Using measurements to learn what cannot be measured directly
Biological systems are too complex to measure every relevant process directly. Model inference uses measurements to estimate properties that cannot be observed, such as blood perfusion, thermal and dielectric tissue properties or the energy actually delivered. Calibration makes sure computational models agree with reality.
Rather than building complete digital replicas, we aim for models that are accurate enough, interpretable and useful for scientific discovery, technology development and clinical decisions.
Patients with similar characteristics can respond very differently to the same treatment. Part of the explanation lies in properties that differ between individuals but are invisible in standard images: how well a tumour is perfused, how tissue conducts electricity, how the body regulates temperature. Estimating these hidden properties is central to our question of why individuals respond differently. See the Research Vision.
Every treatment perturbs the body, and the response reveals information about the patient. In hyperthermia, the measured temperature rise reflects the delivered energy, the thermal properties and the perfusion. By combining invasive and MR temperature measurements with patient-specific simulations, we reconstruct 3D temperature distributions, optimise tissue properties and calibrate treatment planning on-line, the topic of an NWO Veni grant.
Similar ideas apply to MR-guided focused ultrasound, where periodic power modulation allows simultaneous estimation of SAR, thermal diffusivity and damping, and to temperature-based perfusion imaging.
We combine physics-based multiphysics models with estimation methods such as reduced-order models with Kalman filtering, parameter optimisation and polynomial chaos expansion for uncertainty quantification. On the imaging side, TiCEPT infers wideband electrical tissue properties from tissue composition measured with multinuclear MRI. Models are adapted to images acquired in treatment position to improve simulation-guided treatment.
Personal grant on focusing heat delivery in head and neck hyperthermia by on-line calibration of treatment planning.
Erasmus University Rotterdam fellowship on temperature-based transient perfusion imaging for personalised cancer therapy.
Projects on model-based estimation and control in MR-guided hyperthermia, with TU/e Control Systems Technology.
Model calibration adjusts the parameters of a computational model, such as tissue properties, so that its predictions match measurements in the patient. A calibrated model predicts the effect of treatment changes more reliably.
It is the idea that every treatment is also a measurement: by recording and modelling how a patient responds to an intervention, therapy can improve care and at the same time reveal patient-specific properties.