Transcranial Magnetic Stimulation Principle

Transcranial magnetic stimulation (TMS) is based on Faraday’s principles of electromagnetic induction [1]. A pulse of current flowing through a coil of wire generates a magnetic field. If its magnitude changes with time, then it will induce a secondary current in any nearby conductor. The rate of change of the field determines the size of the induced current. In TMS studies, the stimulating coil is held over a subject’s head and, as a brief pulse of current is passed through it, a magnetic field is generated that passes through the subject’s scalp and skull with a small attenuation. This time-varying magnetic field induces a current in the subject’s brain that stimulates the neural tissue. To induce enough current to excite neurons in the brain, the current passed through the coil must change within a few hundred microseconds [2]. The stimulators and coils, used to develop about 1.5–2 Tesla (T) at the face of the coil, are thought to activate cortical neurons at a depth of 1.5–2 cm beneath the scalp [3, 4]. There are basically two types of TMS applications: a) single-pulse TMS, wherein repeated pulses are not applied faster than once every few seconds, and, b) repeated TMS (rTMS), wherein a train of magnetic pulses is delivered during milliseconds to even seconds [4, 5].

  1. Jackson J D, Classical Electrodynamics. 1965, John Wiley and Sons: New York.
  2. Hallett M, Transcranial magnetic stimulation and the human brain. Nature, 2000. 406: 147-50.
  3. Rudiak D and Marg E, Finding the depth of magnetic brain stimulation: a re-evaluation. Electroencephalogr Clin Neurophysiol., 1994. 93: 358-71.
  4. Wassermann E M, Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology, 1998. 108: 1-16.
  5. Anand S and Hotson J, Transcranial magnetic stimulation: neurophysiological applications and safety. Brain Cogn, 2002. 50: 366-86.

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Last Modified: February 1, 2008
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