Nexstim nTMS mapping offers you the chance to improve outcomes and your patients’ quality of life. The clinical value of using the NBS System with SmartFocus® E-field navigated TMS technology has been firmly established, with over 170 papers on over 7,000 patients published (2025).
Nexstim NBS System with SmartFocus® nTMS helps neurosurgeons and radiotherapists plan their most delicate procedures, including tumor, epilepsy and AVM surgeries near eloquent tissue. Functional nTMS mapping provides accurate information on the anatomic relationship of the surgical targets with essential functions in the brain.
Nexstim NBS System is the only FDA cleared and CE-marked navigated TMS system for pre-operative mapping of the motor and speech cortices of the brain.
Reported benefits of SmartFocus® nTMS pre-operative mapping:
- With nTMS, interventional strategy and risk can be determined individually and precisely. 1,2
- nTMS maps can help patient better understand the treatment options. 1
- nTMS results can indicate surgery in patients initially deemed inoperable. 1
- In patients with low grade gliomas, increase time before tumor recurrence (progression-free survival time) by 46%. 3
- nTMS maps improve chances for gross total resection rates. 1, 3
- Topographic and neurophysiological preoperative nTMS analysis helps better interpret intraoperatively evoked neurophysiological phenomena. 4
- Patient already prepared and tested for intraoperative language assessment. 5
References
1 Frey D. et al. Navigated transcranial magnetic stimulation improves the treatment outcome in patients with brain tumors in motor eloquent locations. Neuro Oncology 2014: nou110v1-nou110.
2 Frey D. et al. A new approach for corticospinal tract reconstruction based on navigated transcranial stimulation and standardized fractional ansiotrophy values. Neuroimage 2012, 62(3):1600-9
3 Krieg S. et al., Preoperative motor mapping by navigated transcranial magnetic brain stimulation improves outcome for motor eloquent lesions Neuro Oncol. first published online February 9, 2014
4 Krieg S, et al. Utility of presurgical navigated transcranial magnetic brain stimulation for the resection of tumors in eloquent motor areas. J Neurosurg. 2012 May; 116(5):994-1001.
5 Picht T. A comparison of language mapping by preoperative navigated transcranial magnetic stimulation and direct cortical stimulation during awake surgery. Neurosurgery. 2013 May;72(5):808-19.
More information on SmartFocus nTMS in Hong Kong:
Turtle & The Hare TMS Centre
Room 1408, 14/F, Crawford House
70 Queen's Road Central, Central, Hong Kong
Telephone: +852 2858 2183
Email: drewong@netvigator.com
You are welcome to book a free TMS mapping consultation session (30min) offered by our local TMS specialist through telephone or WhatsApp (+852 6308 8178).
SmartFocus nTMS provides specific information:
Functional brain mapping with nTMS not only helps your patients better understand their situation and their treatment options, but also the neurosurgical team to make the most of their options in the operating room. nTMS helps to achieve better results and maintain the quality of life of your patients.
„nTMS makes surgery safer, the resection rates are higher and—in the end—the outcomes are better.“
Bernhard Meyer, MD, Professor & Chair,
Department of Neurosurgery, Klinikum rechts der Isar, Technical University of Munich, Germany.
Indications for Use
Nexstim NBS® System 5 and NexSpeech are cleared by the Food and Drug Administration (FDA, K112881).
The Nexstim Navigated Brain Stimulation (NBS) System 5 is indicated for non-invasive mapping of the primary motor cortex of the brain to its cortical gyrus.
The Nexstim NBS System 5 provides information that may be used in the assessment of the primary motor cortex for pre-procedural planning.
Nexstim NexSpeech®, when used together with the NBS System 5, is indicated for non-invasive localization of cortical areas that do not contain essential speech function. NexSpeech® provides information that may be used in pre-surgical planning in patients undergoing brain surgery.
Intra-operatively, the localization information provided by NexSpeech® is intended to be verified by direct cortical stimulation.The Nexstim NBS System 5 and NBS System 5 with NexSpeech® are not intended to be used during a surgical procedure. The Nexstim NBS System 5 and NBS System 5 with NexSpeech® are intended to be used by trained clinical professionals.