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Updated: Jun 14, 2026

Robotically Delivered fMRI-Guided Personalized Transcranial Magnetic Stimulation Therapy for Treatment-Resistant Depression
Published on: April 10, 2026
A practical guide to setting up a repetitive transcranial magnetic stimulation (rTMS) service
Cherrie Galletly1, Paul Fitzgerald, Patrick Clarke
1Discipline of Psychiatry, School of Medicine, University of Adelaide, Adelaide, SA, Australia. cherrie.galletly@adelaide.edu.au
Objective:
This paper outlines the process of developing a transcranial magnetic stimulation (rTMS) service in a private hospital setting, to provide a model for similar services elsewhere in Australia and New Zealand.
Methods:
The practical issues involved in setting up the service, including funding, staffing, equipment, treatment protocols and associated research, are described.
Results:
The service has been widely accepted by psychiatrists and patients. Forty-five patients have completed treatment and the research results show a significant clinical response to rTMS.
Conclusions:
Clinicians involved in the service have found both the clinical and research components rewarding. In the longer term, the issue of ongoing funding of rTMS services remains to be resolved.

