Publications

Ultrasound and MRI-based evaluation of relationships between morphological and mechanical properties of the lower lumbar multifidus muscle in chronic low back pain
Neda Naghdi
Sara Masi
Cleo Bertrand
Brent Rosenstein
Julien Cohen-Adad
Hassan Rivaz
Mathieu Roy
Maryse Fortin
While lumbar multifidus (MF) muscle alterations are linked to low back pain (LBP), the structure-function relationship is not fully understo… (see more)od. This study aims to evaluate the relationship between fatty degeneration of the lumbar MF muscle and its function in individuals with and without LBP. The study included 25 participants with chronic nonspecific LBP and 25 age- and sex-matched healthy controls. Participants underwent MRI assessment for MF fat infiltration, utilizing IDEAL fat-water images. Ultrasound measures evaluated MF function, including shear-wave elastography (SWE) for stiffness/elasticity and thickness ratio from rest to submaximal contraction. All measurements were acquired at L4/L5 and L5/S1 spinal levels, bilaterally. Bivariate and multivariable linear regression models were used to assess the relationship between morphology and function, while age, sex, body max index (BMI), physical activity levels, and LBP status were considered as covariates. Fifty participants (26 females) were included (mean age: 39.22 ± 11.67). Greater % MF fat at L4/L5 was significantly associated with greater MF SWE ratio (p = 0.002). No significant bivariate or multivariable relationships were found between MF fat infiltration and MF thickness ratio. Participants with LBP exhibited lower contraction ratios (p = 0.017) and higher SWE during contraction (p = 0.03) at L4/L5 compared to controls. This study highlights a positive association between MF fat infiltration and SWE-based stiffness measures at L4/L5, suggesting altered muscle composition may impacts MF function. However, no relationship was found between MF fat infiltration and contraction. Participants with LBP demonstrated distinct deficits in muscle activation, supporting the need for targeted rehabilitation strategies addressing these functional impairments.
2025-06-08
European Spine Journal (published)
doi.org
Multi-Priority Scheduling for Traffic Management in Future Scalable Payloads
Zineb Garroussi
Olfa Ben Yahia
Brunilde Sansò
Jean-François Frigon
Stéphane Martel
Guillaume Mantelet
Antoine Lesage-Landry
Gunes Karabulut Kurt
Through multibeam, frequency reuse, and advanced antenna technology, regenerative non-geostationary orbit (NGSO) extremely high-throughput s… (see more)atellites (EHTS) are expected to play a key role in future communications, delivering data rates up to terabits per second. This paper investigates a novel architecture for future regenerative and scalable payloads to satisfy users’ demands for varying quality of service (QoS). This architecture is designed based on multiple modem banks and requires a new flow assignment strategy to efficiently route traffic within the satellite. We propose a multi-commodity path flow optimization problem to manage the load with varying QoS requirements across multiple modems within an NGSO high-throughput satellite (HTS) system and beyond. The simulation results demonstrate that the proposed model consistently maintains low delays and packet losses for the highest-priority traffic and outperforms the classical first-in, first-out (FIFO) approach.
2025-06-07
2025 IEEE International Conference on Communications Workshops (ICC Workshops) (published)
doi.org
Silent Sabotage: Injecting Backdoors into AI Agents Through Fine-Tuning
Léo Boisvert
Abhay Puri
Chandra Kiran Reddy Evuru
Joshua Kazdan
Avinandan Bose
Quentin Cappart
Maryam Fazel
Sai Rajeswar
Jason Stanley
Nicolas Chapados
Alexandre Drouin
Krishnamurthy Dj Dvijotham
The rise of AI agents that can use tools, browse the web and interact with computers on behalf of a user, has sparked strong interest in imp… (see more)roving these capabilities by explicitly fine-tuning the LLMs/VLMs that power these agents. Several researchers have proposed collecting data by letting the agents interact with their environment (e.g., a computer operating system, the web or a collection of APIs exposed as tools), and improve agent performance by fine tuning on this data. In this work, we show that such data collection can be manipulated by adversaries to insert poisoned traces. By modifying just 5% of collected traces, adversaries can embed stealthy bad behaviors into agents—like leaking confidential user information whenever the tool or webpage exposes a trigger. Our results raise important security concerns in the development of AI agents, and underscore the importance of careful scrutiny of all data collection processes used to improve agentic AI.
