Projects per year
Personal profile
Research interests
My research brings together mechanistic modeling and data-driven AI to understand, predict, and ultimately improve outcomes in vascular disease, solid-organ transplantation, and oncology. I develop multiscale “digital twin” frameworks—combining agent-based models, differential-equation systems, computational fluid dynamics, and finite element methods with high-throughput data, 3D micro-CT–derived geometries, and modern machine-learning—to connect molecular and cellular mechanisms to clinical decision-making.
In vascular biology, I study how hemodynamics, inflammation, and gene programs shape maladaptive remodeling across settings such as vein-graft bypass, atherosclerosis, and in-stent restenosis. My group builds predictive models that couple local flow metrics to cellular dynamics and transcriptional signatures, with the goal of explaining lesion progression and guiding procedure design (e.g., stent deployment strategies) to reduce intimal hyperplasia and restenosis.
In transplantation, I focus on cardiac allograft vasculopathy and chronic rejection, integrating agent-based immuno-vascular modeling, CFD, and quantitative morphometry to dissect the interplay between geometry, flow, and immune-mediated injury. In parallel, we model the physiology of brain-dead donors to test hypotheses about inflammatory control and donor management, aiming to improve post-transplant graft survival. On the population side, we apply machine learning to large referral and evaluation cohorts to quantify risk and uncover inequities in kidney-transplant access, translating insights into actionable indices for earlier intervention.
In cancer systems biology, I build and validate computational models of prostate cancer/renal cancer bone metastasis that capture tumor–bone-vessel crosstalk and spatial dose effects, enabling in silico experimentation on single therpaies and combination strategies. Across projects, we pair simulations with imaging and experimental data to accelerate hypothesis generation and therapy optimization.
Finally, we develop deep-learning pipelines for microscopy image analysis (e.g., multiphoton tissue imaging) and unsupervised clinical phenotyping. Current efforts include stratifying patients with bloodstream infections and hypermobile Ehlers-Danlos syndrome, and extracting platelet-based inflammatory signatures to predict adverse outcomes—work that supports precision diagnostics and tailored care.
Keywords: multiscale modeling; agent-based modeling; computational fluid dynamics; systems biology; hemodynamics; transplant immunology; cardiac allograft vasculopathy; vein-graft remodeling; in-stent restenosis; digital twins; deep learning for microscopy; clinical machine learning; patient stratification; prostate cancer bone metastasis; micro-CT.
Education/Academic qualification
Applied Mathematical Sciences, PhD, Mathematical Models in Computational Surgery, Université de La Rochelle
Nov 1 2013 → Jun 17 2017
Award Date: Jun 17 2017
Biomedical Engineering, MS, Politecnico di Milano
Oct 1 2010 → Oct 3 2013
Award Date: Oct 3 2013
Biomedical Engineering, BS, Universita di Padova
Oct 1 2006 → Mar 26 2010
Award Date: Mar 26 2010
External positions
Adjunct Professor, University of La Rochelle
Mar 1 2022 → …
Research Area Keywords
- Cancer
- Heart & Vascular
- Immunobiology & Inflammation
- Infectious Disease & Pathology
- Outcomes, Quality & Health Care Performance
- Transplantation
- Systems Medicine & Bioinformatics
Divisions
- Abdominal Transplant
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Collaborations and top research areas from the last five years
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Overcoming Therapy Resistance by Integrated Computational Modeling of the Bone Metastatic Niche in Prostate and Renal Cancers
Casarin, S. (PI)
3/1/23 → 2/28/26
Project: State
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Integrating in vivo and in silico models of prostate cancer-bone metastasis to overcome anti-tumor therapy resistance
Casarin, S. (PI)
8/1/22 → 7/31/24
Project: Federal Funding Agencies
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Translational and Computational Analysis of Dialysis Fistula Maturation Failure
Casarin, S. (PI)
9/1/20 → 8/31/23
Project: Federal Funding Agencies
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Agent-based modeling of cellular dynamics in adoptive cell therapy
Wang, Y., Casarin, S., Daher, M., Mohanty, V., Dede, M., Shanley, M., Başar, R., Rezvani, K. & Chen, K., Feb 21 2025, (Unpublished) (bioRxiv).Research output: Working paper › Preprint
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Developing and Validating Machine Learning-Driven Risk Indices to Predict Patient Dropout During Referral, Evaluation, and Waitlisting for Kidney Transplant
Al Awadhi, S., Hsu, E., Potter, T. B. H., Kakadiaris, I. A., Axelrod, D. A., Parsons, F., Meinders, A. M., Cassell, V., Pulicken, C., Javed, Z., Shireman, P. K., Casarin, S., Jonathan Gelfond, A. L. & Waterman, A. D., Sep 2025, In: Clinical Transplantation. 39, 9, p. e70325 e70325.Research output: Contribution to journal › Article › peer-review
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Dissecting the effects of223Radium on the bone microenvironment
Barrios, S., Serafini, E., La Posta, L., Meyers, D. N., Dunbar, N. J., Corn, P. G., Elefteriou, F., Ambrose, C. G., Casarin, S., Mikos, A. G. & Dondossola, E., Oct 2025, In: Acta Pharmaceutica Sinica B. 15, 10, p. 5010-5021 12 p.Research output: Contribution to journal › Article › peer-review
Open Access -
Dissecting the effects of 223 Radium on the bone microenvironment
Barrios, S., Serafini, E., La Posta, L., Meyers, D. N., Dunbar, N. J., Corn, P. G., Elefteriou, F., Ambrose, C. G., Casarin, S., Mikos, A. G. & Dondossola, E., Oct 2025, In: Acta Pharmaceutica Sinica B. 15, 10, p. 5010-5021 12 p.Research output: Contribution to journal › Article › peer-review
Open Access -
In silico Digital Twins of Bone Metastasis Enable Investigation of Tumor Progression and Therapy Response
Marsilio, L., Barrios, S., Maksimovic, S., Maccarini, A., Serafini, E., Grimaldi, M., Heyman, T. J., Cerveri, P., Casarin, S. & Dondossola, E., Nov 3 2025, In: Cancer research. 85, 21, p. 4269-4284 16 p.Research output: Contribution to journal › Article › peer-review
Prizes
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Young Researcher Prize
Casarin, S. (Recipient), Oct 18 2019
Prize: Prize (including medals and awards)