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qtbi

Quantum Toxic Burden Index (QTBI) — encode correlated environmental exposures into a single, reproducible mixture burden score using a fixed quantum-inspired circuit.

QTBI is designed for environmental mixture epidemiology: you specify the exposure panel and (optionally) external potency benchmarks before outcome modeling. The encoder does not reweight components from the disease outcome.

Why use QTBI?

Step	What QTBI does
1. Normalize	Each exposure becomes a within-cohort percentile on `[0, 1]`
2. Encode	Percentiles pass through a fixed entanglement circuit controlled by synergy `s`
3. Read out	Marginal toxic probabilities sum to one scalar QTBI on `[0, n]`
4. Analyze	Use the scalar in standard regression (logistic, linear, etc.)

Optional potency-weighted readout applies external oral reference doses at the final step only, with automatic rescaling so weighted QTBI stays on the same [0, n] scale as the unweighted index.

Installation

install.packages("qtbi")  # after CRAN acceptance
# or:
# install.packages("remotes")
remotes::install_github("january-msemakweli/qtbi")

From a local clone of this repository:

install.packages(".", repos = NULL, type = "source")

Requirements: R (>= 4.1.0). No compiled code. No non-base runtime dependencies.

Quick start: four-metal mixture

library(qtbi)

# Example exposure data (complete cases only)
df <- data.frame(
  LBXBPB = c(0.8, 1.2, 2.1, 0.9),   # blood lead
  URXIAS = c(3.5, 8.2, 4.1, 12.0),  # urinary inorganic As + metabolites
  LBXBCD = c(0.2, 0.4, 0.3, 0.6),   # blood cadmium
  LBXTHG = c(0.5, 1.1, 2.0, 0.7)    # blood mercury
)

# Unweighted QTBI (equal readout weights)
processed <- estimate_qtbi(
  df,
  chemicals = c("LBXBPB", "URXIAS", "LBXBCD", "LBXTHG"),
  exposure_names = c("Pb", "As", "Cd", "Hg"),
  synergy_strength = 0.6
)

processed$qtbi
diagnose_qtbi(processed)

Potency-weighted QTBI

Supply oral reference doses in mg/kg/day (one per exposure). The package derives potency ratios, rescales weights to sum to n, and applies them at readout only.

ref <- c(
  Pb = 6.3e-4,   # external benchmark (mg/kg/day)
  As = 6.0e-5,
  Cd = 5.0e-4,
  Hg = 1.0e-4
)

weighted <- estimate_qtbi(
  df,
  chemicals = c("LBXBPB", "URXIAS", "LBXBCD", "LBXTHG"),
  exposure_names = c("Pb", "As", "Cd", "Hg"),
  synergy_strength = 0.6,
  reference_doses = ref,
  reference_index = "Pb"
)

qtbi_meta(weighted)$potency_weights

Inspect weights explicitly:

raw <- potency_weights_from_reference_doses(ref, c("Pb", "As", "Cd", "Hg"), "Pb")
normalize_potency_weights(raw)

Important: align each biomarker with the chemical form used in its benchmark, and review absolute cohort distributions before applying potency weights. A high regulatory weight on a background-level exposure can dominate the index.

Recommended workflow for mixture modeling

library(qtbi)

# 1. Prepare a complete-case analytic frame (no missing exposures)
# 2. Choose panel members (known/suspected toxicants, same direction)
# 3. Encode unweighted and (optionally) potency-weighted QTBI
processed_unw <- estimate_qtbi(
  df,
  chemicals = exposure_cols,
  exposure_names = metal_names,
  synergy_strength = 0.6
)

processed_wgt <- estimate_qtbi(
  df,
  chemicals = exposure_cols,
  exposure_names = metal_names,
  synergy_strength = 0.6,
  reference_doses = reference_doses,
  reference_index = "Pb"
)

# 4. Encoder diagnostics (exposure-only; no outcome)
diagnose_qtbi(processed_unw)
synergy_sensitivity(processed_unw, synergy_grid = seq(0, 1, by = 0.1))

# 5. Outcome modeling with standard tools
# glm(ckd ~ qtbi + covariates, data = processed_unw, family = binomial())

Design checklist

Panel selection — include only exposures assumed to increase burden in the same direction.
Biomarker–benchmark alignment — e.g. speciated inorganic arsenic for an inorganic arsenic RfD, not urinary total arsenic.
Distribution review — inspect medians/IQRs; percentiles alone can rank low absolute levels highly.
Synergy setting — use diagnose_qtbi() / synergy_sensitivity() over s ∈ [0, 1] without the outcome.
Compare readouts — report unweighted and potency-weighted QTBI side by side when weights are used.

Main functions

Function	Purpose
`estimate_qtbi()`	Percentile encoding + index computation
`diagnose_qtbi()`	Synergy sensitivity and monotonicity checks
`potency_weights_from_reference_doses()`	Raw potency ratios from oral benchmarks
`normalize_potency_weights()`	Rescale weights to the unweighted `[0, n]` scale
`qtbi_meta()`	Chemicals, synergy, weights, column names
`qtbi_help()`	Interactive help index

Advanced exports include build_statevector(), qtbi_from_pcts(), and synergy_diagnostics().

Repository layout

qtbi/
├── R/              # Package source
├── man/            # Documentation
├── tests/          # testthat suite
├── DESCRIPTION
├── NAMESPACE
├── NEWS.md
├── LICENSE
└── README.md

See the illustration/ folder in the GitHub repository for a minimal NHANES metal mixture example.

Development

R CMD build .
R CMD check qtbi_0.1.2.tar.gz --as-cran --no-manual

Run tests in R:

testthat::test_local()

Citation

If you use this package, please cite the methods specification and this software:

Msemakweli JG (2026). The Quantum Toxic Burden Index: Mathematical Specification.
Zenodo. https://doi.org/10.5281/zenodo.20476574

Msemakweli JG (2026). qtbi: Quantum Toxic Burden Index. R package version 0.1.2.
https://github.com/january-msemakweli/qtbi

License

These binaries (installable software) and packages are in development.
They may not be fully stable and should be used with caution. We make no claims about them.
Health stats visible at Monitor.