Digital Twin Ecosystem for Oncology Clinical Operations

Artificial Intelligence (AI) and Large Language Models (LLMs) hold significant promise in revolutionizing healthcare, especially in clinical applications. Simultaneously, Digital Twin technology, which models and simulates complex systems, has gained traction in enhancing patient care. However, despite the advances in experimental clinical settings, the potential of AI and digital twins to streamline clinical operations remains largely untapped. This paper introduces a novel digital twin framework specifically designed to enhance oncology clinical operations. We propose the integration of multiple specialized digital twins, such as the Medical Necessity Twin, Care Navigator Twin, and Clinical History Twin, to enhance workflow efficiency and personalize care for each patient based on their unique data. Furthermore, by synthesizing multiple data sources and aligning them with the National Comprehensive Cancer Network (NCCN) guidelines, we create a dynamic Cancer Care Path, a continuously evolving knowledge base that enables these digital twins to provide precise, tailored clinical recommendations.

An efficient wavelet-based physics-informed neural networks for singularly perturbed problems

Physics-informed neural networks (PINNs) are a class of deep learning models that utilize physics as differential equations to address complex problems, including ones that may involve limited data availability. However, tackling solutions of differential equations with oscillations or singular perturbations and shock-like structures becomes challenging for PINNs. Considering these challenges, we designed an efficient wavelet-based PINNs (W-PINNs) model to solve singularly perturbed differential equations. Here, we represent the solution in wavelet space using a family of smooth-compactly supported wavelets. This framework represents the solution of a differential equation with significantly fewer degrees of freedom while still retaining in capturing, identifying, and analyzing the local structure of complex physical phenomena. The architecture allows the training process to search for a solution within wavelet space, making the process faster and more accurate. The proposed model does not rely on automatic differentiations for derivatives involved in differential equations and does not require any prior information regarding the behavior of the solution, such as the location of abrupt features. Thus, through a strategic fusion of wavelets with PINNs, W-PINNs excel at capturing localized nonlinear information, making them well-suited for problems showing abrupt behavior in certain regions, such as singularly perturbed problems. The efficiency and accuracy of the proposed neural network model are demonstrated in various test problems, i.e., highly singularly perturbed nonlinear differential equations, the FitzHugh-Nagumo (FHN), and Predator-prey interaction models. The proposed design model exhibits impressive comparisons with traditional PINNs and the recently developed wavelet-based PINNs, which use wavelets as an activation function for solving nonlinear differential equations.

Advancing Healthcare Automation: Multi-Agent Systems for Medical Necessity Justification

This paper explores the application of Swarm-Structured Multi-Agent Systems (MAS) to establish medical necessity, a process that involves a systematic review of patient-specific medical structured and unstructured data against clinical guidelines. We addressed this complex task by decomposing it into smaller, more manageable sub-tasks. Each sub-task is handled by a specialized AI agent. We conduct a systematic study of the impact of various prompting strategies on these agents and benchmark different Large Language Models (LLMs) to determine their accuracy in completing these tasks. Additionally, we investigate how these agents can provide explainability, thereby enhancing trust and transparency within the system.