychiatry,2005,57(2):188-191.
[54]Brunelin J,Poulet E,Bediou B,et al.Low frequency repetitive transcranial magnetic stimulation improves source monitoring deficit in hallucinating patients with schizophrenia[J].Schizophr Res,2006,81(1):41-45.
[55]Jandl M,Steyer J,Weber M,et al.Treating auditory hallucinations by transcranial magnetic stimulation:a randomized controlled cross-over trial[J].Neuropsychobiology,2006,53(2):63-69.
[56]Vercammen A,Knegtering H,Bruggeman R,et al.Effects of bilateral repetitive transcranial magnetic stimulation on treatment resistant auditory-verbal hallucinations in schizophrenia:a randomized controlled trial[J].Schizophr Res,2009,114(1/3):172-179.
[57]Klirova M,Horacek J,Novak T,et al.Individualized r TMS neuronavigated according to regional brain metabolism((18)FGD PET)has better treatment effects on auditory hallucinations than standard positioning of r TMS:a double-blind,sham-controlled study[J].Eur Arch Psychiatry Clin Neurosci,2013,263(6):475-484.
[58]Jin Y,Potkin SG,Kemp AS,et al.Therapeutic effects of individualized alpha frequency transcranial magnetic stimulation(alpha TMS)on the negative symptoms of schizophrenia[J].Schizophr Bull,2006,32(3):556-561.
[59]Schneider AL,Schneider TL,Stark H.Repetitive transcranial magnetic stimulation(r TMS)as an augmentation treatment for the negative symptoms of schizophrenia:a 4-week randomized placebo controlled study[J].Brain stimul,2008,1(2):106-111.
[60]Cordes J,Thunker J,Agelink MW,et al.Effects of 10 Hz repetitive transcranial magnetic stimulation(r TMS)on clinical global impression in chronic schizophrenia[J].Psychiatry Res,2010,177(1/2):32-36.
[61]Prikryl R,Ustohal L,Prikrylova Kucerova H,et al.A detailed analysis of the effect of repetitive transcranial magnetic stimulation on negative symptoms of schizophrenia:a double-blind trial[J].Schizophr Res,2013,149(1/3):167-173.
[62]Eichhammer P,Johann M,Kharraz A,et al.High-frequency repetitive transcranial magnetic stimulation decreases cigarette smoking[J].J Clin Psychiatry,2003,64(8):951-953.
[63]Amiaz R,Levy D,Vainiger D,et al.Repeated high-frequency transcranial magnetic stimulation over the dorsolateral prefrontal cortex reduces cigarette craving and consumption[J].Addiction,2009,104(4):653-660.
[64]Li X,Hartwell KJ,Owens M,et al.Repetitive transcranial magnetic stimulation of the dorsolateral prefrontal cortex reduces nicotine cue craving[J].Biol Psychiatry,2013,73(8):714-720.
[65]Pripfl J,Tomova L,Riecansky I,et al.Transcranial magnetic stimulation of the left dorsolateral prefrontal cortex decreases cue-induced nicotine craving and EEG delta power[J].Brain Stimul,2014,7(2):226-233.
[66]Prikryl R,Ustohal L,Kucerova HP,et al.Repetitive transcranial magnetic stimulation reduces cigarette consumption in schizophrenia patients[J].Prog Neuropsychopharmacol Biol Psychiatry,2014,49:30-35.
[67]Nardone R,H9ller Y,Brigo F,et al.Transcranial magnetic stimulation and sleep disorders:pathophysiologic insights[J].Sleep Med,2013,14(11):1047-1058.
[68]Mcintyre A,Mirkowski M,Thompson S,et al.A systematic review and meta-analysis on the use of repetitive transcranial magnetic stimulation for spasticity poststroke[J].PM R,2017[Epub ahead of print].
[69]Nahas Z,Bohning DE,Molloy MA,et al.Safety and feasibility of repetitive transcranial magnetic stimulation in the treatment of anxious depression in pregnancy:a case report[J].J Clin Psychiatry,1999,60(1):50-52.
[70]Klirova M,Novak T,Kopecek M,et al.Repetitive transcranial magnetic stimulation(r TMS)in major depressive episode during pregnancy[J].Neuro Endocrinol Lett,2008,29(1):69-70.
[71]Makani R,Pradhan B,Shah U,et al.Role of repetitive transcranial magnetic stimulation(r TMS)in treatment of addiction and related disorders:a systematic review[J].Curr Drug Abuse Rev,2017[Epub ahead of print].
[72]Karlstr9m EF,Lundstr9m R,Stensson O,et al.Therapeutic staff exposure to magnetic field pulses during TMS/r TMS treatments[J].Bioelectromagnetics,2006,27(2):156-158.
[73]Gilbert DL,Garvey MA,Bansal AS,et al.Should transcranial magnetic stimulation research in children be considered minimal risk?[J].Clin Neurophysiol,2004,115(8):1730-1739.
[74]Bohning DE,Shastri A,Mc Connell KA,et al.A combined TMS/f MRI study of intensity-dependent TMS over motor cortex[J].Biol Psychiatry,1999,45(4):385-394.
基本信息:
中图分类号:R454
引用信息:
[1]许毅,李达,谭立文,等.重复经颅磁刺激治疗专家共识[J].转化医学杂志,2018,7(01):4-9.
2018-02-20
2018-02-20