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
- arXiv Links
- Abstract ↗PDF ↗
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.