Evidence map›Paper›PMID 37886348›Full record

ArticleFrontiers in artificial intelligence2023

Predictive digital twin for optimizing patient-specific radiotherapy regimens under uncertainty in high-grade gliomas.

Anirban Chaudhuri, Graham Pash, David A Hormuth, Guillermo Lorenzo, Michael Kapteyn, Chengyue Wu, Ernesto A B F Lima, Thomas E Yankeelov, Karen Willcox

Open access · goldAbstract read
In one paragraph

Article in Frontiers in artificial intelligence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
16.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Dynamic image-informed selection of biomechanical tumor growth models.Biomechanics and modeling in mechanobiology · 2026
    Article
  4. Review
  5. Translational barriers to digital twins in radiation oncology.Physics and imaging in radiation oncology · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Multi-scale digital twins for personalized medicine.Frontiers in digital health · 2026
    Review
  16. Article
  17. Article
  18. Review
  19. AI and innovation in clinical trials.NPJ digital medicine · 2025
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Anirban ChaudhuriOden Institute for Computational Engineering and Sciences, The University of Texas at Austin, Austin, TX, United States.
Graham PashOden Institute for Computational Engineering and Sciences, The University of Texas at Austin, Austin, TX, United States.
David A HormuthOden Institute for Computational Engineering and Sciences, The University of Texas at Austin, Austin, TX, United States.
Guillermo LorenzoOden Institute for Computational Engineering and Sciences, The University of Texas at Austin, Austin, TX, United States.
Michael KapteynOden Institute for Computational Engineering and Sciences, The University of Texas at Austin, Austin, TX, United States.
Chengyue WuOden Institute for Computational Engineering and Sciences, The University of Texas at Austin, Austin, TX, United States.
Ernesto A B F LimaOden Institute for Computational Engineering and Sciences, The University of Texas at Austin, Austin, TX, United States.
Thomas E YankeelovOden Institute for Computational Engineering and Sciences, The University of Texas at Austin, Austin, TX, United States.
Karen WillcoxOden Institute for Computational Engineering and Sciences, The University of Texas at Austin, Austin, TX, United States.
The University of Texas at Austin · USLivestrong Foundation · USUniversity of Pavia · IT

Funding

INTEGRATING OMICS AND QUANTITATIVE IMAGING DATA IN CO-CLINICAL TRIALS TO PREDICT TREATMENT RESPONSE IN TRIPLE NEGATIVE BREAST CANCERU24CA226110 · NCI · BAYLOR COLLEGE OF MEDICINE · PI LEWIS, MICHAEL T., RUBIN, DANIEL L · 2019 to 2023
$3.2M
Clinical Development of Rhenium Nanoliposomes (RNL186) for GlioblastomaR01CA235800 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI BRENNER, ANDREW JACOB · 2019 to 2023
$3.0M
Image Driven Multi-Scale Modeling to Predict Treatment Response in Breast CancerU01CA174706 · NCI · VANDERBILT UNIVERSITY · PI QUARANTA, VITO, YANKEELOV, THOMAS E · 2013 to 2018
$2.5M
NCI NIH HHS R01 CA235800NCI NIH HHS U01 CA174706NCI NIH HHS U24 CA226110
6 · The paper itself

Abstract

We develop a methodology to create data-driven predictive digital twins for optimal risk-aware clinical decision-making. We illustrate the methodology as an enabler for an anticipatory personalized treatment that accounts for uncertainties in the underlying tumor biology in high-grade gliomas, where heterogeneity in the response to standard-of-care (SOC) radiotherapy contributes to sub-optimal patient outcomes. The digital twin is initialized through prior distributions derived from population-level clinical data in the literature for a mechanistic model's parameters. Then the digital twin is personalized using Bayesian model calibration for assimilating patient-specific magnetic resonance imaging data. The calibrated digital twin is used to propose optimal radiotherapy treatment regimens by solving a multi-objective risk-based optimization under uncertainty problem. The solution leads to a suite of patient-specific optimal radiotherapy treatment regimens exhibiting varying levels of trade-off between the two competing clinical objectives: (i) maximizing tumor control (characterized by minimizing the risk of tumor volume growth) and (ii) minimizing the toxicity from radiotherapy. The proposed digital twin framework is illustrated by generating an

Indexed as

adaptive radiotherapybrain cancerdigital twinmathematical oncologypersonalized tumor forecastsrisk-aware clinical decision-makinguncertainty quantification

Identifiers

PMID37886348
PMCPMC10598726
OpenAlexW4387533560

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.