Phillips John P, Cole Caitlin, Gluck John P, Shoemaker Jody M, Petree Linda, Helitzer Deborah, Schrader Ronald, Holdsworth Mark
Department of Neurology, University of New Mexico & The Mind Research Network, Albuquerque, New Mexico 87106.
The Mind Research Network, Albuquerque, New Mexico 87106,
Ethics Behav. 2015 Jul 1;25(4):332-350. doi: 10.1080/10508422.2014.938338. Epub 2014 Oct 20.
How far does a researcher's responsibility extend when an incidental finding is identified? Balancing pertinent ethical principles such as beneficence, respect for persons, and duty to rescue is not always straightforward, particularly in neuroimaging research where empirical data that might help guide decision-making is lacking. We conducted a systematic survey of perceptions and preferences of 396 investigators, research participants and IRB members at our institution. Using the partial entrustment model as described by Richardson, we argue that our data supports universal reading by a neuroradiologist of all research MRI scans for incidental findings and providing full disclosure to all participants.
当发现一个偶然发现时,研究人员的责任范围有多大?平衡诸如行善、尊重个人和救助义务等相关伦理原则并非总是直截了当的,尤其是在神经影像学研究中,缺乏可能有助于指导决策的实证数据。我们对本机构的396名研究人员、研究参与者和机构审查委员会成员的看法和偏好进行了系统调查。使用理查森描述的部分委托模型,我们认为我们的数据支持由神经放射科医生对所有研究MRI扫描进行普遍阅片,以发现偶然发现,并向所有参与者进行充分披露。