underlying.work

A physician-engineer record of work on complex, high-consequence problems—developing, evaluating, and reframing technologies and systems across medicine, engineering, operational resilience, and emerging risk.

Work

Hemispherectomy Surgical Simulator

2021

A surgical simulation system developed for epilepsy neurosurgical education, including investigation of accessible materials, simulator construction, and validation.

Contribution

Investigation of material properties, simulator development, and validation.

Outcome

A validated simulation approach for hemispherectomy training.

Evidence

University of Toronto thesis · IEEE EMBC 2021 paper

Pattern → Properties over categories

Magnetic Neurosurgical Tools

2025

Magnetically actuated instruments developed for dexterous manipulation through minimally invasive access to the brain, with phantom and in vivo evaluation.

Contribution

Neurosurgical input within a multidisciplinary tool-development program, including clinical and procedural requirements, tool testing, operative assessment, and feedback during experimental piglet surgery.

Outcome

Clinical and experimental evaluation of magnetically actuated neurosurgical tools, with neurosurgical input informing their operative use and assessment.

Evidence

Science Robotics · DOI

Pattern → Mechanisms over conventions

Digital Twin Technology

2022

A conceptual framework exploring digital twins for integrating longitudinal clinical information and predicting neurological complications associated with pediatric cancers and their treatment.

Contribution

Development of the conceptual framework and analysis of its potential application to pediatric neuro-oncology.

Outcome

A framework for applying digital-twin concepts to neurological complications of cancer and its treatment.

Evidence

Frontiers in Oncology

Pattern → Representation changes what can be seen

Reliance Lens

2026

A comparative instrument for testing whether technically different approaches actually create independent operational exposure.

Contribution

Development of the comparative framework, analytical sequence, and cross-domain stress tests.

Outcome

A method for distinguishing technical difference from operational independence.

Instrument

Approach → Function → Reliance → Coupling → Independence

Evidence

Instrument

Pattern → Reliance beneath difference

Nieleze

An initiative examining how organizations recognize, connect, and act on emerging risk, including structural conditions that can suppress, fragment, or delay signals.

Contribution

Development of the initiative, its analytical architecture, and associated instruments.

Outcome

An operational framework for examining how emerging risk becomes—or fails to become—actionable.

Evidence

Website · Pulse · Lens · GitHub

Pattern → Structure beneath the signal

Patterns

The cases differ in domain, technology, and scale. Several distinctions recur.

Properties over categories

A material's assigned category does not necessarily determine its usefulness. What matters may be a property that becomes valuable when the problem is reframed.

→ Hemispherectomy Surgical Simulator

Function before technology

Comparison becomes more meaningful when approaches are first examined by the function they must perform.

→ Reliance Lens

Reliance beneath difference

Technically different approaches may remain exposed to the same underlying people, infrastructure, resources, processes, or environmental conditions.

→ Reliance Lens

Representation changes what can be seen

Changing how a problem or its information is represented can make previously fragmented relationships analyzable.

→ Digital Twin Technology

Structure beneath the signal

The presence of information does not guarantee that surrounding conditions allow it to become connected, interpreted, or acted upon.

→ Nieleze

Methods

Reliance Lens

A comparative method for examining whether technical diversity produces genuine operational independence.

Approach → Function → Reliance → Coupling → Independence

The method distinguishes technical difference from independence at the level that remains operationally meaningful.

Explore the instrument

Publications

Selected publications

Thiong’o, G. M., Luzzio, C., & Albright, A. L. (2015).

Ventriculoperitoneal shunt perforations of the gastrointestinal tract.

Journal of Neurosurgery: Pediatrics, 16(1), 36–41.

PubMed · DOI

Thiong’o, G. M. et al. (2021).

The Development of a Cerebral Hemispheric Surgery Simulator and its Evaluation for Epilepsy Neurosurgical Education.

IEEE EMBC 2021.

Full publication

Thiong’o, G. M., & Rutka, J. T. (2022).

Digital Twin Technology: The Future of Predicting Neurological Complications of Pediatric Cancers and Their Treatment.

Frontiers in Oncology, 11, 781499.

DOI / publication

He, C., Nguyen, R., Mayer, H., Cheng, L., Kang, P., Aubeeluck, D. A., Thiong’o, G. M., et al. (2025).

Magnetically actuated dexterous tools for minimally invasive operation inside the brain.

Science Robotics, 10(100), eadk4249.

DOI / publication

Persistent records

ORCID · PubMed · Google Scholar

Contact