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Gwenolé Quellec

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Published work

6 published item(s)

preprint2026arXiv

Constrained latent state modeling: A unifying perspective on representation learning under competing constraints

Learning latent representations from complex data is central to modern machine learning, spanning temporal, multimodal, and partially observed systems. In such settings, representations are better understood as latent states capturing underlying system dynamics, rather than as mere compressed summaries of observations. Yet current approaches remain fragmented, relying on distinct -- and often implicit -- assumptions about what these states should represent. We argue that this fragmentation reflects a more fundamental limitation: latent representations are typically learned from underconstrained objectives that fail to specify the properties that meaningful latent states should satisfy. As a result, multiple representations can satisfy the same objective, leading to ambiguity in their structure and interpretation. While many of the underlying principles have been explored in isolation, their interactions have not been explicitly formalized. In this work, we propose constrained latent state modeling (CLSM) as a unifying perspective. We identify a set of core properties -- predictive sufficiency, minimality, temporal coherence, observation compatibility, invariance to nuisance factors, and structural constraints -- and show that they are intrinsically coupled through fundamental trade-offs. Revisiting major modeling families through this lens, we show that existing approaches can be interpreted as enforcing different subsets of constraints, thereby occupying distinct regions of a common design space. This perspective reframes persistent challenges such as lack of identifiability as consequences of underconstrained formulations, rather than isolated technical limitations. More broadly, CLSM provides a principled framework to make design choices explicit, to analyze trade-offs, and to guide the development of more interpretable, robust, and task-aligned latent state models.

preprint2024arXiv

Automated Detection of Myopic Maculopathy in MMAC 2023: Achievements in Classification, Segmentation, and Spherical Equivalent Prediction

Myopic macular degeneration is the most common complication of myopia and the primary cause of vision loss in individuals with pathological myopia. Early detection and prompt treatment are crucial in preventing vision impairment due to myopic maculopathy. This was the focus of the Myopic Maculopathy Analysis Challenge (MMAC), in which we participated. In task 1, classification of myopic maculopathy, we employed the contrastive learning framework, specifically SimCLR, to enhance classification accuracy by effectively capturing enriched features from unlabeled data. This approach not only improved the intrinsic understanding of the data but also elevated the performance of our classification model. For Task 2 (segmentation of myopic maculopathy plus lesions), we have developed independent segmentation models tailored for different lesion segmentation tasks and implemented a test-time augmentation strategy to further enhance the model's performance. As for Task 3 (prediction of spherical equivalent), we have designed a deep regression model based on the data distribution of the dataset and employed an integration strategy to enhance the model's prediction accuracy. The results we obtained are promising and have allowed us to position ourselves in the Top 6 of the classification task, the Top 2 of the segmentation task, and the Top 1 of the prediction task. The code is available at \url{https://github.com/liyihao76/MMAC_LaTIM_Solution}.

preprint2022arXiv

White-box Membership Attack Against Machine Learning Based Retinopathy Classification

The advances in machine learning (ML) have greatly improved AI-based diagnosis aid systems in medical imaging. However, being based on collecting medical data specific to individuals induces several security issues, especially in terms of privacy. Even though the owner of the images like a hospital put in place strict privacy protection provisions at the level of its information system, the model trained over his images still holds disclosure potential. The trained model may be accessible to an attacker as: 1) White-box: accessing to the model architecture and parameters; 2) Black box: where he can only query the model with his own inputs through an appropriate interface. Existing attack methods include: feature estimation attacks (FEA), membership inference attack (MIA), model memorization attack (MMA) and identification attacks (IA). In this work we focus on MIA against a model that has been trained to detect diabetic retinopathy from retinal images. Diabetic retinopathy is a condition that can cause vision loss and blindness in the people who have diabetes. MIA is the process of determining whether a data sample comes from the training data set of a trained ML model or not. From a privacy perspective in our use case where a diabetic retinopathy classification model is given to partners that have at their disposal images along with patients' identifiers, inferring the membership status of a data sample can help to state if a patient has contributed or not to the training of the model.

