“…It has been shown that they can be trained to be highly robust for imaging variation, reducing the need for highly controlled subject poses (Xiangyu Zhu et al, 2015). There are a number of current research and commercial efforts to create fully automated analysis pipelines for clinical interpretation of dysmorphologies (Ansari et al, 2014; Ferry et al, 2014; Manousaki et al, 2015; Basel-Vanagaite et al, 2016; Gripp et al, 2016; Baynam et al, 2017; Bengani et al, 2017; Dudding-Byth et al, 2017; Deciphering Developmental Disorders Study, 2017; Gardner et al, 2017; Hadj-Rabia et al, 2017; Kruszka et al, 2017a; Kruszka et al, 2017b; Kruszka et al, 2017c; Lumaka et al, 2017; Shukla et al, 2017; Valentine et al, 2017; Reijnders et al, 2018b; Gurovich et al, 2018; Knaus et al, 2018; Kruszka et al, 2018; Liehr et al, 2018; Pantel et al, 2018; Reijnders et al, 2018a; Reijnders et al, 2018b; Zarate et al, 2018). However, all these efforts are meeting the same barriers to progression of the methods and prospects for clinical impact, challenges to do with data access, ethics, governance, and security.…”