arXiv subjects

Olivier Bernard

Publications and source records attributed to Olivier Bernard.

At least 19 recordsLinked to original sources

arXiv2026

Myocardial Strain Drift Correction in Deep Learning Based Ultrasound Tracking

Myocardial strain from echocardiography is a key biomarker for cardiac function. Recent deep learning methods show strong performance for myocardial motion tracking but often lack physiological constraints, leading to temporal drift across the cardiac cycle. Consequently, tracked points may not return to their relative initial positions at the end of each cardiac cycle, producing inaccurate strain estimates and even divergence in some cases. We propose a deep learning framework that compensates for drift during myocardial tracking. We extend a state-of-the-art echocardiographic tracking method (TAS-Net) with persistent memory tokens that share information across sliding windows over full cardiac cycles. A teacher-student fine-tuning strategy on real echocardiographic data then enforces physiologically consistent cyclic motion while preserving tracking accuracy. Experiments show reduced global and regional strain drift, improved agreement with clinical references, and better test-retest reproducibility, supporting more reliable myocardial strain estimation in clinical practice.

eess.IV↗

arXiv2026

TSPFN: A Temporal Tabular Foundation Model for Physiological Time Series Classification

Designing models that generalize effectively in low- to medium-data regimes remains a primary challenge in medical machine learning, particularly for physiological time-series classification. While tabular foundation models such as TabPFN offer an attractive alternative to conventional fine-tuning through in-context learning, they are not designed to capture the temporal dependencies inherent to physiological signals. ~In this paper, we introduce TSPFN, a foundation model that redesigns TabPFN's architecture for time series data. TSPFN integrates structured temporal representations and positional embeddings to capture intra-sample temporal and channel dependencies. To fully leverage its spatio-temporal design, the model is pretrained on 140,000 real-world physiological time series across multiple medical domains. This yields a unified, generalizable framework capable of learning the specificities of medical time series. Experiments across diverse physiological benchmarks demonstrate that TSPFN consistently outperforms standard tabular baselines and TabPFN, and achieves superior cross-domain generalization compared to specialized deep time-series models. All our experiments, ablation studies, and pre-processing scheme are publicly available at https://github.com/Jeremstym/TSPFN

cs.LG↗

arXiv2026

The MYOSAIQ Challenge: Myocardial Segmentation with Automated Infarct Quantification

Late gadolinium enhancement (LGE) cardiac magnetic resonance (MR) imaging is the modality of choice to assess myocardial infarction (MI) lesions. Nowadays MI volume quantification is not performed routinely in clinical practice. Numerous deep learning (DL) methods have been developed to automate the segmentation of the myocardium and infarct regions. However, most studies rely on relatively small datasets which typically undergo pre-processing steps to standardize images and focus on a specific phase of myocardial infarction following reperfusion therapy. These limitations have impeded the development of models that are generalizable across diverse conditions and thus suitable for routine clinical use. To advance research and establish benchmarks in generalizable learning for myocardial infarct quantification, this paper presents findings from the Myocardial Segmentation with Automated Infarct Quantification (MYOSAIQ) challenge. The dataset set up for the challenge combines 439 CMR volumes from two multicenter clinical trials, with representative data acquired in acute and chronic phases after acute MI. Data were acquired in 16 centers using MRI scanners from three different vendors. Six teams participated until the end of the challenge, employing various baseline models, data augmentation techniques, and confidence strategies. To enhance the significance of this study, we compare the challengers' results with those of fine-tuned foundation models. Our results indicate that well-designed UNet-based techniques outperform fully automatic foundation models for LGE MR segmentation. While the best methods achieve high-quality and stable delineations of the left ventricle and myocardium under various conditions, they remain improvable in accurately segmenting infarct regions.

