Toward Actionable Digital Twins for Radiation-Based Imaging and Therapy: Mathematical Formulation, Modular Workflow, and an OpenKBP-Based Dose-Surrogate Prototype
Fuente:
arXiv
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Preprint |
| Published: |
2026
|
| Subjects: | |
| Online Access: | |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1866910079585878016 |
|---|---|
| author | Huang, Hsin-Hsiung Soykan, Bulent |
| author_facet | Huang, Hsin-Hsiung Soykan, Bulent |
| contents | Digital twins for radiation-based imaging and therapy are most useful when they assimilate patient data, quantify predictive uncertainty, and support clinically constrained decisions. This paper presents a modular framework for actionable digital twins in radiation-based imaging and therapy and instantiates its reproducible open-data component using the \openkbpfull{} benchmark. The framework couples PatientData, Model, Solver, Calibration, and Decision modules and formalizes latent-state updating, uncertainty propagation, and chance-constrained action selection. As an initial implementation, we build a GPU-ready PyTorch/MONAI reimplementation of the \openkbp{} starter pipeline: an 11-channel, 19.2M-parameter 3D U-Net trained with a masked loss over the feasible region and equipped with Monte Carlo dropout for voxel-wise epistemic uncertainty. To emulate the update loop on a static benchmark, we introduce decoder-only proxy recalibration and illustrate uncertainty-aware virtual-therapy evaluation using DVH-based and biological utilities. A complete three-fraction loop including recalibration, Monte Carlo inference, and spatial optimization executes in 10.3~s. On the 100-patient test set, the model achieved mean dose and DVH scores of 2.65 and 1.82~Gy, respectively, with 0.58~s mean inference time per patient. The \openkbp{} case study thus serves as a reproducible test bed for dose prediction, uncertainty propagation, and proxy closed-loop adaptation, while future institutional studies will address longitudinal calibration with delivered-dose logs and repeat imaging. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2603_26820 |
| institution | arXiv |
| publishDate | 2026 |
| record_format | arxiv |
| spellingShingle | Toward Actionable Digital Twins for Radiation-Based Imaging and Therapy: Mathematical Formulation, Modular Workflow, and an OpenKBP-Based Dose-Surrogate Prototype Huang, Hsin-Hsiung Soykan, Bulent Image and Video Processing Computer Vision and Pattern Recognition Applications Computation Digital twins for radiation-based imaging and therapy are most useful when they assimilate patient data, quantify predictive uncertainty, and support clinically constrained decisions. This paper presents a modular framework for actionable digital twins in radiation-based imaging and therapy and instantiates its reproducible open-data component using the \openkbpfull{} benchmark. The framework couples PatientData, Model, Solver, Calibration, and Decision modules and formalizes latent-state updating, uncertainty propagation, and chance-constrained action selection. As an initial implementation, we build a GPU-ready PyTorch/MONAI reimplementation of the \openkbp{} starter pipeline: an 11-channel, 19.2M-parameter 3D U-Net trained with a masked loss over the feasible region and equipped with Monte Carlo dropout for voxel-wise epistemic uncertainty. To emulate the update loop on a static benchmark, we introduce decoder-only proxy recalibration and illustrate uncertainty-aware virtual-therapy evaluation using DVH-based and biological utilities. A complete three-fraction loop including recalibration, Monte Carlo inference, and spatial optimization executes in 10.3~s. On the 100-patient test set, the model achieved mean dose and DVH scores of 2.65 and 1.82~Gy, respectively, with 0.58~s mean inference time per patient. The \openkbp{} case study thus serves as a reproducible test bed for dose prediction, uncertainty propagation, and proxy closed-loop adaptation, while future institutional studies will address longitudinal calibration with delivered-dose logs and repeat imaging. |
| title | Toward Actionable Digital Twins for Radiation-Based Imaging and Therapy: Mathematical Formulation, Modular Workflow, and an OpenKBP-Based Dose-Surrogate Prototype |
| topic | Image and Video Processing Computer Vision and Pattern Recognition Applications Computation |
| url | https://arxiv.org/abs/2603.26820 |