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Layer 4 of 21 · Six shared core layers

PhenoMap Molecular and cellular phenotype.

Genomic changes matter because of what they do to the cell. PhenoMap is intended to connect individual molecular observations to the tumour's likely biological state, for example which signalling pathways appear to be altered, so that a list of variants becomes a pathway-level picture.

Why it's needed

How might genomic observations relate to a tumour phenotype or biological state?

Pathway-level context for interpreting several alterations together.

What it draws on

2 of 8 evidence domains.

Molecular & genomicTumour biologyAnnotated variants and, where available, expression data and pathology context.

What it produces

Structured phenotype-related observations or interpretation.

Describe the intended connection between molecular findings and phenotype-related evidence.

Why it's essential

Layer 4 of 21.

Supplies biological context to the actionability, resistance and microenvironment layers, and groups related alterations so that their combined effect can be considered.

1 · What it does

What PhenoMap does

Genomic changes matter because of what they do to the cell. PhenoMap is intended to connect individual molecular observations to the tumour's likely biological state, for example which signalling pathways appear to be altered, so that a list of variants becomes a pathway-level picture.

2 · Scientific question

The question it addresses

How might genomic observations relate to a tumour phenotype or biological state?

Intended function

Describe the intended connection between molecular findings and phenotype-related evidence.

3 · Data inputs and required context

What it draws on

  • 01 Molecular & genomic
  • 02 Tumour biology

Annotated variants and, where available, expression data and pathology context.

4 · Scientific basis

The science behind it

Scientific basis

Phenotype inference generally maps alterations onto curated pathway and functional annotations and, where RNA data exist, onto expression programmes. These inferences are hypotheses unless confirmed by direct measurement such as pathology or immunohistochemistry.

5 · Output and evidence sources

What it produces

Main output

Structured phenotype-related observations or interpretation.

Output type

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

6 · Why it\u2019s essential

How it powers the Twin

Supplies biological context to the actionability, resistance and microenvironment layers, and groups related alterations so that their combined effect can be considered.

Report section

Capability

Understand

Bring molecular findings and relevant clinical context into a structured view.

7 · Why it\u2019s needed

What it changes — for doctors, patients and researchers

Clinicians

Pathway-level context for interpreting several alterations together.

Doctor & Clinical Team

Patients & caregivers

A plain way to describe what the changes in the tumour may be doing.

Patient & Caregiver

Researchers

Functional hypotheses that may be explored experimentally.

Industry & Research

8 · Dependencies and limitations

Limitations

  • Pathway knowledge is incomplete, and the functional effect of many variants is unknown.

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

Each observation is labelled as measured or inferred, and unknown-effect variants are kept separate from those with established function.

10 · Claim boundary

What this layer does not establish

A computationally inferred phenotype is not a measured biological state of the tumour.

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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