成像生物库:操作限制、医疗法律和伦理思考。

IF 3.2 Q1 HEALTH CARE SCIENCES & SERVICES
Frontiers in digital health Pub Date : 2024-08-29 eCollection Date: 2024-01-01 DOI:10.3389/fdgth.2024.1408619
Emanuele Capasso, Claudia Casella, Mariagrazia Marisei, Mario Tortora, Francesco Briganti, Pierpaolo Di Lorenzo
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引用次数: 0

摘要

健康技术的飞速发展决定了人们对生物库的兴趣与日俱增,生物库是研究、实验和验证新疗法的独特财富。"人类 "生物库是各类人类生物样本的储存库。经过多年的发展,其模式已从世界各地自发收集生物材料转变为机构、组织和结构合理的形式。影像生物库是一个新领域,欧洲放射学会将其定义为 "有组织的医学影像数据库":欧洲放射学会将其定义为:"有组织的医学影像数据库,以及多个研究人员共享的相关影像生物标志物,并与其他生物库相连接"。现代放射学和核医学可以提供多种成像生物标志物,表达与某些疾病(尤其是肿瘤)相关的表型。成像生物库不仅仅是与临床数据相关的生物图像目录,还涉及到先进的计算机技术,以实现新兴的放射组学和放射基因组学领域。由于欧洲是大多数生物库的所在国,因此将以意大利为例,分析其司法和伦理框架。将影像生物库与传统生物库联系起来似乎是一个关键步骤,需要医学影像界根据明确的司法和伦理准则来推动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Imaging biobanks: operational limits, medical-legal and ethical reflections.

The extraordinary growth of health technologies has determined an increasing interest in biobanks that represent a unique wealth for research, experimentation, and validation of new therapies. "Human" biobanks are repositories of various types of human biological samples. Through years the paradigm has shifted from spontaneous collections of biological material all over the world to institutional, organized, and well-structured forms. Imaging biobanks represent a novel field and are defined by European Society of Radiology as: "organized databases of medical images, and associated imaging biomarkers shared among multiple researchers, linked to other biorepositories". Modern radiology and nuclear medicine can provide multiple imaging biomarkers, that express the phenotype related to certain diseases, especially in oncology. Imaging biobanks, not a mere catalogue of bioimages associated to clinical data, involve advanced computer technologies to implement the emergent field of radiomics and radiogenomics. Since Europe hosts most of the biobanks, juridical and ethical framework, with a specific referral to Italy, is analyzed. Linking imaging biobanks to traditional ones appears to be a crucial step that needs to be driven by medical imaging community under clear juridical and ethical guidelines.

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CiteScore
4.20
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