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Digital Phantoms in Medical Research : Synthetic Data and the Pursuit of Ground Truth

Högberg, Charlotte LU orcid and Winter, Peter (2026) In Big Data and Society 13(2). p.1-12
Abstract
Digital phantoms are virtual representations of the human body used in medical research to test equipment, train medical professionals and develop or validate algorithms. These models can be created from ‘real-world’ clinical data or from ‘synthetic data’. Phantoms derived from clinical data often serves as ‘ground truth’ reference values anchored in empirical observations. However, there is growing demand for synthetic digital phantoms and datasets that do not originate from real patients, raising critical questions about how reliable knowledge is produced from data detached from reality. This article aims to investigate these issues through a document analysis of peer-reviewed publications on the development and use of digital phantoms... (More)
Digital phantoms are virtual representations of the human body used in medical research to test equipment, train medical professionals and develop or validate algorithms. These models can be created from ‘real-world’ clinical data or from ‘synthetic data’. Phantoms derived from clinical data often serves as ‘ground truth’ reference values anchored in empirical observations. However, there is growing demand for synthetic digital phantoms and datasets that do not originate from real patients, raising critical questions about how reliable knowledge is produced from data detached from reality. This article aims to investigate these issues through a document analysis of peer-reviewed publications on the development and use of digital phantoms in medical physics. We examine how researchers construct ‘ground truth’ and the challenges they encounter when advancing truth claims through technical work. By attending to the bodies fabricated in phantom creation and to the data made to represent human form, we show how synthetic data – detached from real human subjects – are valued for enabling researchers to sidestep the complexities or ‘messiness’ of real-world patients and clinical data. Moreover, we show how synthetic phantoms and data are framed as tools that enhance control and flexibility, functioning as ‘known truths’: workable approximations that enables the construction of what are claimed to be more representative datasets and models. This article contributes to STS and critical data studies by examining the nature and implications of digital representations and synthetic data in the development of machine-learning models in medicine, and the truth claims they support. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Digital Phantoms, synthetic data, Artifical Intelligence, Ground truth, Simulation, Medical research
in
Big Data and Society
volume
13
issue
2
pages
12 pages
publisher
SAGE Publications
ISSN
2053-9517
DOI
10.1177/20539517261447840
language
English
LU publication?
yes
id
5bd0a0be-771c-44c1-a033-847e6bd9ad41
date added to LUP
2026-03-27 13:37:31
date last changed
2026-05-19 09:37:33
@article{5bd0a0be-771c-44c1-a033-847e6bd9ad41,
  abstract     = {{Digital phantoms are virtual representations of the human body used in medical research to test equipment, train medical professionals and develop or validate algorithms. These models can be created from ‘real-world’ clinical data or from ‘synthetic data’. Phantoms derived from clinical data often serves as ‘ground truth’ reference values anchored in empirical observations. However, there is growing demand for synthetic digital phantoms and datasets that do not originate from real patients, raising critical questions about how reliable knowledge is produced from data detached from reality. This article aims to investigate these issues through a document analysis of peer-reviewed publications on the development and use of digital phantoms in medical physics. We examine how researchers construct ‘ground truth’ and the challenges they encounter when advancing truth claims through technical work. By attending to the bodies fabricated in phantom creation and to the data made to represent human form, we show how synthetic data – detached from real human subjects – are valued for enabling researchers to sidestep the complexities or ‘messiness’ of real-world patients and clinical data. Moreover, we show how synthetic phantoms and data are framed as tools that enhance control and flexibility, functioning as ‘known truths’: workable approximations that enables the construction of what are claimed to be more representative datasets and models. This article contributes to STS and critical data studies by examining the nature and implications of digital representations and synthetic data in the development of machine-learning models in medicine, and the truth claims they support.}},
  author       = {{Högberg, Charlotte and Winter, Peter}},
  issn         = {{2053-9517}},
  keywords     = {{Digital Phantoms; synthetic data; Artifical Intelligence; Ground truth; Simulation; Medical research}},
  language     = {{eng}},
  month        = {{05}},
  number       = {{2}},
  pages        = {{1--12}},
  publisher    = {{SAGE Publications}},
  series       = {{Big Data and Society}},
  title        = {{Digital Phantoms in Medical Research : Synthetic Data and the Pursuit of Ground Truth}},
  url          = {{http://dx.doi.org/10.1177/20539517261447840}},
  doi          = {{10.1177/20539517261447840}},
  volume       = {{13}},
  year         = {{2026}},
}