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MRI-Guided Robotic TMS With Therapy Delivers Strong PTSD Gains in Military Trial

The peer-reviewed trial suggests a personalized, MRI-guided approach could expand PTSD treatment for service members if future studies confirm the benefit.

New recruits of the Ukrainian Armed Forces attend their first military training near a frontline in Zaporizhzhia region, Ukraine April 5, 2026. REUTERS/Stringer

Overview

  • The study, published Tuesday in JAMA Network Open, found that adding MRI-guided, robot-controlled transcranial magnetic stimulation to intensive psychotherapy produced clinically significant improvement in 85% of participants after one month.
  • A sham-controlled comparison showed 59% improved with the mock procedure at one month, while 73% in the active group remained improved at three months compared with fewer than 30% in the sham group.
  • Researchers randomized 119 active-duty service members and veterans with mostly severe combat-related PTSD during a 30-day residential program at Laurel Ridge Treatment Center in San Antonio.
  • The patented system used each person’s MRI to pinpoint the target in the brain and a robot to keep the magnet on that spot, in what authors report as the first registered clinical trial of image-guided robotic TMS.
  • TMS is cleared by the FDA for depression and obsessive-compulsive disorder but not PTSD, and the team said new trials are being designed to test this approach in other settings and groups.