IRCCS San Camillo Hospital, Venice, Lido, Italy.
Department of Neuroscience & Padova Neuroscience Center, University of Padova, Padova, Italy.
Clin Neurophysiol. 2022 Sep;141:101-108. doi: 10.1016/j.clinph.2022.06.008. Epub 2022 Jun 23.
Transcranial magnetic stimulation (TMS) has been widely used in both clinical and research practice. However, TMS might induce unintended sensations and undesired effects as well as serious adverse effects. To date, no shared forms are available to report such unintended effects. This study aimed at developing a questionnaire enabling reporting of TMS unintended effects. A Delphi procedure was applied which allowed consensus among TMS experts. A steering committee nominated a number of experts to be involved in the Delphi procedure. Three rounds were conducted before reaching a consensus. Afterwards, the questionnaire was publicized on the International Federation of Clinical Neurophysiology website to collect further suggestions by the wider scientific community. A last Delphi round was then conducted to obtain consensus on the suggestions collected during the publicization and integrate them in the questionnaire. The procedure resulted in a questionnaire, that is the TMSens_Q, applicable in clinical and research settings. Routine use of the structured TMS questionnaire and standard reporting of unintended TMS effects will help to monitor the safety of TMS, particularly when applying new protocols. It will also improve the quality of data collection as well as the interpretation of experimental findings.
经颅磁刺激（TMS）在临床和研究实践中得到了广泛应用。然而，TMS 可能会引起意外的感觉和不期望的效果，以及严重的不良事件。迄今为止，尚无报告此类意外影响的共享形式。本研究旨在开发一种能够报告 TMS 意外影响的问卷。应用 Delphi 程序，允许 TMS 专家达成共识。一个指导委员会提名了一些专家参与 Delphi 程序。在达成共识之前，进行了三轮。之后，该问卷在国际临床神经生理学联合会网站上公布，以收集更广泛科学界的进一步建议。然后进行了最后一轮 Delphi 调查，以就公布期间收集的建议达成共识，并将其纳入问卷。该程序产生了一个问卷，即 TMSens_Q，适用于临床和研究环境。常规使用结构化 TMS 问卷和意外 TMS 效应的标准报告将有助于监测 TMS 的安全性，特别是在应用新方案时。这也将提高数据收集的质量以及对实验结果的解释。