eess.IV↗

arXiv2026

Electric Field Propagation with Spinal Cord Stimulation

Spinal cord stimulation is routinely used for the treatment of chronic pain, and is increasingly being investigated for the restoration of movement after paralysis. However, most of our current knowledge on epidural spinal cord stimulation relies on empirical approaches and semi-hybrid models. Hence, optimizing this therapy requires a better theoretical understanding of how stimulation affects the target neural structures. Using the physical properties of tissues combined with an electromagnetic, dielectric, and metallic description of them, we derived the electric field transmission coefficient through a given number of layers of tissue in the spinal cord. We then used this model to calculate the transmission of electric field energy in target neural tissues such as grey or white matter for different pulse width. Simulations suggest that the propagation through the tissues of the spinal cord of an epidurally applied electric field has a complex relationship with the field pulse width. In addition the electric field energy is absorbed at the junction between dura matter and cerebrospinal fluid, and within the cerebrospinal fluid as induced current. These currents hit the different bodies floating within the cerebrospinal fluid, and/or dorsal horn in a very localized region of the spinal cord. The proposed models allow theoretical calculation of the transmission factor for different numbers of layers of tissue within the spinal canal, and for different electric field pulse widths. This eases the prediction of the expected energy reaching each layer of the spinal cord for different tissues, parameters, and electrode configurations, simplifying the optimization of spinal cord stimulation treatment.

physics.bio-ph↗

arXiv2026

Deep Learning Strain Estimation: Is Physics-Based Simulation the Solution?

Speckle tracking echocardiography (STE) is the clinical standard for myocardial strain estimation. Despite good performance on global strain (GLS), its accuracy for regional strain remains limited, even though this biomarker is highly relevant for early diagnosis and the characterization of subtle abnormalities. from clinical data. Deep learning is a promising alternative, but its development is constrained by the lack of reliable motion references. Existing solutions rely either on STE-derived labels or on simulations generated by physics-based models, but these synthetic sequences still have limited realism compared with clinical data.In this paper, we propose a novel simulation strategy that incorporates speckle decorrelation measures from real videos and uses an iterative refinement process to improve the motion realism in the simulations. We created an open-source photorealistic dataset of 1,478 videos with reference motion, which was used to train an echocardiographic motion estimation algorithm. The proposed method achieves unmatched performance on global and regional strain, notably reaching a GLS variability of 1.42% in an inter-expert setting compared to 1.78% for the clinical reference.

eess.IV↗

arXiv2026

Reinforcement Learning for Unsupervised Domain Adaptation in Spatio-Temporal Echocardiography Segmentation

Domain adaptation methods aim to bridge the gap between datasets by enabling knowledge transfer across domains, reducing the need for additional expert annotations. However, many approaches struggle with reliability in the target domain, an issue particularly critical in medical image segmentation, where accuracy and anatomical validity are essential. This challenge is further exacerbated in spatio-temporal data, where the lack of temporal consistency can significantly degrade segmentation quality, and particularly in echocardiography, where the presence of artifacts and noise can further hinder segmentation performance. To address these issues, we present RL4Seg3D, an unsupervised domain adaptation framework for 2D + time echocardiography segmentation. RL4Seg3D integrates novel reward functions and a fusion scheme to enhance key landmark precision in its segmentations while processing full-sized input videos. By leveraging reinforcement learning for image segmentation, our approach improves accuracy, anatomical validity, and temporal consistency while also providing, as a beneficial side effect, a robust uncertainty estimator, which can be used at test time to further enhance segmentation performance. We demonstrate the effectiveness of our framework on over 30,000 echocardiographic videos, showing that it outperforms standard domain adaptation techniques without the need for any labels on the target domain. Code is available at https://github.com/arnaudjudge/RL4Seg3D.

eess.IV↗

arXiv2025

Topography optimization for enhancing microalgal growth in raceway ponds

Modelling the evolution process for the growth of microalgae in an artificial pond is a huge challenge, given the complex interaction between hydrodynamics and biological processes occurring across various timescales. In this paper, we consider a raceway, i.e., an oval pond where the water is set in motion by a paddle wheel. Our aim is to investigate theoretically and numerically the impact of bottom topography in such raceway ponds on microalgae growth. To achieve this goal, we consider a biological model based on the Han model, coupled with the Saint--Venant systems that model the fluid. We then formulate an optimization problem, for which we apply the weak maximum principle to characterize optimal topographies that maximize biomass production over one lap of the raceway pond or multiple laps with a paddle wheel. In contrast to a widespread belief in the field of microalgae, we show that a flat topography in a periodic regime satisfies the necessary optimality condition, and observe in the numerical experiments that the flat topography is actually optimal in this case. However, non-trivial topographies may be more advantageous in alternative scenarios, such as when considering the effects of mixing devices within the model. This study sheds light on the intricate relationship between bottom topography, fluid dynamics, and microalgae growth in raceway ponds, offering valuable insights into optimizing biomass production.

