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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Explor Immunol</journal-id>
<journal-id journal-id-type="publisher-id">EI</journal-id>
<journal-title-group>
<journal-title>Exploration of Immunology</journal-title>
</journal-title-group>
<issn pub-type="epub">2768-6655</issn>
<publisher>
<publisher-name>Open Exploration Publishing</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.37349/ei.2024.00149</article-id>
<article-id pub-id-type="manuscript">1003149</article-id>
<article-categories>
<subj-group>
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Exploring the impact of immune response on tumor heterogeneity through mathematical modeling</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Gautam</surname>
<given-names>Diksha</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role content-type="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<role content-type="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role content-type="https://credit.niso.org/contributor-roles/visualization/">Visualization</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing—original draft</role>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kumar</surname>
<given-names>Sanjeev</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing—review &amp; editing</role>
<role content-type="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sharma</surname>
<given-names>Rashmi</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dixit</surname>
<given-names>Deepshikha</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/validation/">Validation</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing—review &amp; editing</role>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="editor">
<name>
<surname>Charron</surname>
<given-names>Dominique J.</given-names>
</name>
<role>Academic Editor</role>
<aff>Hospital Saint Louis, France</aff>
</contrib>
<contrib contrib-type="editor">
<name>
<surname>Sihver</surname>
<given-names>Lembit</given-names>
</name>
<role>Academic Editor</role>
<aff>Cosmic Shielding Corporation, USA</aff>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>Department of Mathematics, Dr. Bhimrao Ambedkar University, Khandari Campus, Agra 282002, Uttar Pradesh, India</aff>
<aff id="I2">
<sup>2</sup>Department of Physiology, Dr. Bhimrao Ambedkar University, Khandari Campus, Agra 282002, Uttar Pradesh, India</aff>
<author-notes>
<corresp id="cor1">
<sup>*</sup>
<bold>Correspondence:</bold> Diksha Gautam, Department of Mathematics, Dr. Bhimrao Ambedkar University, Khandari Campus, Agra 282002, Uttar Pradesh, India. <email>gautamdiksha333@gmail.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>18</day>
<month>07</month>
<year>2024</year>
</pub-date>
<volume>4</volume>
<issue>4</issue>
<fpage>414</fpage>
<lpage>432</lpage>
<history>
<date date-type="received">
<day>24</day>
<month>04</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>04</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author(s) 2024.</copyright-statement>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Aim:</title>
<p id="absp-1">This article presents an investigation into various mathematical models for cell population growth, including tumor cells, and their dynamics.</p>
</sec>
<sec>
<title>Methods:</title>
<p id="absp-2">We classify the models into five categories: exponential, logistic, time-tested, heterogeneous, and immunology. Mathematical modeling provides insights into the development of tumors over time and how their proliferation rate becomes more dangerous. To explore the impact of immune response on tumor heterogeneity, we develop a reaction-diffusion model of tumor growth that incorporates tumor-immune interactions and a mechanism for tumor mutation and clonal expansion. We use numerical simulations to investigate how variation in immune response affects tumor heterogeneity.</p>
</sec>
<sec>
<title>Results:</title>
<p id="absp-3">Our findings show that a stronger immune response leads to greater homogeneity in the tumor population, which suggests that enhancing immune response could reduce tumor heterogeneity and improve treatment outcomes.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p id="absp-4">These results have important implications for the development of therapeutic strategies targeting the immune system to combat tumor heterogeneity.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Mathematical modeling</kwd>
<kwd>tumor heterogeneity</kwd>
<kwd>immune response</kwd>
<kwd>reaction-diffusion model</kwd>
<kwd>clonal expansion</kwd>
<kwd>mutation</kwd>
<kwd>therapeutic strategies</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p id="p-1">Mathematical modeling has emerged as a powerful and accessible tool for predicting the development, volume, and growth of tumors. The utilization of mathematical models and dynamic systems has garnered significant attention in recent years for its potential to enhance our comprehension of various biological and medical phenomena, especially within the expanding field of mathematical biosciences. Despite the exponential growth in applications in the living world, there is a notable lack of studies focusing on cancer growth and treatment. This research seeks to bridge this gap by examining the influence of the immune response on tumor heterogeneity through mathematical modeling. Cancer growth involves abnormal tissue development, often characterized by cell invasion and mass effects. Tumor growth modeling becomes particularly relevant for unresectable tumors or those not removed until reaching a specific size threshold. Employing a mathematical model based on the reaction-diffusion equation, this research delves into the dynamics of tumor cell growth and cancer cell spread. The immune system, instrumental in detecting and eliminating abnormal cells, faces challenges as cancer cells can employ strategies to evade surveillance, such as inhibiting the immune response or creating an environment conducive to immune tolerance. This allows cancer cells to grow and spread undetected. In developing mathematical models of tumor growth, it is crucial to consider the intricate interactions between the immune system and cancer cells. These models offer a framework to comprehend the evolving relationship between the two entities. For instance, they may incorporate aspects like immune surveillance effects on tumor growth, the dynamics of immune cell infiltration into tumors, and the influence of immune response on treatment effectiveness. The advent of immunotherapy, a treatment leveraging the immune system to combat cancer, has introduced new avenues for mathematical modeling of cancer growth and treatment. While checkpoint inhibitors and Chimeric Antigen Receptor T (CAR-T) cell therapy have shown promising results, their effectiveness can be curtailed by factors like tumor heterogeneity, resistance emergence, and immune-related adverse events. Mathematical models play a pivotal role in predicting and optimizing responses to immunotherapy by accounting for these variables and guiding treatment decisions. Overall, the immune system is a crucial consideration in developing mathematical models for tumor growth and treatment. Integrating immune system dynamics into these models offers valuable insights into the complex mechanisms involved in cancer development, progression, and treatment response. This understanding can potentially enhance cancer treatment outcomes. Additionally, the research introduces a mathematical model exploring optimal control in chemotherapy and discusses its effectiveness in reducing tumor cell volume. The study also focuses on a diffusion model utilizing multiple growth laws to deepen our comprehension of tumor heterogeneity, with a key emphasis on investigating the impact of immune response on such heterogeneity.</p>
</sec>
<sec id="s2">
<title>Materials and methods</title>
<sec id="t2-1">
<title>Mathematical models</title>
<p id="p-2">Initially, in the exploration of tumor dynamics through mathematical models, a simplistic belief prevailed that tumor growth adheres to a straightforward exponential model. This assumption was grounded in the notion that under optimal conditions, where all tumor cells have ample access to nutrients and oxygen, each cell would undergo mitosis, resulting in the generation of two new cells. While this basic exponential growth model served as an initial framework for comprehending fundamental tumor growth dynamics, subsequent research has unveiled the intricacies of tumor development, influenced by factors such as alterations in the microenvironment and immune responses. Despite its limitations, the exponential growth model retains utility as a foundational concept for grasping the early dynamics of tumor growth. The Gompertzian equation, introduced by Gompertz [<xref ref-type="bibr" rid="B1">1</xref>] represents a mathematical function frequently employed to model the growth of diverse biological systems, including tumors. This equation, portraying a sigmoidal growth curve, has widespread applications across scientific disciplines, extending from biology to economics. Researchers such as Winsor [<xref ref-type="bibr" rid="B2">2</xref>] and Laird et al. [<xref ref-type="bibr" rid="B3">3</xref>] have employed the Gompertzian model to study growth in various contexts. Burton [<xref ref-type="bibr" rid="B4">4</xref>] study on the rate of growth of solid tumors addresses the problem of diffusion, highlighting how nutrient supply limitation influences tumor expansion. Over time, numerous mathematical models have been proposed to study tumor growth and its intricate interactions with other biological systems. Orme and Chaplain [<xref ref-type="bibr" rid="B5">5</xref>] delved into the analysis of solid spherical tumor growth and vascularization. Anderson and Chaplain [<xref ref-type="bibr" rid="B6">6</xref>] developed continuous and discrete mathematical models elucidating the capillary sprout network for tumor angiogenic factors. Bellomo and Preziosi [<xref ref-type="bibr" rid="B7">7</xref>] addressed modeling issues related to tumor evolution and its interplay with the immune system. Sherratt and Chaplain [<xref ref-type="bibr" rid="B8">8</xref>] introduce a novel mathematical model for avascular tumor growth, emphasizing the interaction between cellular proliferation and nutrient diffusion. Tsoularis and Wallace [<xref ref-type="bibr" rid="B9">9</xref>] provided a comprehensive analysis of logistic growth models, offering insight into the dynamics and applications of these models in various biological contexts. The contributions of Villasana and Radunskaya [<xref ref-type="bibr" rid="B10">10</xref>], have expanded the landscape of mathematical models, encompassing diverse aspects of tumor growth, immune responses, and drug interactions. Extensive research by Misra and Dravid [<xref ref-type="bibr" rid="B11">11</xref>] has covered biomedical mathematics and physiological fluid dynamics, reflecting their commitment to advancing the understanding of various aspects of these fields. Murray [<xref ref-type="bibr" rid="B12">12</xref>] offers an extensive introduction to mathematical biology, providing foundational concepts and models applicable to various biological systems. Yang [<xref ref-type="bibr" rid="B13">13</xref>] presents a detailed mathematical model of solid cancer growth incorporating angiogenesis, elucidating the complex interactions between tumor cells and the formation of new blood vessels. The studies by Dixit et al. [<xref ref-type="bibr" rid="B14">14</xref>], Li et al. [<xref ref-type="bibr" rid="B15">15</xref>], Wei [<xref ref-type="bibr" rid="B16">16</xref>], Yin et al. [<xref ref-type="bibr" rid="B17">17</xref>], Ira et al. [<xref ref-type="bibr" rid="B18">18</xref>], and Pourhasanzade and Sabzpoushan [<xref ref-type="bibr" rid="B19">19</xref>] have further enriched the mathematical modeling landscape, exploring topics ranging from chemotherapy for tumor growth to analyzing stable models and drug resistance evolution. In certain studies, considerations have been given to the role of tissue stresses in elucidating the formation of necrotic regions in growing tumors. The regulation of cell proliferation in these models often hinges on the concentration of oxygen, assumed to rapidly diffuse into the tumor from its surroundings. In recent years, novel mathematical models, such as those proposed by Rojas-Domínguezet al. [<xref ref-type="bibr" rid="B20">20</xref>] have expanded the exploration to include cancer immunoediting in the tumor microenvironment and ising-model characterization through Hamiltonian equations. Ullah and Mallick [<xref ref-type="bibr" rid="B21">21</xref>] explore the impact of surgery and chemotherapy on lung cancer through mathematical modeling and analysis. In a separate study, Wei et al. [<xref ref-type="bibr" rid="B22">22</xref>] proposed a novel pyroptosis-based prognostic model for pancreatic cancer, emphasizing its correlation with the para-inflammatory immune microenvironment.</p>
