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The role of digital twins in P4 medicine: A paradigm for modern healthcare

delete2025-12-01
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OA
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F
Frank Emmert‐Streib *
S
Seppo Parkkila
R
Reinhard Laubenbacher
A
Arto Mannermaa
L
Leroy Hood
O
Olli Yli-Harja
DOI:10.1038/s41746-025-02115-xdelete
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Abstract

Abstract

En 中文
P4 medicine (Predictive, Preventive, Personalized, and Participatory) offers a comprehensive approach to personalized healthcare, emphasizing both the transition from disease to wellness and the importance of preventive care. In this perspective, we propose a novel extension to P4 medicine. Specifically, we argue that combining P4 medicine with digital twins (DTs) introduces capabilities that elevate it far beyond its current scope. While P4 medicine provides a conceptual framework grounded in medical principles, digital twins offer a complementary framework for methodological realization. Together, these concepts form a synergistic pairing, interfacing through individual patients and their corresponding data. Furthermore, we emphasize that digital twins represent a new paradigm—not merely a method—characterized by four critical features: explainability, intervenability, learnability, and diversability. We believe that this integration unlocks capabilities that go beyond the reach of traditional bioinformatics and systems biology approaches.
Keywords:
P4 medicine
digital twins
personalized healthcare
predictive medicine
participatory medicine
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