Multi-patient Inverse Estimation of Effective Membrane Diffusion Coefficients in Calcium-Citrate Hemodialysis

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Main Authors: Lacour, Geoffrey, Cîndea, Nicolae, Aniort, Julien
Format: Preprint
Published: 2026
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_version_ 1866910037853601792
author Lacour, Geoffrey
Cîndea, Nicolae
Aniort, Julien
author_facet Lacour, Geoffrey
Cîndea, Nicolae
Aniort, Julien
contents We propose a multi-patient inverse modeling framework for identifying effective calcium and citrate diffusion coefficients in hollow-fiber hemodialysis devices. The approach relies on a coupled forward model combining axisymmetric fluid dynamics with multi-species convection-reaction-diffusion, together with a derivative-free optimization strategy to estimate membrane transport parameters from outlet concentration measurements. To account for inter-patient variability, physiological input parameters are first generated from clinical data and complemented by a patient-specific hydraulic calibration step, ensuring physical consistency across the synthetic cohort. The inverse problem is formulated as a global least-squares minimization aggregating residuals over multiple patients. Numerical experiments on synthetic data demonstrate multi-patient identifiability of the diffusion coefficients in the exact-data setting. Robustness with respect to measurement noise is subsequently assessed by perturbing observable outputs at various noise levels, and sensitivity analyses are performed to quantify the influence of membrane transport parameters on model predictions. The methodology is then applied to real clinical data obtained from an AK200 Gambro/Nikkiso DBB07 dialysis system. The results indicate that aggregating information from several patients substantially improves parameter identifiability and stability compared to single-patient inversions. Overall, this work provides a physically consistent and computationally tractable framework for multi-patient parameter estimation in dialysis models, and opens perspectives for large-scale personalization through physics-informed surrogate modeling.
format Preprint
id arxiv_https___arxiv_org_abs_2603_01729
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Multi-patient Inverse Estimation of Effective Membrane Diffusion Coefficients in Calcium-Citrate Hemodialysis
Lacour, Geoffrey
Cîndea, Nicolae
Aniort, Julien
Numerical Analysis
92C50, 65N21, 76Z05, 76S05, 76V05
We propose a multi-patient inverse modeling framework for identifying effective calcium and citrate diffusion coefficients in hollow-fiber hemodialysis devices. The approach relies on a coupled forward model combining axisymmetric fluid dynamics with multi-species convection-reaction-diffusion, together with a derivative-free optimization strategy to estimate membrane transport parameters from outlet concentration measurements. To account for inter-patient variability, physiological input parameters are first generated from clinical data and complemented by a patient-specific hydraulic calibration step, ensuring physical consistency across the synthetic cohort. The inverse problem is formulated as a global least-squares minimization aggregating residuals over multiple patients. Numerical experiments on synthetic data demonstrate multi-patient identifiability of the diffusion coefficients in the exact-data setting. Robustness with respect to measurement noise is subsequently assessed by perturbing observable outputs at various noise levels, and sensitivity analyses are performed to quantify the influence of membrane transport parameters on model predictions. The methodology is then applied to real clinical data obtained from an AK200 Gambro/Nikkiso DBB07 dialysis system. The results indicate that aggregating information from several patients substantially improves parameter identifiability and stability compared to single-patient inversions. Overall, this work provides a physically consistent and computationally tractable framework for multi-patient parameter estimation in dialysis models, and opens perspectives for large-scale personalization through physics-informed surrogate modeling.
title Multi-patient Inverse Estimation of Effective Membrane Diffusion Coefficients in Calcium-Citrate Hemodialysis
topic Numerical Analysis
92C50, 65N21, 76Z05, 76S05, 76V05
url https://arxiv.org/abs/2603.01729