National Core for Neuroethics, Department of Neurology, University of British Columbia Vancouver, BC, Canada.
Front Hum Neurosci. 2012 Oct 22;6:293. doi: 10.3389/fnhum.2012.00293. eCollection 2012.
Images of brain function, popularly called "neuroimages," have become a mainstay of contemporary communication about neuroscience and mental health. Paralleling media coverage of neuroimaging research and the high visibility of clinics selling scans is pressure from sponsors to move basic research about brain function along the translational pathway. Indeed, neuroimaging may offer benefits to mental health care: early or tailored intervention, opportunities for education and planning, and access to resources afforded by objectification of disorder. However, risks of premature technology transfer, such as misinterpretation, misrepresentation, and increased stigmatization, could compromise patient care. The insights of stakeholder groups about neuroimaging for mental health care are a largely untapped resource of information and guidance for translational efforts. We argue that the insights of key stakeholders-including researchers, healthcare providers, patients, and families-have an essential role to play upstream in professional, critical, and ethical discourse surrounding neuroimaging in mental health. Here we integrate previously orthogonal lines of inquiry involving stakeholder research to describe the translational landscape as well as challenges on its horizon.
大脑功能图像,通常被称为“神经影像”,已成为当代神经科学和精神健康交流的主要内容。神经影像学研究的媒体报道和销售扫描的诊所的高知名度,与赞助商推动将大脑功能的基础研究沿着转化途径推进的压力并行不悖。事实上,神经影像学可能会为精神卫生保健带来好处:早期或定制的干预、教育和规划的机会,以及通过对疾病进行客观化而获得资源的机会。然而,过早的技术转让可能会带来风险,例如误解、误传和增加污名化,这可能会损害患者的护理。利益相关者群体对精神卫生保健神经影像学的看法是一个尚未开发的信息和指导资源,可用于转化工作。我们认为,包括研究人员、医疗保健提供者、患者和家属在内的主要利益相关者的观点,在精神卫生领域神经影像学的专业、批判性和伦理话语中,具有至关重要的作用。在这里,我们整合了以前涉及利益相关者研究的正交调查线索,以描述转化的前景以及其前景中的挑战。