Publications by authors named "Nicolo Cogno"

Computational models are not just appealing because they can simulate and predict the development of biological phenomena across multiple spatial and temporal scales, but also because they can integrate information from well-established and models and test new hypotheses in cancer biomedicine. Agent-based models and simulations are especially interesting candidates among computational modeling procedures in cancer research due to the capability to, for instance, recapitulate the dynamics of neoplasia and tumor - host interactions. Yet, the absence of methods to validate the consistency of the results across scales can hinder adoption by turning fine-tuned models into black boxes.

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Article Synopsis
  • Mechanistic modelling of normal tissue toxicities is emerging as a new approach compared to traditional models, which often overlook spatial dose distribution and rely on limited patient data.
  • This study introduces a novel coupled 3D agent-based and Monte Carlo model that effectively simulates radiation-induced lung fibrosis in alveolar segments, marking a first in this area.
  • The model demonstrates accuracy in replicating important biological patterns and shows that treatment strategies like 5-fraction therapy can lead to improved survival of lung functional units while also highlighting the advantages of uniform proton dose distributions over heterogeneous photon doses.
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Early- and late-phase radiation-induced lung injuries, namely pneumonitis and lung fibrosis (RILF), severely constrain the maximum dose and irradiated volume in thoracic radiotherapy. As the most radiosensitive targets, epithelial cells respond to radiation either by undergoing apoptosis or switching to a senescent phenotype that triggers the immune system and damages surrounding healthy cells. Unresolved inflammation stimulates mesenchymal cells' proliferation and extracellular matrix (ECM) secretion, which irreversibly stiffens the alveolar walls and leads to respiratory failure.

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