<p id="p-3">In summary, these collective studies have significantly advanced the development of mathematical models for understanding and predicting tumor growth and its responses to various treatments. Investigations have extended beyond tumor growth dynamics to encompass broader themes, including biomedical mathematics, physiological fluid dynamics, chemotherapy, stable models, and drug resistance evolution. The ongoing research by scientists like Misra and the contributions of various researchers underscore the interdisciplinary nature of mathematical modeling in advancing our understanding of complex biological systems.</p>
</sec>
<sec id="t2-2">
<title>Exponential models</title>
<p id="p-4">Mathematical models, grounded in first-order ordinary differential equations, provide a means to examine tumor growth dynamics. These models capture the evolution of tumor volume over time, starting from an initial volume. Exponential models are frequently employed to characterize tumor growth, and discussions have arisen regarding the biological relevance of logistic models in this context.</p>
<sec id="t2-2-1">
<title>Malthusian model</title>
<p id="p-5">The most straightforward approach to depicting tumor growth involves employing a mathematical model that posits growth is directly proportional to the number of tumor cells. This model, commonly utilized to characterize the growth rate of a singular species population, adheres to a specific form as outlined by Murray [<xref ref-type="bibr" rid="B12">12</xref>].</p>
<disp-formula><mml:math id="m1" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>r</mml:mi><mml:mi>V</mml:mi></mml:math></disp-formula>
<p id="p-6">Where <italic>V</italic> is the volume of the tumor, <italic>r</italic> is the growth parameter and <italic>t</italic> represents time, the solution of an equation is <italic>V</italic>(<italic>t</italic>) = <italic>V<sub>0</sub>e<sup>rt</sup></italic>.</p>
<p id="p-7">Based on the observations from the graph in <xref ref-type="fig" rid="fig1">Figure 1</xref>, it can be seen that the volume of the tumor over time follows an exponential growth pattern when the value of growth parameter <italic>r</italic> is positive. This means that the tumor grows rapidly and the volume increases exponentially over time. Conversely, when the value of <italic>r</italic> is negative, the tumor volume decreases exponentially over time, indicating a reduction in the size of the tumor. Finally, when <italic>r</italic> is zero, the cell volume remains constant over time, implying that the tumor does not grow or shrink. These observations highlight the significance of the growth parameter in determining the behavior of tumor growth over time.</p>
<fig id="fig1" position="float">
<label>Figure 1</label>
<caption>
<p id="fig1-p-1">Graph of Malthusian model with initial volume <italic>V</italic> = 5 × 10<sup>–4</sup> m<sup>3</sup></p>
<p id="fig1-p-2">
<italic>Note.</italic> Reprinted from “Mathematical Modelling of the Dynamics of Tumor Growth and its Optimal Control” by Ira JI, Islam MS, Misra JC, Kamrujjaman M. Int J Ground Sediment Water. 2020;11:659–79. (<uri xlink:href="https://www.preprints.org/manuscript/202004.0391/v2">https://www.preprints.org/manuscript/202004.0391/v2</uri>). CC BY.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g001.tif" />
</fig>
</sec>
<sec id="t2-2-2">
<title>Power law model</title>
<p id="p-8">The power law model is a generalization of the Malthusian model and was following by Li et al. [<xref ref-type="bibr" rid="B15">15</xref>]. This model considers that the rate of tumor growth is not constant, but it changes as the tumor becomes larger. The model shows that the tumor volume increases at a rate proportional to power of the tumor volume itself. This power is denoted by the parameter <italic>μ</italic>, which is often referred to as the growth exponent. The power law model is a more realistic representation of tumor growth than the exponential model, as it takes into account the fact that tumor growth is not constant.</p>
<disp-formula><mml:math id="m2" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>r</mml:mi><mml:msup><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>b</mml:mi></mml:mrow></mml:msup></mml:math></disp-formula>
<p id="p-9">Where <italic>r</italic> is the intrinsic growth rate, if <italic>b</italic> = 1, we get the Malthusian model which we have already discussed. This equation has the solution of the following form:</p>
<disp-formula><mml:math id="m3" display='block'><mml:mi>V</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:mfenced><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:msup><mml:mrow><mml:mo>[</mml:mo><mml:msubsup><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow><mml:mrow><mml:mn>1</mml:mn><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:mi>b</mml:mi></mml:mrow></mml:msubsup><mml:mi> </mml:mi><mml:mo>+</mml:mo><mml:mi> </mml:mi><mml:mi>r</mml:mi><mml:mo>(</mml:mo><mml:mn>1</mml:mn><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:mi>b</mml:mi><mml:mi>x</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:msub><mml:mrow><mml:mi>t</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub><mml:mo>)</mml:mo></mml:mrow></mml:mfenced><mml:mo>]</mml:mo></mml:mrow><mml:mrow><mml:mrow><mml:mrow><mml:mn>1</mml:mn></mml:mrow><mml:mo>/</mml:mo><mml:mrow><mml:mi>b</mml:mi><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:mn>1</mml:mn></mml:mrow></mml:mrow></mml:mrow></mml:msup></mml:math></disp-formula>
<p id="p-10">Now we can draw the graph from this solution using different values of <italic>b</italic>. For <italic>b</italic> = 1, we get the Malthusian model (<xref ref-type="fig" rid="fig2">Figure 2</xref>).</p>
<fig id="fig2" position="float">
<label>Figure 2</label>
<caption>
<p id="fig2-p-1">Power law model with initial volume <italic>V<sub>0</sub></italic> = 5 × 10<sup>–4</sup> m<sup>3</sup> and the exponent, <italic>b</italic> = 1.05 (left) and <italic>b</italic> = 0.9 (right)</p>
<p id="fig2-p-2">
<italic>Note.</italic> Reprinted from “Mathematical Modelling of the Dynamics of Tumor Growth and its Optimal Control” by Ira JI, Islam MS, Misra JC, Kamrujjaman M. Int J Ground Sediment Water. 2020;11:659–79. (<uri xlink:href="https://www.preprints.org/manuscript/202004.0391/v2">https://www.preprints.org/manuscript/202004.0391/v2</uri>). CC BY.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g002.tif" />
</fig>
<p id="p-11">By observing the graphs of the power law model in <xref ref-type="fig" rid="fig2">Figure 2</xref> with different values of the parameter <italic>b</italic>, it can be concluded that the behavior of the model changes with different values of <italic>b</italic>. For instance, when <italic>b</italic> = 1.05, the tumor volume grows at a faster rate for <italic>r</italic> &gt; 0 and decays at a faster rate for <italic>r</italic> &lt; 0. However, when <italic>b</italic> = 0.9, the growth rate of the tumor volume is slower as compared to the other graph. This indicates that the value of the parameter <italic>b</italic> has a significant impact on the behavior of the power law model, and its selection should be made carefully depending on the context of the problem being modeled.</p>
</sec>
<sec id="t2-2-3">
<title>Migration model</title>
<p id="p-12">The migration model is a type of mathematical model that describes how a population grows and moves over time. In this model, the growth of the population follows an exponential law, which means that the rate of growth is proportional to the size of the population. The model also takes into account the effect of migration, which can either increase or decrease the population size. When migration occurs, new cells are added to the population, which can increase its size. However, migration can also result in the death of cells, which can reduce the population size. The equation proposed by Murray [<xref ref-type="bibr" rid="B12">12</xref>] describes this process mathematically, and it is commonly used in tumor growth research to model the effect of migration on tumor cells.</p>
<disp-formula><mml:math id="m4" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>r</mml:mi><mml:mi>V</mml:mi><mml:mi> </mml:mi><mml:mo>+</mml:mo><mml:mi> </mml:mi><mml:mi>K</mml:mi></mml:math></disp-formula>
<p id="p-13">To solve the given equation, the value of <italic>r</italic> is considered to be zero, and a new variable <italic>u</italic> is introduced, which is equal to <italic>V</italic> + <italic>K</italic>/<italic>r</italic>. Using this substitution, the given equation can be transformed into a new differential equation that can be solved.</p>
<disp-formula><mml:math id="m5" display='block'><mml:mi>V</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:mfenced><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfenced><mml:mrow><mml:msub><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub><mml:mi> </mml:mi><mml:mo>+</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:mi>K</mml:mi></mml:mrow><mml:mrow><mml:mi>r</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced><mml:msup><mml:mrow><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mi>r</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:msub><mml:mrow><mml:mi> </mml:mi><mml:mi>t</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub></mml:mrow></mml:mfenced><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:mi>K</mml:mi></mml:mrow><mml:mrow><mml:mi>r</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:msup></mml:math></disp-formula>
<p id="p-14">This equation shows in <xref ref-type="fig" rid="fig3">Figure 3</xref> the relationship between the tumor volume and time in the presence of migration. If the migration rate <italic>K</italic> is positive, the tumor volume will increase over time, and if <italic>K</italic> is negative, the tumor volume will decrease over time.</p>
<fig id="fig3" position="float">
