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Record W4413051032 · doi:10.3233/shti251009

Digital Twins of Patients: A Cohort Matching Interpretation

2025· article· en· W4413051032 on OpenAlexaff
Nilmini Wickramasinghe, Nalika Ulapane, Kalpana Raghunathan

Bibliographic record

VenueStudies in health technology and informatics · 2025
Typearticle
Languageen
FieldEngineering
TopicDigital Transformation in Industry
Canadian institutionsArtificial Intelligence in Medicine (Canada)
Fundersnot available
KeywordsPersonalizationMatching (statistics)Context (archaeology)Computer scienceCohortPrecision medicineField (mathematics)Health careInterpretation (philosophy)Medical recordData scienceMedicineWorld Wide WebSurgeryInternal medicine

Abstract

fetched live from OpenAlex

Digital Twins (DTs) are essentially virtual replicas of physical entities. DTs have evolved significantly over time. They have been applied in various fields. Very recently, their application in the field of healthcare is also being explored. In healthcare, the creation of DTs of patients is of interest. DTs of patients show potential to perform as clinical decision support tools to enhance precision and personalization of treatment. An essential part of this role of DTs involves deriving sense from health and medical data. Personalization in this context requires looking at data of a present patient and identifying records of cohorts of past patients that are closely matching the present patient. Such matching cohorts allow for decision support on more personalized grounds. This paper presents an attempt to achieve such personalization through cohort matching. As part of an ongoing study, we do this to assist with immunotherapy treatment planning for triple-negative breast cancer as a case study.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.014
metaresearch head score (Gemma)0.051
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.014
Threshold uncertainty score0.073

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0140.051
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0040.004
Science and technology studies0.0010.001
Scholarly communication0.0030.002
Open science0.0010.002
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0090.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.012
GPT teacher head0.286
Teacher spread0.274 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSimulation or modeling
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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