Many conditions such as Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, motor neurone disease, multiple sclerosis, schizophrenia, alcohol related brain damage and other brain and mind disorders affect only humans.
Therefore the donation of post-mortem brain tissue for research is of fundamental importance to further our understanding of the causes of these brain and mind disorders, and to develop more effective diagnostic tools and treatment for these conditions.
The following questions and answers are to assist those who are considering registering as a brain donor.
Brain donation is when a person and their family decide to donate their brain for medical research following their death.
Although over the past decades many advances have been made in our understanding of diseases that affect the brain, there are still no cures for these conditions. Modern brain imaging techniques, blood tests and genetic markers are helping to improve the characterisation of brain diseases, but without understanding the changes that occur in the brain, the impact of these advances will be limited.
In order to develop more effective treatments for diseases that affect the brain, studies are needed to identify the specific cellular changes occurring in the brain of people with those diseases compared with healthy subjects.
We mean the whole brain. The brain is a very complex structure and it is necessary to look at all the different parts of the brain. In some neurological conditions the spinal cord is also essential for the confirmation of diagnosis and research. If this is specifically stated on the consent form, consent to donate spinal cord can be given.
Yes. Progress can be made towards finding the cause brain and mind conditions if researchers can compare brains from those affected with brains from those who were not affected by such conditions. Normal brain tissue can also be used to study ageing of the human brain. Normal brain tissue is known as 'control' tissue. People not affected by brain and mind disorders are encouraged to consider registering as donors of tissue that may be used as controls in the research process.
Yes. There is no interruption to the organ donation processes and this will preclude the brain donation. Neither procedure will be affected by your decision to be an organ or brain donor.
No. It is not currently possible to be both a full body donor and a brain donor. This is due to the embalming procedure used when donating your whole body to research.
No. People with infectious diseases cannot be donors due to the safety of the ABBN staff and researchers. These include Hepatitis B and C, HIV and AIDS, and Creutzfeldt-Jakob disease.
Yes, however this does vary between States. To be useful to researchers, post-mortem tissue must be collected and stored as soon as possible after death. This will not always be possible as obstacles of timing, distance or available resources may sometime arise; however this should not deter people from registering as donors.
Your family doctor will be asked to complete the death certificate at the time of death. It is important that your doctor is aware of your wish to donate your brain in order to complete the death certificate in an expedient manner. In addition, your doctor will provide medical information useful for researchers (consent to access medical information forms part of the brain donation consent form).
The brain (and sometimes spinal cord, if consent has been given) is removed at an autopsy restricted to the tissues being donated. The post mortem examination is an orderly procedure supervised by a pathologist at a hospital or forensic institute mortuary. Ideally the procedure should take place within 24 hours after death but can be performed up to 48 hours after death.
No. The post mortem procedure does not interfere with the normal course of events associated with a funeral.
The post mortem does not affect the ability to have a viewing or open casket funeral as the brain is removed in such a way as to minimise visible marks.
No. The brain bank will cover all costs involved with transportation of the body for the procedure and all costs associated with the brain donation (including neuropathological diagnosis). However, all other aspects of the funeral arrangements remain the responsibility of the family.
The brain is processed in two ways to allow maximum information to be obtained and to ensure the tissue is usable in research for many years to come. Half the tissue is frozen and is used for research. The remaining tissue is fixed in formalin and allows for both neuropathologic diagnosis and research.
We cannot advise you as to the exact nature of this research as researcher's needs change with time and there are continuing advances in technology which affect the nature of scientific research. However, researchers will only be able to access stored tissue and clinical information after obtaining approval for their research projects from their institutions Human Research Ethics Committee and the relevant State Scientific Advisory Committee. This is to ensure the tissue is used ethically and is only provided to feasible research projects with scientific merit.
It is important to make the necessary arrangements well in advance, since family members need time to discuss this very important issue.
Discussion with your senior available next of kin and family members will also help ensure your wishes are considered. It is preferable to state your wishes in writing by using the brain donation consent forms designed for this purpose by the brain donor programs. Contact the brain bank for a copy of this documentation.
Yes. The personal and health information of all registered donors is held securely in password-protected computer files and in locked files at a separate location to ensure confidentiality. Once the donation has occurred, the tissue is stored securely at a one of our Brain Banks and is identified only by a unique identification number.
Researchers have access to selected tissues and specified clinical information only through the unique identifier. No donor is ever identified by name in any publications or presentations that result from the research.
The ABBN are covered by the rules for handling personal information set out in Federal and State legislation, and adherence to the National Privacy Principles. The ABBN is committed to protecting the donor and their family's privacy.
You have the right to access any personal information that the ABBN holds about you. You can ask to correct, update or amend personal and health information, such as your current address.
For more detailed information on the Privacy Act contact the Office of the Federal Privacy Commissioner by visiting www.privacy.gov.au or on 1300 363 992, or your relevant state legislative authority.
The donated tissues are stored indefinitely. The tissues are preserved in such a way that ensures their continued use in research. If we have to dispose of tissue that is no longer suitable for research it is done in an ethical and respectful manner, in accordance with prevailing national regulations.
You are free to withdraw your consent at any time, by signing the withdrawal section on your consent form. Your decision will be fully respected and no questions will be asked. Your decision will not affect your relationship with any medical institute or area health service. All your electronic records will be deleted and your paper file will be destroyed.
The cost of preparing, examining each brain for diagnosis and distribution of tissue to researchers is very costly. Monetary donations to the brain banks within the national network are gratefully accepted. Donations over $2.00 are tax deductible. Sporadic or regular donations can be made in the form of cash, cheque or credit card. Bequest donations in your will are also welcomed.
Individuals or organisations interested in supporting the ABBN should contact Fairlie Hinton 03 8344 1900 or email@example.com.
The appropriate state brain bank can provide a document to be available at the funeral to facilitate cheque or credit card donations. Contact your local State Brain Donor Coordinator for details.