<label>Figure 3</label>
<caption>
<p id="fig3-p-1">Graph of Malthusian model with initial volume <italic>V</italic> = 5 × 10<sup>–4</sup> m<sup>3</sup></p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g003.tif" />
</fig>
</sec>
<sec id="t2-2-4">
<title>Gompertz model</title>
<p id="p-15">The Gompertz model is a mathematical function that describes the growth rate of a tumor. It is a sigmoid function that shows the growth rate is slowest at the beginning and the end of the tumor growth. The model is particularly suitable for modeling breast and lung cancer growth. It has been modified for use in biological populations. The equation of the Gompertz model is a differential equation that is dependent on the growth rate and the carrying capacity of the system. The carrying capacity represents the maximum number of cells that the system can sustain. The Gompertz model is widely used in cancer research to predict tumor growth and to design optimal treatment strategies. The model can be described by the following form Li et al. [<xref ref-type="bibr" rid="B15">15</xref>]:</p>
<disp-formula><mml:math id="m6" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:msup><mml:mrow><mml:mi>a</mml:mi><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mo>–</mml:mo><mml:mi>β</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:msup><mml:mi>V</mml:mi></mml:math></disp-formula>
<p id="p-16">Where <italic>a</italic> is the intrinsic growth parameter and <italic>β</italic> is the parameter of growth declaration Integrating both sides by taking limits from <italic>V</italic> to <italic>V</italic> and <italic>t</italic> to <italic>t</italic>, we get:</p>
<disp-formula><mml:math id="m7" display='block'><mml:mi>V</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:mfenced><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:msup><mml:mrow><mml:msub><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mfrac><mml:mrow><mml:mi>α</mml:mi></mml:mrow><mml:mrow><mml:mi>β</mml:mi></mml:mrow></mml:mfrac><mml:mo>(</mml:mo><mml:msup><mml:mrow><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mo>-</mml:mo><mml:msub><mml:mrow><mml:mi>β</mml:mi><mml:mi>t</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub></mml:mrow></mml:msup><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:msup><mml:mrow><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mo>-</mml:mo><mml:mi>β</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:msup><mml:mo>)</mml:mo></mml:mrow></mml:msup></mml:math></disp-formula>
<p id="p-17">For <italic>t</italic><sub>0</sub> = 0 the graph of this model is shown in <xref ref-type="fig" rid="fig4">Figure 4</xref>.</p>
<fig id="fig4" position="float">
<label>Figure 4</label>
<caption>
<p id="fig4-p-1">Graph of Gompertz model with <italic>β</italic> = 1 × 10<sup>–7</sup> m<sup>3</sup>·day<sup>–1</sup> and <italic>V</italic><sub>0</sub> = 10<sup>–4</sup> m<sup>3</sup></p>
<p id="fig4-p-2">
<italic>Note.</italic> Reprinted from “Mathematical Modelling of the Dynamics of Tumor Growth and its Optimal Control” by Ira JI, Islam MS, Misra JC, Kamrujjaman M. Int J Ground Sediment Water. 2020;11:659–79. (<uri xlink:href="https://www.preprints.org/manuscript/202004.0391/v2">https://www.preprints.org/manuscript/202004.0391/v2</uri>). CC BY.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g004.tif" />
</fig>
<p id="p-18">The <xref ref-type="fig" rid="fig4">Figure 4</xref> shows that when the growth rate <italic>a</italic> &gt; 0, the tumor volume increases exponentially with time. On the other hand, if the growth rate <italic>a</italic> &lt; 0, the tumor volume decreases exponentially over time. When the growth rate is equal to 0, the tumor volume remains constant over time.</p>
</sec>
</sec>
<sec id="t2-3">
<title>Logistic model</title>
<p id="p-19">The logistic equation is a model that takes into account the limited availability of resources for tumor growth, which eventually leads to a saturation point. This model considers that as the tumor grows, there will be competition for essential growth factors like nutrients and space. However, it does not consider the variability of these resources depending on the location of the cells within the tumor. The equation is represented by <italic>v</italic>(<italic>t</italic>) for the volume of a solid tumor at time <italic>t</italic> and a as the proliferation rate of cells.</p>
<disp-formula><mml:math id="m8" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>ν</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>λ</mml:mi><mml:mi>ν</mml:mi><mml:mfenced><mml:mrow><mml:mn>1</mml:mn><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:mi>ν</mml:mi></mml:mrow><mml:mrow><mml:mi>c</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:math></disp-formula>
<p id="p-20">With <italic>v</italic>(<italic>t</italic> = 0) = <italic>v</italic><sub>0</sub>, where <italic>c</italic> &gt; 0 is the carrying capacity of the environment.</p>
<sec id="t2-3-1">
<title>Generalized logistic model</title>
<p id="p-21">The logistic equation can be extended to include factors such as cell migration, immune response, and drug treatment by adding additional terms to the original equation. The generalized form of the logistic equation Tsoularis and Wallace [<xref ref-type="bibr" rid="B9">9</xref>] includes terms that account for the effects of these factors on tumor growth. This form of the equation can be used to model more complex scenarios where these additional factors are present.</p>
<disp-formula><mml:math id="m9" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>a</mml:mi><mml:msup><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>α</mml:mi></mml:mrow></mml:msup><mml:msup><mml:mrow><mml:mfenced open="[" close="]"><mml:mrow><mml:mn>1</mml:mn><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:msup><mml:mrow><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>K</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mi>β</mml:mi></mml:mrow></mml:msup></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mi>γ</mml:mi></mml:mrow></mml:msup></mml:math></disp-formula>
<p id="p-22">The generalized form of the logistic equation involves three non-negative exponents <italic>α</italic>, <italic>β</italic>, and <italic>γ</italic>, along with the growth rate parameter <italic>α</italic>. This equation can be used to derive all the other models described previously by selecting appropriate values for <italic>α</italic>, <italic>β</italic>, and <italic>γ</italic>. For <italic>α</italic> = 1 and <italic>γ</italic> = 0, one gets the exponential growth equation by:</p>
<disp-formula><mml:math id="m10" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>a</mml:mi><mml:mi>V</mml:mi></mml:math></disp-formula>
<p id="p-23">The graph of its solution behaves exactly like the exponential growth curve that increases in an unbounded manner, as <italic>t</italic> → ∞ for <italic>α</italic> &gt; 0. For <italic>α</italic> = 1, <italic>β</italic> = 1, and <italic>γ</italic> = 1, reduces to the general logistic equation:</p>
<disp-formula><mml:math id="m11" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>a</mml:mi><mml:mi>V</mml:mi><mml:mfenced open="[" close="]"><mml:mrow><mml:mn>1</mml:mn><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>K</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:mrow></mml:mfenced></mml:math></disp-formula>
<p id="p-24">The logistic curve can also be generated by setting all the exponents equal to 1. The graph is stable at:</p>
<disp-formula><mml:math id="m12" display='block'><mml:mi>V</mml:mi><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:mi>K</mml:mi></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:mfrac></mml:math></disp-formula>
<p id="p-25">For different initial volumes. If we take <italic>α</italic> = 2/3, <italic>β</italic> = 1/3, and <italic>γ</italic> = 1 we get from general logistic growth equation:</p>
<disp-formula><mml:math id="m13" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>a</mml:mi><mml:msup><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mn>2</mml:mn><mml:mo>/</mml:mo><mml:mn>3</mml:mn></mml:mrow></mml:msup><mml:mfenced open="[" close="]"><mml:mrow><mml:mn>1</mml:mn><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:msup><mml:mrow><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>K</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mn>1</mml:mn><mml:mo>/</mml:mo><mml:mn>3</mml:mn><mml:mi> </mml:mi></mml:mrow></mml:msup></mml:mrow></mml:mfenced></mml:math></disp-formula>
<p id="p-26">Which is the equation of Von Bertalanffy’s model. We can observe that Von Bertalanffy’s curve gets stable at a slower rate than the logistic curve. Lastly, we can consider <italic>α</italic> = 1, and <italic>γ</italic> = 1. Then we get Richard’s equation:</p>
<disp-formula><mml:math id="m14" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>a</mml:mi><mml:mi>V</mml:mi><mml:mfenced open="[" close="]"><mml:mrow><mml:mn>1</mml:mn><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:msup><mml:mrow><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>K</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mi>β</mml:mi></mml:mrow></mml:msup></mml:mrow></mml:mfenced></mml:math></disp-formula>
<p id="p-27">The graph of its solution becomes stable at a faster speed than the normal logistic equation with the smallest increment of <italic>β</italic> in <xref ref-type="fig" rid="fig5">Figure 5</xref>.</p>
<fig id="fig5" position="float">
<label>Figure 5</label>
<caption>
<p id="fig5-p-1">Generalized logistic model with <italic>α</italic> = 3 cm<sup>3</sup>·day<sup>–1</sup>, <italic>K</italic> = 100, <italic>V</italic> = 50 cm<sup>3</sup> and <italic>t</italic> = 0 days to <italic>t</italic> = 10 days</p>
<p id="fig5-p-2">
<italic>Note.</italic> Reprinted from “Mathematical Modelling of the Dynamics of Tumor Growth and its Optimal Control” by Ira JI, Islam MS, Misra JC, Kamrujjaman M. Int J Ground Sediment Water. 2020;11:659–79. (<uri xlink:href="https://www.preprints.org/manuscript/202004.0391/v2">https://www.preprints.org/manuscript/202004.0391/v2</uri>). CC BY.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g005.tif" />
</fig>
</sec>
<sec id="t2-3-2">
<title>Von Bertalanffy model</title>
<p id="p-28">The surface rule model assumes that the growth of a tumor is proportional to its surface area because the nutrients required for growth enter the tumor through its surface. The model also assumes that the rate of cell death is proportional to the tumor size. This model has been used by Tsoularis and Wallace [<xref ref-type="bibr" rid="B9">9</xref>] to effectively describe the growth of human tumors.</p>
<disp-formula><mml:math id="m15" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>a</mml:mi><mml:msup><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mn>2</mml:mn><mml:mo>/</mml:mo><mml:mn>3</mml:mn></mml:mrow></mml:msup><mml:mi> </mml:mi><mml:mo>–</mml:mo><mml:mi> </mml:mi><mml:mi>b</mml:mi><mml:mi>V</mml:mi></mml:math></disp-formula>
<p id="p-29">Where a is the growth parameter and b is the growth deceleration parameter. According to <xref ref-type="fig" rid="fig6">Figure 6</xref> solution is given by:</p>
