Table 4 Definition and assignment of the model variables and parameters

From: MRI-based digital twins to improve treatment response of breast cancer by optimizing neoadjuvant chemotherapy regimens

Quantities

Definition

Assignment

Domains

Ω

Breast tissue domain

Generated from pre-treatment anatomical MRI

T

End time point of NAC procedure

Assigned based on clinical data

Variables

x

Spatial coordinate in breast tissue

Associated with spatial domain, x Ω

t

Time

Associated with temporal domain, t [0, T]

N(x,t)

Tumor cell number

Initialized from pre-treatment DW-MRI measurement of tumor cellularity map22, computed via Eq. 1 from main text

D(x,t)

Diffusive mobility of tumor cells

Computed via Eq. 2 from main text

λi(x,t)

Death rate induced by the ith drug

Computed via Eq. 3 from main text, i = 1 and 2 for A/C, and i = 3 for Taxol

σ(x,t)

von Mises stress

Computed from gradient of N(x,t) based on breast tissue mechanical property22,66

C(x)

Spatiotemporal distribution of ith drug

Assigned based on DCE-MRI22

Ji

Total number of administrations of the ith drug

Assigned based on clinical data

τi,j

Time of the jth administration for the ith drug

Assigned based on clinical data

Parameters

k(x)

Proliferation rate of tumor cells

Locally calibrateda

θ

Tumor cells carry capacity

Assigned based on empirical value22

αi

Efficacy rate of the ith drug

Globally calibratedb

βi

Decay rate of the ith drug

Globally calibrated or sampled

D0

Diffusion coefficient of tumor cells in the absence of mechanical restrictions

Globally calibrated

γ

Stress-tumor cell diffusion coupling constant

Assigned based on based on breast tissue mechanical property66

  1. a“Locally calibrated” means the parameter is calibrated to yield a value for each individual voxel in each patient’s tumor ROI; i.e., locally calibrated parameter is a spatially varying map.
  2. b“Globally calibrated” means the parameter is calibrated to yield a value for each patient’s whole tumor ROI; i.e., globally calibrated parameter is a scalar.