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François Portet

François Portet contributes to research discovery and scholarly infrastructure.

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Published work

12 published item(s)

preprint2026arXiv

Automated Clinical Report Generation for Remote Cognitive Remediation: Comparing Knowledge-Engineered Templates and LLMs in Low-Resource Settings

The growing demand for cognitive remediation therapy, combined with limited speech therapist availability, has accelerated the adoption of remote rehabilitation tools. These systems generate large volumes of interaction data that are difficult for clinicians to review efficiently. This paper investigates automated clinical report generation for avatar-guided, home-based cognitive remediation sessions in a low-resource setting with no reference reports. We present and compare two approaches: (1) a rule-based template system encoding speech therapy domain knowledge as explicit decision rules and validated templates, ensuring clinical reliability and traceability; and (2) a zero-shot LLM-based approach (GPT-4) aimed at more fluent and concise output. Both systems use identical pre-extracted, expert-validated structured variables, enabling a controlled factual comparison. Outputs were evaluated by eight speech therapists and final-year students using a nine-criterion questionnaire. Results reveal a clear trade-off between clinical reliability and linguistic quality. The template-based system scored higher on fluidity, coherence, and results presentation, while GPT-4 produced more concise output. Directional differences are consistent across evaluation dimensions, though no comparison reached statistical significance after correction, reflecting the scale constraints of expert clinical evaluation. Based on evaluator feedback, we derive eight design recommendations for clinical reporting systems in remote rehabilitation settings. More broadly, this work contributes a replicable methodology combining expert elicitation, taxonomy-driven generation, and multi-dimensional human evaluation for clinical NLG in low-resource settings, and illustrates how controlled comparisons can inform the responsible adoption of generative AI in healthcare.

preprint2026arXiv

MedMeta: A Benchmark for LLMs in Synthesizing Meta-Analysis Conclusion from Medical Studies

Large language models (LLMs) have saturated standard medical benchmarks that test factual recall, yet their ability to perform higher-order reasoning, such as synthesizing evidence from multiple sources, remains critically under-explored. To address this gap, we introduce MedMeta, the first benchmark designed to evaluate an LLM's ability to generate conclusions from medical meta-analyses using only the abstracts of cited studies. MedMeta comprises 81 meta-analyses from PubMed (2018--2025) and evaluates models using two distinct workflows: a Retrieval-Augmented Generation (Golden-RAG) setting with ground-truth abstracts, and a Parametric-only approach relying on internal knowledge. Our evaluation framework is validated by a well-structured analysis showing our LLM-as-a-judge protocol strongly aligns with human expert ratings, as evidenced by high Pearson's r correlation (0.81) and Bland-Altman analysis revealing negligible systematic bias, establishing it as a reliable proxy for scalable evaluation. Our findings underscore the critical importance of information grounding: the Golden-RAG workflow consistently and significantly outperforms the Parametric-only approach across models. In contrast, the benefits of domain-specific fine-tuning are marginal and largely neutralized when external material is provided. Furthermore, stress tests show that all models, regardless of architecture, fail to identify and reject negated evidence, highlighting a critical vulnerability in current RAG systems. Notably, even under ideal RAG conditions, current LLMs achieve only slightly above-average performance (~2.7/5.0). MedMeta provides a challenging new benchmark for evidence synthesis and demonstrates that for clinical applications, developing robust RAG systems is a more promising direction than model specialization alone.

preprint2026arXiv

Responsible Benchmarking of Fairness for Automatic Speech Recognition

Many studies have shown automatic speech processing (ASR) systems have unequal performance across speakergroups (SG's). However, the manner in which such studies arrive at this conclusion is inconsistent. To pave the wayfor more reliable results in future studies, we lay out best practices for benchmarking ASR fairness based on literaturefrom machine learning fairness, social sciences, and speech science. We first describe the importance of preciselythe fairness hypothesis being interrogated, and tailoring fairness metrics to apply specifically to said hypothesis.We then examine several benchmarks used to rate ASR systems on fairness and discuss how their results can bemisconstrued without assiduous oversight into the intersections between SG's. We find that evaluating fairnessbased on single heterogeneous SG's, such as they are defined in fairness benchmarks, can lead to misidentifyingwhich SG's are actually being mistreated by ASR systems. We advocate for as fine-grained an analysis as possibleof the intersectionality of as many demographic variables as are available in the metadata of fairness corpora in orderto tease out such spurious correlations