math.NA↗

arXiv2025

Estimation of Segmental Longitudinal Strain in Transesophageal Echocardiography by Deep Learning

Segmental longitudinal strain (SLS) of the left ventricle (LV) is an important prognostic indicator for evaluating regional LV dysfunction, in particular for diagnosing and managing myocardial ischemia. Current techniques for strain estimation require significant manual intervention and expertise, limiting their efficiency and making them too resource-intensive for monitoring purposes. This study introduces the first automated pipeline, autoStrain, for SLS estimation in transesophageal echocardiography (TEE) using deep learning (DL) methods for motion estimation. We present a comparative analysis of two DL approaches: TeeFlow, based on the RAFT optical flow model for dense frame-to-frame predictions, and TeeTracker, based on the CoTracker point trajectory model for sparse long-sequence predictions. As ground truth motion data from real echocardiographic sequences are hardly accessible, we took advantage of a unique simulation pipeline (SIMUS) to generate a highly realistic synthetic TEE (synTEE) dataset of 80 patients with ground truth myocardial motion to train and evaluate both models. Our evaluation shows that TeeTracker outperforms TeeFlow in accuracy, achieving a mean distance error in motion estimation of 0.65 mm on a synTEE test dataset. Clinical validation on 16 patients further demonstrated that SLS estimation with our autoStrain pipeline aligned with clinical references, achieving a mean difference (95\% limits of agreement) of 1.09% (-8.90% to 11.09%). Incorporation of simulated ischemia in the synTEE data improved the accuracy of the models in quantifying abnormal deformation. Our findings indicate that integrating AI-driven motion estimation with TEE can significantly enhance the precision and efficiency of cardiac function assessment in clinical settings.

cs.CV↗

arXiv2025

Who Let the Diamonds Out?

Nitrogen-Vacancy (NV) center magnetometry is a highly promising quantum sensing technology, with early prototypes demonstrating impressive sensitivity in compact sensing heads. Yet, most existing implementations remain tied to laboratory setups, lacking the portability and environmental robustness needed to unlock their full potential in real-world applications. In this work, we introduce a fully portable, hand-held NV-based magnetometer that delivers a vector sensitivity of approximately 400 pT/sqrt(Hz), heading errors below 5 nT in Earth's field, and a wide signal bandwidth that supports on-field recalibration and operation on moving platforms. We further demonstrate the system's technological maturity through environmental qualification such as thermal, vibration, radiation and other operational stresses related to deployment in low Earth orbit, and through successful deployments in demanding scenarios, including northern Canadian weather conditions, drone-mounted surveys and high-altitude balloon flights. Together, these achievements establish this NV-based magnetometer as a robust, versatile tool ready to bring quantum sensing performance to a broad range of field and autonomous applications.

quant-ph↗

arXiv2025

DAFTED: Decoupled Asymmetric Fusion of Tabular and Echocardiographic Data for Cardiac Hypertension Diagnosis

Multimodal data fusion is a key approach for enhancing diagnosis in medical applications. We propose an asymmetric fusion strategy starting from a primary modality and integrating secondary modalities by disentangling shared and modality-specific information. Validated on a dataset of 239 patients with echocardiographic time series and tabular records, our model outperforms existing methods, achieving an AUC over 90%. This improvement marks a crucial benchmark for clinical use.

cs.CV↗

arXiv2025

Generation of realistic cardiac ultrasound sequences with ground truth motion and speckle decorrelation

Simulated ultrasound image sequences are key for training and validating machine learning algorithms for left ventricular strain estimation. Several simulation pipelines have been proposed to generate sequences with corresponding ground truth motion, but they suffer from limited realism as they do not consider speckle decorrelation. In this work, we address this limitation by proposing an improved simulation framework that explicitly accounts for speckle decorrelation. Our method builds on an existing ultrasound simulation pipeline by incorporating a dynamic model of speckle variation. Starting from real ultrasound sequences and myocardial segmentations, we generate meshes that guide image formation. Instead of applying a fixed ratio of myocardial and background scatterers, we introduce a coherence map that adapts locally over time. This map is derived from correlation values measured directly from the real ultrasound data, ensuring that simulated sequences capture the characteristic temporal changes observed in practice. We evaluated the realism of our approach using ultrasound data from 98 patients in the CAMUS database. Performance was assessed by comparing correlation curves from real and simulated images. The proposed method achieved lower mean absolute error compared to the baseline pipeline, indicating that it more faithfully reproduces the decorrelation behavior seen in clinical data.

