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Marc Breton

Publications and source records attributed to Marc Breton.

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Neural Networks for on-chip Model Predictive Control: a Method to Build Optimized Training Datasets and its application to Type-1 Diabetes

Training Neural Networks (NNs) to behave as Model Predictive Control (MPC) algorithms is an effective way to implement them in constrained embedded devices. By collecting large amounts of input-output data, where inputs represent system states and outputs are MPC-generated control actions, NNs can be trained to replicate MPC behavior at a fraction of the computational cost. However, although the composition of the training data critically influences the final NN accuracy, methods for systematically optimizing it remain underexplored. In this paper, we introduce the concept of Optimally-Sampled Datasets (OSDs) as ideal training sets and present an efficient algorithm for generating them. An OSD is a parametrized subset of all the available data that (i) preserves existing MPC information up to a certain numerical resolution, (ii) avoids duplicate or near-duplicate states, and (iii) becomes saturated or complete. We demonstrate the effectiveness of OSDs by training NNs to replicate the University of Virginia's MPC algorithm for automated insulin delivery in Type-1 Diabetes, achieving a four-fold improvement in final accuracy. Notably, two OSD-trained NNs received regulatory clearance for clinical testing as the first NN-based control algorithm for direct human insulin dosing. This methodology opens new pathways for implementing advanced optimizations on resource-constrained embedded platforms, potentially revolutionizing how complex algorithms are deployed.

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Distribution-Based Sub-Population Selection (DSPS): A Method for in-Silico Reproduction of Clinical Trials Outcomes

Background and Objective: Diabetes presents a significant challenge to healthcare due to the negative impact of poor blood sugar control on health and associated complications. Computer simulation platforms, notably exemplified by the UVA/Padova Type 1 Diabetes simulator, has emerged as a promising tool for advancing diabetes treatments by simulating patient responses in a virtual environment. The UVA Virtual Lab (UVLab) is a new simulation platform to mimic the metabolic behavior of people with Type 2 diabetes (T2D) with a large population of 6062 virtual subjects. Methods: The work introduces the Distribution-Based Population Selection (DSPS) method, a systematic approach to identifying virtual subsets that mimic the clinical behavior observed in real trials. The method transforms the sub-population selection task into a Linear Programing problem, enabling the identification of the largest representative virtual cohort. This selection process centers on key clinical outcomes in diabetes research, such as HbA1c and Fasting plasma Glucose (FPG), ensuring that the statistical properties (moments) of the selected virtual sub-population closely resemble those observed in real-word clinical trial. Results: DSPS method was applied to the insulin degludec (IDeg) arm of a phase 3 clinical trial. This method was used to select a sub-population of virtual subjects that closely mirrored the clinical trial data across multiple key metrics, including glycemic efficacy, insulin dosages, and cumulative hypoglycemia events over a 26-week period. Conclusion: The DSPS algorithm is able to select virtual sub-population within UVLab to reproduce and predict the outcomes of a clinical trial. This statistical method can bridge the gap between large population simulation platforms and previously conducted clinical trials.

stat.AP

A Logic-Based Learning Approach to Explore Diabetes Patient Behaviors

Type I Diabetes (T1D) is a chronic disease in which the body's ability to synthesize insulin is destroyed. It can be difficult for patients to manage their T1D, as they must control a variety of behavioral factors that affect glycemic control outcomes. In this paper, we explore T1D patient behaviors using a Signal Temporal Logic (STL) based learning approach. STL formulas learned from real patient data characterize behavior patterns that may result in varying glycemic control. Such logical characterizations can provide feedback to clinicians and their patients about behavioral changes that patients may implement to improve T1D control. We present both individual- and population-level behavior patterns learned from a clinical dataset of 21 T1D patients.

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