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A Practical Framework for Promoting Justice-Oriented Innovation in Radiology.

Jacob A Blythe1, Vrushab Gowda2, Efren J Flores3

  • 1Integrated IR-DR Residency Program, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts; Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.

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Radiologic innovation must prioritize justice to address imaging disparities. Redefining stewardship ensures new technologies actively mitigate, rather than perpetuate, inequities in healthcare.

Keywords:
Bioethicshealth care innovationhealth equityimaging accessradiology

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Area of Science:

  • Medical Imaging
  • Health Equity
  • Innovation in Radiology

Background:

  • Radiology's role in perpetuating imaging disparities is increasingly recognized.
  • Innovations may inadvertently create or worsen these disparities if justice is not considered.
  • Physicians' core commitments include doing no harm, doing good, and ensuring justice.

Purpose of the Study:

  • To propose redefining stewardship in radiologic innovation to prioritize justice.
  • To outline structural changes and a template for justice-oriented innovation.
  • To provide a rubric for identifying and prioritizing innovations that mitigate imaging disparities.

Main Methods:

  • Conceptual framework development for justice-oriented innovation.
  • Analysis of structural requirements for equitable innovation.
  • Proposal of a rubric for prioritizing innovations impacting imaging disparities.

Main Results:

  • A redefinition of stewardship in radiologic innovation is proposed, emphasizing a positive obligation to justice.
  • A framework and template are presented for developing innovations that address imaging disparities.
  • A rubric is offered to guide the prioritization of justice-oriented innovations.

Conclusions:

  • Radiologic innovation must proactively address justice to mitigate imaging disparities.
  • Prioritizing justice in innovation requires identifying, understanding, and targeting disparities.
  • Innovations demonstrating potential to reduce disparities should receive accelerated development and commercialization pathways.