eess.IV↗

arXiv2025

Fusing Echocardiography Images and Medical Records for Continuous Patient Stratification

Deep learning enables automatic and robust extraction of cardiac function descriptors from echocardiographic sequences, such as ejection fraction or strain. These descriptors provide fine-grained information that physicians consider, in conjunction with more global variables from the clinical record, to assess patients' condition. Drawing on novel Transformer models applied to tabular data, we propose a method that considers all descriptors extracted from medical records and echocardiograms to learn the representation of a cardiovascular pathology with a difficult-to-characterize continuum, namely hypertension. Our method first projects each variable into its own representation space using modality-specific approaches. These standardized representations of multimodal data are then fed to a Transformer encoder, which learns to merge them into a comprehensive representation of the patient through the task of predicting a clinical rating. This stratification task is formulated as an ordinal classification to enforce a pathological continuum in the representation space. We observe the major trends along this continuum on a cohort of 239 hypertensive patients, providing unprecedented details in the description of hypertension's impact on various cardiac function descriptors. Our analysis shows that i) the XTab foundation model's architecture allows to reach outstanding performance (96.8% AUROC) even with limited data (less than 200 training samples), ii) stratification across the population is reproducible between trainings (within 5.7% mean absolute error), and iii) patterns emerge in descriptors, some of which align with established physiological knowledge about hypertension, while others could pave the way for a more comprehensive understanding of this pathology. Code is available at https://github.com/creatis-myriad/didactic.

cs.CV↗

arXiv2025

Uncertainty Propagation for Echocardiography Clinical Metric Estimation via Contour Sampling

Echocardiography plays a fundamental role in the extraction of important clinical parameters (e.g. left ventricular volume and ejection fraction) required to determine the presence and severity of heart-related conditions. When deploying automated techniques for computing these parameters, uncertainty estimation is crucial for assessing their utility. Since clinical parameters are usually derived from segmentation maps, there is no clear path for converting pixel-wise uncertainty values into uncertainty estimates in the downstream clinical metric calculation. In this work, we propose a novel uncertainty estimation method based on contouring rather than segmentation. Our method explicitly predicts contour location uncertainty from which contour samples can be drawn. Finally, the sampled contours can be used to propagate uncertainty to clinical metrics. Our proposed method not only provides accurate uncertainty estimations for the task of contouring but also for the downstream clinical metrics on two cardiac ultrasound datasets. Code is available at: https://github.com/ThierryJudge/contouring-uncertainty.

cs.CV↗

arXiv2024

Optimization of microalgae biosynthesis via controlled algal-bacterial symbiosis

We investigate optimization of an algal-bacterial consortium, where an exogenous control input modulates bacterial resource allocation between growth and synthesis of a resource that is limiting for algal growth. Maximization of algal biomass synthesis is pursued in a continuous bioreactor, with dilution rate as an additional control variable. We formulate optimal control in the two variants of static and dynamic control problems, and address them by theoretical and numerical tools. We explore convexity of the static problem and uniqueness of its solution, and show that the dynamic problem displays a solution with bang-bang control actions and singular arcs that result in cyclic control actions. We finally discuss the relation among the two solutions and show the extent to which dynamic control can outperform static optimal solutions.

math.OC↗

arXiv2024

Ultrafast Cardiac Imaging Using Deep Learning For Speckle-Tracking Echocardiography

