title: A matter of accuracy. Nanobiochips in diagnostics and in research: ethical issues as value trade-offs.
abstract: The paper deals with the introduction of nanotechnology in biochips. Based on interviews and theoretical reflections, it explores blind spots left by technology assessment and ethical investigations. These have focused on possible consequences of increased diffusability of a diagnostic device, neglecting both the context of research as well as increased accuracy, despite it being a more essential feature of nanobiochip projects. Also, rather than one of many parallel aspects (technical, legal and social) in innovation processes, ethics is considered here as a ubiquitous system of choices between sometimes antagonistic values. Thus, the paper investigates what is at stake when accuracy is balanced with other practical values in different contexts. Dramatic nanotechnological increase of accuracy in biochips can raise ethical issues, since it is at odds with other values such as diffusability and reliability. But those issues will not be as revolutionary as is often claimed: neither in diagnostics, because accuracy of measurements is not accuracy of diagnostics; nor in research, because a boost in measurement accuracy is not sufficient to overcome significance-chasing malpractices. The conclusion extends to methodological recommendations.
authors.affiliation: UMR CNRS 8085 Printemps / 7219 Sphere, Paris, France, ronan.le.roux@gmail.com.
authors.forename: Ronan
authors.initials: R
authors.lastname: Le Roux
mesh_terms: D035843:Biomedical Research / Q000941:ethics*; D003695:Delivery of Health Care / Q000941:ethics; D019937:Diagnostic Techniques and Procedures / Q000941:ethics*; D004059:Diffusion of Innovation; D006801:Humans; D056656:Lab-On-A-Chip Devices / Q000941:ethics*; D009014:Morals; D036103:Nanotechnology / Q000941:ethics*; D015203:Reproducibility of Results; D012945:Social Values; D013673:Technology Assessment, Biomedical / Q000941:ethics*