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Florent Pollet

Publications and source records attributed to Florent Pollet.

5 recordsLinked to original sources

A Theoretical Framework for Understanding and Building "Any-task inference" Capable Foundation Models

In this work, we provide a formal framework and mathematical definition for the subset of foundation models focused on enabling the property of "any-task inference" (ATI) (similar to zero-shot inference), rather than those designed for pre-training fine-tuning. To achieve this mathematical definition, we formalize the notion of a "space of tasks of interest," which we include in the problem domain, then provide an interface-based formal definition for ATI foundation models as those that map samples of data $x$ and tasks $t$ to predictions over the space of labels directly. While simple, this definition allows us to show that all ATI foundation models can be decomposed through a "universal task reduction" lens into encoder, model, and decoder aspects. We can leverage this decomposition to also decompose foundation model error into terms corresponding to different aspects of this reduction, stratified into a collection of "design terms," which are theoretical properties that can inform one of whether a particular proposed ATI foundation model can achieve optimality or not due to the structure of the proposed task reduction, and "realized model excess" terms which capture interactions between learned and programmatic components of foundation model systems. Lastly, we can use this perspective to offer two "prototypical" recipes for realizing ATI foundation models in diverse domains, which we term generative and discriminative variants of ATI foundation models. This exercise is grounded throughout by 5 real-world examples of foundation models in different settings, varying greatly in how these capabilities are realized, showing the applicability of this definition to real-world settings.

cs.LG↗

FaceKit: a Toolkit for Interpretable Facial Phenotyping, Synthetic Image Generation and Privacy Analysis in Rare Diseases

Many rare genetic diseases are associated with recognizable craniofacial features. However, traditional approaches for describing facial morphology rely largely on qualitative clinical observation and free-text descriptions, which are often subjective, non-standardized, and difficult to reproduce across observers and institutions. Although the Human Phenotype Ontology (HPO) provides controlled terms for describing facial features, these terms are typically categorical rather than quantitative and may vary depending on examiner experience and interpretation. Here, we present FaceKit, a computational framework for quantitative facial phenotyping from frontal facial photographs. FaceKit extracts standardized measurements of facial landmarks and derived 120 morphological features, then reports feature-level z-scores representing deviation from population reference distributions. The reference distributions are built from the FairFace dataset spanning diverse ancestral groups. We evaluated FaceKit on a curated subset of the GestaltMatcher Database covering 50 rare-disease cohorts. In addition to quantitative facial analysis, FaceKit includes synthetic facial image generation to support rare disease model development and data augmentation. We also performed privacy evaluation to assess whether synthetic images reveal identifiable information from real patient photographs and could compromise patient privacy. Across disease case studies, FaceKit-derived quantitative measurements captured known facial features associated with rare genetic disorders and provided objective support for clinical phenotyping. Together, these results establish FaceKit as a useful tool for quantitative phenotyping, and has the potential to improve rare disease diagnosis, support genotype-phenotype studies, and enable more reproducible clinical characterization across diverse patient populations.

q-bio.QM↗

Rethinking How We Evaluate Methodological Progress in Health AI

Methodological progress in artificial intelligence (AI) for electronic health records (EHRs) depends on our ability to determine which algorithms work better, and under which conditions. However, such progress is thought to be hindered by difficulties in reproducibility and in defining clinically meaningful evaluation tasks. We empirically study these barriers by re-implementing 12 historical and recent algorithms within a shared evaluation framework and evaluating them on two clinical datasets, MIMIC-IV and NWICU. We compare two complementary task families: expert-authored clinically meaningful tasks and generated tasks defined from randomly sampled event codes and prediction horizons. We ask whether relative algorithms comparisons transfer across task families and datasets, whether residual task heterogeneity contains useful methodological structure, and what a controlled comparison reveals about progress over the last decade. We find that aggregate pairwise comparisons transfer strongly across evaluation settings, including from randomly generated tasks to clinically meaningful tasks and across datasets. At the same time, clinically meaningful tasks exhibit greater task-method interaction, providing preliminary evidence that task properties can help explain when particular modeling choices are advantageous. Finally, newer algorithms do not consistently outperform earlier approaches: gradient-boosted trees remain highly competitive when paired with a modern, wide and sparse representation of the EHR. Together, these results suggest that useful methodological knowledge may require less task engineering than commonly assumed, while highlighting the importance of understanding the structured heterogeneity that remains across tasks and methods.

cs.LG↗

FoMoH: A clinically meaningful foundation model evaluation for structured electronic health records

Foundation models (FMs) promise to address core limitations of traditional supervised machine learning: (i) reliance on large amounts of labeled data, (ii) task specificity, and (iii) poor transportability. Despite methodological advances in structured electronic health record (EHR) foundation models, no systematic benchmark has validated whether these models meaningfully deliver on these promises. We introduce a benchmark of 14 clinically meaningful prediction tasks spanning patient prognosis and early diagnosis of acute and chronic conditions. We benchmark 6 state-of-the-art EHR FMs beyond population-level discrimination, emphasizing the need for evaluating their calibration and fairness, with rigorous controls for data contamination and reproducibility across more than 6 million patients from Columbia University Irving Medical Center and MIMIC-IV. Our benchmark identifies that FMs deliver on some of their promises. In particular, top-performing FMs outperform traditional baselines on discriminative performance, especially under limited labeled data, and exhibit more equitable performance across socio-medical groups. However, these models may underperform in low-prevalence settings, as pretraining losses may discard discriminative information about such conditions, and present lower calibration under limited labeled data. Further, cross-institutional transportability remains a challenge for structured EHR FMs. Together, these findings advance our understanding of EHR FMs' potential for clinical utility, highlight critical gaps that remain to be addressed, and provide a reproducible framework to track progress.

cs.LG↗

PLayer-FL: A Principled Approach to Personalized Layer-wise Cross-Silo Federated Learning

Federated learning (FL) with non-IID data often degrades client performance below local training baselines. Partial FL addresses this by federating only early layers that learn transferable features, but existing methods rely on ad-hoc, architecture-specific heuristics. We first conduct a systematic analysis of layer-wise generalization dynamics in FL, revealing an early-emerging transition between generalizable (safe-to-federate) and task-specific (should-remain-local) layers. Building on this, we introduce Principled Layer-wise Federated Learning (PLayer-FL), which aims to deliver the benefits of federation more robustly. PLayer-FL computes a novel federation-sensitivity metric efficiently after a single training epoch to choose the optimal split point for a given task. Inspired by model pruning, the metric quantifies each layer's robustness to aggregation and highlights where federation shifts from beneficial to detrimental. We show that this metric correlates strongly with established generalization measures across diverse architectures. Crucially, experiments demonstrate that PLayer-FL achieves consistently competitive performance across a wide range of tasks while distributing gains more equitably and reducing client-side regressions relative to baselines.

cs.LG↗