preprint2020arXiv

Automatic detection of rare pathologies in fundus photographs using few-shot learning

In the last decades, large datasets of fundus photographs have been collected in diabetic retinopathy (DR) screening networks. Through deep learning, these datasets were used to train automatic detectors for DR and a few other frequent pathologies, with the goal to automate screening. One challenge limits the adoption of such systems so far: automatic detectors ignore rare conditions that ophthalmologists currently detect, such as papilledema or anterior ischemic optic neuropathy. The reason is that standard deep learning requires too many examples of these conditions. However, this limitation can be addressed with few-shot learning, a machine learning paradigm where a classifier has to generalize to a new category not seen in training, given only a few examples of this category. This paper presents a new few-shot learning framework that extends convolutional neural networks (CNNs), trained for frequent conditions, with an unsupervised probabilistic model for rare condition detection. It is based on the observation that CNNs often perceive photographs containing the same anomalies as similar, even though these CNNs were trained to detect unrelated conditions. This observation was based on the t-SNE visualization tool, which we decided to incorporate in our probabilistic model. Experiments on a dataset of 164,660 screening examinations from the OPHDIAT screening network show that 37 conditions, out of 41, can be detected with an area under the ROC curve (AUC) greater than 0.8 (average AUC: 0.938). In particular, this framework significantly outperforms other frameworks for detecting rare conditions, including multitask learning, transfer learning and Siamese networks, another few-shot learning solution. We expect these richer predictions to trigger the adoption of automated eye pathology screening, which will revolutionize clinical practice in ophthalmology.

preprint2016arXiv

Coarse-to-fine Surgical Instrument Detection for Cataract Surgery Monitoring

The amount of surgical data, recorded during video-monitored surgeries, has extremely increased. This paper aims at improving existing solutions for the automated analysis of cataract surgeries in real time. Through the analysis of a video recording the operating table, it is possible to know which instruments exit or enter the operating table, and therefore which ones are likely being used by the surgeon. Combining these observations with observations from the microscope video should enhance the overall performance of the systems. To this end, the proposed solution is divided into two main parts: one to detect the instruments at the beginning of the surgery and one to update the list of instruments every time a change is detected in the scene. In the first part, the goal is to separate the instruments from the background and from irrelevant objects. For the second, we are interested in detecting the instruments that appear and disappear whenever the surgeon interacts with the table. Experiments on a dataset of 36 cataract surgeries validate the good performance of the proposed solution.

preprint2016arXiv

Real-time analysis of cataract surgery videos using statistical models

The automatic analysis of the surgical process, from videos recorded during surgeries, could be very useful to surgeons, both for training and for acquiring new techniques. The training process could be optimized by automatically providing some targeted recommendations or warnings, similar to the expert surgeon's guidance. In this paper, we propose to reuse videos recorded and stored during cataract surgeries to perform the analysis. The proposed system allows to automatically recognize, in real time, what the surgeon is doing: what surgical phase or, more precisely, what surgical step he or she is performing. This recognition relies on the inference of a multilevel statistical model which uses 1) the conditional relations between levels of description (steps and phases) and 2) the temporal relations among steps and among phases. The model accepts two types of inputs: 1) the presence of surgical tools, manually provided by the surgeons, or 2) motion in videos, automatically analyzed through the Content Based Video retrieval (CBVR) paradigm. Different data-driven statistical models are evaluated in this paper. For this project, a dataset of 30 cataract surgery videos was collected at Brest University hospital. The system was evaluated in terms of area under the ROC curve. Promising results were obtained using either the presence of surgical tools ($A_z$ = 0.983) or motion analysis ($A_z$ = 0.759). The generality of the method allows to adapt it to any kinds of surgeries. The proposed solution could be used in a computer assisted surgery tool to support surgeons during the surgery.