Deslauriers C, Bell E, Palmour N, Pike B, Doyon J, Racine E
Neuroethics Research Unit, Institut de recherches cliniques de Montréal, Quebec, Canada.
J Empir Res Hum Res Ethics. 2010 Mar;5(1):49-66. doi: 10.1525/jer.2010.5.1.49.
The current and potential uses of neuroimaging in healthcare and beyond have spurred discussion about the ethical issues related to neuroimaging and neuroimaging research. This study examined the perspectives of neuroimagers on ethical issues in their research and on the ethics review process. One hundred neuroimagers from 13 Canadian neuroscience centers completed an online survey and 35 semi-structured interviews were conducted. Neuroimagers felt that most ethical and social issues identified in the literature were dealt with adequately, well, and even very well by research ethics boards (REBs), but some issues such as incidental findings and transfer of knowledge were problematic. Neuroimagers reported a range of practical problems in the ethics review process. We aimed to gather perspectives from REB on the ethics review process, but insufficient participation by REBs prevented us from reporting their perspectives. Given shortcomings identified by neuroimagers as well as longstanding issues in Canadian ethics governance, we believe that substantial challenges exist in Canadian research ethics governance that jeopardize trust, communication, and the overall soundness of research ethics governance. Neuroimagers and REBs should consider their shared responsibilities in developing guidance to handle issues such as incidental findings, risk assessment, and knowledge transfer.
神经成像技术在医疗保健及其他领域的当前和潜在应用引发了关于神经成像及神经成像研究相关伦理问题的讨论。本研究考察了神经成像研究人员对其研究中的伦理问题以及伦理审查过程的看法。来自加拿大13个神经科学中心的100名神经成像研究人员完成了一项在线调查,并进行了35次半结构化访谈。神经成像研究人员认为,研究伦理委员会(REB)对文献中确定的大多数伦理和社会问题处理得足够好、很好甚至非常好,但一些问题,如偶然发现和知识转移,存在问题。神经成像研究人员报告了伦理审查过程中的一系列实际问题。我们旨在收集伦理审查委员会对伦理审查过程的看法,但伦理审查委员会参与不足,使我们无法报告他们的观点。鉴于神经成像研究人员发现的缺点以及加拿大伦理治理中的长期问题,我们认为加拿大研究伦理治理存在重大挑战,危及信任、沟通以及研究伦理治理的整体健全性。神经成像研究人员和伦理审查委员会应考虑在制定指导方针以处理偶然发现、风险评估和知识转移等问题方面的共同责任。