Evidence map›Paper›PMID 40518342›Full record

ReviewThe Lancet. Digital health2025

Medical digital twins: enabling precision medicine and medical artificial intelligence.

Christoph Sadée, Stefano Testa, Thomas Barba, Katherine Hartmann, Maximilian Schuessler, Alexander Thieme, George M Church, Ifeoma Okoye, Tina Hernandez-Boussard, Leroy Hood and 3 more

Abstract readReview
In one paragraph

Review in The Lancet. Digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing 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

78 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. The Next Frontier in Quantitative Co-Clinical Imaging to Advance Functional Precision Oncology.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  6. Article
  7. Review
  8. Review
  9. AI-based augmentation of oncology clinical trials.Nature reviews. Clinical oncology · 2026
    Review
  10. Review
  11. Perceptions of Artificial Intelligence in Gynecologic Oncology Education: Insights from a Qualitative Study Using Semi-Structured Interviews.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  12. Article
  13. Causal graph neural networks for healthcare.Nature biomedical engineering · 2026
    Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Adaptive resistance in cancer immunotherapy.Cellular & molecular immunology · 2026
    Review
  20. Review

18 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

13 authors.

Christoph SadéeStanford Center for Biomedical Informatics Research, Department of Medicine, Stanford, CA, USA.
Stefano TestaDivision of Medical Oncology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA; Department of Medicine, Stanford University, Stanford, CA, USA.
Thomas BarbaStanford Center for Biomedical Informatics Research, Department of Medicine, Stanford, CA, USA; Department of Internal Medicine, Édouard Herriot Hospital, Lyon, France.
Katherine HartmannDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Maximilian SchuesslerDepartment of Biomedical Data Science, Stanford University, Stanford, CA, USA.
Alexander ThiemeStanford Center for Biomedical Informatics Research, Department of Medicine, Stanford, CA, USA; Department of Radiation Oncology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
George M ChurchDepartment of Molecular and Cellular Biology, Harvard University, Cambridge, MA, USA.
Ifeoma OkoyeUniversity of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria; University of Nigeria, Nsukka Center of Excellence for Clinical Trials, Enugu, Nigeria.
Tina Hernandez-BoussardStanford Center for Biomedical Informatics Research, Department of Medicine, Stanford, CA, USA.
Leroy HoodInstitute for Systems Biology, Seattle, WA, USA.
Ilya ShmulevichInstitute for Systems Biology, Seattle, WA, USA.
Ellen KuhlDepartments of Mechanical Engineering and Bioengineering, Stanford University, Stanford, CA, USA.
Olivier GevaertStanford Center for Biomedical Informatics Research, Department of Medicine, Stanford, CA, USA; Department of Biomedical Data Science, Stanford University, Stanford, CA, USA. Electronic address: ogevaert@stanford.edu.

Funding

Multi-scale modeling of glioma for the prediction of treatment response, treatment monitoring and treatment allocationR01CA260271 · NCI · STANFORD UNIVERSITY · PI GEVAERT, OLIVIER · 2021 to 2025
$3.1M
NCI NIH HHS R01 CA260271
6 · The paper itself

Abstract

The notion of medical digital twins is gaining popularity both within the scientific community and among the general public; however, much of the recent enthusiasm has occurred in the absence of a consensus on their fundamental make-up. Digital twins originate in the field of engineering, in which a constantly updating virtual copy enables analysis, simulation, and prediction of a real-world object or process. In this Health Policy paper, we evaluate this concept in the context of medicine and outline five key components of the medical digital twin: the patient, data connection, patient-in-silico, interface, and twin synchronisation. We consider how various enabling technologies in multimodal data, artificial intelligence, and mechanistic modelling will pave the way for clinical adoption and provide examples pertaining to oncology and diabetes. We highlight the role of data fusion and the potential of merging artificial intelligence and mechanistic modelling to address the limitations of either the AI or the mechanistic modelling approach used independently. In particular, we highlight how the digital twin concept can support the performance of large language models applied in medicine and its potential to address health-care challenges. We believe that this Health Policy paper will help to guide scientists, clinicians, and policy makers in creating medical digital twins in the future and translating this promising new paradigm from theory into clinical practice.

Indexed as

Artificial IntelligencePrecision MedicineHumans

Identifiers

PMID40518342
PMCPMC12412312

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.