Evidence map›Paper›PMID 40313535›Full record

ArticlePNAS nexus2025

The future of in silico trials and digital twins in medicine.

Ehsan Samei

Abstract read
In one paragraph

Article in PNAS nexus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Review
  2. Article
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  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. A survey on ethical digital twins in healthcare.Frontiers in artificial intelligence · 2026
    Review
  12. Review
  13. 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
  14. Digital twins: pioneering personalized precision in modern surgery.Annals of medicine and surgery (2012) · 2025
    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

1 author.

Ehsan SameiDepartment of Radiology and Center for Virtual Imaging Trials, Duke University, 2424 Erwin Road, Durham, NC 27710, USA.ORCID https://orcid.org/0000-0001-7451-3309

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In silico trials and digital twins are emerging as transformative medical technologies, as they offer a unique way to design medical innovations, optimize their application, and evaluate their utility. Their use spans from individual care-appropriating the technology for personalized decision, to population care-presenting an alternative to design, supplement, or replace clinical trials. They effectually offer a new way to efficiently qualify, quantify, and personalize healthcare innovations in advance or in conjunction with clinical application. While much progress is underway to advance these technologies across diverse developments, realizing their full potential requires a cohesive goal to unify separate activities towards a common objective. Such a cohesive goal-moonshot-can be defined as forming and fostering a digital twin of every single human person, owned by the individual, progressively updated with new data, and used to deliver optimized care, technology assessment, and real-world evidence. The feasibility of such a vision builds upon a growing body of work in computational modeling, regulatory science, and digital healthcare. Bringing this vision to reality requires ownership and active engagement of all stakeholders to contribute diverse expertise and resources for transforming medicine and medical appropriation towards a more accurate, efficient, and quantitative future.

Indexed as

clinical trialsdigital twinsin silico trialsprototypingqunatitative medicineregulatory sciencerevolutionize medicinevirtual clinical trials

Identifiers

PMID40313535
PMCPMC12043051

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.