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. 2022 Oct 10;18(10):e1010541. doi: 10.1371/journal.pcbi.1010541

Table 2. Example specific credibility-related considerations for simulation studies that use a virtual cohort of patient-specific models.

Acronyms: UQ–uncertainty quantification; QOI–quantity of interest; COU–context of use; BZ–border zone.

# Credibility assessment activity PSM feature Specific PSM-VC consideration
1 Verification Is discretization error sufficiently small across all patients in cohort?
2 Validation If validation involves only a subset of the virtual patients, how representative are validation subjects to the rest of cohort?
3 Validation If the validation QOI differs from the COU QOI, how relevant is the validation QOI to the COU QOI?
4 UQ–personalized parameters Heart shape Are the study conclusions insensitive to the potential errors in heart shape specification in the virtual cohort?
5 UQ–personalized parameters BZ and scar Are the study conclusions insensitive to the potential errors in BZ/scar in the virtual cohort?
6 UQ–personalized parameters Fibers Are the study conclusions insensitive to potential error in fiber specification between rule-based fibers and true patient fibers?
7 UQ–personalized parameters Cell model For personalized cell model parameters—are the study conclusions insensitive to uncertainty in these parameters?
8 UQ–non-personalized parameters Conductivity If a fixed (not personalized) conductivity is used–are the study conclusions insensitive to population variability or other uncertainties in conductivity?
9 UQ–non-personalized parameters Cell model For fixed (not personalized) cell model parameters–are the study conclusions insensitive to population variability or other uncertainties in these parameters?