Thomas Louis

Manel Rakez, Thomas Louis, Julien Guillaumin et al.

Risk-adapted breast cancer screening requires robust models that leverage longitudinal imaging data. Most current deep learning models use single or limited prior mammograms and lack adaptation for real-world settings marked by imbalanced outcome distribution and heterogeneous follow-up. We developed LongiMam, an end-to-end deep learning model that integrates both current and up to four prior mammograms. LongiMam combines a convolutional and a recurrent neural network to capture spatial and temporal patterns predictive of breast cancer. The model was trained and evaluated using a large, population-based screening dataset with disproportionate case-to-control ratio typical of clinical screening. Across several scenarios that varied in the number and composition of prior exams, LongiMam consistently improved prediction when prior mammograms were included. The addition of prior and current visits outperformed single-visit models, while priors alone performed less well, highlighting the importance of combining historical and recent information. Subgroup analyses confirmed the model's efficacy across key risk groups, including women with dense breasts and those aged 55 years or older. Moreover, the model performed best in women with observed changes in mammographic density over time. These findings demonstrate that longitudinal modeling enhances breast cancer prediction and support the use of repeated mammograms to refine risk stratification in screening programs. LongiMam is publicly available as open-source software.

Thomas Louis, Benoit Miramond, Alain Pegatoquet et al.

Interest in spiking neural networks (SNNs) has been growing steadily, promising an energy-efficient alternative to formal neural networks (FNNs), commonly known as artificial neural networks (ANNs). Despite increasing interest, especially for Edge applications, these event-driven neural networks suffered from their difficulty to be trained compared to FNNs. To alleviate this problem, a number of innovative methods have been developed to provide performance more or less equivalent to that of FNNs. However, the spiking activity of a network during inference is usually not considered. While SNNs may usually have performance comparable to that of FNNs, it is often at the cost of an increase of the network's activity, thus limiting the benefit of using them as a more energy-efficient solution. In this paper, we propose to leverage Knowledge Distillation (KD) for SNNs training with surrogate gradient descent in order to optimize the trade-off between performance and spiking activity. Then, after understanding why KD led to an increase in sparsity, we also explored Activations regularization and proposed a novel method with Logits Regularization. These approaches, validated on several datasets, clearly show a reduction in network spiking activity (-26.73% on GSC and -14.32% on CIFAR-10) while preserving accuracy.