Evidence map›Paper›PMID 28523219›Full record

ReviewBrain and behavior2017

Discovery and informing research participants of incidental findings detected in brain magnetic resonance imaging studies: Review and multi-institutional study.

Kyoko Takashima, Yoshiyuki Takimoto, Eisuke Nakazawa, Yoshinori Hayashi, Atsushi Tsuchiya, Misao Fujita, Akira Akabayashi

Open access · goldAbstract readReview
In one paragraph

Review in Brain and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 15% of its field
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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Prevalence of incidental brain MRI findings of clinical relevance in a diverse Hispanic/Latino population.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2021
    Article
  8. Review
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

7 authors at 5 institutions in 1 country.

Kyoko TakashimaDepartment of Public Policy Institute of Medical Science the University of Tokyo Tokyo Japan.ORCID 0000-0003-1116-2374
Yoshiyuki TakimotoDepartment of Biomedical Ethics Graduate School of Medicine the University of Tokyo Tokyo Japan.
Eisuke NakazawaDepartment of Biomedical Ethics Graduate School of Medicine the University of Tokyo Tokyo Japan.
Yoshinori HayashiDepartment of Philosophy College of Letters Ritsumeikan University Kyoto Japan.
Atsushi TsuchiyaGraduate School of Integrated Arts and Sciences Tokushima University Tokushima Japan.
Misao FujitaUehiro Research Division for iPS Cell Ethics Center for iPS Cell Research and Application (CiRA) Kyoto University Kyoto Japan.
Akira AkabayashiDepartment of Biomedical Ethics Graduate School of Medicine the University of Tokyo Tokyo Japan.
The University of Tokyo · JPKyoto University · JPRitsumeikan University · JPTokushima University · JPTokyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBrain imaging studies using magnetic resonance imaging (MRI) sometimes reveal incidental findings (IFs) that might be relevant to some of the health issues in research participants. Although professional communities have discussed how to manage these IFs, there is no global consensus on the concrete handling procedures including how to inform participants of IFs.

methodsFirst, this study reviewed previous studies for the number of IFs discovered in brain imaging studies using MEDLINE. Second, a multi-institutional study determined the number of IF discoveries and evaluated the method of informing participants at multiple institutions, which participated in a national brain science project in Japan.

resultsBoth the review and multi-institutional study showed that IFs with a high urgency level were discovered in 0-2.0% of participants, including healthy volunteers, and that the rate of IF discovery in general was higher in studies conducted in elderly population. Moreover, multi-institutional study suggested the criteria used to judge whether or not to inform participants of IFs may differ by institution.

conclusionsOur results suggest that in order to ensure informing the participants of high urgency IFs, physicians who are capable of interpreting brain images clinically should review all brain images, and the establishment of a support system is required for brain imaging studies at nonmedical institutions. Since the method of informing participants of IFs might affect their understanding and acceptance of IFs, which are related to managing risks of false "clean bill of health" or psychological impacts of informing IFs, further research focusing on communication of IFs is needed.

Indexed as

Biomedical ResearchIncidental FindingsMulticenter Studies as TopicResearch SubjectsAgedBrainFemaleHumansMagnetic Resonance ImagingMaleNeuroimagingincidental findingsmagnetic resonance imaging studyquantitative studyresearch ethicsreview

Identifiers

PMID28523219
PMCPMC5434182
OpenAlexW2603955667

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.