Elodie Germani

Elodie Germani, Elisa Fromont, Camille Maumet

Context. We study the benefits of using a large public neuroimaging database composed of fMRI statistic maps, in a self-taught learning framework, for improving brain decoding on new tasks. First, we leverage the NeuroVault database to train, on a selection of relevant statistic maps, a convolutional autoencoder to reconstruct these maps. Then, we use this trained encoder to initialize a supervised convolutional neural network to classify tasks or cognitive processes of unseen statistic maps from large collections of the NeuroVault database. Results. We show that such a self-taught learning process always improves the performance of the classifiers but the magnitude of the benefits strongly depends on the number of samples available both for pre-training and finetuning the models and on the complexity of the targeted downstream task. Conclusion. The pre-trained model improves the classification performance and displays more generalizable features, less sensitive to individual differences.

Elodie Germani, Krystel Nyangoh-Timoh, Pierre Jannin et al.

Promptable segmentation models (e.g., the Segment Anything Models) enable generalizable, zero-shot segmentation across diverse domains. Although predictions are deterministic for a fixed image-prompt pair, the robustness of these models to variations in user prompts, referred to as prompt dependence, remains underexplored. In safety-critical workflows with substantial inter-user variability, interpretable and informative frameworks are needed to evaluate prompt dependence. In this work, we assess the reliability of promptable segmentation by analyzing and measuring its sensitivity to prompt variability. We introduce the first formulation of prompt dependence that explicitly disentangles prompt ambiguity (inter-user variability) from local sensitivity (interaction imprecision), offering an interpretable view of segmentation robustness. Experiments on two female pelvic MRI datasets for uterus and bladder segmentation reveal a strong negative correlation between both metrics and segmentation performance, highlighting the value of our framework for assessing robustness. The two metrics have low mutual correlation, supporting the disentangled design of our formulation, and provide meaningful indicators of prompt-related failure modes.

Elodie Germani, Camille Maumet, Elisa Fromont

We propose a novel approach to improve the reproducibility of neuroimaging results by converting statistic maps across different functional MRI pipelines. We make the assumption that pipelines used to compute fMRI statistic maps can be considered as a style component and we propose to use different generative models, among which, Generative Adversarial Networks (GAN) and Diffusion Models (DM) to convert statistic maps across different pipelines. We explore the performance of multiple GAN frameworks, and design a new DM framework for unsupervised multi-domain styletransfer. We constrain the generation of 3D fMRI statistic maps using the latent space of an auxiliary classifier that distinguishes statistic maps from different pipelines and extend traditional sampling techniques used in DM to improve the transition performance. Our experiments demonstrate that our proposed methods aresuccessful: pipelines can indeed be transferred as a style component, providing animportant source of data augmentation for future medical studies.

Elodie Germani, Elisa Fromont, Camille Maumet

Analytical workflows in functional magnetic resonance imaging are highly flexible with limited best practices as to how to choose a pipeline. While it has been shown that the use of different pipelines might lead to different results, there is still a lack of understanding of the factors that drive these differences and of the stability of these differences across contexts. We use community detection algorithms to explore the pipeline space and assess the stability of pipeline relationships across different contexts. We show that there are subsets of pipelines that give similar results, especially those sharing specific parameters (e.g. number of motion regressors, software packages, etc.). Those pipeline-to-pipeline patterns are stable across groups of participants but not across different tasks. By visualizing the differences between communities, we show that the pipeline space is mainly driven by the size of the activation area in the brain and the scale of statistic values in statistic maps.

Elodie Germani, Ilayda Selin Türk, Fatima Zeineddine et al.

Over the past decades, computer-aided diagnosis tools for breast cancer have been developed to enhance screening procedures, yet their clinical adoption remains challenged by data variability and inherent biases. Although foundation models (FMs) have recently demonstrated impressive generalizability and transfer learning capabilities by leveraging vast and diverse datasets, their performance can be undermined by spurious correlations that arise from variations in image quality, labeling uncertainty, and sensitive patient attributes. In this work, we explore the fairness and bias of FMs for breast mammography classification by leveraging a large pool of datasets from diverse sources-including data from underrepresented regions and an in-house dataset. Our extensive experiments show that while modality-specific pre-training of FMs enhances performance, classifiers trained on features from individual datasets fail to generalize across domains. Aggregating datasets improves overall performance, yet does not fully mitigate biases, leading to significant disparities across under-represented subgroups such as extreme breast densities and age groups. Furthermore, while domain-adaptation strategies can reduce these disparities, they often incur a performance trade-off. In contrast, fairness-aware techniques yield more stable and equitable performance across subgroups. These findings underscore the necessity of incorporating rigorous fairness evaluations and mitigation strategies into FM-based models to foster inclusive and generalizable AI.

Elodie Germani, Nikhil Baghwat, Mathieu Dugré et al.

Parkinson's disease (PD) is a common neurodegenerative disorder with a poorly understood physiopathology and no established biomarkers for the diagnosis of early stages and for prediction of disease progression. Several neuroimaging biomarkers have been studied recently, but these are susceptible to several sources of variability related for instance to cohort selection or image analysis. In this context, an evaluation of the robustness of such biomarkers to variations in the data processing workflow is essential. This study is part of a larger project investigating the replicability of potential neuroimaging biomarkers of PD. Here, we attempt to reproduce (re-implementing the experiments with the same data, same method) and replicate (different data and/or method) the models described in [1] to predict individual's PD current state and progression using demographic, clinical and neuroimaging features (fALFF and ReHo extracted from resting-state fMRI). We use the Parkinson's Progression Markers Initiative dataset (PPMI, ppmi-info.org), as in [1] and aim to reproduce the original cohort, imaging features and machine learning models as closely as possible using the information available in the paper and the code. We also investigated methodological variations in cohort selection, feature extraction pipelines and sets of input features. Different criteria were used to evaluate the reproduction and compare the reproduced results with the original ones. Notably, we obtained significantly better than chance performance using the analysis pipeline closest to that in the original study (R2 \> 0), which is consistent with its findings. Moreover, using derived data provided by the authors of the original study, we were able to make an exact reproduction and managed to obtain results that were close to the original ones. The challenges encountered while reproducing and replicating the original work are likely explained by the complexity of neuroimaging studies, in particular in clinical settings. We provide recommendations to further facilitate the reproducibility of such studies in the future.

Malek Al Abed, Sebiha Demir, Anne Groteklaes et al.

Portable ultra-low-field MRI (uLF-MRI, 0.064 T) offers accessible neuroimaging for neonatal care but suffers from low signal-to-noise ratio and poor diagnostic quality compared to high-field (HF) MRI. We propose MRIQT, a 3D conditional diffusion framework for image quality transfer (IQT) from uLF to HF MRI. MRIQT combines realistic K-space degradation for physics-consistent uLF simulation, v-prediction with classifier-free guidance for stable image-to-image generation, and an SNR-weighted 3D perceptual loss for anatomical fidelity. The model denoises from a noised uLF input conditioned on the same scan, leveraging volumetric attention-UNet architecture for structure-preserving translation. Trained on a neonatal cohort with diverse pathologies, MRIQT surpasses recent GAN and CNN baselines in PSNR 15.3% with 1.78% over the state of the art, while physicians rated 85% of its outputs as good quality with clear pathology present. MRIQT enables high-fidelity, diffusion-based enhancement of portable ultra-low-field (uLF) MRI for deliable neonatal brain assessment.