High-quality ultrafast ultrasound imaging is based on coherent compounding from multiple transmissions of plane waves (PW) or diverging waves (DW). However, compounding results in reduced frame rate, as well as destructive interferences from high-velocity tissue motion if motion compensation (MoCo) is not considered. While many studies have recently shown the interest of deep learning for the reconstruction of high-quality static images from PW or DW, its ability to achieve such performance while maintaining the capability of tracking cardiac motion has yet to be assessed. In this paper, we addressed such issue by deploying a complex-weighted convolutional neural network (CNN) for image reconstruction and a state-of-the-art speckle tracking method. The evaluation of this approach was first performed by designing an adapted simulation framework, which provides specific reference data, i.e. high quality, motion artifact-free cardiac images. The obtained results showed that, while using only three DWs as input, the CNN-based approach yielded an image quality and a motion accuracy equivalent to those obtained by compounding 31 DWs free of motion artifacts. The performance was then further evaluated on non-simulated, experimental in vitro data, using a spinning disk phantom. This experiment demonstrated that our approach yielded high-quality image reconstruction and motion estimation, under a large range of velocities and outperforms a state-of-the-art MoCo-based approach at high velocities. Our method was finally assessed on in vivo datasets and showed consistent improvement in image quality and motion estimation compared to standard compounding. This demonstrates the feasibility and effectiveness of deep learning reconstruction for ultrafast speckle-tracking echocardiography.

eess.IV↗

arXiv2024

Physics-Guided Neural Networks for Intraventricular Vector Flow Mapping

Intraventricular vector flow mapping (iVFM) seeks to enhance and quantify color Doppler in cardiac imaging. In this study, we propose novel alternatives to the traditional iVFM optimization scheme by utilizing physics-informed neural networks (PINNs) and a physics-guided nnU-Net-based supervised approach. When evaluated on simulated color Doppler images derived from a patient-specific computational fluid dynamics model and in vivo Doppler acquisitions, both approaches demonstrate comparable reconstruction performance to the original iVFM algorithm. The efficiency of PINNs is boosted through dual-stage optimization and pre-optimized weights. On the other hand, the nnU-Net method excels in generalizability and real-time capabilities. Notably, nnU-Net shows superior robustness on sparse and truncated Doppler data while maintaining independence from explicit boundary conditions. Overall, our results highlight the effectiveness of these methods in reconstructing intraventricular vector blood flow. The study also suggests potential applications of PINNs in ultrafast color Doppler imaging and the incorporation of fluid dynamics equations to derive biomarkers for cardiovascular diseases based on blood flow.

eess.IV↗

arXiv2024

Domain Adaptation of Echocardiography Segmentation Via Reinforcement Learning

Performance of deep learning segmentation models is significantly challenged in its transferability across different medical imaging domains, particularly when aiming to adapt these models to a target domain with insufficient annotated data for effective fine-tuning. While existing domain adaptation (DA) methods propose strategies to alleviate this problem, these methods do not explicitly incorporate human-verified segmentation priors, compromising the potential of a model to produce anatomically plausible segmentations. We introduce RL4Seg, an innovative reinforcement learning framework that reduces the need to otherwise incorporate large expertly annotated datasets in the target domain, and eliminates the need for lengthy manual human review. Using a target dataset of 10,000 unannotated 2D echocardiographic images, RL4Seg not only outperforms existing state-of-the-art DA methods in accuracy but also achieves 99% anatomical validity on a subset of 220 expert-validated subjects from the target domain. Furthermore, our framework's reward network offers uncertainty estimates comparable with dedicated state-of-the-art uncertainty methods, demonstrating the utility and effectiveness of RL4Seg in overcoming domain adaptation challenges in medical image segmentation.

eess.IV↗

arXiv2024

Supervised Anomaly Detection for Complex Industrial Images

Automating visual inspection in industrial production lines is essential for increasing product quality across various industries. Anomaly detection (AD) methods serve as robust tools for this purpose. However, existing public datasets primarily consist of images without anomalies, limiting the practical application of AD methods in production settings. To address this challenge, we present (1) the Valeo Anomaly Dataset (VAD), a novel real-world industrial dataset comprising 5000 images, including 2000 instances of challenging real defects across more than 20 subclasses. Acknowledging that traditional AD methods struggle with this dataset, we introduce (2) Segmentation-based Anomaly Detector (SegAD). First, SegAD leverages anomaly maps as well as segmentation maps to compute local statistics. Next, SegAD uses these statistics and an optional supervised classifier score as input features for a Boosted Random Forest (BRF) classifier, yielding the final anomaly score. Our SegAD achieves state-of-the-art performance on both VAD (+2.1% AUROC) and the VisA dataset (+0.4% AUROC). The code and the models are publicly available.

cs.CV↗