Evidence map›Paper›PMID 40066281›Full record

ArticleFrontiers in physiology2025

Georgios Stamatakos, Eleni Kolokotroni, Foteini Panagiotidou, Stamatia Tsampa, Christos Kyroudis, Simon Spohn, Anca-Ligia Grosu, Dimos Baltas, Constantinos Zamboglou, Ilias Sachpazidis

Abstract read
In one paragraph

Article in Frontiers in physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. [Digital twins in uro-oncology].Urologie (Heidelberg, Germany) · 2026
    Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Exploring theFrontiers in physiology · 2025
    Article
  7. 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

10 authors.

Georgios Stamatakos *In silico Oncology and In silico Medicine Group, Institute of Communication and Computer Systems, School of Electrical and Computer Engineering, National Technical University of Athens, Athens, Greece.
Eleni Kolokotroni *In silico Oncology and In silico Medicine Group, Institute of Communication and Computer Systems, School of Electrical and Computer Engineering, National Technical University of Athens, Athens, Greece.
Foteini PanagiotidouIn silico Oncology and In silico Medicine Group, Institute of Communication and Computer Systems, School of Electrical and Computer Engineering, National Technical University of Athens, Athens, Greece.
Stamatia TsampaIn silico Oncology and In silico Medicine Group, Institute of Communication and Computer Systems, School of Electrical and Computer Engineering, National Technical University of Athens, Athens, Greece.
Christos KyroudisIn silico Oncology and In silico Medicine Group, Institute of Communication and Computer Systems, School of Electrical and Computer Engineering, National Technical University of Athens, Athens, Greece.
Simon SpohnDepartment of Radiation Oncology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Anca-Ligia GrosuDepartment of Radiation Oncology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Dimos BaltasGerman Cancer Consortium (DKTK), Partner Site Freiburg, Heidelberg, Germany.
Constantinos ZamboglouDepartment of Radiation Oncology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Ilias SachpazidisGerman Cancer Consortium (DKTK), Partner Site Freiburg, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Prostate cancer (PCa) is the most frequent diagnosed malignancy in male patients in Europe and radiation therapy (RT) is a main treatment option. However, current RT concepts for PCa have an imminent need to be rectified in order to modify the radiotherapeutic strategy by considering (i) the personal PCa biology in terms of radio resistance and (ii) the individual preferences of each patient. Methods: To this end, a mechanistic multiscale model of prostate tumor response to external radiotherapeutic schemes, based on a discrete entity and discrete event simulation approach has been developed. Following technical verification, an adaptation to clinical data approach is delineated. Multiscale data has been provided by the University of Freiburg. Additionally, a sensitivity analysis has been performed. Results: The impact of model parameters such as cell cycle duration, dormant phase duration, apoptosis rate of living and progenitor cells, fraction of dormant stem and progenitor cells that reenter cell cycle, number of mitoses performed by progenitor cells before becoming differentiated, fraction of stem cells that perform symmetric division, fraction of cells entering the dormant phase following mitosis, alpha and beta parameters of the linear-quadratic model and oxygen enhancement ratio has been studied. The model has been shown to be particularly sensitive to the apoptosis rate of living stem and progenitor cells, the fraction of dormant stem and progenitor cells that reenter cell cycle, the fraction of stem cells that perform symmetric division and the fraction of cells entering the dormant phase following mitosis. A qualitative agreement of the model behavior with experimental and clinical knowledge has set the basis for the next steps towards its thorough clinical validation and its eventual certification and clinical translation. The paper showcases the feasibility, the fundamental design and the qualitative behavior of the model in the context of Discussion: Further data is being collected in order to enhance the model parametrization and conduct extensive clinical validation. The envisaged digital twin or OncoSimulator, a concept and technologically integrated system that our team has previously developed for other cancer types, is expected to support both patient personalized treatment and

Indexed as

cancerdigital twinin silico medicinein silico oncologymultiscale modelingprostate cancerradiation therapyvirtual twin

Identifiers

PMID40066281
PMCPMC11891158

What OpenQuestion holds

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LicenceCC BY
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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.