<disp-formula><mml:math id="m16" display='block'><mml:mi>V</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:mfenced><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:msup><mml:mrow><mml:mfenced open="[" close="]"><mml:mrow><mml:mfrac><mml:mrow><mml:mi>a</mml:mi></mml:mrow><mml:mrow><mml:mi>b</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>+</mml:mo><mml:mi> </mml:mi><mml:mfenced><mml:mrow><mml:msup><mml:mrow><mml:msub><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub></mml:mrow><mml:mrow><mml:mn>1</mml:mn><mml:mo>/</mml:mo><mml:mn>3</mml:mn></mml:mrow></mml:msup><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:mi>a</mml:mi></mml:mrow><mml:mrow><mml:mi>b</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced><mml:msup><mml:mrow><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mo>-</mml:mo><mml:mfrac><mml:mrow><mml:mi>b</mml:mi></mml:mrow><mml:mrow><mml:mn>3</mml:mn></mml:mrow></mml:mfrac><mml:mo>(</mml:mo><mml:mi>t</mml:mi><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:msub><mml:mrow><mml:mi>t</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub><mml:mo>)</mml:mo></mml:mrow></mml:msup></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mn>3</mml:mn></mml:mrow></mml:msup></mml:math></disp-formula>
<fig id="fig6" position="float">
<label>Figure 6</label>
<caption>
<p id="fig6-p-1">Graph of Von Bertalanffy model with <italic>t</italic><sub>0</sub>= 0 days, <italic>a</italic> = 1.6 × 10<sup>–7</sup> m<sup>3</sup>·day<sup>–1</sup>, <italic>b</italic> = 0.2 × 10<sup>–7</sup> m<sup>3</sup>·day<sup>–1</sup>, and <inline-formula><mml:math id="m17" display='inline'><mml:mi>K</mml:mi><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:mi>a</mml:mi></mml:mrow><mml:mrow><mml:mi>b</mml:mi></mml:mrow></mml:mfrac></mml:math></inline-formula>
</p>
<p id="fig6-p-2">
<italic>Note.</italic> Reprinted from “Mathematical Modelling of the Dynamics of Tumor Growth and its Optimal Control” by Ira JI, Islam MS, Misra JC, Kamrujjaman M. Int J Ground Sediment Water. 2020;11:659–79. (<uri xlink:href="https://www.preprints.org/manuscript/202004.0391/v2">https://www.preprints.org/manuscript/202004.0391/v2</uri>). CC BY.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g006.tif" />
</fig>
<p id="p-30">Taking the initial cell volume between 0 and <inline-formula><mml:math id="m18" display='inline'><mml:msup><mml:mrow><mml:mfenced ><mml:mrow><mml:mfrac><mml:mrow><mml:mi>a</mml:mi></mml:mrow><mml:mrow><mml:mi>b</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mn>3</mml:mn></mml:mrow></mml:msup></mml:math></inline-formula> the cell volume increases over time and gets stable at <inline-formula><mml:math id="m19" display='inline'><mml:msup><mml:mrow><mml:mi>V</mml:mi><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>a</mml:mi></mml:mrow><mml:mrow><mml:mi>b</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mn>3</mml:mn></mml:mrow></mml:msup></mml:math></inline-formula>. Hence, <inline-formula><mml:math id="m20" display='inline'><mml:msup><mml:mrow><mml:mi>V</mml:mi><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>a</mml:mi></mml:mrow><mml:mrow><mml:mi>b</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mn>3</mml:mn></mml:mrow></mml:msup></mml:math></inline-formula> is the saturation level of the model. If we take the initial volume <inline-formula><mml:math id="m21" display='inline'><mml:msup><mml:mrow><mml:msub><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub><mml:mo>&gt;</mml:mo><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>a</mml:mi></mml:mrow><mml:mrow><mml:mi>b</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mn>3</mml:mn></mml:mrow></mml:msup></mml:math></inline-formula> the volume reduces exponentially over time and is stable at <inline-formula><mml:math id="m22" display='inline'><mml:msup><mml:mrow><mml:mi>V</mml:mi><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>a</mml:mi></mml:mrow><mml:mrow><mml:mi>b</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mn>3</mml:mn></mml:mrow></mml:msup></mml:math></inline-formula>. Also, if we take <inline-formula><mml:math id="m23" display='inline'><mml:msup><mml:mrow><mml:mi>V</mml:mi><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>a</mml:mi></mml:mrow><mml:mrow><mml:mi>b</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mn>3</mml:mn></mml:mrow></mml:msup></mml:math></inline-formula> the volume remains constant.</p>
</sec>
<sec id="t2-3-3">
<title>Richards’ model</title>
<p id="p-31">The logistic equation was originally designed to describe population growth, but it has also been applied to tumor growth modeling. The Tsoularis and Wallace [<xref ref-type="bibr" rid="B9">9</xref>] paper presents the mathematical representation of this model.</p>
<disp-formula><mml:math id="m24" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>a</mml:mi><mml:mi>V</mml:mi><mml:mfenced open="[" close="]"><mml:mrow><mml:mn>1</mml:mn><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:msup><mml:mrow><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>K</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mi>α</mml:mi></mml:mrow></mml:msup></mml:mrow></mml:mfenced></mml:math></disp-formula>
<p id="p-32">Here <italic>α</italic> is the positive exponent. We can analytically derive the solution of the above equation by letting <inline-formula><mml:math id="m25" display='inline'><mml:mfrac><mml:mrow><mml:msup><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>α</mml:mi><mml:mi> </mml:mi><mml:mo>–</mml:mo><mml:mi> </mml:mi><mml:mn>1</mml:mn></mml:mrow></mml:msup></mml:mrow><mml:mrow><mml:msup><mml:mrow><mml:mi>K</mml:mi></mml:mrow><mml:mrow><mml:mi>α</mml:mi></mml:mrow></mml:msup></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>U</mml:mi></mml:math></inline-formula> and by using the partial fraction <inline-formula><mml:math id="m26" display='inline'><mml:mfrac><mml:mrow><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mi>V</mml:mi><mml:mfenced open="[" close="]"><mml:mrow><mml:mn>1</mml:mn><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>K</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced><mml:mi>α</mml:mi></mml:mrow></mml:mfenced></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mi>V</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>+</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:msup><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>α</mml:mi><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:mn>1</mml:mn></mml:mrow></mml:msup></mml:mrow><mml:mrow><mml:msup><mml:mrow><mml:mi>K</mml:mi></mml:mrow><mml:mrow><mml:mi>α</mml:mi></mml:mrow></mml:msup><mml:mfenced open="[" close="]"><mml:mrow><mml:mn>1</mml:mn><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi>K</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced><mml:mi>α</mml:mi></mml:mrow></mml:mfenced></mml:mrow></mml:mfrac></mml:math></inline-formula>. Using these in the equation and integrating both sides we obtain the solution:</p>
<disp-formula><mml:math id="m27" display='block'><mml:mi>V</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:mfenced><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:mi>K</mml:mi></mml:mrow><mml:mrow><mml:msup><mml:mrow><mml:mfenced open="[" close="]"><mml:mrow><mml:mn>1</mml:mn><mml:mi> </mml:mi><mml:mo>+</mml:mo><mml:mi> </mml:mi><mml:mfenced open="{" close="}"><mml:mrow><mml:msup><mml:mrow><mml:mfenced><mml:mrow><mml:mfrac><mml:mrow><mml:mi>K</mml:mi></mml:mrow><mml:mrow><mml:msub><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mi>α</mml:mi></mml:mrow></mml:msup><mml:mo>-</mml:mo><mml:mn>1</mml:mn></mml:mrow></mml:mfenced><mml:msup><mml:mrow><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mo>-</mml:mo><mml:mi>a</mml:mi><mml:mi>α</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi><mml:mo>-</mml:mo><mml:msub><mml:mrow><mml:mi>t</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub></mml:mrow></mml:mfenced></mml:mrow></mml:msup></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mn>1</mml:mn><mml:mo>/</mml:mo><mml:mi>α</mml:mi></mml:mrow></mml:msup></mml:mrow></mml:mfrac></mml:math></disp-formula>
<p id="p-33">Similar to the logistic model, this model exhibits comparable behavior. However, by adjusting the value of <italic>α</italic> appropriately in <xref ref-type="fig" rid="fig7">Figure 7</xref>, the system can achieve stability faster than the logistic model.</p>
<fig id="fig7" position="float">
<label>Figure 7</label>
<caption>
<p id="fig7-p-1">Richards’ model for various initial volumes with <italic>a</italic> = 5 × 10<sup>–7</sup> m<sup>3</sup>·day<sup>–1</sup>, <italic>b</italic> = 0.1 × 10<sup>–7</sup> m<sup>3</sup>·day<sup>–1</sup>, <italic>α</italic> = 1.001, and <inline-formula><mml:math id="m28" display='inline'><mml:mi>K</mml:mi><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:mi>a</mml:mi></mml:mrow><mml:mrow><mml:mi>b</mml:mi></mml:mrow></mml:mfrac></mml:math></inline-formula></p>
<p id="fig7-p-2">
<italic>Note.</italic> Reprinted from “Mathematical Modelling of the Dynamics of Tumor Growth and its Optimal Control” by Ira JI, Islam MS, Misra JC, Kamrujjaman M. Int J Ground Sediment Water. 2020;11:659–79. (<uri xlink:href="https://www.preprints.org/manuscript/202004.0391/v2">https://www.preprints.org/manuscript/202004.0391/v2</uri>). CC BY.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g007.tif" />
</fig>
</sec>
</sec>
<sec id="t2-4">
<title>Time-delay model</title>
<p id="p-34">A time delay refers to a phenomenon where there is a delay or shift in the effect of an input on the resulting output dynamic response, typically in the context of a first-order linear system that incorporates a delay in its feedback mechanism.</p>
<sec id="t2-4-1">
<title>Temporal model</title>
<p id="p-35">One of the classic methods to model tumor growth is by employing differential equations to describe the total number of cells. This approach disregards the spatial characteristics of the cancerous growth.</p>
<disp-formula><mml:math id="m29" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>n</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>λ</mml:mi><mml:mi>n</mml:mi></mml:math></disp-formula>
<p id="p-36">Where <italic>n</italic> represents the number of tumor cells at time <italic>t</italic>, and <italic>λ</italic> is the proliferation rate of the tumor, which can be expressed in the form mentioned earlier.</p>
<disp-formula><mml:math id="m30" display='block'><mml:mi>n</mml:mi><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:msub><mml:mrow><mml:mi>n</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub><mml:msup><mml:mrow><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mi>λ</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:msup></mml:math></disp-formula>
<p id="p-37">Here <italic>n</italic> = <italic>n</italic><sub>0</sub>, is an initial tumor cell. This model assumes that the tumor grows exponentially at the rate <italic>λ</italic>, in the absence of treatment.</p>
</sec>
<sec id="t2-4-2">
<title>Delay differential equation model</title>
<p id="p-38">A delay differential equation is a type of mathematical equation where the rate of change of a variable at a certain time point depends not only on its current value but also on its past values, up to a certain time delay. In the context of modeling heterogeneous tumor growth, this time delay factor can be taken into account to capture the effect of spatial heterogeneity and other factors that may affect tumor growth over time. Here, time delay factor (<italic>τ</italic> units of time). Models of heterogeneous tumor growth:</p>
<disp-formula><mml:math id="m31" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>n</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>α</mml:mi><mml:mi>n</mml:mi><mml:mfenced open="[" close="]"><mml:mrow><mml:mn>1</mml:mn><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:mi>n</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:mi> </mml:mi><mml:mi>τ</mml:mi></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mi>c</mml:mi></mml:mrow></mml:mfrac></mml:mrow></mml:mfenced></mml:math></disp-formula>
