title: Eloquent Brain, Ethical Challenges: Functional Brain Mapping in Neurosurgery.
abstract: Functional brain mapping is an increasingly relied upon tool in presurgical planning and intraoperative decision making. Mapping allows personalization of structure-function relationships when surgical or other treatment of pathology puts eloquent functioning like language or vision at risk. As an innovative technology, functional brain mapping holds great promise but also raises important ethical questions. In this article, recent work in neuroethics on functional imaging and functional neurosurgery is explored and applied to functional brain mapping. Specific topics discussed in this article are incidental findings, responsible innovation, and informed consent.
authors.affiliation: Neurology Service, Portland VA Medical Center, Portland, OR; Department of Neurology, Oregon Health and Science University, Portland, OR; Department of Philosophy, University of Washington, Seattle, WA. Electronic address: kleine@ohsu.edu.
authors.forename: Eran
authors.initials: E
authors.lastname: Klein
mesh_terms: D001927:Brain Diseases / Q000175:diagnosis* / Q000601:surgery*; D001931:Brain Mapping; D059907:Functional Neuroimaging / Q000941:ethics*; D006801:Humans; D007258:Informed Consent / Q000941:ethics*; D019635:Neurosurgical Procedures / Q000941:ethics*; D025321:Surgery, Computer-Assisted / Q000941:ethics*; D014481:United States