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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

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.