Open Science

Our Research

Peer-reviewed publications, patent portfolio, and technical documentation underlying the DNAI physics-constrained cancer digital twin platform.

6 Publications8 Patent Applications3 Technical Reports15,878 Patients Validated
Preprints & Publications

Research Publications

Original research from the DNAI project. All preprints are freely available on bioRxiv, medRxiv, or arXiv. Journal submissions in progress.

Domain GeneralizationSubmittedPatent 6: Distributionally Robust Training

Domain Shift is a Feature, Not a Bug: Distributionally Robust Optimization Outperforms Harmonization in Clinical Foundation Models

Feb 2026

We challenge the harmonization paradigm, demonstrating that site-specific variance encodes critical prognostic information. Group DRO with Pooled Cox achieves C=0.718 on CPTAC, outperforming all baselines including ComBat and CORAL.

CPTAC external C-index: 0.718Green-tier C-index: 0.744 (22.2% coverage)3 external cohorts, 5,070 patients
Treatment OptimizationSubmittedPatent 7: Risk-Averse Stochastic Optimization

The Plural Twin: Quantifying Treatment Policy Stability via Set-Valued Cancer Digital Twins

Feb 2026

We introduce Plural Twins, a set-valued framework where each patient is represented as a distribution of outcomes. 82.9% of patients show policy instability; for 1 in 6, the optimal treatment depends on the algorithm's risk tolerance.

1,000 MC dropout realizations per patientCVaR-optimal concordance: 914d vs 763d (p=3.5e-10)16.7% CVaR vs mean discordance
Uncertainty QuantificationSubmittedPatent 8: Runtime Gating & Solver Interlock

Runtime Reliability Labeling for Safe Deployment of Oncology AI Under Distribution Shift

Feb 2026

A unified framework for certifying when a clinical AI prediction is reliable enough for decision-making. Per-patient transportability certificates, structured abstention, and evidence-completion recommendations.

20.1% clinical-grade coverage (C>0.6)3-tier triage: STABLE / CONTESTED / CHAOTICICI calibration: 0.0094 (isotonic)
Transfer LearningSubmittedPatent 1: Sim-to-Real TransferPatent 2: Collapse Prevention

The Sim-to-Real Scaling Paradox: Biological Heterogeneity Reverses Transfer Learning Gains in Cancer Digital Twins

Feb 2026

We report a counterintuitive data scaling paradox: expanding PDX training data from 128 to 573 samples degrades clinical prediction. Multi-cancer alignment erases biology-preserving variance through shortcut domain adaptation.

128-PDX outperforms 573-PDX (Strat C: 0.654 vs 0.640)573-PDX domain accuracy: 0.807 (fails alignment)5 joint training variants evaluated
Clinical Decision SupportSubmittedPatent 7: Risk-Averse Stochastic Optimization

The Glass Cannon Phenotype: High Predicted Benefit but Low Robustness to Biological and Dosage Perturbations

Feb 2026

We identify a clinically actionable phenotype defined by the intersection of high predicted treatment benefit and low robustness to perturbation. These patients (7.0%) show median OS of 478d with 71.1% event rate — the worst outcomes despite high expected benefit.

4 quadrants: Solid / Glass Cannon / Stable / FragileFragility AUC for early failure: 0.78830.9% of treatment plans change under fragility adjustment
Causal InferenceSubmitted

Practical Identifiability Failure in Physics-Constrained Cancer Models: The Therapeutic Controllability Index

Feb 2026

We report a fundamental identifiability failure: drug sensitivity (beta) occupies 0.14% of its allowed range under survival-only supervision. Rather than treating this as a defect, we introduce the Therapeutic Controllability Index to quantify treatment authority per patient.

Beta/rho sensitivity ratio: 0.0017TCI C-index for survival: 0.735CONTROLLABLE vs DETERMINED: 1153d vs 489d (p=4.3e-55)

Validated Performance

Key metrics across internal and external cohorts

0.704
Path A C-index
Internal (TCGA)
0.718
DRO External
CPTAC (1,031)
0.744
Green Tier
22.2% coverage
0.675
CGGA External
Glioma (970)
0.009
Calibration ICI
Isotonic
0.735
TCI C-index
Controllability
+151d
CVaR Survival
Concordant vs not
196
Patent Claims
10 applications

Research Use Only

All publications and methods described here are for research purposes only and have not been cleared or approved by any regulatory authority for clinical use. The DNAI platform is not a medical device. Patent applications are U.S. Provisional Applications; no patents have been granted.

Interested in collaborating?

We welcome academic collaborations, validation partnerships, and licensing discussions.