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Protocol Parameters
Primary Parameters
%
% of max stimulator output
%RMT
% of Resting Motor Threshold
Hz
Duration of the pulse train
seconds
Rest between trains
Number of trains in the session
sessions
weeks
🏥 Patient Medical History
Safety Assessment & Calculations
📋 Session History

No sessions recorded yet.

📚 Safety Guidelines Reference
Safety Standards
  • Rossi et al., 2009: Train duration limits by frequency and intensity
  • Rossi et al., 2021: Updated safety recommendations
  • IFCN Guidelines: International standard for TMS safety
Key Calculation Rules
  • Pulses per train = Frequency (Hz) × Train duration (s)
  • Total session time = (Trains × Duration) + (Trains-1) × ITI
  • Total pulses = Pulses per train × Number of trains
  • Weekly load = Total pulses × Sessions per week
Patient Safety Questionnaire

Complete with the patient before each TMS session

1 Have you ever had an adverse reaction to TMS (e.g., headache, seizure, syncope)?
2 Have you ever had a seizure or epileptic episode?
3 Have you ever had an EEG (electroencephalogram)?
4 Have you ever had a stroke (AVC)?
5 Have you ever had a head injury (TBI) or undergone brain surgery?
6 Do you have any metallic implants in your head (excluding the mouth), such as shrapnel, surgical clips, or orthopedic fragments?
7 Do you have any implanted device such as a cardiac pacemaker, medical pump, or intracardiac wires?
8 Do you suffer from frequent or severe headaches?
9 Have you ever been diagnosed with a brain disease (e.g., brain tumor, meningitis, encephalitis)?
10 Have you ever had another disease that caused a brain lesion?
11 Are you currently taking any medications?
12 If you are a woman of childbearing age, are you currently pregnant?
13 Does any member of your immediate family have epilepsy?
14 Do you currently use or have recently used any psychoactive substances (stimulants, alcohol, benzodiazepines, cannabis)?
15 Do you currently have a fever or active systemic infection?
16 Have you ever had an MRI (magnetic resonance imaging)?