The cost of neuronavigation for rTMS is; . "We note that the cost of our set-up is much lower than many commercial systems in the market (<$5000 vs $50,000). Our results also showed that the tracking performance of the system was on a par with other high-end commercial systems"
Alrighty then. That's good news. So even at the high-end it's affordable.
Localisation with the use of neuronavigation will also increase the cost for the patient with 500-700 euros- that is a cost 95% of patients can avoid because they don't need for location. rTMS is also relatively new on the private european market. From around 2017
You need neuronavigation for disorders that are very atypical for the normal rTMS clinic right now and are regarded as "off-label" because of the small trails done.
From your writings I knew the stuff about OCD and depression where you don't need neuronavigation for rTMS and so forth. The gist of my message was that it's achievable for someone to make an investment pay off. If someone got neuronavigated rTMS for DPDR in Europe, they'd be close to having a monopoly, and if they'd charge a premium, I wouldn't mind.
Doctor Kelley, with her private practice in Arizona, is able to offer her patients effective rTMS, according to the thread you linked to. If it's feasible for her ... I see Smart TMS has clinics in London, Birmingham, Manchester, Bristol and Havant. And they're soon opening a new clinic in Holborn. So it looks like their business is going well, well indeed. They write that «Studies show that DPD could affect one person in every 50 in the UK», so they know there are patients out there. They should have one clinic which specializes in DPDR, one of their five clinics in England. If each clinic has a high level of autonomy, one could get in touch with each of the five in sequence, explaining the high potential for neuronavigated rTMS, the feasibility of it, and that patients from Europe would flock there if everything went dandy.
What we need is at least one clinic willing to invest, and at least one researcher willing to give guidance, or become some sort of commercial partner.
Localisation with the use of neuronavigation will also increase the cost for the patient with 500-700 euros- that is a cost 95% of patients can avoid because they don't need for location.
700 euros for extra time spent is cheap. They don't have to spend extra time on all conditions, it's just to not use the neuronavigation machine when they've got a patient with say OCD or depression. That's no problem.
Will you open our brains too with a russian doctor
Yes. Yes, I would!
The number I dug up was slapdash, quick and dirty. I googled and pasted in a flash. But yeah, I would trust a Russian research institution to do neuronavigated rTMS—if the people there seemed skilled, trustworthy and wanting to learn more about DPDR. But Nigerian? Nope!