Automated Detection and Mitigation of Dependability Failures in Healthcare Scenarios through Digital Twins
Fuente:
arXiv
Guardado en:
| Autores principales: | , , , |
|---|---|
| Formato: | Preprint |
| Publicado: |
2026
|
| Materias: | |
| Acceso en línea: | |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| _version_ | 1866914347463213056 |
|---|---|
| author | Guindani, Bruno Camilli, Matteo Lestingi, Livia Bersani, Marcello M. |
| author_facet | Guindani, Bruno Camilli, Matteo Lestingi, Livia Bersani, Marcello M. |
| contents | Medical Cyber-Physical Systems (CPSs) integrating Patients, Devices, and healthcare personnel (Physicians) form safety-critical PDP triads whose dependability is challenged by system heterogeneity and uncertainty in human and physiological behavior. While existing clinical decision support systems support clinical practice, there remains a need for proactive, reliability-oriented methodologies capable of identifying and mitigating failure scenarios before patient safety is compromised. This paper presents M-GENGAR, a methodology based on a closed-loop Digital Twin (DT) paradigm for dependability assurance of medical CPSs. The approach combines Stochastic Hybrid Automata modeling, data-driven learning of patient dynamics, and Statistical Model Checking with an offline critical scenario detection phase that integrates model-space exploration and diversity analysis to systematically identify and classify scenarios violating expert-defined dependability requirements. M-GENGAR also supports the automated synthesis of mitigation strategies, enabling runtime feedback and control within the DT loop. We evaluate M-GENGAR on a representative use case study involving a pulmonary ventilator. Results show that, in 87.5% of the evaluated scenarios, strategies synthesized through formal game-theoretic analysis stabilize patient vital metrics at least as effectively as human decision-making, while maintaining relevant metrics 20% closer to nominal healthy values on average. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2602_21037 |
| institution | arXiv |
| publishDate | 2026 |
| record_format | arxiv |
| spellingShingle | Automated Detection and Mitigation of Dependability Failures in Healthcare Scenarios through Digital Twins Guindani, Bruno Camilli, Matteo Lestingi, Livia Bersani, Marcello M. Software Engineering Medical Cyber-Physical Systems (CPSs) integrating Patients, Devices, and healthcare personnel (Physicians) form safety-critical PDP triads whose dependability is challenged by system heterogeneity and uncertainty in human and physiological behavior. While existing clinical decision support systems support clinical practice, there remains a need for proactive, reliability-oriented methodologies capable of identifying and mitigating failure scenarios before patient safety is compromised. This paper presents M-GENGAR, a methodology based on a closed-loop Digital Twin (DT) paradigm for dependability assurance of medical CPSs. The approach combines Stochastic Hybrid Automata modeling, data-driven learning of patient dynamics, and Statistical Model Checking with an offline critical scenario detection phase that integrates model-space exploration and diversity analysis to systematically identify and classify scenarios violating expert-defined dependability requirements. M-GENGAR also supports the automated synthesis of mitigation strategies, enabling runtime feedback and control within the DT loop. We evaluate M-GENGAR on a representative use case study involving a pulmonary ventilator. Results show that, in 87.5% of the evaluated scenarios, strategies synthesized through formal game-theoretic analysis stabilize patient vital metrics at least as effectively as human decision-making, while maintaining relevant metrics 20% closer to nominal healthy values on average. |
| title | Automated Detection and Mitigation of Dependability Failures in Healthcare Scenarios through Digital Twins |
| topic | Software Engineering |
| url | https://arxiv.org/abs/2602.21037 |