The ‘Digital Twin’ to enable the vision of precision cardiology

Author:

Corral-Acero Jorge1,Margara Francesca2ORCID,Marciniak Maciej3ORCID,Rodero Cristobal3ORCID,Loncaric Filip4ORCID,Feng Yingjing56ORCID,Gilbert Andrew7ORCID,Fernandes Joao F3ORCID,Bukhari Hassaan A68,Wajdan Ali9,Martinez Manuel Villegas9,Santos Mariana Sousa10,Shamohammdi Mehrdad11,Luo Hongxing11ORCID,Westphal Philip12,Leeson Paul13ORCID,DiAchille Paolo14ORCID,Gurev Viatcheslav14ORCID,Mayr Manuel15ORCID,Geris Liesbet16ORCID,Pathmanathan Pras17,Morrison Tina17,Cornelussen Richard12,Prinzen Frits11,Delhaas Tammo11ORCID,Doltra Ada4ORCID,Sitges Marta418ORCID,Vigmond Edward J56ORCID,Zacur Ernesto1ORCID,Grau Vicente1ORCID,Rodriguez Blanca2ORCID,Remme Espen W9,Niederer Steven3ORCID,Mortier Peter10,McLeod Kristin7ORCID,Potse Mark5619ORCID,Pueyo Esther820ORCID,Bueno-Orovio Alfonso2ORCID,Lamata Pablo3ORCID

Affiliation:

1. Department of Engineering Science, University of Oxford, Oxford, UK

2. Department of Computer Science, British Heart Foundation Centre of Research Excellence, University of Oxford, Oxford, UK

3. Department of Biomedical Engineering, Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, UK

4. Institut Clínic Cardiovascular, Hospital Clínic, Universitat de Barcelona, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain

5. IHU Liryc, Electrophysiology and Heart Modeling Institute, fondation Bordeaux Université, Pessac-Bordeaux F-33600, France

6. IMB, UMR 5251, University of Bordeaux, Talence F-33400, France

7. GE Vingmed Ultrasound AS, Horton, Norway

8. Aragón Institute of Engineering Research, Universidad de Zaragoza, IIS Aragón, Zaragoza, Spain

9. The Intervention Centre, Oslo University Hospital, Rikshospitalet, Oslo, Norway

10. FEops NV, Ghent, Belgium

11. CARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, The Netherlands

12. Medtronic PLC, Bakken Research Center, Maastricht, the Netherlands

13. Radcliffe Department of Medicine, Division of Cardiovascular Medicine, Oxford Cardiovascular Clinical Research Facility, John Radcliffe Hospital, University of Oxford, Oxford, UK

14. Healthcare and Life Sciences Research, IBM T.J. Watson Research Center, Yorktown Heights, NY, USA

15. King’s British Heart Foundation Centre, King’s College London, London, UK

16. Virtual Physiological Human Institute, Leuven, Belgium

17. Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, MD, USA

18. CIBERCV, Instituto de Salud Carlos III, (CB16/11/00354), CERCA Programme/Generalitat de, Catalunya, Spain

19. Inria Bordeaux Sud-Ouest, CARMEN team, Talence F-33400, France

20. CIBER in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Madrid, Spain

Abstract

Abstract Providing therapies tailored to each patient is the vision of precision medicine, enabled by the increasing ability to capture extensive data about individual patients. In this position paper, we argue that the second enabling pillar towards this vision is the increasing power of computers and algorithms to learn, reason, and build the ‘digital twin’ of a patient. Computational models are boosting the capacity to draw diagnosis and prognosis, and future treatments will be tailored not only to current health status and data, but also to an accurate projection of the pathways to restore health by model predictions. The early steps of the digital twin in the area of cardiovascular medicine are reviewed in this article, together with a discussion of the challenges and opportunities ahead. We emphasize the synergies between mechanistic and statistical models in accelerating cardiovascular research and enabling the vision of precision medicine.

Funder

EU’s Horizon 2020 Marie Sklodowska-Curie ITN Projects

Wellcome/EPSRC Centre for Medical Engineering

British Heart Foundation

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

Reference88 articles.

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