That experience led her to her current focus: ageing. Liane now works with TwinsUK, a large longitudinal study tracking how genetics, lifestyle and clinical factors interact as people get older. From this data, she’s developing computational models that build a picture of an individual and how their health is likely to evolve over time, tracking changes across organs and predicting future risks before symptoms emerge.
She describes these models as a flight simulator for health. "When a pilot is learning to fly, you don’t try right away on the real plane," she explains. "If you build a digital twin and you try to simulate how you are ageing over time, it gives you the chance to learn all of the possibilities, and to pick what is the best path to land the flight in the most gracious and efficient way." That might mean testing the impact of a dietary change, or identifying that someone’s trajectory suggests they should be screened sooner than planned. Rather than a snapshot at the moment of diagnosis, the approach tracks the full journey.
There’s a paradox at the heart of personalised medicine that Liane is direct about: to build a model that’s truly specific to you, you first need everyone else’s data. "We cannot just build a model for yourself," she says. "We don’t have anything as a comparison, or something we can use as a starting point. The starting point comes from the population that are similar to you." From that baseline, the model can begin to trace what makes your trajectory distinct.