Evidence map›Paper›PMID 40554623›Full record

ArticlePloS one2025

The impact of experimental designs & system sloppiness on the personalisation process: A cardiovascular perspective.

Harry Saxton, Daniel J Taylor, Grace Faulkner, Ian Halliday, Tom Newman, Torsten Schenkel, Paul D Morris, Richard H Clayton, Xu Xu

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Harry SaxtonSchool of Computer Science, University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0001-7433-6154
Daniel J TaylorInsigneo Institute for in-silico Medicine, University of Sheffield, Sheffield, United Kingdom.
Grace FaulknerInsigneo Institute for in-silico Medicine, University of Sheffield, Sheffield, United Kingdom.ORCID 0009-0008-4155-9974
Ian HallidayInsigneo Institute for in-silico Medicine, University of Sheffield, Sheffield, United Kingdom.
Tom NewmanInsigneo Institute for in-silico Medicine, University of Sheffield, Sheffield, United Kingdom.
Torsten SchenkelDepartment of Cardiology and Cardiothoracic Surgery, Sheffield Teaching Hospitals NHS Trust, Sheffield, United Kingdom.ORCID 0000-0001-5560-1872
Paul D MorrisInsigneo Institute for in-silico Medicine, University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0002-3965-121X
Richard H ClaytonSchool of Computer Science, University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0002-8438-7518
Xu XuSchool of Computer Science, University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0002-9721-9054

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To employ a reduced-order cardiovascular model as a digital twin for personalised medicine, it is essential to understand how uncertainties in the model's input parameters affect its outputs. The aim is to identify a set of input parameters that can serve as clinical biomarkers, providing insight into a patient's physiological state. Given the challenge of finding useful clinical data, careful consideration must be given to the experimental design used to acquire patient-specific input parameters. Model sloppiness-where numerous parameter combinations have minimal impact on model predictions, whilst only a few parameters significantly influence outcomes-is a critical concept in this context. In this paper, we conduct the first quantification of a cardiovascular system's sloppiness to elucidate the structure of the input parameter space. By utilising Sobol indices and examining various synthetic cardiovascular measures with increasing invasiveness, we uncover how the personalisation process and the cardiovascular system's sloppiness are contingent upon the chosen experimental design. Our findings reveal that continuous clinical measures induce system sloppiness and increase the number of personalisable biomarkers, whereas discrete clinical measurements produce a non-sloppy system with a reduced number of biomarkers. This study underscores the necessity for careful consideration of available clinical data as differing measurement sets can significantly impact model personalisation.

Indexed as

Cardiovascular SystemModels, CardiovascularPrecision MedicineResearch DesignBiomarkersCardiovascular DiseasesHumansBiomarkers

Identifiers

PMID40554623
PMCPMC12186990

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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.