TY - JOUR T1 - Digital Twin Framework Integrating Patient-Specific Computational Models and Real-Time Wearable Data for Personalized Management of Chronic Obstructive Pulmonary Disease Exacerbations AU - Mohamed Salah AU - Youssef Karim AU - Ahmed Nabil AU - Mahmoud Adel AU - Karim Hassan JF - Journal of Artificial Intelligence for Healthcare Systems JO - J. Artif. Intell. Healthc. Syst. SN - 3149-8981 Y1 - 2026 VL - 5 IS - 2 SP - 128 N2 - Chronic obstructive pulmonary disease (COPD) is a leading cause of death, with exacerbations worsening functional decline, reducing quality of life, and increasing healthcare use. Current management remains reactive, with treatment often initiated only after symptoms worsen. Existing monitoring approaches struggle to distinguish between clinically significant deterioration and normal variability, leading to delayed intervention. This article proposes a digital twin framework combining patient-specific respiratory models with real-time wearable data to predict and manage COPD exacerbations proactively. The framework includes a mechanistic lung model, continuous data ingestion, a data assimilation module, an exacerbation prediction layer, and an alert system, enabling early detection of physiological deviations before severe symptoms arise. By supporting pre-emptive telehealth, medication adjustments, and patient self-management with clinician oversight, this approach could shift COPD care from reactive to personalized, proactive management, pending robust modeling, reliable sensing, and real-world validation. UR - https://cirpublications.com/a527202896 ER -