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Preprint . 2026
License: CC BY
Data sources: Datacite
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Spatiotemporal Coordination Framework v5.0: EPI Extension – Clinical Quantification of the Threshold Principle Through Integrated Effective Pressure

Authors: Park, hyokhan;

Spatiotemporal Coordination Framework v5.0: EPI Extension – Clinical Quantification of the Threshold Principle Through Integrated Effective Pressure

Abstract

Experimental research note This manuscript presents an experimental theoretical framework currently under active development.The concepts, terminology, and variable definitions are still being consolidated, and version consistency across related manuscripts has not yet been fully standardized. The present document integrates elements from a prior theoretical note and several tumor-specific analyses.It is released here for transparency and early documentation of the conceptual development process. This version should therefore be regarded as a working research manuscript, not a finalized publication.Subsequent versions may revise terminology, parameters, and structural definitions as the framework evolves. Version 5.0 extends the threshold principle introduced in Version 4.0 by defining Integrated Effective Pressure (EPI) as a quantitative representation of cumulative effective therapeutic burden after accounting for microenvironmental attenuation. Using a distributional interpretation and a simplified mixture hazard structure, this framework explains recurrent dissociation between objective response rate (ORR) and overall survival (OS) observed in resistant solid tumors, with representative reference to phase III pancreatic ductal adenocarcinoma trials. The document presents structural consistency analysis, illustrative quantitative reconstruction of hazard behavior, and threshold-based interpretation of survival transition. This work represents an evolutionary extension of the Spatiotemporal Coordination Framework and is intended as a theoretical and hypothesis-generating model rather than a definitive predictive tool.

Keywords

threshold principle Integrated Effective Pressure EPI spatiotemporal coordination survival transition hazard ratio pancreatic ductal adenocarcinoma microenvironment distributional model

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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