← Physiological and Medical Modelling

Tumour growth

Mathematical tumour-growth models describe how tumour cell number, mass or volume changes through time. Their purpose is not to give one universal law for cancer, but to provide simplified growth rules that can be compared with data and biological mechanisms.

Core intuition. The main modelling question is: how does the growth rate change as the tumour becomes larger? Different growth laws make different assumptions about this dependence.

Choose the state variable first

Let \(N(t)\) denote a measure of tumour size. Depending on the study, \(N\) might represent cell number, volume, mass or another measurable quantity.

The basic form is

\[\boxed{\frac{dN}{dt}=\text{net tumour growth rate}.}\]

The right-hand side combines proliferation and loss into one net growth law.

Exponential growth

The simplest model assumes that every tumour cell contributes the same constant net growth rate:

\[\boxed{\frac{dN}{dt}=rN.}\]

Its solution is

\[\boxed{N(t)=N_0e^{rt}.}\]

Here \(r>0\) is the net per-capita growth rate.

Why exponential growth accelerates

If the tumour doubles in size, there are twice as many cells contributing to future growth. Therefore the absolute growth rate \(rN\) also doubles.

This creates accelerating growth and a constant doubling time

\[\boxed{t_d=\frac{\ln2}{r}.}\]

Where exponential growth is useful

It can be a useful approximation over an early interval when resource limitation and spatial constraints are not yet strongly affecting growth.

However, indefinite exponential growth is biologically unrealistic because it predicts unlimited acceleration.

Logistic growth

The logistic model introduces a carrying-capacity scale \(K\):

\[\boxed{\frac{dN}{dt}=rN\left(1-\frac{N}{K}\right).}\]

When \(N\ll K\), growth is approximately exponential. As \(N\) approaches \(K\), net growth slows.

Logistic solution

\[\boxed{N(t)=\frac{K}{1+\left(\frac{K-N_0}{N_0}\right)e^{-rt}}.}\]

The curve is sigmoidal and the absolute growth rate is largest at \(N=K/2\).

Gompertz growth

\[\boxed{\frac{dN}{dt}=rN\ln\left(\frac{K}{N}\right).}\]

Its solution is

\[\boxed{N(t)=K\exp\left[\ln\left(\frac{N_0}{K}\right)e^{-rt}\right].}\]

The per-capita growth rate \(r\ln(K/N)\) decreases continuously as \(N\) increases.

Compare the three models

The following curves use the same initial size \(N_0=1\). For the bounded models, \(K=100\). Parameters are chosen only to illustrate qualitative differences.

All three curves are generated directly from their analytical solutions.
Important modelling point. A model that fits observed data over one time interval may still give poor predictions outside that interval. Extrapolation should be treated cautiously.

Absolute growth versus per-capita growth

ModelPer-capita growth rate
Exponential\(r\)
Logistic\(r(1-N/K)\)
Gompertz\(r\ln(K/N)\)
The functions show how each model assumes growth per unit tumour size changes as the tumour enlarges.

Why growth may slow biologically

Possible mechanisms include nutrient or oxygen limitation, spatial crowding, necrosis, immune interactions, mechanical constraints and changes in the proliferating fraction. A simple growth law compresses many such mechanisms into a few parameters.

Carrying capacity is a model parameter

In logistic and Gompertz models, \(K\) is a limiting scale in the equation. It should not automatically be interpreted as a fixed physical maximum imposed by one specific mechanism.

Volume and radius

If a tumour is approximated as a sphere of radius \(R\),

\[V=\frac{4}{3}\pi R^3.\]

A growth law written for radius is therefore not mathematically identical to the same-looking law written for volume.

Treatment as an additional loss term

\[\boxed{\frac{dN}{dt}=G(N)-T(N,t).}\]

For example, \(T(N,t)=u(t)N\) gives a simple proportional time-dependent treatment effect. This is a modelling structure rather than a clinical dosing rule.

Extensions

More detailed models may distinguish sensitive and resistant populations, represent spatial tumour density with reaction–diffusion equations, or include stochastic birth, death and mutation events.

Parameter estimation and uncertainty

Growth parameters are estimated from longitudinal measurements. Different models can fit limited data similarly well, measurement error can be substantial, and parameters such as \(K\) may be poorly identifiable if observations cover only the early growth phase.

A practical modelling workflow

Define the measured tumour-size variable. Plot the data. Start with a simple growth law. Fit parameters and inspect residuals. Compare alternative models. Quantify uncertainty. Add treatment, heterogeneity, spatial structure or stochasticity only when the biological question and data support the extra complexity.

Key idea. Tumour-growth models differ mainly in how growth changes with tumour size. Exponential growth has constant per-capita growth, logistic growth decreases linearly with size, and Gompertz growth decreases logarithmically. Model choice is an empirical and biological question.