We use Neurostar TMS in each of our Concierge TMS offices. We believe that Neurostar is the best choice for our patients for a number of reasons. First, Neurostar and Neuronetics, the parent company, conducted the clinical trials that led to FDA approval of TMS in 2008, and they have focused on TMS longer than anyone else. Neurostar established a treatment protocol that we know works. This protocol describes the length of the treatments, the amount of energy that is used, as well as the number of treatments, all of which contribute to the success and the tolerability of the treatment. It is also worth noting that the Neurostar system provides precise measurements for each patient’s treatment, so that the magnetic coil is properly placed in precisely the same location at every treatment. Most other systems lack this precision.
Importantly, the Neurostar company provides unlimited clinical consultation to every provider, which can be very useful when complex clinical situations arise. Although it is difficult to obtain information about the rate of side effects from the various companies that sell TMS systems, there is good reason to believe that Neurostar TMS is better tolerated by patients and has a lower drop-out rate during the course of treatment, when compared to other companies. Because the magnetic energy delivered by the Neurostar TMS system is focused exclusively on the prefrontal cortex, the risk of adverse effects are low.
It should be noted that despite claims to the contrary, there is no evidence that one type of TMS is more effective than another, so the likelihood of success is not a reason to choose one system over another. At the same time, knowing that you are choosing a system that is well tolerated, has a low drop rate due to discomfort, and has been focused on TMS longer than anyone else, may be a reason to seek a Neurostar office if you are considering TMS.