arXiv subjects

Guillaume Dardenne

Publications and source records attributed to Guillaume Dardenne.

8 recordsLinked to original sources

arXiv2026

3D Reconstruction from Arthroscopic Images using NeRF: a preliminary in-silico study

In knee arthroscopy surgery, accurate registration between preoperative and intraoperative anatomy is a critical step for patient-specific navigation. Achieving an accurate registration requires a reliable 3D reconstruction of the joint during surgery. Preoperative 3D models can be obtained from patient imaging through segmentation and reconstruction, but generating an intraoperative 3D representation remains particularly challenging. Arthroscopic imaging suffers from a limited field of view, low surface texture, and strong specular reflections, which make conventional feature-based 3D reconstruction methods unreliable. In this work, we investigate the application of MIS-NeRF (Minimally-Invasive Surgery Neural Radiance Fields) for reconstructing intraoperative knee 3D models from monocular arthroscopic images. The approach is evaluated on six simulated arthroscopic acquisitions representing six patient-specific knee 3D models. Both qualitative and quantitative results are presented to assess the reconstruction quality. The reconstructed knee 3D models were evaluated through their rendered images, achieving PSNR (Peak Signal-to-Noise Ratio) of 31.88 $\pm$ 2.82, SSIM (Structural Similarity Index) of 0.98 $\pm$ 0.004 and LPIPS (Learned Perceptual Image Patch Similarity) of 0.017 $\pm$ 0.006. These preliminary results suggest the feasibility of NeRF-based reconstruction in the challenging context of arthroscopy and may represent a promising step toward accurate in-silico preoperative-to-intraoperative 3D registration for computer-assisted orthopedic surgery. Further, validation on real arthroscopic data will be necessary to assess clinical applicability.

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arXiv2026

Iterative LLM-based improvement for French Clinical Interview Transcription and Speaker Diarization

Automatic speech recognition for French medical conversations remains challenging, with word error rates often exceeding 30% in spontaneous clinical speech. This study proposes a multi-pass LLM post-processing architecture alternating between Speaker Recognition and Word Recognition passes to improve transcription accuracy and speaker attribution. Ablation studies on two French clinical datasets (suicide prevention telephone counseling and preoperative awake neurosurgery consultations) investigate four design choices: model selection, prompting strategy, pass ordering, and iteration depth. Using Qwen3-Next-80B, Wilcoxon signed-rank tests confirm significant WDER reductions on suicide prevention conversations (p<0.05, n=18), while maintaining stability on awake neurosurgery consultations (n=10), with zero output failures and acceptable computational cost (RTF 0.32), suggesting feasibility for offline clinical deployment, pending validation on larger corpora.

cs.CL↗

arXiv2026

A Hybrid Physical--Digital Framework for Annotated Fracture Reduction Data Evaluated using Clinically Relevant 3D metrics

A major bottleneck in Computer-Assisted Preoperative Planning (CAPP) for fracture reduction is the limited availability of annotated data. While annotated datasets are now available for evaluating bone fracture segmentation algorithms, there is a notable lack of annotated data for the evaluation of automatic fracture reduction methods. Obtaining precise annotations, which are essential for training and evaluating automatic CAPP algorithm, of the reduced bone therefore remains a critical and underexplored challenge. Existing approaches to assess reduction methods rely either on synthetic fracture simulation which often lacks realism, or on manual virtual reductions, which are complex, time-consuming, operator-dependant and error-prone. To address these limitations, we propose a hybrid physical-digital framework for generating annotated fracture reduction data. Based on fracture CTs, fragments are first 3D printed, physically reduced, fixed and CT scanned to accurately recover transformation matrix applied to each fragment. To quantitatively assess reduction quality, we introduce a reproducible formulation of clinically relevant 3D fracture metrics, including 3D gap, 3D step-off, and total gap area. The framework was evaluated on 11 clinical acetabular fracture cases reduced by two independent operators. Compared to preoperative measurements, the proposed approach achieved mean improvements of 168.85 mm 2 in total gap area, 1.82 mm in 3D gap, and 0.81 mm in 3D step-off. This hybrid physical--digital framework enables the efficient generation of realistic, clinically relevant annotated fracture reduction data that can be used for the development and evaluation of automatic fracture reduction algorithms.

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arXiv2025

Acoustic and Machine Learning Methods for Speech-Based Suicide Risk Assessment: A Systematic Review

Suicide remains a public health challenge, necessitating improved detection methods to facilitate timely intervention and treatment. This systematic review evaluates the role of Artificial Intelligence (AI) and Machine Learning (ML) in assessing suicide risk through acoustic analysis of speech. Following PRISMA guidelines, we analyzed 33 articles selected from PubMed, Cochrane, Scopus, and Web of Science databases. The last search was conducted in February 2025. Risk of bias was assessed using the PROBAST tool. Studies analyzing acoustic features between individuals at risk of suicide (RS) and those not at risk (NRS) were included, while studies lacking acoustic data, a suicide-related focus, or sufficient methodological details were excluded. Sample sizes varied widely and were reported in terms of participants or speech segments, depending on the study. Results were synthesized narratively based on acoustic features and classifier performance. Findings consistently showed significant acoustic feature variations between RS and NRS populations, particularly involving jitter, fundamental frequency (F0), Mel-frequency cepstral coefficients (MFCC), and power spectral density (PSD). Classifier performance varied based on algorithms, modalities, and speech elicitation methods, with multimodal approaches integrating acoustic, linguistic, and metadata features demonstrating superior performance. Among the 29 classifier-based studies, reported AUC values ranged from 0.62 to 0.985 and accuracies from 60% to 99.85%. Most datasets were imbalanced in favor of NRS, and performance metrics were rarely reported separately by group, limiting clear identification of direction of effect.

