Robot-Assisted Transcranial Magnetic Stimulation (Robo-TMS): A Review

transcranial magnetic stimulation (TMS) is a non-invasive and safe brain stimulation procedure with growing applications in clinical treatments and neuroscience research. However, achieving precise stimulation over prolonged sessions poses significant challenges. By integrating advanced robotics wit...

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Main Authors: Wenzhi Bai, Andrew Weightman, Rory J O'Connor, Zhengtao Ding, Mingming Zhang, Sheng Quan Xie, Zhenhong Li
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
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Online Access:https://ieeexplore.ieee.org/document/11071331/
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author Wenzhi Bai
Andrew Weightman
Rory J O'Connor
Zhengtao Ding
Mingming Zhang
Sheng Quan Xie
Zhenhong Li
author_facet Wenzhi Bai
Andrew Weightman
Rory J O'Connor
Zhengtao Ding
Mingming Zhang
Sheng Quan Xie
Zhenhong Li
author_sort Wenzhi Bai
collection DOAJ
description transcranial magnetic stimulation (TMS) is a non-invasive and safe brain stimulation procedure with growing applications in clinical treatments and neuroscience research. However, achieving precise stimulation over prolonged sessions poses significant challenges. By integrating advanced robotics with conventional TMS, robot-assisted TMS (Robo-TMS) has emerged as a promising solution to enhance efficacy and streamline procedures. Despite growing interest, a comprehensive review from an engineering perspective has been notably absent. This paper systematically examines four critical aspects of Robo-TMS: hardware and integration; calibration and registration; neuronavigation systems; and control systems. We review state-of-the-art technologies in each area, identify current limitations, and propose future research directions. Our findings suggest that broader clinical adoption of Robo-TMS is currently limited by unverified clinical applicability, high operational complexity, and substantial implementation costs. Emerging technologies—including marker-less tracking, non-rigid registration, learning-based electric field (E-field) modelling, individualised magnetic resonance imaging (MRI) generation, robot-assisted multi-locus TMS (Robo-mTMS), and automated calibration and registration—present promising pathways to address these challenges.
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institution Kabale University
issn 1534-4320
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language English
publishDate 2025-01-01
publisher IEEE
record_format Article
series IEEE Transactions on Neural Systems and Rehabilitation Engineering
spelling doaj-art-22d59f75162641be82bb6ca9b917f2ff2025-08-20T03:49:49ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1534-43201558-02102025-01-01332606262110.1109/TNSRE.2025.358565111071331Robot-Assisted Transcranial Magnetic Stimulation (Robo-TMS): A ReviewWenzhi Bai0https://orcid.org/0009-0000-7781-6700Andrew Weightman1https://orcid.org/0000-0001-7232-4942Rory J O'Connor2Zhengtao Ding3https://orcid.org/0000-0003-0690-7853Mingming Zhang4https://orcid.org/0000-0001-8016-1856Sheng Quan Xie5https://orcid.org/0000-0003-2641-2620Zhenhong Li6https://orcid.org/0000-0003-2583-5082Department of Electrical and Electronic Engineering, University of Manchester, Manchester, U.K.Department of Mechanical and Aerospace Engineering, University of Manchester, Manchester, U.K.School of Medicine, University of Leeds, Leeds, U.K.Department of Electrical and Electronic Engineering, University of Manchester, Manchester, U.K.Department of Biomedical Engineering, Southern University of Science and Technology, Shenzhen, ChinaSchool of Electronic and Electrical Engineering, University of Leeds, Leeds, U.K.Department of Electrical and Electronic Engineering, University of Manchester, Manchester, U.K.transcranial magnetic stimulation (TMS) is a non-invasive and safe brain stimulation procedure with growing applications in clinical treatments and neuroscience research. However, achieving precise stimulation over prolonged sessions poses significant challenges. By integrating advanced robotics with conventional TMS, robot-assisted TMS (Robo-TMS) has emerged as a promising solution to enhance efficacy and streamline procedures. Despite growing interest, a comprehensive review from an engineering perspective has been notably absent. This paper systematically examines four critical aspects of Robo-TMS: hardware and integration; calibration and registration; neuronavigation systems; and control systems. We review state-of-the-art technologies in each area, identify current limitations, and propose future research directions. Our findings suggest that broader clinical adoption of Robo-TMS is currently limited by unverified clinical applicability, high operational complexity, and substantial implementation costs. Emerging technologies—including marker-less tracking, non-rigid registration, learning-based electric field (E-field) modelling, individualised magnetic resonance imaging (MRI) generation, robot-assisted multi-locus TMS (Robo-mTMS), and automated calibration and registration—present promising pathways to address these challenges.https://ieeexplore.ieee.org/document/11071331/Transcranial magnetic stimulationnon-invasive brain stimulationmedical robotsimage-guided robotic systemsregistrationneuronavigation
spellingShingle Wenzhi Bai
Andrew Weightman
Rory J O'Connor
Zhengtao Ding
Mingming Zhang
Sheng Quan Xie
Zhenhong Li
Robot-Assisted Transcranial Magnetic Stimulation (Robo-TMS): A Review
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Transcranial magnetic stimulation
non-invasive brain stimulation
medical robots
image-guided robotic systems
registration
neuronavigation
title Robot-Assisted Transcranial Magnetic Stimulation (Robo-TMS): A Review
title_full Robot-Assisted Transcranial Magnetic Stimulation (Robo-TMS): A Review
title_fullStr Robot-Assisted Transcranial Magnetic Stimulation (Robo-TMS): A Review
title_full_unstemmed Robot-Assisted Transcranial Magnetic Stimulation (Robo-TMS): A Review
title_short Robot-Assisted Transcranial Magnetic Stimulation (Robo-TMS): A Review
title_sort robot assisted transcranial magnetic stimulation robo tms a review
topic Transcranial magnetic stimulation
non-invasive brain stimulation
medical robots
image-guided robotic systems
registration
neuronavigation
url https://ieeexplore.ieee.org/document/11071331/
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