Digital Representation of Patients as Medical Digital Twins: Data-Centric Viewpoint

AbstractPrecision medicine involves a paradigm shift toward personalized data-driven clinical decisions. The concept of a medical “digital twin” has recently become popular to designate digital representations of patients as a support for a wide range of data science applications. However...

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Main Authors: Stanislas Demuth, Jérôme De Sèze, Gilles Edan, Tjalf Ziemssen, Françoise Simon, Pierre-Antoine Gourraud
Format: Article
Language:English
Published: JMIR Publications 2025-01-01
Series:JMIR Medical Informatics
Online Access:https://medinform.jmir.org/2025/1/e53542
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author Stanislas Demuth
Jérôme De Sèze
Gilles Edan
Tjalf Ziemssen
Françoise Simon
Pierre-Antoine Gourraud
author_facet Stanislas Demuth
Jérôme De Sèze
Gilles Edan
Tjalf Ziemssen
Françoise Simon
Pierre-Antoine Gourraud
author_sort Stanislas Demuth
collection DOAJ
description AbstractPrecision medicine involves a paradigm shift toward personalized data-driven clinical decisions. The concept of a medical “digital twin” has recently become popular to designate digital representations of patients as a support for a wide range of data science applications. However, the concept is ambiguous when it comes to practical implementations. Here, we propose a medical digital twin framework with a data-centric approach. We argue that a single digital representation of patients cannot support all the data uses of digital twins for technical and regulatory reasons. Instead, we propose a data architecture leveraging three main families of digital representations: (1) multimodal dashboards integrating various raw health records at points of care to assist with perception and documentation, (2) virtual patients, which provide nonsensitive data for collective secondary uses, and (3) individual predictions that support clinical decisions. For a given patient, multiple digital representations may be generated according to the different clinical pathways the patient goes through, each tailored to balance the trade-offs associated with the respective intended uses. Therefore, our proposed framework conceives the medical digital twin as a data architecture leveraging several digital representations of patients along clinical pathways.
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issn 2291-9694
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publishDate 2025-01-01
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series JMIR Medical Informatics
spelling doaj-art-dbd3a6d375894463af6fd8bc9024dc352025-02-04T20:31:42ZengJMIR PublicationsJMIR Medical Informatics2291-96942025-01-0113e53542e5354210.2196/53542Digital Representation of Patients as Medical Digital Twins: Data-Centric ViewpointStanislas Demuthhttp://orcid.org/0000-0002-2504-5294Jérôme De Sèzehttp://orcid.org/0000-0002-7197-7578Gilles Edanhttp://orcid.org/0000-0002-9641-6734Tjalf Ziemssenhttp://orcid.org/0000-0001-8799-8202Françoise Simonhttp://orcid.org/0000-0001-9670-5889Pierre-Antoine Gourraudhttp://orcid.org/0000-0003-1131-9554 AbstractPrecision medicine involves a paradigm shift toward personalized data-driven clinical decisions. The concept of a medical “digital twin” has recently become popular to designate digital representations of patients as a support for a wide range of data science applications. However, the concept is ambiguous when it comes to practical implementations. Here, we propose a medical digital twin framework with a data-centric approach. We argue that a single digital representation of patients cannot support all the data uses of digital twins for technical and regulatory reasons. Instead, we propose a data architecture leveraging three main families of digital representations: (1) multimodal dashboards integrating various raw health records at points of care to assist with perception and documentation, (2) virtual patients, which provide nonsensitive data for collective secondary uses, and (3) individual predictions that support clinical decisions. For a given patient, multiple digital representations may be generated according to the different clinical pathways the patient goes through, each tailored to balance the trade-offs associated with the respective intended uses. Therefore, our proposed framework conceives the medical digital twin as a data architecture leveraging several digital representations of patients along clinical pathways.https://medinform.jmir.org/2025/1/e53542
spellingShingle Stanislas Demuth
Jérôme De Sèze
Gilles Edan
Tjalf Ziemssen
Françoise Simon
Pierre-Antoine Gourraud
Digital Representation of Patients as Medical Digital Twins: Data-Centric Viewpoint
JMIR Medical Informatics
title Digital Representation of Patients as Medical Digital Twins: Data-Centric Viewpoint
title_full Digital Representation of Patients as Medical Digital Twins: Data-Centric Viewpoint
title_fullStr Digital Representation of Patients as Medical Digital Twins: Data-Centric Viewpoint
title_full_unstemmed Digital Representation of Patients as Medical Digital Twins: Data-Centric Viewpoint
title_short Digital Representation of Patients as Medical Digital Twins: Data-Centric Viewpoint
title_sort digital representation of patients as medical digital twins data centric viewpoint
url https://medinform.jmir.org/2025/1/e53542
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