title: [The Problems with Domestic Introduction of rTMS from the Three Viewpoints of Scientific Evidence, Specialty and Social Responsibility].
abstract: The domestic introduction of rTMS is expected as a new treatment option for treatment-resistant depression. I discussed some problems with the introduction from three viewpoints : scientific evidence, specialty, and social responsibility. I surveyed scientific evidence for rTMS regarding the action mechanism, effectiveness, side effects, and its positioning in the treatment guidelines. To secure the quality of rTMS treatment, I proposed rTMS guidelines, nurturing of the specialists, and a center hospital plan, and pointed out some medium-term problems after its introduction and the consistency of rTMS treatment and standard depression treatment. From the viewpoint of social responsibility, rTMS treatment should be a medical service covered by health insurance to avoid its misuse. We should prepare to overcome the public suspicion of brain stimulation treatment for mental disease.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Shinosaki
mesh_terms: D003863:Depression / Q000628:therapy*; D003865:Major Depressive Disorder / Q000628:therapy*; D006801:Humans; D007564:Japan; D017410:Practice Guidelines as Topic; D012941:Social Responsibility; D050781:Transcranial Magnetic Stimulation / Q000009:adverse effects*