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Layer 5 of 21 · Six shared core layers

ImmuneLens Immune landscape and biomarkers.

Some tumour features are relevant to how the immune system interacts with the cancer and to how immunotherapy is evaluated. ImmuneLens is intended to bring the immune-related biomarkers that are available into one context, with their assay and evidence attached.

Why it's needed

What immune-related signals or biomarkers are relevant to the tumour context?

Measured biomarkers with their assay context and indication-specific evidence in one place.

What it draws on

3 of 8 evidence domains.

Molecular & genomicImmune landscapeClinical contextTMB, MSI and HLA results where reported by the pathway, plus the diagnosis needed to interpret them.

What it produces

Immune-related findings and source and evidence context.

Explain how available immune markers or signatures may be contextualised.

Why it's essential

Layer 5 of 21.

Organises measured immune biomarkers for the treatment-options section and informs the tumour microenvironment layer.

1 · What it does

What ImmuneLens does

Some tumour features are relevant to how the immune system interacts with the cancer and to how immunotherapy is evaluated. ImmuneLens is intended to bring the immune-related biomarkers that are available into one context, with their assay and evidence attached.

2 · Scientific question

The question it addresses

What immune-related signals or biomarkers are relevant to the tumour context?

Intended function

Explain how available immune markers or signatures may be contextualised.

3 · Data inputs and required context

What it draws on

  • 01 Molecular & genomic
  • 05 Immune landscape
  • 03 Clinical context

TMB, MSI and HLA results where reported by the pathway, plus the diagnosis needed to interpret them.

4 · Scientific basis

The science behind it

Scientific basis

Immune-related genomic biomarkers commonly considered in oncology include tumour mutational burden (TMB), microsatellite instability (MSI) and HLA genotype, all of which are integrated analytical features of Twin. Expression-based immune signatures need RNA data, and protein biomarkers are measured by separate laboratory methods. Definitions and thresholds are assay- and indication-specific.

5 · Output and evidence sources

What it produces

Main output

Immune-related findings and source and evidence context.

Output type

  • Assay-derived finding. Reported from laboratory sequencing data, subject to assay scope and quality.
  • Evidence-linked interpretation. Connects a finding to published or curated evidence, which has a source and a date.

6 · Why it\u2019s essential

How it powers the Twin

Organises measured immune biomarkers for the treatment-options section and informs the tumour microenvironment layer.

Capability

Connect

Relate molecular, imaging, immune and patient information where available.

7 · Why it\u2019s needed

What it changes — for doctors, patients and researchers

Clinicians

Measured biomarkers with their assay context and indication-specific evidence in one place.

Doctor & Clinical Team

Patients & caregivers

Explains why terms such as TMB or MSI may appear in a report and what they can and cannot say.

Patient & Caregiver

Researchers

Structured immune-biomarker context across cases.

Industry & Research

8 · Dependencies and limitations

Limitations

  • Measured biomarkers must be kept separate from inferred immune state or predicted-response claims.
  • TMB values from different assays are not directly interchangeable, and thresholds vary by indication.

9 · Review and uncertainty

How the output is handled

Output status

An AI-assisted analytical output presented as structured findings for clinician review. It becomes part of a report only after the treating oncologist has reviewed and signed it.

How uncertainty is communicated

Results carry a measured or inferred label and the assay-specific threshold used.

10 · Claim boundary

What this layer does not establish

A biomarker result does not predict that an individual will respond to immunotherapy.

The treating oncologist owns every decision. Every Twin report is reviewed and signed by the treating oncologist, then taken to KPCIRC's Molecular Tumour Board.

KPCIRC sign-off process

Continue the journey

Longitudinal monitoring

Every change goes in.

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