arXiv subjects

Rémi Vaucher

Publications and source records attributed to Rémi Vaucher.

5 recordsLinked to original sources

arXiv2026

MultiSigBERT: Beyond Survival Analysis through Multimodal and Sequential Modeling in Oncology

Machine learning has become an essential component of modern healthcare, where the integration of heterogeneous data sources offers unprecedented opportunities to improve clinical decision-making. Electronic Health Records (EHR) contain complementary information -- including narrative clinical reports, numerical measurements, and structured variables -- yet most survival models remain limited to a single modality or fail to exploit the temporal nature of patient trajectories. We propose MultiSigBERT, a unified framework for multimodal sequential survival modeling in oncology based on path signature representations. Here, narrative medical reports (free-text) are converted into sentence embeddings by extracting and averaging contextual word embeddings. These representations are then compressed via modality-specific PCA and concatenated with structured covariates to form joint temporal trajectories which are then encoded using the Signature transform, a tool from Rough Paths theory that efficiently captures higher-order temporal interactions across modalities without supervision needed. The computed Signature features are finally incorporated as high dimensional features into a LASSO-regularized Cox model to estimate individualized risk scores. The performance of our novel MultiSigBERT pipeline is illustrated on the analysis of a real-world oncology cohort from the Léon Bérard Center, comprising over 120,000 medical reports and structured records from more than 2,500 patients. The model achieves a concordance index of 0.743 (sd 0.029) on an independent test set, demonstrating the benefit of jointly modeling multimodal temporal dynamics together with patient-level geometric structure for survival prediction.

cs.LG↗

arXiv2025

SigBERT: Combining Narrative Medical Reports and Rough Path Signature Theory for Survival Risk Estimation in Oncology

Electronic medical reports (EHR) contain a vast amount of information that can be leveraged for machine learning applications in healthcare. However, existing survival analysis methods often struggle to effectively handle the complexity of textual data, particularly in its sequential form. Here, we propose SigBERT, an innovative temporal survival analysis framework designed to efficiently process a large number of clinical reports per patient. SigBERT processes timestamped medical reports by extracting and averaging word embeddings into sentence embeddings. To capture temporal dynamics from the time series of sentence embedding coordinates, we apply signature extraction from rough path theory to derive geometric features for each patient, which significantly enhance survival model performance by capturing complex temporal dynamics. These features are then integrated into a LASSO-penalized Cox model to estimate patient-specific risk scores. The model was trained and evaluated on a real-world oncology dataset from the Léon Bérard Center corpus, with a C-index score of 0.75 (sd 0.014) on the independent test cohort. SigBERT integrates sequential medical data to enhance risk estimation, advancing narrative-based survival analysis.

cs.CL↗

arXiv2025

Hypergraphs on high dimensional time series sets using signature transform

In recent decades, hypergraphs and their analysis through Topological Data Analysis (TDA) have emerged as powerful tools for understanding complex data structures. Various methods have been developed to construct hypergraphs -- referred to as simplicial complexes in the TDA framework -- over datasets, enabling the formation of edges between more than two vertices. This paper addresses the challenge of constructing hypergraphs from collections of multivariate time series. While prior work has focused on the case of a single multivariate time series, we extend this framework to handle collections of such time series. Our approach generalizes the method proposed in Chretien and al. by leveraging the properties of signature transforms to introduce controlled randomness, thereby enhancing the robustness of the construction process. We validate our method on synthetic datasets and present promising results.

stat.ML↗

arXiv2025

Detecting malignant dynamics on very few blood sample using signature coefficients

Recent discoveries have suggested that the promising avenue of using circulating tumor DNA (ctDNA) levels in blood samples provides reasonable accuracy for cancer monitoring, with extremely low burden on the patient's side. It is known that the presence of ctDNA can result from various mechanisms leading to DNA release from cells, such as apoptosis, necrosis or active secretion. One key idea in recent cancer monitoring studies is that monitoring the dynamics of ctDNA levels might be sufficient for early multi-cancer detection. This interesting idea has been turned into commercial products, e.g. in the company named GRAIL. In the present work, we propose to explore the use of Signature theory for detecting aggressive cancer tumors based on the analysis of blood samples. Our approach combines tools from continuous time Markov modelling for the dynamics of ctDNA levels in the blood, with Signature theory for building efficient testing procedures. Signature theory is a topic of growing interest in the Machine Learning community (see Chevyrev2016 and Fermanian2021), which is now recognised as a powerful feature extraction tool for irregularly sampled signals. The method proposed in the present paper is shown to correctly address the challenging problem of overcoming the inherent data scarsity due to the extremely small number of blood samples per patient. The relevance of our approach is illustrated with extensive numerical experiments that confirm the efficiency of the proposed pipeline.

q-bio.QM↗

arXiv2024

Time topological analysis of EEG using signature theory

Anomaly detection in multivariate signals is a task of paramount importance in many disciplines (epidemiology, finance, cognitive sciences and neurosciences, oncology, etc.). In this perspective, Topological Data Analysis (TDA) offers a battery of "shape" invariants that can be exploited for the implementation of an effective detection scheme. Our contribution consists of extending the constructions presented in \cite{chretienleveraging} on the construction of simplicial complexes from the Signatures of signals and their predictive capacities, rather than the use of a generic distance as in \cite{petri2014homological}. Signature theory is a new theme in Machine Learning arXiv:1603.03788 stemming from recent work on the notions of Rough Paths developed by Terry Lyons and his team \cite{lyons2002system} based on the formalism introduced by Chen \cite{chen1957integration}. We explore in particular the detection of changes in topology, based on tracking the evolution of homological persistence and the Betti numbers associated with the complex introduced in \cite{chretienleveraging}. We apply our tools for the analysis of brain signals such as EEG to detect precursor phenomena to epileptic seizures.

eess.SP↗