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Physical oncology: a bench-to-bedside quantitative and predictive approach
Hermann B Frieboes1, Mark A J Chaplain, Alastair M Thompson
1Department of Bioengineering and James Graham Brown Cancer Center, University of Louisville, Louisville, Kentucky 40208, USA. hbfrie01@louisville.edu
Physical oncology models explain complex cancer behaviors like increased invasiveness during antiangiogenic therapy. Integrating multiscale data can improve patient outcome predictions and survival rates.
Area of Science:
- Physical oncology
- Multiscale modeling
- Cancer biology
Background:
- Current cancer models often fail to capture complex tumor behaviors and therapy responses.
- Antiangiogenic therapy can paradoxically enhance tumor invasiveness.
- A quantitative link between molecular, tissue, and patient scales is needed for outcome prediction.
Purpose of the Study:
- To review the principles and applications of physical oncology.
- To illustrate how physical oncology can explain complex cancer phenomena.
- To highlight the potential of multiscale physical models in cancer research and clinical practice.
Main Methods:
- Review of physical oncology principles and existing studies.
- Analysis of how physical and biochemical events at micro-scales influence macro-scale tumor behavior.
- Discussion of integrating patient-specific multi-omics data into physical models.
Main Results:
- Physical oncology provides a framework to understand cancer as a function of underlying physical and biochemical events.
- Tumor behavior and treatment response are quantifiable functions of molecular/cellular conditions modulated by inhomogeneity.
- Oxygen transport and other physical factors influence key cellular processes like proliferation and apoptosis.
Conclusions:
- Physical oncology offers a powerful approach to complement traditional cancer research and clinical oncology.
- Multiscale physical models incorporating patient-specific data can enhance understanding of cancer behavior.
- This approach holds the potential to improve patient survival through better outcome predictions and treatment strategies.
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