Evidence map›Paper›PMID 41326644›Full record

ReviewNPJ digital medicine2025

The role of digital twins in P4 medicine: A paradigm for modern healthcare.

Frank Emmert-Streib, Seppo Parkkila, Reinhard Laubenbacher, Arto Mannermaa, Leroy Hood, Olli Yli-Harja

Abstract readReview
In one paragraph

Review in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
  2. Review
  3. Causal graph neural networks for healthcare.Nature biomedical engineering · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Mapping the future of medicine through digital twins.Frontiers in molecular medicine · 2026
    Review
  9. Review
  10. Review
  11. 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

6 authors.

Frank Emmert-StreibFaculty of Information Technology and Communication Sciences, Tampere University, Tampere, Finland. frank.emmert-streib@tuni.fi.
Seppo ParkkilaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Reinhard LaubenbacherDepartment of Medicine, University of Florida, Gainesville, FL, USA.
Arto MannermaaBiobank of Eastern Finland, Kuopio University Hospital, Kuopio, Finland.
Leroy HoodInstitute for Systems Biology, Seattle, WA, USA.
Olli Yli-HarjaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

Funding

Multiscale modeling of the role of heme during invasive pulmonary aspergillosisR01AI135128 · NIAID · UNIVERSITY OF FLORIDA · PI REINHARD LAUBENBACHER, Borna Mehrad · 2018 to 2026
$4.9M
Mechanistic modeling of the innate immune responses of the human lung to understand the inter-individual heterogeneity of COVID-19 pneumoniaR01HL169974 · NHLBI · UNIVERSITY OF FLORIDA · PI REINHARD LAUBENBACHER, Borna Mehrad · 2023 to 2026
$2.9M
NHLBI NIH HHS R01 HL169974NIAID NIH HHS R01 AI135128Research Council of Finland 352263Research Council of Finland 352266
6 · The paper itself

Abstract

P4 medicine (Predictive, Preventive, Personalized, and Participatory) offers a comprehensive approach to personalized healthcare, emphasizing both the transition from disease to wellness and the importance of preventive care. In this perspective, we propose a novel extension to P4 medicine. Specifically, we argue that combining P4 medicine with digital twins (DTs) introduces capabilities that elevate it far beyond its current scope. While P4 medicine provides a conceptual framework grounded in medical principles, digital twins offer a complementary framework for methodological realization. Together, these concepts form a synergistic pairing, interfacing through individual patients and their corresponding data. Furthermore, we emphasize that digital twins represent a new paradigm-not merely a method-characterized by four critical features: explainability, intervenability, learnability, and diversability. We believe that this integration unlocks capabilities that go beyond the reach of traditional bioinformatics and systems biology approaches.

Identifiers

PMID41326644
PMCPMC12669750

What OpenQuestion holds

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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.