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Abstract Digital twins represent a key technology for precision health. Medical digital twins consist of computational models that represent the health state of individual patients over time, enabling optimal therapeutics and forecasting patient prognosis. Many health conditions involve the immune system, so it is crucial to include its key features when designing medical digital twins. The immune response is complex and varies across diseases and patients, and its modelling requires the collective expertise of the clinical, immunology, and computational modelling communities. This review outlines the initial progress on immune digital twins and the various initiatives to facilitate communication between interdisciplinary communities. We also outline the crucial aspects of an immune digital twin design and the prerequisites for its implementation in the clinic. We propose some initial use cases that could serve as “proof of concept” regarding the utility of immune digital technology, focusing on diseases with a very different immune response across spatial and temporal scales (minutes, days, months, years). Lastly, we discuss the use of digital twins in drug discovery and point out emerging challenges that the scientific community needs to collectively overcome to make immune digital twins a reality.
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This content will become publicly available on March 1, 2026
Direct medical image to simulation using auto-segmentation and point cloud-based CFD
Cardiovascular disease (CVD) remains one of the leading causes of mortality worldwide. Computational medicine and digital twins hold promise in mitigating the impact and prevalence of CVD. Recent advances in image-based computational methods have enabled the quantification of functional and biologically important metrics that would otherwise be difficult to obtain from the standard of care. However, significant challenges remain due to the manual/semi-automated nature of the processes and the domain expertise required to perform them. This paper addresses these challenges by proposing a novel framework that builds on our recently developed direct point cloud-to-CFD approach using immersogeometric analysis. The proposed method leverages advanced auto-segmentation techniques to extract medically relevant geometries as point clouds, which are then directly used for CFD simulations. The framework is validated using benchmark flow problems with analytical and computational solutions and is subsequently applied to patient-specific images to demonstrate its capabilities. The results highlight the method's ability to facilitate rapid CFD simulations directly on point clouds derived from patient scans, underscoring its potential to accelerate the image-to-simulation pipeline and enable the tractability of cardiovascular digital twins.
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- PAR ID:
- 10590097
- Publisher / Repository:
- AIMS
- Date Published:
- Journal Name:
- Advances in Computational Science and Engineering
- Volume:
- 3
- ISSN:
- 2837-1739
- Page Range / eLocation ID:
- 95-124
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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