ArticleFrontiers in physiology2025
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.
What it found
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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.
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.
Who cites it
7 citing papers in PubMed.
- [Digital twins in uro-oncology].Urologie (Heidelberg, Germany) · 2026Review
- A prescription-free, radiobiology-based framework for automated VMAT planning: A feasibility study in primary prostate cancer radiotherapy.Medical physics · 2026Article
- Digital twins for personalized treatment in uro-oncology in the era of artificial intelligence.Nature reviews. Urology · 2026Review
- Role of health digital twins in oncology drug development - a primer.Frontiers in oncology · 2026Review
- Digital twins in healthcare: a comprehensive review and future directions.Frontiers in digital health · 2025Review
- Exploring theFrontiers in physiology · 2025Article
- Protecting organs-at-risk in cancer therapies through temporary organ displacement: a comprehensive review.Oncology reviews · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
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
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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.