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Parenting Journal · Volume 1 · Issue 2 · Licensed source edition

Pediatric Clinical Images Without Consent: A Governance Gap in the Long-Term Reuse of Health Data in Digital Health Ecosystems

Iwona Bujek; Matthew Balcarras; Valentina Palama; Masab Mansoor

Originally published 2026-06-01 · Journal of Medical Internet Research
JMIR Publications Inc. · DOI 10.2196/94952 ↗

RespectGovernance viewpoint with a longitudinal documentary caseCC BY 4.0
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AI / system type

AI training-data governance / case-based analysis

Family implications

Design, ethics, stakeholder or technical evidence with child/family implications; household benefits are not assumed.

The AI connection

Analyzes how legacy pediatric image archives can enter AI and machine-learning ecosystems through secondary collection and reuse.

Why this reading matters

Highlights the enduring consequences of consent gaps and the need to trace data provenance before reuse.

Editorial reading guide · Respect

What happens to a child’s image after its original educational or clinical use?

The paper connects respect for a child’s dignity to the long life of clinical images, including possible downstream reuse in AI datasets.

Study context

Archival materials, correspondence and regulatory findings concerning legacy clinical images

Age / stage: Pediatric images and long-term reuse; no new child intervention

Read with three questions

  1. What documentary evidence supports the case analysis?
  2. How are proven image circulation and potential downstream AI reuse distinguished?
  3. What lifecycle, provenance and withdrawal safeguards are proposed?

Keep the limits in view

The article is a case-based governance analysis, not a systematic audit of all AI datasets. It does not prove that the specific images were used to train a particular model; legal and institutional contexts vary.

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Attribution & reuse

Follow the original.

Original authorship, publication date, journal and DOI are preserved. This issue’s TRICK placement and reading questions are editorial additions, not claims made by the original authors.

CC BY 4.0 · License notice ↗Original repository record ↗

Iwona Bujek; Matthew Balcarras; Valentina Palama; Masab Mansoor (2026). Pediatric Clinical Images Without Consent: A Governance Gap in the Long-Term Reuse of Health Data in Digital Health Ecosystems Journal of Medical Internet Research. https://doi.org/10.2196/94952

Permissions checked against the saved article notice; repository publication notices screened 2026-11-04. This is not a new peer-review decision. The source authors and publishers are not represented as endorsing this issue.