Evidence map›Paper›PMID 38948052›Full record

ReviewTheranostics2024

Theranostic digital twins: Concept, framework and roadmap towards personalized radiopharmaceutical therapies.

Hamid Abdollahi, Fereshteh Yousefirizi, Isaac Shiri, Julia Brosch-Lenz, Elahe Mollaheydar, Ali Fele-Paranj, Kuangyu Shi, Habib Zaidi, Ian Alberts, Madjid Soltani and 3 more

Abstract readReview
In one paragraph

Review in Theranostics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
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

27 citing papers in PubMed.

  1. Review
  2. PHYTO-PET - Imaging plant physiology on a long-axial field-of-view PET scanner.European journal of nuclear medicine and molecular imaging · 2026
    Article
  3. Review
  4. Review
  5. Applications of artificial intelligence in nuclear medicine.Zeitschrift fur medizinische Physik · 2026
    Review
  6. The Role of AI in Clinical Trial Design and Scientific Writing.Cardiovascular and interventional radiology · 2026
    Review
  7. Digital Twin Technology In Radiology.Journal of imaging informatics in medicine · 2026
    Review
  8. Article
  9. The future of mathematical oncology in the age of AI.NPJ systems biology and applications · 2026
    Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. AI-powered in silico twins: redefining precision medicine through simulation, personalization, and predictive healthcare.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2025
    Review
  19. Article
  20. Review
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

13 authors.

Hamid AbdollahiDepartment of Radiology, University of British Columbia, Vancouver, Canada.
Fereshteh YousefiriziDepartment of Integrative Oncology, BC Cancer Research Institute, Vancouver, Canada.
Isaac ShiriDivision of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, Geneva, Switzerland.
Julia Brosch-LenzDepartment of Integrative Oncology, BC Cancer Research Institute, Vancouver, Canada.
Elahe MollaheydarDepartment of Integrative Oncology, BC Cancer Research Institute, Vancouver, Canada.
Ali Fele-ParanjDepartment of Integrative Oncology, BC Cancer Research Institute, Vancouver, Canada.
Kuangyu ShiDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Habib ZaidiDivision of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, Geneva, Switzerland.
Ian AlbertsDepartment of Molecular Imaging and Therapy, BC Cancer, Vancouver, Canada.
Madjid SoltaniDepartment of Integrative Oncology, BC Cancer Research Institute, Vancouver, Canada.
Carlos UribeDepartment of Radiology, University of British Columbia, Vancouver, Canada.
Babak SabouryDepartment of Integrative Oncology, BC Cancer Research Institute, Vancouver, Canada.
Arman RahmimDepartment of Radiology, University of British Columbia, Vancouver, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiopharmaceutical therapy (RPT) is a rapidly developing field of nuclear medicine, with several RPTs already well established in the treatment of several different types of cancers. However, the current approaches to RPTs often follow a somewhat inflexible "one size fits all" paradigm, where patients are administered the same amount of radioactivity per cycle regardless of their individual characteristics and features. This approach fails to consider inter-patient variations in radiopharmacokinetics, radiation biology, and immunological factors, which can significantly impact treatment outcomes. To address this limitation, we propose the development of theranostic digital twins (TDTs) to personalize RPTs based on actual patient data. Our proposed roadmap outlines the steps needed to create and refine TDTs that can optimize radiation dose to tumors while minimizing toxicity to organs at risk. The TDT models incorporate physiologically-based radiopharmacokinetic (PBRPK) models, which are additionally linked to a radiobiological optimizer and an immunological modulator, taking into account factors that influence RPT response. By using TDT models, we envisage the ability to perform virtual clinical trials, selecting therapies towards improved treatment outcomes while minimizing risks associated with secondary effects. This framework could empower practitioners to ultimately develop tailored RPT solutions for subgroups and individual patients, thus improving the precision, accuracy, and efficacy of treatments while minimizing risks to patients. By incorporating TDT models into RPTs, we can pave the way for a new era of precision medicine in cancer treatment

Indexed as

NeoplasmsPrecision MedicineRadiopharmaceuticalsHumansRadiopharmaceuticalsDigital twinsPersonalized therapyPrecision MedicineRadiopharmaceutical therapiesRoadmapTheranostics

Identifiers

PMID38948052
PMCPMC11209714

What OpenQuestion holds

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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.