Evidence map›Paper›PMID 39881430›Full record

ArticleJMIR medical informatics2025

Digital Representation of Patients as Medical Digital Twins: Data-Centric Viewpoint.

Stanislas Demuth, Jérôme De Sèze, Gilles Edan, Tjalf Ziemssen, Françoise Simon, Pierre-Antoine Gourraud

Abstract read
In one paragraph

Article in JMIR medical informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

6 authors.

Stanislas DemuthINSERM U1064, CR2TI - Center for Research in Transplantation and Translational Immunology, Nantes University, 30 Bd Jean Monnet, Nantes, 44093, France, 33 2 40 08 74 10.ORCID 0000-0002-2504-5294
Jérôme De SèzeINSERM CIC 1434 Clinical Investigation Center, University Hospital of Strasbourg, Strasbourg, France.ORCID 0000-0002-7197-7578
Gilles EdanDepartment of Neurology, University Hospital of Rennes, Rennes, France.ORCID 0000-0002-9641-6734
Tjalf ZiemssenCenter of Clinical Neuroscience, University Hospital Carl Gustav Carus, Dresden, Germany.ORCID 0000-0001-8799-8202
Françoise SimonDepartment of Health Policy & Management, Columbia University, New York, NY, United States.ORCID 0000-0001-9670-5889
Pierre-Antoine GourraudINSERM U1064, CR2TI - Center for Research in Transplantation and Translational Immunology, Nantes University, 30 Bd Jean Monnet, Nantes, 44093, France, 33 2 40 08 74 10.ORCID 0000-0003-1131-9554

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unlabelled: Precision medicine involves a paradigm shift toward personalized data-driven clinical decisions. The concept of a medical "digital twin" has recently become popular to designate digital representations of patients as a support for a wide range of data science applications. However, the concept is ambiguous when it comes to practical implementations. Here, we propose a medical digital twin framework with a data-centric approach. We argue that a single digital representation of patients cannot support all the data uses of digital twins for technical and regulatory reasons. Instead, we propose a data architecture leveraging three main families of digital representations: (1) multimodal dashboards integrating various raw health records at points of care to assist with perception and documentation, (2) virtual patients, which provide nonsensitive data for collective secondary uses, and (3) individual predictions that support clinical decisions. For a given patient, multiple digital representations may be generated according to the different clinical pathways the patient goes through, each tailored to balance the trade-offs associated with the respective intended uses. Therefore, our proposed framework conceives the medical digital twin as a data architecture leveraging several digital representations of patients along clinical pathways.

Indexed as

Electronic Health RecordsPrecision MedicineHumansUser-Computer Interfaceartificial intelligencecomputational modelingconceptualconceptual clarificationdata architecturedigital recordsdigital twinhealth recordmedicinepatientprecision medicinesynthetic datasynthetic patient

Identifiers

PMID39881430
PMCPMC11793832

What OpenQuestion holds

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Registered trials

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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.