Evidence map›Paper›PMID 34062266›Full record

ArticleNeuroImage2021

Emerging ethical issues raised by highly portable MRI research in remote and resource-limited international settings.

Francis X Shen, Susan M Wolf, Supriya Bhavnani, Sean Deoni, Jed T Elison, Damien Fair, Michael Garwood, Michael S Gee, Sairam Geethanath, Kendrick Kay and 9 more

Open access · goldAbstract read
In one paragraph

Article in NeuroImage, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

35 citing papers in PubMed, 61 citations in OpenAlex.

  1. Feasibility of and experience using a portable MRI scanner in the neonatal intensive care unit.Archives of disease in childhood. Fetal and neonatal edition · 2023
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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

19 authors at 11 institutions in 6 countries.

Francis X ShenProfessor of Law and Faculty Member, Graduate Program in Neuroscience, University of Minnesota; Instructor in Psychology, Harvard Medical School; Executive Director, MGH Center for Law, Brain & Behavior USA. Electronic address: fxshen@umn.edu.
Susan M WolfMcKnight Presidential Professor of Law, Medicine & Public Policy; Faegre Baker Daniels Professor of Law; Professor of Medicine; Chair, Consortium on Law and Values in Health, Environment & the Life Sciences, University of Minnesota USA.
Supriya BhavnaniCo-Principal Investigator, Child Development Group, Sangath, New Delhi, India.
Sean DeoniAssociate Professor of Pediatrics (Research), Associate Professor of Diagnostic Imaging (Research), Brown University; Senior Program Officer, Maternal, Newborn & Child Health Discovery & Tools, Discovery & Translational Sciences, Bill & Melinda Gates Foundation USA.
Jed T ElisonAssociate Professor, Institute of Child Development, Department of Pediatrics, University of Minnesota USA.
Damien FairRedleaf Endowed Director, Masonic Institute for the Developing Brain; Professor, Institute of Child Development, College of Education and Human Development; Professor, Department of Pediatrics, Medical School, University of Minnesota USA.
Michael GarwoodMalcolm B. Hanson Professor of Radiology, Department of Radiology, Center for Magnetic Resonance Research, University of Minnesota USA.
Michael S GeeVice-Chair of Clinical Operations, Chief of Pediatric Radiology, Pediatric Imaging Research Center Director, Massachusetts General Hospital; Co-Director, Mass General Imaging Global Health Educational Programs USA.
Sairam GeethanathAssociate Research Scientist, Columbia Magnetic Resonance Research Center, Columbia University USA.
Kendrick KayAssistant Professor, Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota USA.
Kelvin O LimProfessor, Vice-Chair of Research, Drs. T. J. and Ella M. Arneson Land-Grant Chair in Human Behavior, Department of Psychiatry and Behavioral Sciences, University of Minnesota USA.
Georgia Lockwood EstrinSir Henry Wellcome Postdoctoral Research Fellow, Centre for Brain and Cognitive Development, Department of Psychological Sciences, Birkbeck College, University of London UK.
Monica LucianaProfessor, Department of Psychology; Adjunct Faculty Member, Institute of Child Development; Core Faculty Member, Center for Neurobehavioral Development, University of Minnesota USA.
David PeloquinAssociate, Ropes & Gray LLP USA.
Karen RommelfangerDirector, Neuroethics Program, Center for Ethics; Associate Professor, Departments of Neurology and Psychiatry and Behavioral Sciences, School of Medicine, Emory University USA.
Nicoline SchiessTechnical Officer, Brain Health Unit, World Health Organization Switzerland.
Khan SiddiquiChief Medical Officer and Chief Strategy Officer, Hyperfine USA.
Efraín TorresPhD Candidate in the Department of Biomedical Engineering, NSF GRFP Fellow, University of Minnesota; Garwood Lab member USA.
J Thomas VaughanProfessor in the Departments of Biomedical Engineering and Radiology, Director of the Columbia Magnetic Resonance Research Center; Principal and Investigator and MR Platform Director of the Zuckerman Institute, Columbia University; Director of the High Field Imaging Lab, Nathan Kline Institute USA.
University of Minnesota · USBirkbeck, University of London · GBCenter for Law and Social Policy · USColumbia University · USEmory University · USImaging Center · USInstitute for Research and Development · LKJohn Brown University · USResonance Research (United States) · USSangath · INWorld Health Organization · CH

Funding

Imaging Human Brain Function with Minimal Mobility Restrictions - Supplement - NeuroethicsU01EB025153 · NIBIB · UNIVERSITY OF MINNESOTA · PI GARWOOD, MICHAEL · 2017 to 2021
$11.2M
Highly Portable and Cloud-Enabled Neuroimaging Research: Confronting Ethics Challenges in Field Research with New PopulationsRF1MH123698 · NIMH · UNIVERSITY OF MINNESOTA · PI LAWRENZ, FRANCES PATRICIA, SHEN, FRANCIS X · 2020 to 2020
$1.6M
NIBIB NIH HHS U01 EB025153NIMH NIH HHS RF1 MH123698Wellcome TrustWellcome Trust 204706/Z/16/ZWorld Health Organization 001
6 · The paper itself

Abstract

Smaller, more affordable, and more portable MRI brain scanners offer exciting opportunities to address unmet research needs and long-standing health inequities in remote and resource-limited international settings. Field-based neuroimaging research in low- and middle-income countries (LMICs) can improve local capacity to conduct both structural and functional neuroscience studies, expand knowledge of brain injury and neuropsychiatric and neurodevelopmental disorders, and ultimately improve the timeliness and quality of clinical diagnosis and treatment around the globe. Facilitating MRI research in remote settings can also diversify reference databases in neuroscience, improve understanding of brain development and degeneration across the lifespan in diverse populations, and help to create reliable measurements of infant and child development. These deeper understandings can lead to new strategies for collaborating with communities to mitigate and hopefully overcome challenges that negatively impact brain development and quality of life. Despite the potential importance of research using highly portable MRI in remote and resource-limited settings, there is little analysis of the attendant ethical, legal, and social issues (ELSI). To begin addressing this gap, this paper presents findings from the first phase of an envisioned multi-staged and iterative approach for creating ethical and legal guidance in a complex global landscape. Section 1 provides a brief introduction to the emerging technology for field-based MRI research. Section 2 presents our methodology for generating plausible use cases for MRI research in remote and resource-limited settings and identifying associated ELSI issues. Section 3 analyzes core ELSI issues in designing and conducting field-based MRI research in remote, resource-limited settings and offers recommendations. We argue that a guiding principle for field-based MRI research in these contexts should be including local communities and research participants throughout the research process in order to create sustained local value. Section 4 presents a recommended path for the next phase of work that could further adapt these use cases, address ethical and legal issues, and co-develop guidance in partnership with local communities.

Indexed as

Developing CountriesEthics, ResearchHumansMagnetic Resonance ImagingNeuroimagingInternational researchLow- and middle-income countries (LMICs)NeuroethicsNeuroimagingPortable MRI

Identifiers

PMID34062266
PMCPMC8382487
OpenAlexW3164353984

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.