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Layer 7 of 21 · Tumour behaviour

Kinetix Growth dynamics and evolutionary trajectory.

Kinetix is intended to describe what the available information suggests about how the tumour is changing over time. It becomes meaningful mainly when there are repeated measurements, such as serial imaging or repeat molecular testing.

Why it's needed

What does the available information suggest about tumour growth dynamics or evolution?

A structured summary of change across time-points, with the data behind it.

What it draws on

3 of 8 evidence domains.

Molecular & genomicImaging integrationTreatment exposureSerial molecular or imaging data collected during the Twin journey, together with treatment history.

What it produces

A structured description of supported dynamics-related evidence.

Describe the layer's intended role in characterising dynamics when relevant longitudinal or modelled data exist.

Why it's essential

Layer 7 of 21.

Gives context to the longitudinal view, and to the comparisons made when the Twin is updated.

1 · What it does

What Kinetix does

Kinetix is intended to describe what the available information suggests about how the tumour is changing over time. It becomes meaningful mainly when there are repeated measurements, such as serial imaging or repeat molecular testing.

2 · Scientific question

The question it addresses

What does the available information suggest about tumour growth dynamics or evolution?

Intended function

Describe the layer's intended role in characterising dynamics when relevant longitudinal or modelled data exist.

3 · Data inputs and required context

What it draws on

  • 01 Molecular & genomic
  • 04 Imaging integration
  • 06 Treatment exposure

Serial molecular or imaging data collected during the Twin journey, together with treatment history.

4 · Scientific basis

The science behind it

Scientific basis

Growth and evolutionary dynamics are generally studied from serial data — repeated imaging, serial circulating tumour DNA or repeated sequencing — often with mathematical models. From a single time-point, dynamics can only be inferred indirectly.

5 · Output and evidence sources

What it produces

Main output

A structured description of supported dynamics-related evidence.

Output type

  • Computational inference. Estimated by analysis of available data rather than measured directly.

6 · Why it\u2019s essential

How it powers the Twin

Gives context to the longitudinal view, and to the comparisons made when the Twin is updated.

Report section

Capability

Follow

Revisit the picture as new findings and evidence become available.

7 · Why it\u2019s needed

What it changes — for doctors, patients and researchers

Clinicians

A structured summary of change across time-points, with the data behind it.

Doctor & Clinical Team

Patients & caregivers

Explains why the Twin looks at change over time rather than a single result.

Patient & Caregiver

Researchers

Longitudinal data structured for hypothesis generation.

Industry & Research

8 · Dependencies and limitations

Limitations

  • Depends on the frequency and quality of serial data; sparse data support only limited conclusions.

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

Dynamics are described only between available time-points, with the gaps between them made visible.

10 · Claim boundary

What this layer does not establish

It does not forecast how quickly the tumour will grow or when it will progress.

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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