Mathematical and Computational Nuclear Oncology: Toward Optimized Radiopharmaceutical Therapy via Digital Twins
Marc Ryhiner, Yangmeihui Song, Babak Saboury, Gerhard Glatting, Arman Rahmim, Kuangyu Shi

TL;DR
This paper introduces theranostic digital twins (TDTs) in computational nuclear medicine to enhance personalized radiopharmaceutical therapies and improve cancer treatment outcomes through advanced modeling and clinical decision support.
Contribution
It presents a comprehensive framework for TDTs, discusses clinical applications, and outlines a roadmap for integrating mathematical and computational models into personalized cancer therapy.
Findings
Proposes a general framework for TDTs in nuclear medicine
Highlights key challenges and strategies in modeling RPTs
Provides a roadmap for clinical implementation of digital twins
Abstract
This article presents the general framework of theranostic digital twins (TDTs) in computational nuclear medicine, designed to support clinical decision-making and improve cancer patient prognosis through personalized radiopharmaceutical therapies (RPTs). It outlines potential clinical applications of TDTs and proposes a roadmap for successful implementation. Additionally, the chapter provides a conceptual overview of the current state of the art in the mathematical and computational modeling of RPTs, highlighting key challenges and the strategies being pursued to address them.
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Taxonomy
TopicsRadiopharmaceutical Chemistry and Applications · Mathematical Biology Tumor Growth · Effects of Radiation Exposure
