Evidence map›Paper›PMID 36028526›Full record

ReviewNPJ digital medicine2022

The health digital twin to tackle cardiovascular disease-a review of an emerging interdisciplinary field.

Genevieve Coorey, Gemma A Figtree, David F Fletcher, Victoria J Snelson, Stephen Thomas Vernon, David Winlaw, Stuart M Grieve, Alistair McEwan, Jean Yee Hwa Yang, Pierre Qian and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in NPJ digital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 3 pooled it
22.3field-weighted citation impact, top 1% of its field
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

127 citing papers in PubMed, 3 syntheses or guidelines pooled it, 301 citations in OpenAlex.

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  14. From Static Risk Estimates to Dynamic Clinical Trajectories: A Conceptual Analysis of Perioperative Medicine.Health care analysis : HCA : journal of health philosophy and policy · 2026
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67 more citing papers are in PubMed but not listed here.

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

15 authors at 4 institutions in 3 countries.

Genevieve CooreyUniversity of Sydney, Faculty of Medicine and Health, Sydney, NSW, Australia. genevieve.coorey@sydney.edu.au.ORCID http://orcid.org/0000-0003-4624-9947
Gemma A FigtreeUniversity of Sydney, Faculty of Medicine and Health, Sydney, NSW, Australia.
David F FletcherUniversity of Sydney, School of Chemical and Biomolecular Engineering, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0003-2221-4192
Victoria J SnelsonUniversity of Sydney, Faculty of Medicine and Health, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-4125-8580
Stephen Thomas VernonKolling Institute of Medical Research, Royal North Shore Hospital, Sydney, NSW, Australia.
David WinlawCincinnati Children's Hospital Medical Cente, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0001-8005-3361
Stuart M GrieveUniversity of Sydney, Faculty of Medicine and Health, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-2712-157X
Alistair McEwanThe University of Sydney, School of Biomedical Engineering, Sydney, NSW, Australia.
Jean Yee Hwa YangUniversity of Sydney, Charles Perkins Centre, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-5271-2603
Pierre QianUniversity of Sydney, Faculty of Medicine and Health, Sydney, NSW, Australia.
Kieran O'BrienSiemens Healthcare Pty Ltd; and Centre for Advanced Imaging, University of Queensland, Brisbane, QLD, Australia.
Jessica OrchardUniversity of Sydney, Charles Perkins Centre, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-5702-7277
Jinman KimUniversity of Sydney, School of Computer Science, Sydney, NSW, Australia.
Sanjay PatelUniversity of Sydney, Faculty of Medicine and Health, Sydney, NSW, Australia.
Julie RedfernUniversity of Sydney, Faculty of Medicine and Health, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0001-8707-5563
The University of Sydney · AUCincinnati Children's Hospital Medical Center · USRoyal North Shore Hospital · AUThe University of Queensland · AU

Funding

Department of Health | National Health and Medical Research Council (NHMRC) 1143538Department of Health | National Health and Medical Research Council (NHMRC) GNT1135920National Heart Foundation of Australia (Heart Foundation) 104809
6 · The paper itself

Abstract

Potential benefits of precision medicine in cardiovascular disease (CVD) include more accurate phenotyping of individual patients with the same condition or presentation, using multiple clinical, imaging, molecular and other variables to guide diagnosis and treatment. An approach to realising this potential is the digital twin concept, whereby a virtual representation of a patient is constructed and receives real-time updates of a range of data variables in order to predict disease and optimise treatment selection for the real-life patient. We explored the term digital twin, its defining concepts, the challenges as an emerging field, and potentially important applications in CVD. A mapping review was undertaken using a systematic search of peer-reviewed literature. Industry-based participants and patent applications were identified through web-based sources. Searches of Compendex, EMBASE, Medline, ProQuest and Scopus databases yielded 88 papers related to cardiovascular conditions (28%, n = 25), non-cardiovascular conditions (41%, n = 36), and general aspects of the health digital twin (31%, n = 27). Fifteen companies with a commercial interest in health digital twin or simulation modelling had products focused on CVD. The patent search identified 18 applications from 11 applicants, of which 73% were companies and 27% were universities. Three applicants had cardiac-related inventions. For CVD, digital twin research within industry and academia is recent, interdisciplinary, and established globally. Overall, the applications were numerical simulation models, although precursor models exist for the real-time cyber-physical system characteristic of a true digital twin. Implementation challenges include ethical constraints and clinical barriers to the adoption of decision tools derived from artificial intelligence systems.

Identifiers

PMID36028526
PMCPMC9418270
OpenAlexW4293109418

What Socratic holds

Textmetadata
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 Socratic graph.