David A. Hormuth, II

Research Scientist | Biomedical Engineering + Imaging Science > > Computational Oncology

TumorTwin: A python framework for patient-specific digital twins in oncology


Journal article


Michael G. Kapteyn, Anirban Chaudhuri, Ernesto A. B. F. Lima, G. Pash, Rafael Bravo, Karen Willcox, Thomas E. Yankeelov, D. Hormuth
arXiv.org, 2025

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APA   Click to copy
Kapteyn, M. G., Chaudhuri, A., Lima, E. A. B. F., Pash, G., Bravo, R., Willcox, K., … Hormuth, D. (2025). TumorTwin: A python framework for patient-specific digital twins in oncology. ArXiv.org.


Chicago/Turabian   Click to copy
Kapteyn, Michael G., Anirban Chaudhuri, Ernesto A. B. F. Lima, G. Pash, Rafael Bravo, Karen Willcox, Thomas E. Yankeelov, and D. Hormuth. “TumorTwin: A Python Framework for Patient-Specific Digital Twins in Oncology.” arXiv.org (2025).


MLA   Click to copy
Kapteyn, Michael G., et al. “TumorTwin: A Python Framework for Patient-Specific Digital Twins in Oncology.” ArXiv.org, 2025.


BibTeX   Click to copy

@article{michael2025a,
  title = {TumorTwin: A python framework for patient-specific digital twins in oncology},
  year = {2025},
  journal = {arXiv.org},
  author = {Kapteyn, Michael G. and Chaudhuri, Anirban and Lima, Ernesto A. B. F. and Pash, G. and Bravo, Rafael and Willcox, Karen and Yankeelov, Thomas E. and Hormuth, D.}
}

Abstract

BACKGROUND Advances in the theory and methods of computational oncology have enabled accurate characterization and prediction of tumor growth and treatment response on a patient-specific basis. This capability can be integrated into a digital twin framework in which bi-directional data-flow between the physical tumor and the digital tumor facilitate dynamic model re-calibration, uncertainty quantification, and clinical decision-support via recommendation of optimal therapeutic interventions. However, many digital twin frameworks rely on bespoke implementations tailored to each disease site, modeling choice, and algorithmic implementation.

FINDINGS We present TumorTwin, a modular software framework for initializing, updating, and leveraging patient-specific cancer tumor digital twins. TumorTwin is publicly available as a Python package, with associated documentation, datasets, and tutorials. Novel contributions include the development of a patient-data structure adaptable to different disease sites, a modular architecture to enable the composition of different data, model, solver, and optimization objects, and CPU- or GPU-parallelized implementations of forward model solves and gradient computations. We demonstrate the functionality of TumorTwin via an in silico dataset of high-grade glioma growth and response to radiation therapy.

CONCLUSIONS The TumorTwin framework enables rapid prototyping and testing of image-guided oncology digital twins. This allows researchers to systematically investigate different models, algorithms, disease sites, or treatment decisions while leveraging robust numerical and computational infrastructure.


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