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Author

Filippo Cenacchi

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Book Open access Aug 2026

The Decision Twin: Metaverse Patient Digital Twins as Executable Clinical Reality

This work introduces the Metaverse Patient Digital Twin as a decision-grade clinical artifact defined by one requirement: every displayed claim or simulated scenario must be traceable to a versioned patient state, explicit assumptions, and replayable interaction logs.

Filippo Cenacchi, Long-Bing Cao, Deborah Richards · 0 citations
#artificial intelligence Review Jun 2026

Counterfactual Fragility Certificates: Exposing High-Confidence Brittleness under Structured Evidence Failure

Counterfactual Fragility Certificates (CFC), a model-agnostic protocol-level audit certificate-not a formal robustness certificate-that maps each prediction into an ordered evidence-failure trajectory summarized by greedy flip budget, normalized margin-collapse area, degradation thresholds, and fragility dominance scor...

Filippo Cenacchi, Long-Bing Cao, Run-Ze Yang · 0 citations
Book Open access Aug 2026

The Decision Twin: Metaverse Patient Digital Twins as Executable Clinical Reality

Clinical AI is no longer bottlenecked only by model performance; it is bottlenecked by the accountable interaction loop through which clinicians and patients inspect evidence, test alternatives, and remain responsible for decisions under uncertainty. We argue that today's digital-twin systems, XR interfaces, and founda...

Filippo Cenacchi, Longbing Cao, Deborah Richards · 0 citations

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