eess.AS↗

arXiv2025

Suicide Risk Assessment Using Multimodal Speech Features: A Study on the SW1 Challenge Dataset

The 1st SpeechWellness Challenge conveys the need for speech-based suicide risk assessment in adolescents. This study investigates a multimodal approach for this challenge, integrating automatic transcription with WhisperX, linguistic embeddings from Chinese RoBERTa, and audio embeddings from WavLM. Additionally, handcrafted acoustic features -- including MFCCs, spectral contrast, and pitch-related statistics -- were incorporated. We explored three fusion strategies: early concatenation, modality-specific processing, and weighted attention with mixup regularization. Results show that weighted attention provided the best generalization, achieving 69% accuracy on the development set, though a performance gap between development and test sets highlights generalization challenges. Our findings, strictly tied to the MINI-KID framework, emphasize the importance of refining embedding representations and fusion mechanisms to enhance classification reliability.

cs.CL↗

arXiv2025

Fully automated workflow for designing patient-specific orthopaedic implants: application to total knee arthroplasty

Background. Osteoarthritis affects about 528 million people worldwide, causing pain and stiffness in the joints. Arthroplasty is commonly performed to treat joint osteoarthritis, reducing pain and improving mobility. Nevertheless, a significant share of patients remain unsatisfied with their surgery. Personalised arthroplasty was introduced to improve surgical outcomes however current solutions require delays, making it difficult to integrate in clinical routine. We propose a fully automated workflow to design patient-specific implants for total knee arthroplasty. Methods. The proposed pipeline first uses artificial neural networks to segment the femur and tibia proximal and distal extremities. Then the full bones are reconstructed using augmented statistical shape models, combining shape and landmarks information. Finally, 77 morphological parameters are computed to design patient-specific implants. The developed workflow has been trained on 91 CT scans and evaluated on 41 CT scans, in terms of accuracy and execution time. Results. The workflow accuracy was $0.4\pm0.2mm$ for segmentation, $1.0\pm0.3mm$ for full bone reconstruction, and $2.2\pm1.5mm$ for anatomical landmarks determination. The custom implants fitted the patients' anatomy with $0.9\pm0.5mm$ accuracy. The whole process from segmentation to implants' design lasted about 15 minutes. Conclusion. The proposed workflow performs a fast and reliable personalisation of knee implants, directly from a CT image without requiring any manual intervention. It allows the establishment of a patient-specific pre-operative planning in a very short time, making it easily available for all patients. Combined with efficient implant manufacturing techniques, this solution could help answer the growing number of arthroplasties while reducing complications and improving patients' satisfaction.

cs.CV↗

arXiv2021

Regularized directional representations for medical image registration

In image registration, many efforts have been devoted to the development of alternatives to the popular normalized mutual information criterion. Concurrently to these efforts, an increasing number of works have demonstrated that substantial gains in registration accuracy can also be achieved by aligning structural representations of images rather than images themselves. Following this research path, we propose a new method for mono- and multimodal image registration based on the alignment of regularized vector fields derived from structural information such as gradient vector flow fields, a technique we call \textit{vector field similarity}. Our approach can be combined in a straightforward fashion with any existing registration framework by substituting vector field similarity to intensity-based registration. In our experiments, we show that the proposed approach compares favourably with conventional image alignment on several public image datasets using a diversity of imaging modalities and anatomical locations.

cs.CV↗

arXiv2021

Bone Surface Reconstruction and Clinical Features Estimation from Sparse Landmarks and Statistical Shape Models: A feasibility study on the femur

In this study, we investigated a method allowing the determination of the femur bone surface as well as its mechanical axis from some easy-to-identify bony landmarks. The reconstruction of the whole femur is therefore performed from these landmarks using a Statistical Shape Model (SSM). The aim of this research is therefore to assess the impact of the number, the position, and the accuracy of the landmarks for the reconstruction of the femur and the determination of its related mechanical axis, an important clinical parameter to consider for the lower limb analysis. Two statistical femur models were created from our in-house dataset and a publicly available dataset. Both were evaluated in terms of average point-to-point surface distance error and through the mechanical axis of the femur. Furthermore, the clinical impact of using landmarks on the skin in replacement of bony landmarks is investigated. The predicted proximal femurs from bony landmarks were more accurate compared to on-skin landmarks while both had less than 3.5 degrees mechanical axis angle deviation error. The results regarding the non-invasive determination of the mechanical axis are very encouraging and could open very interesting clinical perspectives for the analysis of the lower limb either for orthopedics or functional rehabilitation.

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