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Patient-specific microvascular computational modeling for estimating radiotherapy outcomes.

Sophie Materne1, Luca Possenti1, Francesco Pisani1

  • 1Data Science Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Venezian 1, Milan, 20133, Italy.

Computers in Biology and Medicine
|March 25, 2025
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Summary

This study models head-and-neck cancer vascular networks to predict radiotherapy outcomes. Personalized digital twins reveal how microvascular structure impacts tumor oxygenation and treatment success.

Keywords:
CancerComputational modelMicrovascular environmentPrecision medicineRadiotherapy outcomes

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Area of Science:

  • Computational biology
  • Medical physics
  • Oncology

Background:

  • Head-and-neck cancer treatment efficacy is influenced by the tumor microenvironment's vascular characteristics.
  • Accurate modeling of microvasculature is crucial for predicting radiotherapy response.

Purpose of the Study:

  • To develop and validate a personalized computational framework for modeling patient-specific head-and-neck cancer vascular microenvironments.
  • To evaluate the impact of microvascular features on radiotherapy outcomes, including oxygen delivery and tumor control.

Main Methods:

  • Population-based calibration of a microvascular model using sublingual microscopy data from 62 patients.
  • Personalization of digital microvascular networks for nine individual patients.
  • Integration of personalized models into a 3D virtual microenvironment for radiotherapy simulations.

Main Results:

  • Calibrated models accurately reproduced physiological parameters like red blood cell velocity.
  • Personalized models replicated individual vascular beds' structural and functional characteristics.
  • Higher vascularization correlated with enhanced oxygenation, reduced hypoxia, and improved tumor control probability.

Conclusions:

  • A personalized computational framework can create microvascular digital twins from patient sublingual microscopy data.
  • Microvascular network properties significantly influence radiotherapy outcomes in head-and-neck cancer.
  • This approach enhances understanding of the interplay between vascularization, oxygenation, and treatment effectiveness.