Depression Clinical Trial
Official title:
Neuronavigated Theta Burst Stimulation in Depression
In this randomized controlled trial we will treat 80 patients with depression with intermittent theta burst stimulation in two parallel arms. Both arms are active interventions differing with respect to positioning of the treatment coil - one arm with neuronavigation and one arm with targeting according to EEG Position representing the left dorsolateral prefrontal cortex. Randomisation will be balanced for in- and out-patients and for the treatment arms.
Intermittent Theta burst Stimulation (iTBS) is a specific type of repetitive transcranial
magnetic Stimulation (rTMS). rTMS of the left prefrontal cortex was shown to be effective in
the treatment of Depression. Recent studies showed that iTBS probably is as effective as
rTMS.
One possibility to increase to efficacy of rTMS/iTBS is to use neuronavigation. With
neuronavigation the coil Position can be targeted with an accuracy in the range of
millimeters. Furthermore the Stimulation Position can be ensured during one single session
and over the course of the daily Treatments.
The aim of the present study is to investigate the benefit of neuronavigation in the
Treatment of Depression with iTBS by using two arms one with targeting the Stimulation site
with neuronavigation and one by using the EEG Position F3 as target by using head caps for
marking the position.
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