The most common protocols in use are single-pulse TMS, paired-pulse TMS, low-frequency repetitive TMS, high-frequency repetitive TMS, and theta-burst TMS. Many TMS protocols exist and the TMS Lab personnel should be involved in the design and implementation of TMS studies in the lab. This certification includes practical training on use of TMS, formal safety training and training as a first-responder in case of an emergency. In addition, in order to minimize risk, only properly trained and certified TMS personnel are allowed to administer TMS to human subjects. However, because many TMS protocols exist, each protocol must undergo its own individual safety analysis with TMS Lab personnel. Most TMS protocols, when implemented properly, are considered minimal risk activities.
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