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2211.17041

Tumor containment for Norton-Simon models

Frank Ernesto Alvarez, Yannick Viossat

correcthigh confidence
Category
Not specified
Journal tier
Strong Field
Processed
Sep 28, 2025, 12:56 AM

Audit review

The paper’s Proposition 4 (containment minimizes resistance) is proved correctly by comparing R−N trajectories: it establishes the pointwise chain ÑidMTD ≤ ÑMTD ≤ Ñalt ≤ ÑCont ≤ ÑnoTreat, and then invokes a robust comparison lemma (Lemma 10) to conclude RCont(t) ≤ Ralt(t) for all t (see the statement of Model 3 and assumptions, the definition of containment/alt, the proposition statement, and the proof with Eqs. (1)–(2) in the paper: ). By contrast, the candidate solution’s “first‑crossing” proof via S(R) reparametrization contains a critical flaw: it incorrectly assumes that containment “never exceeds Ntol” and that SCont(R)=Ntol−R for all R≥Rc, which fails after the stabilization phase ends (post‑failure N may exceed Ntol under containment, and SCont is then no longer Ntol−R). This invalidates the key step used to force Salt(r) ≤ SCont(r) at the alleged first crossing. The conclusion matches the paper, but the argument as written is not valid without substantial repair.

Referee report (LaTeX)

\textbf{Recommendation:} minor revisions

\textbf{Journal Tier:} strong field

\textbf{Justification:}

The paper establishes Proposition 4 rigorously using an R–N plane method and comparison principles, generalizing earlier work under weaker assumptions. The argument is logically tight and handles pre-stabilization, stabilization, and post-failure phases without hidden assumptions. Minor clarifications on regime transitions and a brief comparison to alternative proof tactics would further improve readability.