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解剖学领域中使用捐赠尸体图像所涉及的伦理问题。

Ethical issues surrounding the use of images from donated cadavers in the anatomical sciences.

作者信息

Cornwall Jon, Callahan David, Wee Richman

机构信息

Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, Wellington, New Zealand.

Faculty of Law, University of Otago, Dunedin, New Zealand.

出版信息

Clin Anat. 2016 Jan;29(1):30-6. doi: 10.1002/ca.22644. Epub 2015 Oct 28.

Abstract

Body donor programs rely on the generosity and trust of the public to facilitate the provision of cadaver resources for anatomical education and research. The uptake and adoption of emerging technologies, including those allowing the acquisition and distribution of images, are becoming more widespread, including within anatomical science education. Images of cadavers are useful for research and education, and their supply and distribution have commercial potential for textbooks and online education. It is unclear whether the utilization of images of donated cadavers are congruent with donor expectations, societal norms and boundaries of established public understanding. Presently, no global "best practices" or standards exist, nor is there a common model requiring specific image-related consent from body donors. As ongoing success of body donation programs relies upon the ethical and institutional governance of body utilization to maintain trust and a positive relationship with potential donors and the community, discussions considering the potential impact of image misuse are important. This paper discusses the subject of images of donated cadavers, commenting on images in non-specific use, education, research, and commercial applications. It explores the role and significance of such images in the context of anatomical science and society, and discusses how misuse - including unconsented use - of images has the potential to affect donor program success, suggesting that informed consent is currently necessary for all images arising from donated cadavers. Its purpose is to encourage discussion to guide responsible utilization of cadaver images, while protecting the interests of body donors and the public.

摘要

遗体捐赠项目依靠公众的慷慨和信任,以促进为解剖学教育和研究提供尸体资源。包括那些允许获取和分发图像的新兴技术的采用和应用正变得越来越普遍,在解剖学科学教育领域亦是如此。尸体图像对研究和教育很有用,其供应和分发在教科书和在线教育方面具有商业潜力。目前尚不清楚捐赠尸体的图像使用是否符合捐赠者的期望、社会规范以及既定公众认知的界限。目前,不存在全球“最佳实践”或标准,也没有一个通用模式要求从遗体捐赠者那里获得与图像相关的特定同意。由于遗体捐赠项目的持续成功依赖于对遗体利用的伦理和机构管理,以维持与潜在捐赠者及社区的信任和良好关系,因此讨论考虑图像滥用的潜在影响很重要。本文讨论捐赠尸体图像这一主题,对非特定用途、教育、研究及商业应用中的图像进行评论。它探讨了此类图像在解剖学科学和社会背景下的作用和意义,并讨论了图像的滥用——包括未经同意的使用——如何有可能影响捐赠项目的成功,表明目前对于所有源自捐赠尸体的图像都需要获得知情同意。其目的是鼓励展开讨论,以指导对尸体图像的负责任利用,同时保护遗体捐赠者和公众的利益。

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