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, S. M. Wolf, T. Grabowski, B. Seto

Research output: Contribution to journalReview articlepeer-review

97 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)384-390
Number of pages7
Issue number5
StatePublished - Jan 2008


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