Evidence map›Paper›PMID 40841176›Full record

ReviewJournal of applied clinical medical physics2025

Current progress of digital twin construction using medical imaging.

Feng Zhao, Yizhou Wu, Mingzhe Hu, Chih-Wei Chang, Ruirui Liu, Richard Qiu, Xiaofeng Yang

Abstract readReview
In one paragraph

Review in Journal of applied clinical medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Current progress of digital twin construction using medical imaging.Journal of applied clinical medical physics · 2025
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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

7 authors.

Feng ZhaoDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia, USA.ORCID https://orcid.org/0009-0004-0412-9108
Yizhou WuDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia, USA.
Mingzhe HuDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia, USA.
Chih-Wei ChangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia, USA.
Ruirui LiuDepartment of Radiation Oncology, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Richard QiuDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-7877-1900
Xiaofeng YangDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0001-9023-5855

Funding

eXtended Modular ANthropomorphic (XMAN) phantom for Imaging and Treatment Optimization in Radiotherapy.R01EB032680 · NIBIB · UNIVERSITY OF MARYLAND BALTIMORE · PI REN, LEI, YANG, XIAOFENG · 2022 to 2025
$2.4M
Real-time Volumetric Imaging for Motion Management and Dose Delivery VerificationR01CA272991 · NCI · EMORY UNIVERSITY · PI Zhen Tian, Xiaofeng Yang · 2023 to 2026
$2.3M
Intelligent and Personalized Online Adaptive Proton TherapyR01DE033512 · NIDCR · UNIVERSITY OF CHICAGO · PI Zhen Tian, Xiaofeng Yang · 2024 to 2026
$1.8M
NCI NIH HHS R01 CA272991NIBIB NIH HHS R01 EB032680NIDCR NIH HHS R01 DE033512NIH HHS R01CA272991NIH HHS R01DE033512NIH HHS R01EB032680
6 · The paper itself

Abstract

Medical imaging is fundamental to digital twin technology, enabling patient-specific virtual models of anatomy and physiology. By integrating high-resolution modalities (Magnetic Resonance Imaging (MRI), Computed Tomography (CT), Positron Emission Tomography (PET), ultrasound) with computational frameworks, recent imaging advances now support real-time simulation, predictive modeling, and earlier disease detection. Such capabilities directly inform individualized treatment planning and contribute to more precise, personalized care. Despite remaining challenges-complex anatomical modeling, multimodal integration, and high computational demands-recent advances in imaging and machine learning have significantly enhanced the accuracy and clinical utility of digital twins. The main contributions of our review are: (1) a system-by-system classification of methodologies; (2) evidence that advanced imaging modalities have improved diagnostic accuracy, treatment effectiveness, and patient outcomes beyond conventional approaches; and (3) identification of remaining technical bottlenecks. We further analyze key technical barriers-such as data scarcity and computational complexity-and outline future directions (e.g., AI-driven data augmentation, real-time model optimization) to unlock digital twins' full potential in precision medicine.

Indexed as

Diagnostic ImagingImage Processing, Computer-AssistedMachine LearningPrecision MedicineHumansMagnetic Resonance ImagingTomography, X-Ray Computedcomputational modelsdiagnostic accuracydigital twinmachine learningmedical imagingpersonalized treatmentpredictive analyticsreal‐time simulation

Identifiers

PMID40841176
PMCPMC12370374

What OpenQuestion holds

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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.