preprint2022arXiv

A Spoken Drug Prescription Dataset in French for Spoken Language Understanding

Spoken medical dialogue systems are increasingly attracting interest to enhance access to healthcare services and improve quality and traceability of patient care. In this paper, we focus on medical drug prescriptions acquired on smartphones through spoken dialogue. Such systems would facilitate the traceability of care and would free clinicians' time. However, there is a lack of speech corpora to develop such systems since most of the related corpora are in text form and in English. To facilitate the research and development of spoken medical dialogue systems, we present, to the best of our knowledge, the first spoken medical drug prescriptions corpus, named PxSLU. It contains 4 hours of transcribed and annotated dialogues of drug prescriptions in French acquired through an experiment with 55 participants experts and non-experts in prescriptions. We also present some experiments that demonstrate the interest of this corpus for the evaluation and development of medical dialogue systems.

preprint2022arXiv

Effectiveness of French Language Models on Abstractive Dialogue Summarization Task

Pre-trained language models have established the state-of-the-art on various natural language processing tasks, including dialogue summarization, which allows the reader to quickly access key information from long conversations in meetings, interviews or phone calls. However, such dialogues are still difficult to handle with current models because the spontaneity of the language involves expressions that are rarely present in the corpora used for pre-training the language models. Moreover, the vast majority of the work accomplished in this field has been focused on English. In this work, we present a study on the summarization of spontaneous oral dialogues in French using several language specific pre-trained models: BARThez, and BelGPT-2, as well as multilingual pre-trained models: mBART, mBARThez, and mT5. Experiments were performed on the DECODA (Call Center) dialogue corpus whose task is to generate abstractive synopses from call center conversations between a caller and one or several agents depending on the situation. Results show that the BARThez models offer the best performance far above the previous state-of-the-art on DECODA. We further discuss the limits of such pre-trained models and the challenges that must be addressed for summarizing spontaneous dialogues.

preprint2022arXiv

End-to-End Spoken Language Understanding: Performance analyses of a voice command task in a low resource setting

Spoken Language Understanding (SLU) is a core task in most human-machine interaction systems. With the emergence of smart homes, smart phones and smart speakers, SLU has become a key technology for the industry. In a classical SLU approach, an Automatic Speech Recognition (ASR) module transcribes the speech signal into a textual representation from which a Natural Language Understanding (NLU) module extracts semantic information. Recently End-to-End SLU (E2E SLU) based on Deep Neural Networks has gained momentum since it benefits from the joint optimization of the ASR and the NLU parts, hence limiting the cascade of error effect of the pipeline architecture. However, little is known about the actual linguistic properties used by E2E models to predict concepts and intents from speech input. In this paper, we present a study identifying the signal features and other linguistic properties used by an E2E model to perform the SLU task. The study is carried out in the application domain of a smart home that has to handle non-English (here French) voice commands. The results show that a good E2E SLU performance does not always require a perfect ASR capability. Furthermore, the results show the superior capabilities of the E2E model in handling background noise and syntactic variation compared to the pipeline model. Finally, a finer-grained analysis suggests that the E2E model uses the pitch information of the input signal to identify voice command concepts. The results and methodology outlined in this paper provide a springboard for further analyses of E2E models in speech processing.

preprint2022arXiv

Federated Continual Learning through distillation in pervasive computing

Federated Learning has been introduced as a new machine learning paradigm enhancing the use of local devices. At a server level, FL regularly aggregates models learned locally on distributed clients to obtain a more general model. Current solutions rely on the availability of large amounts of stored data at the client side in order to fine-tune the models sent by the server. Such setting is not realistic in mobile pervasive computing where data storage must be kept low and data characteristic can change dramatically. To account for this variability, a solution is to use the data regularly collected by the client to progressively adapt the received model. But such naive approach exposes clients to the well-known problem of catastrophic forgetting. To address this problem, we have defined a Federated Continual Learning approach which is mainly based on distillation. Our approach allows a better use of resources, eliminating the need to retrain from scratch at the arrival of new data and reducing memory usage by limiting the amount of data to be stored. This proposal has been evaluated in the Human Activity Recognition (HAR) domain and has shown to effectively reduce the catastrophic forgetting effect.

preprint2022arXiv

Federated Learning and catastrophic forgetting in pervasive computing: demonstration in HAR domain

