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Table 3 Recommendations and Considerations for Addressing Incidental and Reportable Findings in Pediatric Research

From: Communicating incidental and reportable findings from research MRIs: considering factors beyond the findings in an underrepresented pediatric population

Area.

Recommendation

Funding agencies

Allocate fund use when an incidental finding is discovered to assist in provision of follow-up care, particularly among underserved populations that lack access to specialty care and/or insurance.

Scientific Organizations

Establish best practices and scientific statements to guide pediatric researchers who encounter incidental findings during investigations

Informed Consent

Clearly explain the nondiagnostic intent of the MRI as well as the possibility of discovering unrelated, unintended but potentially clinically relevant findings.

Study design

Track the impact of incidental finding communication to the participant and their family, including additional clinical visits and diagnostic tests, to better assess the financial and time-related costs and potential health benefits.

Methodology

Develop a process for how incidental findings will be identified and communicated among members of the research team as well as to families and primary care providers.