2407.21042
Post–operative glioblastoma cancer cell distribution in the peritumoural oedema
Andrei Ciprian Macarie, Szabolcs Suveges, Mohamed Okasha, Kismet Hossain–Ibrahim, J. Douglas Steele, Dumitru Trucu
incompletemedium confidence
- Category
- Not specified
- Journal tier
- Specialist/Solid
- Processed
- Sep 28, 2025, 12:56 AM
- arXiv Links
- Abstract ↗PDF ↗
Audit review
The paper formulates the MRI-fitting minimization problem over a spread parameter ξ and states Hypothesis H about how initial spread in oedema relates to later invasion, but it does not provide rigorous proofs of existence of a minimizer or of H; both are posed and explored numerically and left “under analytical investigation” . The candidate (model) solution correctly observes continuity-based strategies (Weierstrass on a compact ξ-interval) and offers a general counterexample to H via bistable dynamics, plus sufficient conditions for H under KPP-type, order-preserving flows. However, part of its coercivity-at-infinity argument is misaligned with the paper’s specific logistic-type, bounded-growth macro-PDE, which can uniformly bound solutions and therefore may defeat the proposed blow-up at ξ→∞; moreover, the model’s monotonicity claims rely on order-preserving semigroup assumptions unlikely to hold for the paper’s full anisotropic diffusion–adhesion–micro/macro moving-boundary system . Hence, both the paper and the model solution leave gaps: the paper in not proving the posed statements, and the model in invoking extra assumptions not established for the paper’s system.
Referee report (LaTeX)
\textbf{Recommendation:} major revisions \textbf{Journal Tier:} specialist/solid \textbf{Justification:} The manuscript contributes a detailed multiscale GBM model integrating treatment and micro-scale boundary dynamics, and proposes a clinically motivated inversion for post-surgical residual spread. It articulates a clear qualitative hypothesis (H) and demonstrates promising MRI concordance in a case study. However, the analytical pillars (existence of an optimal spread parameter and a proof of H) are deferred; formal properties of the forward map vs. ξ and rigorous conditions for H are missing. Given the paper's modelling focus, these gaps are not fatal but warrant substantial clarification and, ideally, partial theoretical guarantees or carefully delimited assumptions to strengthen claims.