2025-06-07
ICML.cc/2025/Workshop/WCUA (poster)
openreview.net
openreview.net
Advancing real-time infectious disease forecasting using large language models
Hongru Du
Yang Zhao
Jianan Zhao
Shaochong Xu
Xihong Lin
Yiran Chen
Lauren Gardner
Hao Yang
2025-06-05
Nature Computational Science (published)
doi.org
A Self-Supervised Foundation Model for Robust and Generalizable Representation Learning in STED Microscopy
Anthony Bilodeau
Frédéric Beaupré
Julia Chabbert
Kamylle Thériault
Andréanne Deschênes
Jean-Michel Bellavance
Koraly Lessard
Renaud Bernatchez
Paul De Koninck
Christian Gagné
Flavie Lavoie-Cardinal
Foundation Models (FMs) have dramatically increased the potential and power of deep learning algorithms through general capacities over a va… (see more)riety of tasks. The performance increase they offer is obtained without elaborated specific trainings for domains such as natural language processing and computer vision. However, their application in specialized fields like biomedical imaging and fluorescence microscopy remains difficult due to distribution shifts and the scarcity of high-quality annotated datasets. The high cost of data acquisition and the requirement for in-domain expertise further exacerbate this challenge in microscopy. To address this we introduce STED-FM, a foundation model specifically designed for super-resolution STimulated Emission Depletion (STED) microscopy. STED-FM leverages a Vision Transformer architecture trained at scale with Masked Autoencoding on a new dataset of nearly one million STED images. STED-FM learns expressive latent representations without requiring extensive annotations, yielding robust performance across diverse downstream microscopy image analysis tasks. Unsupervised experiments demonstrate the discriminative structure of its learned latent space. These representations can be leveraged for multiple downstream applications, including fully supervised classification and segmentation with reduced annotation requirements. Moreover, STED-FM representations enhance the performance of deep learning–based image denoising and improve the quality of images generated by diffusion models, enabling latent attribute manipulation for the data-driven discovery of subtle nanostructures and phenotypes, as well as algorithmic super-resolution. Moreover, its powerful structure retrieval capabilities are integrated into automated STED microscopy acquisition pipelines, paving the way for smart microscopy. In sum, we demonstrate that STED-FM lays a robust foundation for state-of-the-art algorithms across a wide array of tasks, establishing it as a highly valuable and scalable resource for researchers in super-resolution microscopy.
2025-06-05
bioRxiv (preprint)
doi.org
Use of Artificial Intelligence in Adolescents' Mental Health Care: Systematic Scoping Review of Current Applications and Future Directions
Gauri Sharma
Mark J Yaffe
Pooria Ghadiri
Rushali Gandhi
Laura Pinkham
Genevieve Gore
Samira Abbasgholizadeh-Rahimi
Given the increasing prevalence of mental health problems among adolescents, early intervention and appropriate management are needed to dec… (see more)rease mortality and morbidity. Artificial intelligence’s (AI) potential contributions, although significant in the field of medicine, have not been adequately studied in the context of adolescents’ mental health. This review aimed to identify AI interventions that have been tested, implemented, or both, for use in adolescents’ mental health care. We used the Arksey and O’Malley framework, further refined by Levac et al, along with the Joanna Briggs Institute methodology, to guide this scoping review. We searched 5 electronic databases from the inception date through July 2024 (inclusive). Four independent reviewers screened the titles and abstracts, read the full texts, and extracted data using a validated data extraction form. Disagreements were resolved by consensus, and if this was not possible, the opinion of a fifth reviewer was sought. We evaluated the risk of bias (ROB) for prognosis and diagnosis-related studies using the Prediction Model Risk of Bias Assessment Tool. We followed the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist for reporting. Of the papers screened, 88 papers relevant to our eligibility criteria were identified. Among the included papers, AI was most commonly used for diagnosis (n=78), followed by monitoring and evaluation (n=19), treatment (n=10), and prognosis (n=6). As some studies addressed multiple applications, categories are not mutually exclusive. For diagnosis, studies primarily addressed suicidal behaviors (n=11) and autism spectrum disorder (n=7). Machine learning was the most frequently reported AI method across all application areas. The overall ROB for diagnostic and prognostic models was predominantly unclear (58%), while 20% of studies had a high ROB and 22% were assessed as low risk. In our review, we found that AI is being applied across various areas of adolescent mental health care, spanning diagnosis, treatment planning, symptom monitoring, and prognosis. Interestingly, most studies to date have concentrated heavily on diagnostic tools, leaving other important aspects of care relatively underexplored. This presents a key opportunity for future research to broaden the scope of AI applications beyond diagnosis. Moreover, future studies should emphasize the meaningful and active involvement of end users in the design, development, and validation of AI interventions, alongside improved transparency in reporting AI models, data handling, and analytical processes to build trust and support safe clinical implementation.
