mesЭкстремальная биомедицинаExtreme Medicine3033-89643033-8972Centre for Strategic Planning of the Federal Medical and Biological Agency10.47183/mes.2023.038mes-17Research ArticleОБЗОРREVIEWНавигационная транскраниальная магнитная стимуляция: краткий обзор технических решенийNavigated transcranial magnetic stimulation: brief review of engineering solutionsЗемляковИ. Ю.ZemlyakovI. Yu.

Иван Юрьевич Земляков

ул. Розы Люксембург, д. 1, г. Томск, 634009

Ivan Yu. Zemlyakov

Rosy Luxemburg, 1, Tomsk, 634009

i_y_zem@mail.ruБуреевА. Ш.BureevA. Sh.

Томск

Москва

Tomsk

Moscow

ГолобоковаЕ. В.GolobokovaE. V.

Томск

Москва

Tomsk

Moscow

ЖдановД. С.ZhdanovD. S.

Томск

Москва

Tomsk

Moscow

КостелейЯ. В.KosteleyYa. V.

Томск

Москва

Tomsk

Moscow

Научно-клинический центр медицинской реабилитации и курортологии Федерального медико-биологического агентстваРоссияNational Medical Research Center of Rehabilitation and Balneology of Federal Medical Biological AgencyRussian FederationНациональный исследовательский Томский государственный университет; Научно-клинический центр медицинской реабилитации и курортологии Федерального медико-биологического агентстваРоссияNational Research Tomsk State University; National Medical Research Center of Rehabilitation and Balneology of Federal Medical Biological AgencyRussian FederationНациональный исследовательский Томский государственный университет; Научно-клинический центр медицинской реабилитации и курортологии Федерального медико-биологического агентстваРоссияNational Research Tomsk State University;National Medical Research Center of Rehabilitation and Balneology of Federal Medical Biological AgencyRussian Federation2023211020242532331Copyright © Земляков И.Ю., Буреев А.Ш., Голобокова Е.В., Жданов Д.С., Костелей Я.В., 20242024Земляков И.Ю., Буреев А.Ш., Голобокова Е.В., Жданов Д.С., Костелей Я.В.Zemlyakov I.Y., Bureev A.S., Golobokova E.V., Zhdanov D.S., Kosteley Y.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.extrememedicine.ru/jour/article/view/17

В числе активно развивающихся методов клинической реабилитации больных после мозговых сосудистых катастроф особо выделяется транскраниальная магнитная стимуляция (ТМС). Метод широко применяют не только для постинсультной реабилитации, но и в спортивной медицине, психиатрии и других областях медицины. При этом существует нерешенная проблема, связанная с четким наведением и удержанием фокуса магнитного поля при ТМС на точках интереса в головном мозге. Из-за нечеткой локализации фокуса магнитного поля возможно возникновение побочных воздействий во время сеанса ТМС. В обзоре представлены существующие варианты решения данных проблем, сопоставлены присутствующие на рынке устройства для навигации ТМС, проанализированы состав и алгоритмы их работы, предложены перспективные направления развития технического обеспечения навигации ТМС.

Transcranial magnetic stimulation (TMS) stands out among the rapidly developing methods for clinical rehabilitation of patients after cerebral vascular accidents. The method is widely used not only in post-stroke rehabilitation, but also in sports medicine, psychiatry and other fields of medicine. However, there is an unresolved issue related to precise targeting and holding the magnetic field focus on the points of interest in the brain when performing TMS. Unprecise magnetic field focus localization may result in the emergence of side effects during the TMS session. The review provides the existing solutions of these problems, comparison of the commercially available navigation devices for TMS, analysis of their composition and operation algorithms; promising directions of developing hardware for TMS navigation are proposed.

транскраниальная магнитная стимуляцияобзор технологиимедицинские роботынейровизуализацияпозиционированиеtranscranial magnetic stimulationtechnology overviewmedical robotsneuroimagingpositioningРезультаты получены при выполнении государственного задания 84.007.22.800 «Создание и клиническая апробация экспериментального образца реабилитационного роботизированного аппаратно-программного комплекса с биологической обратной связью для коррекции двигательных нарушений у больных, перенесших инсульт». Благодарности: заместителю генерального директора ФГБУ ФНКЦ МРиК ФМБА России Абдулкиной Н. Г. за поддержку научного коллектива; проректору по научной и инновационной деятельности НИ ТГУ Ворожцову А. 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The authors declare that there are no conflicts of interest present.