Table 2:

Transcranial magnetic stimulation studies

StudyStudy typeNo. of patients; conditionOutcome
Lam et al. (28)Meta-analysis24 RCTs involving 1092 patients; MDD or bipolar disorder
  • Pooled 25% response (v. 9% with sham) and 17% remission (v. 6% with sham) with 1–6 weeks (5–30 sessions) of active rTMS of the right, left or bilateral DLPFC

O’Reardon et al. (29)Multicentre RCT, sham control301 patients; MDD
  • 25% response (v. 13.7% with sham) and 16% remission (v. 8.9% with sham) on HRSD-17 with 6 weeks (30 sessions) of active rTMS of the left DLPFC

George et al. (30)Multicentre RCT, sham control190 patients; MDD
  • 15% response (v. 5.0% with sham) and 14% remission (v. 5.1% with sham) on HRSD-17 with variable 3–6 weeks (15–30 sessions) active rTMS of the left DLPFC

Fitzgerald et al. (31)Multicentre open-label RCT219 patients; MDD, bipolar I/II
  • 53% response and 32% remission on HRSD-17 with 4 weeks (20 sessions) active rTMS of the left, right or bilateral DLPFC, on HRSD-17; no significant differences across target sites

McDonald et al. (32)Multicentre RCT, sham control141 patients; MDD
  • 41% response and 31% remission on HRSD-24 with variable 6–12 weeks (30–60 sessions) active rTMS of left DLPFC

Galletly et al. (33)Multicentre open-label RCT77 patients; MDD, bipolar disorder I/II
  • 43% response and 33% remission on HRSD-21 with 4–6 weeks (18–20 sessions) active rTMS of left and right DLPFC

  • Note: DLPFC = dorsolateral prefrontal cortex, HRSD = Hamilton Rating Scale for Depression, MDD = major depressive disorder, NA = not applicable, RCT = randomized control trial, rTMS = repetitive transcranial magnetic stimulation.