2025-06-05
JMIR Mental Health (published)
doi.org
Use of Artificial Intelligence in Adolescents’ Mental Health Care: Systematic Scoping Review of Current Applications and Future Directions
Gauri Sharma
Mark J Yaffe
Pooria Ghadiri
Rushali Gandhi
Laura Pinkham
Genevieve Gore
Samira Abbasgholizadeh-Rahimi
Abstract Background Given the increasing prevalence of mental health problems among adolescents, early intervention and appropriate manageme… (see more)nt are needed to decrease mortality and morbidity. Artificial intelligence’s (AI) potential contributions, although significant in the field of medicine, have not been adequately studied in the context of adolescents’ mental health. Objective This review aimed to identify AI interventions that have been tested, implemented, or both, for use in adolescents’ mental health care. Methods We used the Arksey and O’Malley framework, further refined by Levac et al, along with the Joanna Briggs Institute methodology, to guide this scoping review. We searched 5 electronic databases from the inception date through July 2024 (inclusive). Four independent reviewers screened the titles and abstracts, read the full texts, and extracted data using a validated data extraction form. Disagreements were resolved by consensus, and if this was not possible, the opinion of a fifth reviewer was sought. We evaluated the risk of bias (ROB) for prognosis and diagnosis-related studies using the Prediction Model Risk of Bias Assessment Tool. We followed the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist for reporting. Results Of the papers screened, 88 papers relevant to our eligibility criteria were identified. Among the included papers, AI was most commonly used for diagnosis (n=78), followed by monitoring and evaluation (n=19), treatment (n=10), and prognosis (n=6). As some studies addressed multiple applications, categories are not mutually exclusive. For diagnosis, studies primarily addressed suicidal behaviors (n=11) and autism spectrum disorder (n=7). Machine learning was the most frequently reported AI method across all application areas. The overall ROB for diagnostic and prognostic models was predominantly unclear (58%), while 20% of studies had a high ROB and 22% were assessed as low risk. Conclusions In our review, we found that AI is being applied across various areas of adolescent mental health care, spanning diagnosis, treatment planning, symptom monitoring, and prognosis. Interestingly, most studies to date have concentrated heavily on diagnostic tools, leaving other important aspects of care relatively underexplored. This presents a key opportunity for future research to broaden the scope of AI applications beyond diagnosis. Moreover, future studies should emphasize the meaningful and active involvement of end users in the design, development, and validation of AI interventions, alongside improved transparency in reporting AI models, data handling, and analytical processes to build trust and support safe clinical implementation.
2025-06-05
JMIR Mental Health (published)
doi.org
Clarifying a working definition for ‘precision communication’: a scoping review of medical literature on communication
Bao-Lam Pham
Brigitte N. Durieux
Amanda Bianco
Corinne Cécyre-Chartrand
Elena Guadagno
Amalia M. Issa
Dan Poenaru
2025-06-04
Personalized Medicine (published)
doi.org
DIMCIM: A Quantitative Evaluation Framework for Default-mode Diversity and Generalization in Text-to-Image Generative Models
Revant Teotia
Candace Ross
Karen Ullrich
Sumit Chopra
Adriana Romero
Melissa Hall
Matthew J. Muckley
Recent advances in text-to-image (T2I) models have achieved impressive quality and consistency. However, this has come at the cost of repres… (see more)entation diversity. While automatic evaluation methods exist for benchmarking model diversity, they either require reference image datasets or lack specificity about the kind of diversity measured, limiting their adaptability and interpretability. To address this gap, we introduce the Does-it/Can-it framework, DIM-CIM, a reference-free measurement of default-mode diversity ("Does" the model generate images with expected attributes?) and generalization capacity ("Can" the model generate diverse attributes for a particular concept?). We construct the COCO-DIMCIM benchmark, which is seeded with COCO concepts and captions and augmented by a large language model. With COCO-DIMCIM, we find that widely-used models improve in generalization at the cost of default-mode diversity when scaling from 1.5B to 8.1B parameters. DIMCIM also identifies fine-grained failure cases, such as attributes that are generated with generic prompts but are rarely generated when explicitly requested. Finally, we use DIMCIM to evaluate the training data of a T2I model and observe a correlation of 0.85 between diversity in training images and default-mode diversity. Our work provides a flexible and interpretable framework for assessing T2I model diversity and generalization, enabling a more comprehensive understanding of model performance.
