期刊
NEUROLOGY
卷 70, 期 5, 页码 384-390出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1212/01.wnl.0000280469.17461.94
关键词
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资金
- NHGRI NIH HHS [P50 HG003389-03S1, P50 HG003389-04, P50 HG003389-03, 1R01 HG003178, P50 HG003389, R01 HG003178] Funding Source: Medline
- NIMH NIH HHS [R01 MH084282, R01 MH084282-04A1] Funding Source: Medline
- NINDS NIH HHS [R01 NS045831, R01 NS045831-01A1, R01 NS045831-02S1, R01 NS045831-03, R01 NS045831-02] Funding Source: Medline
A decade of empirical work in brain imaging, genomics, and other areas of research has yielded new knowledge about the frequency of incidental findings, investigator responsibility, and risks and benefits of disclosure. Straightforward guidance for handling such findings of possible clinical significance, however, has been elusive. In early work focusing on imaging studies of the brain, we suggested that investigators and institutional review boards must anticipate and articulate plans for handling incidental findings. Here we provide a detailed analysis of different approaches to the problem and evaluate their merits in the context of the goals and setting of the research and the involvement of neurologists, radiologists, and other physicians. Protecting subject welfare and privacy, as well as ensuring scientific integrity, are the highest priorities in making choices about how to handle incidental findings. Forethought and clarity will enable these goals without overburdening research conducted within or outside the medical setting.
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