<p id="p-39">Where <italic>n</italic> is the number of tumor cells, <italic>a</italic> is the growth rate, and <italic>c</italic> is the maximum carrying capacity for tumor cells.</p>
</sec>
<sec id="t2-4-3">
<title>Spatio-temporal model</title>
<p id="p-40">In the avascular tumor model, the shape of the tumor is assumed to be spherical. To describe this model, Murray [<xref ref-type="bibr" rid="B12">12</xref>] developed a density equation, which relates the growth rate of the tumor to the distribution of nutrients in the surrounding tissue. This equation is used to analyze how the growth of the tumor is influenced by factors such as the diffusion of nutrients and the consumption of oxygen.</p>
<p id="p-41">The rate of change of tumor cell population = the diffusion (motility) of tumor cells + the net proliferation of tumor cells.</p>
<disp-formula><mml:math id="m32" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>c</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mo>∇</mml:mo><mml:mfenced><mml:mrow><mml:mi>D</mml:mi><mml:mo>∇</mml:mo><mml:mi>c</mml:mi></mml:mrow></mml:mfenced><mml:mi> </mml:mi><mml:mo>+</mml:mo><mml:mi> </mml:mi><mml:mi>λ</mml:mi><mml:mi>c</mml:mi></mml:math></disp-formula>
<p id="p-42">Where <italic>c</italic> (<italic>x</italic>,<italic>t</italic>) designates the tumor cell density at <italic>x</italic> radial distance from the origin at time <italic>t</italic>, and <italic>λ</italic> is the proliferation rate, and <inline-formula><mml:math id="m33" display='inline'><mml:mo>∇</mml:mo></mml:math></inline-formula> defines the spatial gradient operator, <italic>D</italic> is the diffusion coefficient representing the active motility of tumor cells.</p>
<disp-formula><mml:math id="m34" display='block'><mml:mi>c</mml:mi><mml:mfenced><mml:mrow><mml:mi>x</mml:mi><mml:mo>,</mml:mo><mml:mi>t</mml:mi></mml:mrow></mml:mfenced><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:msub><mml:mrow><mml:mi>N</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub><mml:msup><mml:mrow><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mi>λ</mml:mi><mml:mfenced><mml:mrow><mml:msub><mml:mrow><mml:mi>t</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub><mml:mi> </mml:mi><mml:mo>+</mml:mo><mml:mi> </mml:mi><mml:mi>T</mml:mi></mml:mrow></mml:mfenced></mml:mrow></mml:msup><mml:msup><mml:mrow><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mo>-</mml:mo><mml:msup><mml:mrow><mml:mi>x</mml:mi></mml:mrow><mml:mrow><mml:mn>2</mml:mn><mml:mo>/</mml:mo><mml:mn>4</mml:mn><mml:mi>D</mml:mi><mml:msub><mml:mrow><mml:mi>t</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub></mml:mrow></mml:msup></mml:mrow></mml:msup></mml:mrow><mml:mrow><mml:mn>8</mml:mn><mml:msup><mml:mrow><mml:mfenced><mml:mrow><mml:mi>π</mml:mi><mml:mi>D</mml:mi><mml:msub><mml:mrow><mml:mi>t</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mn>3</mml:mn><mml:mo>/</mml:mo><mml:mn>2</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:mfrac></mml:math></disp-formula>
<p id="p-43">Initially, the tumor cell density is:</p>
<disp-formula><mml:math id="m35" display='block'><mml:mi>c</mml:mi><mml:mfenced><mml:mrow><mml:mi>x</mml:mi><mml:mo>,</mml:mo><mml:mn>0</mml:mn></mml:mrow></mml:mfenced><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfrac><mml:mrow><mml:msub><mml:mrow><mml:mi>N</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub><mml:msup><mml:mrow><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mi>λ</mml:mi><mml:mfenced><mml:mrow><mml:msub><mml:mrow><mml:mi>t</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub></mml:mrow></mml:mfenced></mml:mrow></mml:msup><mml:msup><mml:mrow><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mo>-</mml:mo><mml:msup><mml:mrow><mml:mi>x</mml:mi></mml:mrow><mml:mrow><mml:mn>2</mml:mn><mml:mo>/</mml:mo><mml:mn>4</mml:mn><mml:mi>D</mml:mi><mml:msub><mml:mrow><mml:mi>t</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub></mml:mrow></mml:msup></mml:mrow></mml:msup></mml:mrow><mml:mrow><mml:mn>8</mml:mn><mml:msup><mml:mrow><mml:mfenced><mml:mrow><mml:mi>π</mml:mi><mml:mi>D</mml:mi><mml:msub><mml:mrow><mml:mi>t</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mn>3</mml:mn><mml:mo>/</mml:mo><mml:mn>2</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:mfrac></mml:math></disp-formula>
</sec>
</sec>
<sec id="t2-5">
<title>Heterogeneous model</title>
<p id="p-44">The previous models assumed that all cells in a tumor are identical, but in reality, tumor cells can differ from one another. To account for this, cells can be divided into three types: proliferating cells, quiescent cells, and necrotic cells. The cells can change their state based on the local conditions, so that proliferating cells can become quiescent or necrotic cells, and quiescent cells can become proliferating or necrotic cells. This modeling approach allows for a more realistic representation of tumor behavior and can help to better understand tumor growth and response to treatment.</p>
<sec id="t2-5-1">
<title>Model of heterogeneous tumor growth</title>
<p id="p-45">During the tumor growth process, cells in proximity to blood vessels benefit from enhanced nutrient access, resulting in a higher rate of proliferation. Conversely, moving away from blood vessels entails a diminishing nutrient concentration due to consumption and diffusion. Consequently, a region emerges where cells receive just enough nutrients to survive without increasing, forming a quiescent layer. Further distancing from blood vessels leads to a nutrient concentration incapable of sustaining cell survival, resulting in necrosis and subsequent degradation of cells. This progression is visually depicted in a diagram illustrating the transitions between cell states, proliferation, and cell degradation. It’s important to acknowledge that in reality, these state changes are influenced by diverse environmental factors and may occur simultaneously in different tumor regions.</p>
<p id="p-46">If <italic>P</italic>(<italic>t</italic>), is the number of proliferating cells <italic>Q</italic>(<italic>t</italic>), is the number of quiescent cells <italic>D</italic>(<italic>t</italic>), is the number of necrotic cells at a time. Then the total number of tumor cells <italic>N</italic>(<italic>t</italic>), is the sum of all three types of cells that are given by:</p>
<disp-formula><mml:math id="m36" display='block'><mml:mi>N</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:mfenced><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>P</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:mfenced><mml:mi> </mml:mi><mml:mo>+</mml:mo><mml:mi> </mml:mi><mml:mi>Q</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:mfenced><mml:mi> </mml:mi><mml:mo>+</mml:mo><mml:mi> </mml:mi><mml:mi>D</mml:mi><mml:mfenced><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:mfenced></mml:math></disp-formula>
<p id="p-47">From the <xref ref-type="fig" rid="fig8">Figure 8</xref>, the following functions:</p>
<p id="p-48">
<list list-type="bullet">
<list-item>
<p>
<inline-formula><mml:math id="m37" display='inline'><mml:msub><mml:mrow><mml:mi mathvariant="script">M</mml:mi></mml:mrow><mml:mrow><mml:mi>α</mml:mi></mml:mrow></mml:msub></mml:math></inline-formula>, shows the rate at which proliferating cells produce new cells.</p>
</list-item>
<list-item>
<p>
<inline-formula><mml:math id="m38" display='inline'><mml:msub><mml:mrow><mml:mi mathvariant="script">M</mml:mi></mml:mrow><mml:mrow><mml:mi>β</mml:mi></mml:mrow></mml:msub></mml:math></inline-formula>, the rate at which the quiescent cells become proliferating.</p>
</list-item>
<list-item>
<p>
<inline-formula><mml:math id="m39" display='inline'><mml:msub><mml:mrow><mml:mi mathvariant="script">M</mml:mi></mml:mrow><mml:mrow><mml:mi>γ</mml:mi></mml:mrow></mml:msub></mml:math></inline-formula>, the rate at which the proliferating cells become quiescent.</p>
</list-item>
<list-item>
<p>
<inline-formula><mml:math id="m40" display='inline'><mml:mi mathvariant="script">Z</mml:mi></mml:math></inline-formula>, the rate at which the proliferating cells die.</p>
</list-item>
<list-item>
<p>
<inline-formula><mml:math id="m41" display='inline'><mml:mi mathvariant="script">L</mml:mi></mml:math></inline-formula>, the rate at which the quiescent cells die, and <italic>λ</italic> is the decay rate of the necrotic core. So, a mathematical model can be written as:</p>
</list-item>
</list>
</p>
<disp-formula><mml:math id="m42" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>P</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mfenced><mml:mrow><mml:msub><mml:mrow><mml:mi mathvariant="script">M</mml:mi></mml:mrow><mml:mrow><mml:mi>α</mml:mi></mml:mrow></mml:msub><mml:mi> </mml:mi><mml:mo>-</mml:mo><mml:msub><mml:mrow><mml:mi mathvariant="script"> </mml:mi><mml:mi mathvariant="script">M</mml:mi></mml:mrow><mml:mrow><mml:mi>β</mml:mi></mml:mrow></mml:msub><mml:mi mathvariant="script"> </mml:mi><mml:mo>-</mml:mo><mml:mi mathvariant="script"> </mml:mi><mml:mi mathvariant="script">Z</mml:mi></mml:mrow></mml:mfenced><mml:mi>P</mml:mi><mml:mi> </mml:mi><mml:mo>+</mml:mo><mml:mi> </mml:mi><mml:msub><mml:mrow><mml:mi mathvariant="script">M</mml:mi></mml:mrow><mml:mrow><mml:mi>β</mml:mi></mml:mrow></mml:msub><mml:mi>Q</mml:mi></mml:math></disp-formula>
<disp-formula><mml:math id="m43" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>Q</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:msub><mml:mrow><mml:mi mathvariant="script">M</mml:mi></mml:mrow><mml:mrow><mml:mi>γ</mml:mi></mml:mrow></mml:msub><mml:mi>P</mml:mi><mml:mi> </mml:mi><mml:mo>–</mml:mo><mml:mi> </mml:mi><mml:mo>(</mml:mo><mml:msub><mml:mrow><mml:mi mathvariant="script">M</mml:mi></mml:mrow><mml:mrow><mml:mi>β</mml:mi></mml:mrow></mml:msub><mml:mi mathvariant="script"> </mml:mi><mml:mo>+</mml:mo><mml:mi mathvariant="script"> </mml:mi><mml:mi mathvariant="script">L</mml:mi><mml:mo>)</mml:mo><mml:mi>Q</mml:mi></mml:math></disp-formula>
<disp-formula><mml:math id="m44" display='block'><mml:mfrac><mml:mrow><mml:mi>d</mml:mi><mml:mi>D</mml:mi></mml:mrow><mml:mrow><mml:mi>d</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:msub><mml:mrow><mml:mi mathvariant="script">M</mml:mi></mml:mrow><mml:mrow><mml:mi>γ</mml:mi></mml:mrow></mml:msub><mml:mi>P</mml:mi><mml:mi mathvariant="script"> </mml:mi><mml:mo>–</mml:mo><mml:mi mathvariant="script"> </mml:mi><mml:mi mathvariant="script">L</mml:mi><mml:mi>Q</mml:mi><mml:mi> </mml:mi><mml:mo>–</mml:mo><mml:mi> </mml:mi><mml:mi>λ</mml:mi><mml:mi>D</mml:mi></mml:math></disp-formula>
<fig id="fig8" position="float">
<label>Figure 8</label>
<caption>
<p id="fig8-p-1">Schematic figure of the model of heterogeneous tumor growth. <italic>K</italic><sub>pp</sub> represents the rate of cell birth, <italic>K</italic><sub>pd</sub> is the death rate of proliferating cells, <italic>K</italic><sub>pq</sub> the rate at which proliferating cells become quiescent and <italic>K</italic><sub>qp</sub> describes the transformation of Q to P, and <italic>K</italic><sub>qd</sub> is the rate death of quiescent cells</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g008.tif" />
</fig>
<p id="p-49">With the initial conditions as <italic>P</italic>(0) = <italic>P</italic><sub>0</sub>, <italic>Q</italic>(0) = <italic>Q</italic><sub>0</sub>, and <italic>D</italic>(0) = <italic>D</italic><sub>0</sub>.</p>
