arXiv subjects

Clément Larose

Publications and source records attributed to Clément Larose.

3 recordsLinked to original sources

arXiv2026

FedAgain: A Trust-Based and Robust Federated Learning Strategy for an Automated Kidney Stone Identification in Ureteroscopy

The reliability of artificial intelligence (AI) in medical imaging critically depends on its robustness to heterogeneous and corrupted images acquired with diverse devices across different hospitals which is highly challenging. Therefore, this paper introduces FedAgain, a trust-based Federated Learning (Federated Learning) strategy designed to enhance robustness and generalization for automated kidney stone identification from endoscopic images. FedAgain integrates a dual trust mechanism that combines benchmark reliability and model divergence to dynamically weight client contributions, mitigating the impact of noisy or adversarial updates during aggregation. The framework enables the training of collaborative models across multiple institutions while preserving data privacy and promoting stable convergence under real-world conditions. Extensive experiments across five datasets, including two canonical benchmarks (MNIST and CIFAR-10), two private multi-institutional kidney stone datasets, and one public dataset (MyStone), demonstrate that FedAgain consistently outperforms standard Federated Learning baselines under non-identically and independently distributed (non-IID) data and corrupted-client scenarios. By maintaining diagnostic accuracy and performance stability under varying conditions, FedAgain represents a practical advance toward reliable, privacy-preserving, and clinically deployable federated AI for medical imaging.

cs.CV↗

arXiv2025

Robust Federated Anomaly Detection Using Dual-Signal Autoencoders: Application to Kidney Stone Identification in Ureteroscopy

This work introduces Federated Adaptive Gain via Dual Signal Trust (FedAgain), a novel federated learning algorithm designed to enhance anomaly detection in medical imaging under decentralized and heterogeneous conditions. Focusing on the task of kidney stone classification, FedAgain addresses the common challenge of corrupted or low-quality client data in real-world clinical environments by implementing a dual-signal trust mechanism based on reconstruction error and model divergence. This mechanism enables the central server to dynamically down-weight updates from untrustworthy clients without accessing their raw data, thereby preserving both model integrity and data privacy. FedAgain employs deep convolutional autoencoders trained in two diverse kidney stone datasets and is evaluated in 16 types of endoscopy-specific corruption at five severity levels. Extensive experiments demonstrate that FedAgain effectively suppresses "expert forger" clients, enhances robustness to image corruptions, and offers a privacy-preserving solution for collaborative medical anomaly detection. Compared to traditional FedAvg, FedAgain achieves clear improvements in all 16 types of corruption, with precision gains of up to +14.49\% and F1 score improvements of up to +10.20\%, highlighting its robustness and effectiveness in challenging imaging scenarios.

q-bio.TO↗

arXiv2024

Improving Prototypical Parts Abstraction for Case-Based Reasoning Explanations Designed for the Kidney Stone Type Recognition

The in-vivo identification of the kidney stone types during an ureteroscopy would be a major medical advance in urology, as it could reduce the time of the tedious renal calculi extraction process, while diminishing infection risks. Furthermore, such an automated procedure would make possible to prescribe anti-recurrence treatments immediately. Nowadays, only few experienced urologists are able to recognize the kidney stone types in the images of the videos displayed on a screen during the endoscopy. Thus, several deep learning (DL) models have recently been proposed to automatically recognize the kidney stone types using ureteroscopic images. However, these DL models are of black box nature whicl limits their applicability in clinical settings. This contribution proposes a case-based reasoning DL model which uses prototypical parts (PPs) and generates local and global descriptors. The PPs encode for each class (i.e., kidney stone type) visual feature information (hue, saturation, intensity and textures) similar to that used by biologists. The PPs are optimally generated due a new loss function used during the model training. Moreover, the local and global descriptors of PPs allow to explain the decisions ("what" information, "where in the images") in an understandable way for biologists and urologists. The proposed DL model has been tested on a database including images of the six most widespread kidney stone types. The overall average classification accuracy was 90.37. When comparing this results with that of the eight other DL models of the kidney stone state-of-the-art, it can be seen that the valuable gain in explanability was not reached at the expense of accuracy which was even slightly increased with respect to that (88.2) of the best method of the literature. These promising and interpretable results also encourage urologists to put their trust in AI-based solutions.

cs.CV↗