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146  P. KOHL ET AL.



                               representation is being developed to allow simulation of respiratory move-
                               ment, and the computation of pulmonary ventilation and gas exchange is
                               well underway. Thus, the stage for patient-specific models is set.


                               8.5 The utility of virtual organs

                               8.5.1 Added value for research
                               Virtual organs will increasingly determine bio-medical research. Advan-
                               tages of in silico models include the following:
                               •  Complex investigations, for example on the (sub)cellular level, can be
                                 performed in a fraction of the time required for ‘wet’ (in vivo or in vitro)
                                 studies.
                               •  The costs involved are much smaller than for traditional research. This
                                 applies not only to direct financial aspects, but also to requirements in
                                 terms of human resources, and to ethical matters related, for example,
                                 to the origin of ‘wet’ tissue or organ samples.
                               •  The quality of information benefits from the fact that interventions
                                 and observations can be specifically targeted at any component or
                                 mechanism represented in the model, and at any desired temporal and
                                 spatial resolution.
                               •  While the first three points improve the quantity and quality of infor-
                                 mation, in silico models benefit further from their unrestricted poten-
                                 tial for customised presentation of results. This allows addressing
                                 aspects like individual preferences in information gathering, remote
                                 usage of models, interactive teaching and training, etc.
                                  So much for the advantages. Virtual organs clearly have one major
                               drawback: they are models only. While this very nature of in silico tech-
                               nology is the core foundation for the benefits listed above, it also calls for
                               a word of caution. It is imperative for in silico tools to be seen in the
                               context of a whole range of scientific and research tools, and to never
                               neglect that theoretical considerations will continue to need experimental
                               validation.
                                  Thus, in silico models are by no means self-sufficient. They are irre-
                               placeable for the future progress of bio-medicine. They do not aim,
                               however, to substitute but to improve bio-medical research, which will
                               remain indispensable, not the least for model development and validation.
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