</sec>
<sec id="t2-5-2">
<title>Angiogenesis and vascular growth model</title>
<p id="p-50">The model successfully predicted the emergence of distinct regions within a tumor, including a necrotic core, a proliferating rim, and a quiescent region in the middle. Additionally, it considered the impact of anti-angiogenic factors, which could induce tumor size regression by prompting the regression of the capillary network. The methodology involved the integration of two domains: the solid tumor and the surrounding host tissue, and the vasculature domain. The vasculature domain was discretized using a 1D grid that evolved in a Lagrangian manner through the convected element method. <xref ref-type="fig" rid="fig9">Figure 9</xref> shows that communication between the two domains occurred through source and sink terms. The tissue featured a capillary network with a heterogeneous distribution based on a triangular sub-structure. This network evolved dependent on the production and diffusion of Vascular Endothelial Growth Factor (VEGF), Angiopoietin-1, and Angiopoietin-2 along with the presence of related receptors, activating new sides of the triangular mesh accordingly.</p>
<fig id="fig9" position="float">
<label>Figure 9</label>
<caption>
<p id="fig9-p-1">Model of vascular and angiogenesis tumor growth</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g009.tif" />
</fig>
</sec>
</sec>
<sec id="t2-6">
<title>Immunology model</title>
<p id="p-51">The immune system is a complex network of cells, tissues, and organs that work together to identify and destroy foreign invaders while leaving healthy cells alone. It includes various types of white blood cells, such as T cells, B cells, and natural killer (NK) cells, as well as other specialized cells and molecules. Immunology also involves the study of immune disorders, such as allergies, autoimmune diseases, and immunodeficiencies, which occur when the immune system fails to function properly. Understanding immunology is important for the development of vaccines, immunotherapies, and other treatments for diseases caused by infectious agents or immune disorders.</p>
<sec id="t2-6-1">
<title>Immune cell migration model</title>
<p id="p-52">The immune cell migration model is a mathematical model that describes the movement of immune cells, such as T-cells and dendritic cells, toward sites of inflammation or infection. The model assumes that immune cells are attracted to specific chemical signals, known as chemokines, which are produced by cells at the site of infection or inflammation. The model can be described mathematically using partial differential equations, which represent the concentration of chemokines and immune cells over space and time. The equations take into account the diffusion of chemokines and the movement of immune cells towards regions of high chemokine concentration. The equations can be written as follows:</p>
<disp-formula><mml:math id="m45" display='block'><mml:mfrac><mml:mrow><mml:mo>∂</mml:mo><mml:mi>c</mml:mi></mml:mrow><mml:mrow><mml:mo>∂</mml:mo><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:mi>D</mml:mi><mml:msup><mml:mrow><mml:mo>∇</mml:mo></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:msup><mml:mi>c</mml:mi><mml:mi> </mml:mi><mml:mo>–</mml:mo><mml:mi> </mml:mi><mml:mi>k</mml:mi><mml:mi>c</mml:mi></mml:math></disp-formula>
<disp-formula><mml:math id="m46" display='block'><mml:mfrac><mml:mrow><mml:mo>∂</mml:mo><mml:mi>n</mml:mi></mml:mrow><mml:mrow><mml:mo>∂</mml:mo><mml:mi>t</mml:mi></mml:mrow></mml:mfrac><mml:mi> </mml:mi><mml:mo>=</mml:mo><mml:mi> </mml:mi><mml:msub><mml:mrow><mml:mi>D</mml:mi></mml:mrow><mml:mrow><mml:mi>n</mml:mi></mml:mrow></mml:msub><mml:msup><mml:mrow><mml:mo>∇</mml:mo></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:msup><mml:mi>n</mml:mi><mml:mi> </mml:mi><mml:mo>+</mml:mo><mml:mi> </mml:mi><mml:mi>χ</mml:mi><mml:msub><mml:mrow><mml:mi>c</mml:mi></mml:mrow><mml:mrow><mml:mi>n</mml:mi></mml:mrow></mml:msub></mml:math></disp-formula>
<p id="p-53">These equations describe how chemokines and immune cells interact in a system. The first equation talks about how chemokines are produced and spread out, but they also degrade over time. The second equation explains how immune cells move towards areas where there are lots of chemokines, with <italic>χ</italic> representing how sensitive the cells are to these chemical signals. Graphs can help us understand how immune cells move in response to chemokine concentration. The values of the parameters were obtained from <xref ref-type="table" rid="t1">Table 1</xref>.</p>
<table-wrap id="t1">
<label>Table 1</label>
<caption>
<p id="t1-p-1">Model parameters, descriptions, and values are chosen for simulations</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th>
<bold>Notation</bold>
</th>
<th>
<bold>Value</bold>
</th>
<th>
<bold>Description</bold>
</th>
</tr>
</thead>
<tbody>
<tr>
<td>
<italic>C</italic>
</td>
<td>7 × 10<sup>–1</sup></td>
<td>Cancer cells</td>
</tr>
<tr>
<td>
<italic>I</italic>
</td>
<td>2.1 × 10<sup>–2</sup></td>
<td>Immune system</td>
</tr>
<tr>
<td>
<italic>E</italic>
</td>
<td>3.8 × 10<sup>–1</sup></td>
<td>Elimination of cancer cells</td>
</tr>
<tr>
<td>
<italic>IC</italic>
</td>
<td>5.7 × 10<sup>–2</sup></td>
<td>Complex formed between the immune system and cancer cells</td>
</tr>
<tr>
<td>
<italic>c</italic>
</td>
<td>1 × 10<sup>–7</sup></td>
<td>Concentration of chemokines</td>
</tr>
<tr>
<td>
<italic>n</italic>
</td>
<td>3.42 × 10<sup>–10</sup></td>
<td>Concentration of immune cells</td>
</tr>
<tr>
<td>
<italic>k</italic>
</td>
<td>1.8 × 10<sup>–8</sup></td>
<td>Degradation rate of chemokines</td>
</tr>
<tr>
<td>
<italic>D<sub>n</sub></italic>
</td>
<td>1.3 × 10<sup>–4</sup></td>
<td>Diffusion coefficient of immune cells</td>
</tr>
<tr>
<td>
<italic>t</italic>
</td>
<td>Est</td>
<td>Time</td>
</tr>
<tr>
<td>
<italic>χ</italic>
</td>
<td>Est</td>
<td>Sensitivity of immune cells to chemokines</td>
</tr>
<tr>
<td>
<italic>D</italic>
</td>
<td>4.13 × 10<sup>–2</sup></td>
<td>Diffusion coefficient of chemokines</td>
</tr>
<tr>
<td>
<italic>c<sub>n</sub></italic>
</td>
<td>5 × 10<sup>–3</sup></td>
<td>Sensitivity of concentration of chemokines</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p id="t1-fn-1">
<italic>Note.</italic> Adapted from “Modeling cancer immunoediting in tumor microenvironment with system characterizationthrough the ising-model Hamiltonian” by Rojas-Domínguez A, Arroyo-Duarte R, Rincón-Vieyra F, Alvarado-Mentado M. BMC Bioinformatics. 2022;30:200. (<uri xlink:href="https://bmcbioinformatics.biomedcentral.com/articles/10.1186/s12859-022-04731-w#citeas">https://bmcbioinformatics.biomedcentral.com/articles/10.1186/s12859-022-04731-w#citeas</uri>). CC BY.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p id="p-54">The variation in chemokine concentration over time and distance illustrates in the <xref ref-type="fig" rid="fig10">Figure 10</xref> diminishing concentration as it diffuses away from the infection or inflammation source. Meanwhile, a graphical representation of immune cell concentration over time and distance showcases the migration of immune cells towards areas with elevated chemokine concentration, ultimately accumulating at the infection or inflammation site. The immune cell migration model serves as a valuable framework for comprehending the dynamics of immune cell movement towards infection or inflammation sites, offering insights into how factors like chemokine concentration and immune cell sensitivity can influence this process.</p>
<fig id="fig10" position="float">
<label>Figure 10</label>
<caption>
<p id="fig10-p-1">Chemokines Immune Cell migration model (2 period moving average)</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g010.tif" />
</fig>
</sec>
</sec>
<sec id="t2-7">
<title>Cancer immunoediting model</title>
<p id="p-55">The cancer immunoediting model describes the dynamic relationship between the immune system and cancer cells during tumor development. The model consists of three phases: elimination, equilibrium, and escape. The probability density visualizations in <xref ref-type="fig" rid="fig11">Figures 11</xref>, <xref ref-type="fig" rid="fig12">12</xref>, and <xref ref-type="fig" rid="fig13">13</xref> offer a representation of the energy distribution during the latter phase of the simulations. Instead of depicting the system’s temporal dynamics, these plots encapsulate the system’s energy in a stabilized state.</p>
<fig id="fig11" position="float">
<label>Figure 11</label>
<caption>
<p id="fig11-p-1">Elimination phase of the immunoediting model. The graph represents the probability density functions for two different groups during an elimination phase, with strength level on the x-axis and probability density on the y-axis. The red dashed line corresponds to the first group with lower strength levels, while the blue solid line corresponds to the second group with higher strength levels</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g011.tif" />
</fig>
<fig id="fig12" position="float">
<label>Figure 12</label>
<caption>
<p id="fig12-p-1">Equilibrium phase of the immunoediting model. The graph represents the probability density functions for two different groups during an equilibrium phase, with strength level on the x-axis and probability density on the y-axis. The red dashed line corresponds to the first group with lower strength levels, while the blue solid line corresponds to the second group with moderately higher strength levels</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g012.tif" />
</fig>
<fig id="fig13" position="float">
<label>Figure 13</label>
<caption>
<p id="fig13-p-1">Escape phase of the immunoediting model table [<xref ref-type="bibr" rid="B1">1</xref>]. The graph represents the probability density functions for two different groups during an E phase, with strength level on the x-axis and probability density on the y-axis. The red dashed line corresponds to the first group with lower strength levels, while the blue solid line corresponds to the second group with moderately higher strength levels</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003149-g013.tif" />
</fig>
<p id="p-56">Elimination phase: the immune system recognizes and eliminates cancer cells. The equation can represent this:</p>
<p id="p-57">Immune system (I) + Cancer cells (C) → Elimination of cancer cells</p>
<p id="p-58">I + C → Elimination of cancer cells</p>
<p id="p-59">Where I represent the immune system and C represents cancer cells. Immune system attacking and destroying cancer cells. The graph for this phase would show in <xref ref-type="fig" rid="fig11">Figure 11</xref> a decrease in the number of cancer cells over time. The values of the parameters were obtained from <xref ref-type="table" rid="t1">Table 1</xref>.</p>
<p id="p-60">Equilibrium phase: The immune system can keep cancer cells in check, preventing them from forming a tumor. A balance between the immune system and cancer cells characterizes this phase.</p>
<p id="p-61">I + C ↔ IC</p>
<p id="p-62">Where IC represents the complex formed between the immune system and cancer cells. It represents the equilibrium between the immune system and cancer cells. The graph for this phase would show in <xref ref-type="fig" rid="fig12">Figure 12</xref> a relatively stable number of cancer cells over time, as the immune system can keep the cancer cells. However, cancer cells may acquire mutations that allow them to evade the immune system and progress to the next phase. The values of the parameters were obtained from <xref ref-type="table" rid="t1">Table 1</xref>.</p>
