Australian Government - Department of Health and Ageing

Medical Services Advisory Committee (MSAC)

Application 1101

Repetitive Transcranial Magnetic Stimulation (rTMS)

Repetitive Transcranial Magnetic Stimulation (rTMS)

Application Name

Repetitive Transcranial Magnetic Stimulation (rTMS)

Advisory PanelsDr Kwun Fong
(Chair and MSAC member)
Dr Mary Turner
(MSAC member)
Professor Philip Thompson
(Australian Association of Neurologists nominee)
Professor Philip Mitchell
(Royal Australian and New Zealand College of Psychiatrists nominee)
Dr Steven Kan
(Royal Australian College of General Practitioners nominee)
Ms Margaret Springgay
(Consumers' Health Forum of Australia nominee)
Date Received by MSAC SecretariatAugust 2005
Stage 1 - EligibilityEligible
Stage 2 - AssessmentCompleted
Stage 3 - Formulation of Advice to the MinisterThis assessment was considered by the MSAC at the 9 March 2007 meeting.

MSAC has considered the safety, effectiveness and cost-effectiveness of repetitive transcranial magnetic stimulation (rTMS) for moderate to severe refractory treatment resistant depression compared with electro convulsive therapy (ECT).

MSAC finds evidence that rTMS is safe, less invasive than ECT.

MSAC finds limited evidence that rTMS may be less effective than ECT.

The financial and resource implications will depend upon the mix of patients who have rTMS, including uptake amongst patients who would otherwise not have ECT.

MSAC does not support public funding at this time due to insufficient evidence.
Stage 4 - DecisionEndorsed by the Minister for Health and Ageing on 4 June 2007
Stage 5 - Implementation

Page currency, Latest update: 01 June, 2009