کارگاه دو روزه کاربرد تحریک مغناطیسی فراجمجمه‌ای (TMS) در مداخلات نوین روان‌پزشکی با تمرکز بر پروتکل‌های درمانی – دستورالعمل‌های بالینی و بررسی موردی مداخلات مؤثر با ‌TMS

آزمایشگاه ملی نقشه‌برداری مغز با همکاری آکادمی باشگاه مغز برگزارمی‌کند:

کارگاه دو روزه کاربرد تحریک مغناطیسی فراجمجمه‌ای (TMS) در مداخلات نوین روان‌پزشکی

با تمرکز بر پروتکل‌های درمانی – دستورالعمل‌های بالینی و بررسی موردی مداخلات مؤثر با ‌TMS

پروتکل های شخصی سازی شده، پروتکل های تسریع شده (Accelerated Protocols)، پروتکل های فوق تسریع شده

حضوری به همراه کار عملی

با حمایت:

 دانشگاه علوم پزشکی تهران

مدرس:

دکتر حامد اختیاری؛ روان‌پزشک و عصب‌شناس شناختی

 زمان برگزاری: ۱۵ -۱۶ مرداد ماه ۱۴۰۴

ساعت ۸ صبح لغایت ۱۴ 

Workshop

TMS Protocols for Interventional Psychiatry

Two Days, With Emphasis on Circuit-based Therapeutics, Guidelines and Clinical Case Discussions

Instructor: Hamed Ekhtiari, MD, PhD, Psychiatrist and Neuroscientist

Co-Organizers: Departments of Psychiatry of Tehran University of Medical Sciences

Audience: Group 1: Psychiatrists and Residents of Psychiatry

Group 2: TMS Team Members: Physicians, Psychologists and Neuroscientists

Time and Venue: 15-۱۶ August 2025 (Wednesday and Thursday)

at Iranian National Brain Mapping Laboratory

Day One: 8-9:30 (Group 1 and 2)

1. Introduction and Basics of Brain Stimulation
   • Motivation and Justification
   • Brain Stimulation Technologies
   • My Personal History with TMS Since 2007
2. Brief History and Regulations of TMS Worldwide
3. TMS Physical Principles
4. Neurobiological Mechanisms of TMS
5. TMS Parameters
   • Pulse Shapes
   • Pulse Strength
   • Coil Orientation
   • Coil Shape
   • Stimulation Timing
6. Paired Pulse TMS and Its Potential Diagnostic Value
7. TMS Machines and How to Decide Between Them

Day One: 10-11:30 (Group 1 and 2)

8. Decision for a TMS Protocol: A Personalized Protocol
   • Target Optimization
   • Dose Adjustment of Stimulation
   • Effect of State Dependency on TMS Response
   • Timing of Stimulation
9. Bridging the Gap Between Theory and Practice in the Clinic
   • ۱۰-۱۰ and 10-20 EEG Systems: Standardization in Target Area Determination
   • Beam-F3 Measurement System
   • Methods for Determining Motor Threshold
   • Types of Motor Threshold
   • Key Steps for Determining “HotSpot”
   • Adaptive Methods for Finding Motor Threshold
   • Practical Tips for Using Pulse Strength in the Clinic
   • Side Effects and Safety of TMS
   • Practical Tips for Using TMS in the Clinic: A Comprehensive Guide for Therapists

Day One: 12-13 (Group 1): Panel: Current Clinical TMS Practices and Case Scenarios in TUMS and IUMS: Potentials and Challenges Fatemeh Sadat Mirfazeli, MD (IUMS), Saba Faraji, MD (TUMS), Sahar Ansari, MD (TUMS), 

Day One: 12-13 (Group 2)

10. Practical Station 1 (Beam-F3 Method)
11. Practical Station 2 (Using Beam Software)
12. Practical Station 3 (Finding C3 Area)

Day One: 13-14 (Group 1)

13. Practical Station 1 (Beam-F3 Method)
14. Practical Station 2 (Using Beam Software)
15. Practical Station 3 (Finding C3 Area)

Day Two: 8-9:30

1. Neural Circuit Mapping in Designing Treatment Protocols
   • Introduction and Review of Day 1
   • Decoding the Brain: Neural Circuits and Their Role in TMS
2. Revolution in Depression Treatment with TMS: History and Importance
3. TMS Protocols in Depression
   • TMS Protocols in Depression – First Generation (rTMS)
   • TMS Protocols in Depression – Second Generation (Theta burst)
   • TMS Protocols in Depression – Third Generation (Accelerated protocols)
   • SAINT and AINT Protocols
   • Updated TMS Selection Algorithms for TRD
   • TMS Personalization: New Horizons in Depression Treatment
   • TMS Protocol in Anxious Depression
4. TMS in OCD
   • TMS in OCD: History and Importance
   • Targeting Biomarker in OCD: Finding the Exact Target in the Brain for OCD Treatment
   • FDA-Approved Protocol for Treating OCD using TMS
   • CE-Approved Protocol for Treating OCD using TMS

Day Two: 11-12:30

5. TMS in Addiction
   • Transcranial Electrical and Magnetic Stimulation in Addiction: History and Importance
   • Targeting Biomarker in Addiction: The Golden Key for Personalizing Addiction Treatment using TMS
   • Personalized Targeting of the Frontopolar Area: A Precise Method for Treating Addiction using TMS
   • Network Target Model: A Novel Approach to Brain Stimulation in Addiction Treatment
   • FDA and CE Approvals: A Guarantee of Safety and Efficacy of TMS in Addiction Treatment
   • INTAM Network: Global Collaboration for Advancing Brain Stimulation in Addiction Treatment
6. TMS in Catatonia
   • TMS in Bipolar Disorder: Mood Stabilization using TMS
   • Target Biomarker in Catatonia
   • Catatonia and TMS: Restoring Connection to Reality
7. Other Potentially Clinically Relevant rTMS Protocols
8. Pharmacotherapy and Transcranial Magnetic Stimulation
   • Pharmacotherapy and TMS – Psychostimulants
   • Pharmacotherapy and TMS – Benzodiazepines
   • Pharmacotherapy and TMS – Nicotine/Opioids
   • Pharmacotherapy and TMS – Other Medication
9. Importance of State Dependency on TMS Response
10. Safety Guidelines in Transcranial Magnetic Stimulation
11. Personalization of TMS with fMRI: Future of Neurostimulation
12. Emerging Horizons in TMS: A Revolution in Mental Health Treatments

Day Two: 12-13 (Group 1): Panel: Complex Case Scenarios, Quality Control Standards and Road Ahead: Seyed Vahid Shariat, MD (IUMS), Hamid Reza Naghavi, MD (TUMS), Mohammadreza Shalbafan, MD (IUMS), Mohammad Ali Oghabian, PhD (TUMS), Reza Khosrowabadi, PhD (SBU), OTHERS?

Day Two: 12-13 (Group 2)

16. Practical Station 1 (Motor Threshold Assessment Tool)
17. Practical Station 2 (Adaptive PEST is a free tool for TMS researchers and practitioners)
18. Practical Station 3 (Neuronavigation and Circuit-based Therapeutics)

Day Two: 13-14 (Group 1)

19. Practical Station 1 (Motor Threshold Assessment Tool)
20. Practical Station 2 (Adaptive PEST is a free tool for TMS researchers and practitioners)
21. Practical Station 3 (Neuronavigation and Circuit-based Therapeutics)

This workshop is designed to cover FDA approved/cleared and CE approved protocols with main emphasis in psychiatry. We will also discuss some off-label use based on the most updated pieces of evidence.