<p id="p-63">Escape phase: Cancer cells acquire mutations that allow them to evade the immune system and form a tumor. This phase is characterized by cancer cells escaping immune recognition and attacking, leading to tumor growth and metastasis.</p>
<p id="p-64">C + I→ Escape</p>
<p id="p-65">It represents cancer cells escaping immune recognition and attacking. This phase is the most advanced stage of cancer immunoediting and represents the failure of the immune system to control the growth of cancer cells. The graph for this phase would show in <xref ref-type="fig" rid="fig13">Figure 13</xref> a rapid increase in the number of cancer cells over time. The values of the parameters were obtained from <xref ref-type="table" rid="t1">Table 1</xref>.</p>
<p id="p-66">The cancer immunoediting model highlights the importance of the immune system in tumor development and provides a framework for understanding how the immune system can be harnessed to treat cancer, such as through immunotherapy. By understanding the different phases of cancer immunoediting, researchers can develop strategies to enhance the immune system’s ability to recognize and eliminate cancer cells or to restore the balance between the immune system and cancer cells in the equilibrium phase.</p>
</sec>
</sec>
<sec id="s3">
<title>Results</title>
<p id="p-67">Begin by introducing the different mathematical models used to study tumor growth dynamics, such as exponential, logistic, time-delay, heterogeneous, and immunology models.</p>
<sec id="t3-1">
<title>Exponential models</title>
<p id="p-68">Malthusian model: This model assumes that tumor growth is directly proportional to the number of tumor cells present. When the growth parameter (r) is positive, tumor volume increases exponentially over time, indicating rapid growth. Conversely, when r is negative, tumor volume decreases exponentially, implying decay or treatment effectiveness in <xref ref-type="fig" rid="fig1">Figure 1</xref>. A value of zero for r suggests that tumor size remains constant, indicating a balance between growth and decay.</p>
<p id="p-69">Power law model: Unlike the Malthusian model, the power law model considers that the rate of tumor growth changes as the tumor becomes larger. The parameter ‘b’ determines the nature of tumor growth: if b &gt; 1, the growth rate accelerates with increasing tumor volume, while if 0 &lt; b &lt; 1, growth slows down in <xref ref-type="fig" rid="fig2">Figure 2</xref>. This model provides a more realistic representation of tumor growth dynamics.</p>
<p id="p-70">Migration model: This model incorporates migration effects on tumor growth. A positive migration rate (K) leads to an increase in tumor volume over time as new cells migrate and contribute to growth in <xref ref-type="fig" rid="fig3">Figure 3</xref>. Conversely, a negative migration rate results in a decrease in tumor volume, reflecting cell migration away from the tumor.</p>
<p id="p-71">Gompertz model: The Gompertz model exhibits sigmoidal growth dynamics, reflecting a slow initial growth rate followed by accelerated growth and eventual saturation. Positive growth rates lead to exponential tumor volume increase over time, while negative rates result in exponential decay. When the growth rate equals zero, the tumor volume stabilizes in <xref ref-type="fig" rid="fig4">Figure 4</xref>. This model effectively predicts tumor growth characteristics, particularly in breast and lung cancers, aiding in treatment strategy optimization and prognosis assessment.</p>
</sec>
<sec id="t3-2">
<title>Logistic models</title>
<p id="p-72">Generalized logistic model: This model considers the limited availability of resources for tumor growth, leading to a saturation point. The exponents (<italic>α</italic>, <italic>β</italic>, and <italic>γ</italic>) allow for various growth behaviors, influencing the stability and shape of the growth curve in <xref ref-type="fig" rid="fig5">Figure 5</xref>. It’s a versatile model capable of representing different growth scenarios.</p>
<p id="p-73">Von Bertalanffy model: It accounts for the relationship between tumor growth and its surface area, with the rate of cell death proportional to tumor size in <xref ref-type="fig" rid="fig6">Figure 6</xref>. The model reaches stability at a saturation level, providing insights into tumor growth dynamics under different conditions.</p>
<p id="p-74">Richards’ model: Similar to the logistic model, but with an adjustable exponent (<italic>α</italic>) allowing for faster stability in <xref ref-type="fig" rid="fig7">Figure 7</xref>. It offers flexibility in capturing tumor growth patterns with different parameters.</p>
</sec>
<sec id="t3-3">
<title>Time-delay models</title>
<p id="p-75">Temporal model: This model describes tumor growth over time without considering spatial characteristics. It assumes exponential growth in the absence of treatment, providing a basic understanding of tumor dynamics.</p>
<p id="p-76">Delay differential equation model: By incorporating time delays, this model captures spatial heterogeneity and other factors affecting tumor growth. It offers a more comprehensive representation of tumor behavior over time.</p>
</sec>
<sec id="t3-4">
<title>Heterogeneous models</title>
<p id="p-77">Model of heterogeneous tumor growth: By considering different types of tumor cells (proliferating, quiescent, necrotic), this model offers a more realistic depiction of tumor behavior in <xref ref-type="fig" rid="fig8">Figure 8</xref>. It accounts for spatial variations in cell states, providing insights into tumor progression and response to treatment.</p>
<p id="p-78">Angiogenesis and vascular growth model: This model predicts distinct regions within a tumor and considers the impact of anti-angiogenic factors on tumor regression in <xref ref-type="fig" rid="fig9">Figure 9</xref>. It integrates solid tumor and vascular domains to analyze tumor growth dynamics comprehensively.</p>
</sec>
<sec id="t3-5">
<title>Immunology models</title>
<p id="p-79">Immune cell migration model: Describes the movement of immune cells towards infection or inflammation sites based on chemotactic sensitivity in <xref ref-type="fig" rid="fig10">Figure 10</xref>. It illustrates how immune cells respond to chemical signals, aiding in the understanding of immune system dynamics.</p>
<p id="p-80">Cancer immunoediting model: This model highlights the dynamic interaction between the immune system and cancer cells during tumor development in <xref ref-type="fig" rid="fig11">Figures 11</xref>, <xref ref-type="fig" rid="fig12">12</xref>, and <xref ref-type="fig" rid="fig13">13</xref>. It emphasizes the role of the immune system in controlling cancer growth and progression through different phases, providing insights into potential immunotherapy strategies.</p>
<p id="p-81">Each of these models contributes to our understanding of tumor growth and the immune response, offering valuable insights for cancer research and treatment development. By considering various factors such as growth parameters, migration effects, and immune system interactions, these models provide a comprehensive framework for studying tumor dynamics in different contexts.</p>
</sec>
</sec>
<sec id="s4">
<title>Discussion</title>
<p id="p-82">We have explored various mathematical models to study tumor growth and analyzed their effectiveness in predicting the behavior of tumor cells. In addition to the traditional exponential and logistic models, we have also investigated the reaction-diffusion model using a one-dimensional equation and studied the impact of heterogeneity and time delay on tumor growth. we have incorporated the immune system into our models to explore its impact on tumor growth and found that it plays a crucial role in controlling tumor cell proliferation. We have also developed a model to investigate the optimal control in the case of chemotherapy and analyzed its effectiveness in reducing tumor cell volume. Through our numerical analysis using the Finite difference method, we have observed that the initial location of a tumor and the diffusion coefficients are critical factors in predicting tumor growth. Furthermore, we have demonstrated the potential of mathematical modeling in predicting tumor growth without the need for laboratory tests. Overall, our study highlights the significance of interdisciplinary research between Mathematics and Biology in advancing our understanding of tumor growth and developing effective strategies for cancer treatment.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Declarations</title>
<sec id="t-5-1">
<title>Acknowledgments</title>
<p>This work is supported under a research project entitled “Mathematical modeling of tumor growth and its treatments” granted by the U.P. State Government under the supervision of Prof. Sanjeev Kumar.</p>
</sec>
<sec id="t-5-2">
<title>Author contributions</title>
<p>DG: Conceptualization, Methodology, Formal analysis, Investigation, Visualization, Writing—original draft. SK: Conceptualization, Writing—review &amp; editing, Supervision. RS: Data curation. DD: Validation, Writing—review &amp; editing.</p>
</sec>
<sec id="t-5-3" sec-type="COI-statement">
<title>Conflicts of interest</title>
<p>The authors declare that they have no conflicts of interest.</p>
</sec>
<sec id="t-5-4">
<title>Ethical approval</title>
<p>Not applicable.</p>
</sec>
<sec id="t-5-5">
<title>Consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec id="t-5-6">
<title>Consent to publication</title>
<p>Not applicable.</p>
</sec>
<sec id="t-5-7" sec-type="data-availability">
<title>Availability of data and materials</title>
<p>The datasets that support the findings of this study are available from the corresponding author upon reasonable request.</p>
</sec>
<sec id="t-5-8">
<title>Funding</title>
<p>Not applicable.</p>
</sec>
<sec id="t-5-9">
<title>Copyright</title>
<p>© The Author(s) 2024.</p>
</sec>
</sec>
<ref-list>
<ref id="B1">
<label>1</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gompertz</surname>
<given-names>B</given-names>
</name>
</person-group>
<article-title>On the nature of the function expressive of the law of human mortality, and on a new mode of determining the value of life contingencies</article-title>
<source>Philos Trans R Soc Lond</source>
<year iso-8601-date="1825">1825</year>
<volume>115</volume>
<fpage>513</fpage>
<lpage>83</lpage>
<pub-id pub-id-type="doi">10.1098/rstl.1825.0026</pub-id></element-citation>
</ref>
<ref id="B2">
<label>2</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Winsor</surname>
<given-names>CP</given-names>
</name>
</person-group>
<article-title>The Gompertz Curve as a Growth Curve</article-title>
<source>Proc Natl Acad Sci U S A</source>
<year iso-8601-date="1932">1932</year>
<volume>18</volume>
<fpage>1</fpage>
<lpage>8</lpage>
<pub-id pub-id-type="doi">10.1073/pnas.18.1.1</pub-id><pub-id pub-id-type="pmid">16577417</pub-id><pub-id pub-id-type="pmcid">PMC1076153</pub-id></element-citation>
</ref>
<ref id="B3">
<label>3</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Laird</surname>
<given-names>AK</given-names>
</name>
<name>
<surname>Tyler</surname>
<given-names>SA</given-names>
</name>
<name>
<surname>Barton</surname>
<given-names>AD</given-names>
