Evidence map›Paper›PMID 18227420›Full record

ReviewNeurology2008

Practical approaches to incidental findings in brain imaging research.

J Illes, M P Kirschen, E Edwards, P Bandettini, M K Cho, P J Ford, G H Glover, J Kulynych, R Macklin, D B Michael and 3 more

Abstract readReview
In one paragraph

Review in Neurology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. The Realization of Portable MRI for Indigenous Communities in the USA and Canada.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. A Just Standard: The Ethical Management of Incidental Findings in Brain Imaging Research.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2021
    Article
  11. The Impact of Incidental Findings Detected During Brain Imaging on Research Participants of the Rotterdam Study: An Interview Study.Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees · 2020
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. A Systematic Review of the Management of Incidental Findings in Genomic Research.BEOnline : journal of the West African bioethics training program · 2016
    Article
  20. Incidental findings in population imaging revisited.European journal of epidemiology · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

J IllesStanford Center for Biomedical Ethics, Department of Pediatrics, Stanford University, CA, USA. jilles@interchange.ubc.ca
M P Kirschen
E Edwards
P Bandettini
M K Cho
P J Ford
G H Glover
J Kulynych
R Macklin
D B Michael
S M Wolf
T Grabowski
B Seto

Funding

Functional MRI Method DevelopmentZIAMH002783 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI BANDETTINI, PETER · 2009 to 2025
$38.4M
Center for Integration of Research on Genetics and EthicsP50HG003389 · NHGRI · STANFORD UNIVERSITY · PI CHO, MILDRED K. · 2004 to 2014
$9.9M
Managing Incidental Findings in Human Subjects ResearchR01HG003178 · NHGRI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI WOLF, SUSAN M. · 2005 to 2010
$1.5M
Advanced Neuroimaging: Ethical, Legal, and Social IssuesR01NS045831 · NINDS · STANFORD UNIVERSITY · PI ILLES, JUDY · 2003 to 2005
$1.2M
Advanced Neuroimaging: Ethical, Legal, and Social IssuesR01MH084282 · NIMH · UNIVERSITY OF BRITISH COLUMBIA · PI ILLES, JUDY · 2008 to 2011
$680k
NHGRI NIH HHS 1R01 HG003178NHGRI NIH HHS P50 HG003389NHGRI NIH HHS R01 HG003178NIMH NIH HHS R01 MH084282NINDS NIH HHS R01 NS045831
6 · The paper itself

Abstract

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.

Indexed as

Incidental FindingsBrainBrain DiseasesBrain NeoplasmsClinical ProtocolsClinical Trials as TopicConfidentialityConsent FormsDiagnostic ImagingDisclosureHemangioma, Cavernous, Central Nervous SystemHumansIntracranial Arteriovenous MalformationsPatient Care TeamPhysician-Patient RelationsReferral and Consultation

Identifiers

PMID18227420
PMCPMC2605078

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.