2025-06-04
ArXiv (preprint)
doi.org
arxiv.org
MesaNet: Sequence Modeling by Locally Optimal Test-Time Training
Johannes Von Oswald
Nino Scherrer
Seijin Kobayashi
Luca Versari
Songlin Yang
Maximilian Schlegel
Kaitlin Maile
Yanick Schimpf
Oliver Sieberling
Alexander Meulemans
Rif A. Saurous
Guillaume Lajoie
Charlotte Frenkel
Razvan Pascanu
Blaise Agüera y Arcas
João Sacramento
Sequence modeling is currently dominated by causal transformer architectures that use softmax self-attention. Although widely adopted, trans… (see more)formers require scaling memory and compute linearly during inference. A recent stream of work linearized the softmax operation, resulting in powerful recurrent neural network (RNN) models with constant memory and compute costs such as DeltaNet, Mamba or xLSTM. These models can be unified by noting that their recurrent layer dynamics can all be derived from an in-context regression objective, approximately optimized through an online learning rule. Here, we join this line of work and introduce a numerically stable, chunkwise parallelizable version of the recently proposed Mesa layer (von Oswald et al., 2024), and study it in language modeling at the billion-parameter scale. This layer again stems from an in-context loss, but which is now minimized to optimality at every time point using a fast conjugate gradient solver. Through an extensive suite of experiments, we show that optimal test-time training enables reaching lower language modeling perplexity and higher downstream benchmark performance than previous RNNs, especially on tasks requiring long context understanding. This performance gain comes at the cost of additional flops spent during inference time. Our results are therefore intriguingly related to recent trends of increasing test-time compute to improve performance -- here by spending compute to solve sequential optimization problems within the neural network itself.
2025-06-04
ArXiv (preprint)
doi.org
arxiv.org
Policy context and digital development: a comparative study of trajectories in 4 Canadian academic health centers over 30 years
Aude Motulsky
Susan Usher
Pascale Lehoux
Catherine Régis
Trish Reay
Paul Hebert
Lise Gauvin
Alain Biron
G. Ross Baker
Marie-Pierre Moreault
Johanne Préval
Jean-Louis Denis
The digitalization of health records stands to improve decision-making at clinical, administrative, and policy level. Efforts follow various… (see more) paths and are closely intertwined with health system and organizational configurations. Problems persist in both uptake and use. This study explores the digitalization trajectories of academic health centers (AHCs) to understand tensions between organizational and government strategies and their impact on digital development. AHCs play a leadership role within health systems in data-driven improvement. This retrospective case study draws on documentary, observational, and interview data to compare digitalization efforts over 3 decades in 4 AHCs in the province of Quebec (Canada). At system level, strategy shifted from supporting multilayered development that encouraged bottom-up initiatives in the first decade of the 2000s, to harmonizing clinical information systems in a highly prescriptive manner after 2010. AHCs experienced the shift differently according to concurrent impacts of health system restructuring, and internal choices around electronic health record (EHR) systems and implementation priorities. Digital maturity remained low in all 4 AHCs. Coordination between system strategies and organizational strategies in AHCs was neglected in early digital development in Québec and improved only after an intense period of prescription and resistance. Confrontation highlighted tensions around different objectives at AHC and system level, competing missions within AHCs, and trade-offs between relying on commercial EHRs and developing publicly owned systems, all of which ultimately influence EHR implementation. The different experiences of focal organizations with digitalization underline the importance of adapting national strategies and providing support to implementers, building on acquired strengths, and arriving at the right balance of guidance from the top and autonomy to develop innovative capacities.
2025-06-04
Journal of the American Medical Informatics Association : JAMIA (published)
doi.org
SSA-COMET: Do LLMs Outperform Learned Metrics in Evaluating MT for Under-Resourced African Languages?
Senyu Li
Jiayi Wang
Felermino Dario Mario Ali
Colin Cherry
Daniel Deutsch
Eleftheria Briakou
Rui Sousa-Silva
Henrique Lopes Cardoso
Pontus Stenetorp
David Ifeoluwa Adelani
Evaluating machine translation (MT) quality for under-resourced African languages remains a significant challenge, as existing metrics often… (see more) suffer from limited language coverage and poor performance in low-resource settings. While recent efforts, such as AfriCOMET, have addressed some of the issues, they are still constrained by small evaluation sets, a lack of publicly available training data tailored to African languages, and inconsistent performance in extremely low-resource scenarios. In this work, we introduce SSA-MTE, a large-scale human-annotated MT evaluation (MTE) dataset covering 13 African language pairs from the News domain, with over 63,000 sentence-level annotations from a diverse set of MT systems. Based on this data, we develop SSA-COMET and SSA-COMET-QE, improved reference-based and reference-free evaluation metrics. We also benchmark prompting-based approaches using state-of-the-art LLMs like GPT-4o and Claude. Our experimental results show that SSA-COMET models significantly outperform AfriCOMET and are competitive with the strongest LLM (Gemini 2.5 Pro) evaluated in our study, particularly on low-resource languages such as Twi, Luo, and Yoruba. All resources are released under open licenses to support future research.
2025-06-04
ArXiv (preprint)
doi.org
arxiv.org