</name>
</person-group>
<article-title>Dynamics of normal growth</article-title>
<source>Growth</source>
<year iso-8601-date="1965">1965</year>
<volume>29</volume>
<fpage>233</fpage>
<lpage>48</lpage>
<pub-id pub-id-type="pmid">5865686</pub-id></element-citation>
</ref>
<ref id="B4">
<label>4</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Burton</surname>
<given-names>AC</given-names>
</name>
</person-group>
<article-title>Rate of growth of solid tumours as a problem of diffusion</article-title>
<source>Growth</source>
<year iso-8601-date="1966">1966</year>
<volume>30</volume>
<fpage>157</fpage>
<lpage>76</lpage>
<pub-id pub-id-type="pmid">5963695</pub-id></element-citation>
</ref>
<ref id="B5">
<label>5</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Orme</surname>
<given-names>ME</given-names>
</name>
<name>
<surname>Chaplain</surname>
<given-names>MAJ</given-names>
</name>
</person-group>
<article-title>A mathematical model of vascular tumour growth and invasion</article-title>
<source>Math Comput Modell</source>
<year iso-8601-date="1996">1996</year>
<volume>23</volume>
<fpage>43</fpage>
<lpage>60</lpage>
<pub-id pub-id-type="doi">10.1016/0895-7177(96)00053-2</pub-id></element-citation>
</ref>
<ref id="B6">
<label>6</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Anderson</surname>
<given-names>AR</given-names>
</name>
<name>
<surname>Chaplain</surname>
<given-names>MA</given-names>
</name>
</person-group>
<article-title>Continuous and discrete mathematical models of tumor-induced angiogenesis</article-title>
<source>Bull Math Biol</source>
<year iso-8601-date="1998">1998</year>
<volume>60</volume>
<fpage>857</fpage>
<lpage>99</lpage>
<pub-id pub-id-type="doi">10.1006/bulm.1998.0042</pub-id><pub-id pub-id-type="pmid">9739618</pub-id></element-citation>
</ref>
<ref id="B7">
<label>7</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bellomo</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Preziosi</surname>
<given-names>L</given-names>
</name>
</person-group>
<article-title>Modelling and mathematical problems related to tumor evolution and its interaction with the immune system</article-title>
<source>Math Comput Modell</source>
<year iso-8601-date="2000">2000</year>
<volume>32</volume>
<fpage>413</fpage>
<lpage>52</lpage>
<pub-id pub-id-type="doi">10.1016/s0895-7177(00)00143-6</pub-id></element-citation>
</ref>
<ref id="B8">
<label>8</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sherratt</surname>
<given-names>JA</given-names>
</name>
<name>
<surname>Chaplain</surname>
<given-names>MA</given-names>
</name>
</person-group>
<article-title>A new mathematical model for avascular tumour growth</article-title>
<source>J Math Biol</source>
<year iso-8601-date="2001">2001</year>
<volume>43</volume>
<fpage>291</fpage>
<lpage>312</lpage>
<pub-id pub-id-type="doi">10.1007/s002850100088</pub-id><pub-id pub-id-type="pmid">12120870</pub-id></element-citation>
</ref>
<ref id="B9">
<label>9</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tsoularis</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Wallace</surname>
<given-names>J</given-names>
</name>
</person-group>
<article-title>Analysis of logistic growth models</article-title>
<source>Math Biosci</source>
<year iso-8601-date="2002">2002</year>
<volume>179</volume>
<fpage>21</fpage>
<lpage>55</lpage>
<pub-id pub-id-type="doi">10.1016/s0025-5564(02)00096-2</pub-id><pub-id pub-id-type="pmid">12047920</pub-id></element-citation>
</ref>
<ref id="B10">
<label>10</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Villasana</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Radunskaya</surname>
<given-names>A</given-names>
</name>
</person-group>
<article-title>A delay differential equation model for tumor growth</article-title>
<source>J Math Biol</source>
<year iso-8601-date="2003">2003</year>
<volume>47</volume>
<fpage>270</fpage>
<lpage>94</lpage>
<pub-id pub-id-type="doi">10.1007/s00285-003-0211-0</pub-id><pub-id pub-id-type="pmid">12955460</pub-id></element-citation>
</ref>
<ref id="B11">
<label>11</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Misra</surname>
<given-names>JC</given-names>
</name>
<name>
<surname>Dravid</surname>
<given-names>B</given-names>
</name>
</person-group>
<article-title>A mathematical model in the study of genes for identifying transcription factor binding sites</article-title>
<source>Comput Math Appl</source>
<year iso-8601-date="2006">2006</year>
<volume>51</volume>
<fpage>621</fpage>
<lpage>30</lpage>
<pub-id pub-id-type="doi">10.1016/j.camwa.2005.06.013</pub-id></element-citation>
</ref>
<ref id="B12">
<label>12</label>
<element-citation publication-type="book">
<person-group person-group-type="author">
<name>
<surname>Murray</surname>
<given-names>JD</given-names>
</name>
</person-group>
<source>Mathematical Biology: I</source>
<comment>An Introduction. 3rd ed. Springer-Verlag Berlin Heidelberg; 2002.</comment>
</element-citation>
</ref>
<ref id="B13">
<label>13</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yang</surname>
<given-names>HM</given-names>
</name>
</person-group>
<article-title>Mathematical modeling of solid cancer growth with angiogenesis</article-title>
<source>Theor Biol Med Model</source>
<year iso-8601-date="2012">2012</year>
<volume>9</volume>
<elocation-id>2</elocation-id>
<pub-id pub-id-type="doi">10.1186/1742-4682-9-2</pub-id><pub-id pub-id-type="pmid">22300422</pub-id><pub-id pub-id-type="pmcid">PMC3344686</pub-id></element-citation>
</ref>
<ref id="B14">
<label>14</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dixit</surname>
<given-names>DS</given-names>
</name>
<name>
<surname>Kumar</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Kumar</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Johri</surname>
<given-names>R</given-names>
</name>
</person-group>
<article-title>Mathematical Modelling For Chemotherapy Of Tumor Growth With Aspect Of Biological Stoichiometry</article-title>
<source>Global J Pure Appl Math</source>
<year iso-8601-date="2015">2015</year>
<volume>11</volume>
<fpage>2581</fpage>
<lpage>7</lpage>
</element-citation>
</ref>
<ref id="B15">
<label>15</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Cheng</surname>
<given-names>H</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Y</given-names>
</name>
</person-group>
<article-title>Dynamic analysis of unilateral diffusion Gompertz model with impulsive control strategy</article-title>
<source>Adv Differ Equ</source>
<year iso-8601-date="2018">2018</year>
<elocation-id>32</elocation-id>
<pub-id pub-id-type="doi">10.1186/s13662-018-1484-3</pub-id></element-citation>
</ref>
<ref id="B16">
<label>16</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wei</surname>
<given-names>HC</given-names>
</name>
</person-group>
<article-title>A mathematical model of tumour growth with Beddington-DeAngelis functional response: a case of cancer without disease</article-title>
<source>J Biol Dyn</source>
<year iso-8601-date="2018">2018</year>
<volume>12</volume>
<fpage>194</fpage>
<lpage>210</lpage>
<pub-id pub-id-type="doi">10.1080/17513758.2017.1418028</pub-id><pub-id pub-id-type="pmid">29322865</pub-id></element-citation>
</ref>
<ref id="B17">
<label>17</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yin</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Moes</surname>
<given-names>DJAR</given-names>
</name>
<name>
<surname>van Hasselt</surname>
<given-names>JGC</given-names>
</name>
<name>
<surname>Swen</surname>
<given-names>JJ</given-names>
</name>
<name>
<surname>Guchelaar</surname>
<given-names>HJ</given-names>
</name>
</person-group>
<article-title>A Review of Mathematical Models for Tumor Dynamics and Treatment Resistance Evolution of Solid Tumors</article-title>
<source>CPT Pharmacometrics Syst Pharmacol</source>
<year iso-8601-date="2019">2019</year>
<volume>8</volume>
<fpage>720</fpage>
<lpage>37</lpage>
<pub-id pub-id-type="doi">10.1002/psp4.12450</pub-id><pub-id pub-id-type="pmid">31250989</pub-id><pub-id pub-id-type="pmcid">PMC6813171</pub-id></element-citation>
</ref>
<ref id="B18">
<label>18</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ira</surname>
<given-names>JI</given-names>
</name>
<name>
<surname>Islam</surname>
<given-names>MS</given-names>
</name>
<name>
<surname>Misra</surname>
<given-names>JC</given-names>
</name>
<name>
<surname>Kamrujjaman</surname>
<given-names>M</given-names>
</name>
</person-group>
<article-title>Mathematical Modelling of the Dynamics of Tumor Growth and its Optimal Control</article-title>
<source>Int J Ground Sediment Water</source>
<year iso-8601-date="2020">2020</year>
<volume>11</volume>
<fpage>659</fpage>
<lpage>79</lpage>
<pub-id pub-id-type="doi">10.20944/preprints202004.0391.v1</pub-id></element-citation>
</ref>
<ref id="B19">
<label>19</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pourhasanzade</surname>
<given-names>F</given-names>
</name>
<name>
<surname>Sabzpoushan</surname>
<given-names>SH</given-names>
</name>
</person-group>
<article-title>A New Mathematical Model for Controlling Tumor Growth Based on Microenvironment Acidity and Oxygen Concentration</article-title>
<source>Biomed Res Int</source>
<year iso-8601-date="2021">2021</year>
<volume>2021</volume>
<elocation-id>8886050</elocation-id>
<pub-id pub-id-type="doi">10.1155/2021/8886050</pub-id><pub-id pub-id-type="pmid">33575354</pub-id><pub-id pub-id-type="pmcid">PMC7857879</pub-id></element-citation>
</ref>
<ref id="B20">
<label>20</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rojas-Domínguez</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Arroyo-Duarte</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Rincón-Vieyra</surname>
<given-names>F</given-names>
</name>
<name>
<surname>Alvarado-Mentado</surname>
<given-names>M</given-names>
</name>
</person-group>
<article-title>Modeling cancer immunoediting in tumor microenvironment with system characterization through the ising-model Hamiltonian</article-title>
<source>BMC Bioinformatics</source>
<year iso-8601-date="2022">2022</year>
<volume>23</volume>
<elocation-id>200</elocation-id>
<pub-id pub-id-type="doi">10.1186/s12859-022-04731-w</pub-id><pub-id pub-id-type="pmid">35637445</pub-id><pub-id pub-id-type="pmcid">PMC9150349</pub-id></element-citation>
</ref>
<ref id="B21">
<label>21</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ullah</surname>
<given-names>MA</given-names>
</name>
<name>
<surname>Mallick</surname>
<given-names>UK</given-names>
</name>
</person-group>
<article-title>Mathematical Modeling and Analysis on the Effects of Surgery and Chemotherapy on Lung Cancer</article-title>
<source>J Appl Math</source>
<year iso-8601-date="2023">2023</year>
<volume>2023</volume>
<fpage>1</fpage>
<lpage>16</lpage>
<pub-id pub-id-type="doi">10.1155/2023/4201373</pub-id></element-citation>
</ref>
<ref id="B22">
<label>22</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wei</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Du</surname>
<given-names>Z</given-names>
</name>
<name>
<surname>Deng</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>H</given-names>
</name>
</person-group>
<article-title>A Novel Pyroptosis-Based Prognostic Model Correlated with the Parainflammatory Immune Microenvironment of Pancreatic Cancer</article-title>
<source>J Appl Math</source>
<year iso-8601-date="2023">2023</year>
<volume>2023</volume>
<fpage>1</fpage>
<lpage>26</lpage>
<pub-id pub-id-type="doi">10.1155/2023/8776892</pub-id></element-citation>
</ref>
</ref-list>
</back>
</article>