Federated Learning has been introduced as a new machine learning paradigm enhancing the use of local devices. At a server level, FL regularly aggregates models learned locally on distributed clients to obtain a more general model. In this way, no private data is sent over the network, and the communication cost is reduced. However, current solutions rely on the availability of large amounts of stored data at the client side in order to fine-tune the models sent by the server. Such setting is not realistic in mobile pervasive computing where data storage must be kept low and data characteristic (distribution) can change dramatically. To account for this variability, a solution is to use the data regularly collected by the client to progressively adapt the received model. But such naive approach exposes clients to the well-known problem of catastrophic forgetting. The purpose of this paper is to demonstrate this problem in the mobile human activity recognition context on smartphones.

preprint2022arXiv

Federated Self-Supervised Learning in Heterogeneous Settings: Limits of a Baseline Approach on HAR

Federated Learning is a new machine learning paradigm dealing with distributed model learning on independent devices. One of the many advantages of federated learning is that training data stay on devices (such as smartphones), and only learned models are shared with a centralized server. In the case of supervised learning, labeling is entrusted to the clients. However, acquiring such labels can be prohibitively expensive and error-prone for many tasks, such as human activity recognition. Hence, a wealth of data remains unlabelled and unexploited. Most existing federated learning approaches that focus mainly on supervised learning have mostly ignored this mass of unlabelled data. Furthermore, it is unclear whether standard federated Learning approaches are suited to self-supervised learning. The few studies that have dealt with the problem have limited themselves to the favorable situation of homogeneous datasets. This work lays the groundwork for a reference evaluation of federated Learning with Semi-Supervised Learning in a realistic setting. We show that standard lightweight autoencoder and standard Federated Averaging fail to learn a robust representation for Human Activity Recognition with several realistic heterogeneous datasets. These findings advocate for a more intensive research effort in Federated Self Supervised Learning to exploit the mass of heterogeneous unlabelled data present on mobile devices.

preprint2022arXiv

GenderedNews: Une approche computationnelle des écarts de représentation des genres dans la presse française

In this article, we present {\it GenderedNews} (\url{https://gendered-news.imag.fr}), an online dashboard which gives weekly measures of gender imbalance in French online press. We use Natural Language Processing (NLP) methods to quantify gender inequalities in the media, in the wake of global projects like the Global Media Monitoring Project. Such projects are instrumental in highlighting gender imbalance in the media and its very slow evolution. However, their generalisation is limited by their sampling and cost in terms of time, data and staff. Automation allows us to offer complementary measures to quantify inequalities in gender representation. We understand representation as the presence and distribution of men and women mentioned and quoted in the news -- as opposed to representation as stereotypification. In this paper, we first review different means adopted by previous studies on gender inequality in the media : qualitative content analysis, quantitative content analysis and computational methods. We then detail the methods adopted by {\it GenderedNews} and the two metrics implemented: the masculinity rate of mentions and the proportion of men quoted in online news. We describe the data collected daily (seven main titles of French online news media) and the methodology behind our metrics, as well as a few visualisations. We finally propose to illustrate possible analysis of our data by conducting an in-depth observation of a sample of two months of our database.

preprint2022arXiv

Toward Low-Cost End-to-End Spoken Language Understanding

Recent advances in spoken language understanding benefited from Self-Supervised models trained on large speech corpora. For French, the LeBenchmark project has made such models available and has led to impressive progress on several tasks including spoken language understanding. These advances have a non-negligible cost in terms of computation time and energy consumption. In this paper, we compare several learning strategies trying to reduce such cost while keeping competitive performance. At the same time we propose an extensive analysis where we measure the cost of our models in terms of training time and electric energy consumption, hopefully promoting a comprehensive evaluation procedure. The experiments are performed on the FSC and MEDIA corpora, and show that it is possible to reduce the learning cost while maintaining state-of-the-art performance and using SSL models.

preprint2022arXiv

Vers la compréhension automatique de la parole bout-en-bout à moindre effort

Recent advances in spoken language understanding benefited from Self-Supervised models trained on large speech corpora. For French, the LeBenchmark project has made such models available and has led to impressive progress on several tasks including spoken language understanding. These advances have a non-negligible cost in terms of computation time and energy consumption. In this paper, we compare several learning strategies aiming at reducing such cost while keeping competitive performances. The experiments are performed on the MEDIA corpus, and show that it is possible to reduce the learning cost while maintaining state-of-the-art performances.