34 research outputs found

    Theory and Implementation of Complex-Valued Neural Networks

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    This work explains in detail the theory behind Complex-Valued Neural Network (CVNN), including Wirtinger calculus, complex backpropagation, and basic modules such as complex layers, complex activation functions, or complex weight initialization. We also show the impact of not adapting the weight initialization correctly to the complex domain. This work presents a strong focus on the implementation of such modules on Python using cvnn toolbox. We also perform simulations on real-valued data, casting to the complex domain by means of the Hilbert Transform, and verifying the potential interest of CVNN even for non-complex data.Comment: 42 pages, 18 figure

    Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome associated with COVID-19: An Emulated Target Trial Analysis.

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    RATIONALE: Whether COVID patients may benefit from extracorporeal membrane oxygenation (ECMO) compared with conventional invasive mechanical ventilation (IMV) remains unknown. OBJECTIVES: To estimate the effect of ECMO on 90-Day mortality vs IMV only Methods: Among 4,244 critically ill adult patients with COVID-19 included in a multicenter cohort study, we emulated a target trial comparing the treatment strategies of initiating ECMO vs. no ECMO within 7 days of IMV in patients with severe acute respiratory distress syndrome (PaO2/FiO2 <80 or PaCO2 ≥60 mmHg). We controlled for confounding using a multivariable Cox model based on predefined variables. MAIN RESULTS: 1,235 patients met the full eligibility criteria for the emulated trial, among whom 164 patients initiated ECMO. The ECMO strategy had a higher survival probability at Day-7 from the onset of eligibility criteria (87% vs 83%, risk difference: 4%, 95% CI 0;9%) which decreased during follow-up (survival at Day-90: 63% vs 65%, risk difference: -2%, 95% CI -10;5%). However, ECMO was associated with higher survival when performed in high-volume ECMO centers or in regions where a specific ECMO network organization was set up to handle high demand, and when initiated within the first 4 days of MV and in profoundly hypoxemic patients. CONCLUSIONS: In an emulated trial based on a nationwide COVID-19 cohort, we found differential survival over time of an ECMO compared with a no-ECMO strategy. However, ECMO was consistently associated with better outcomes when performed in high-volume centers and in regions with ECMO capacities specifically organized to handle high demand. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/)

    Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

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    IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

    Apport de la polarimétrie pour l'antibrouillage des réseaux phases

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    L'article présente un détecteur de cible qui utilise les capacités polarimétriques des réseaux d'antennes afin d'éliminer les sources de brouillage. Ce détecteur est défini à partir d'un test statistique basé sur un rapport de vraisemblance. Nous établissons les lois de probabilité du critère de détection qui nous permettent d'évaluer la probabilité de fausse alarme et de détection. Des simulations montrent l'apport de ce détecteur dans les cas critiques où le brouilleur est proche angulairement de la direction visée

    Micro-Doppler Signal Representation for Drone Classification by Deep Learning

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    International audienceThere are numerous formats which represent the micro-Doppler signature. Our goal is to determine which one is the most adapted to classify small UAV (Unmanned Aerial Vehicules) with Deep Learning. To achieve this goal, we compare drone classification results with the different micro-Doppler signatures for a given neural network. This comparison has been performed on data obtained during a radar measurement campaign. We evaluate the classification performance in function of different use conditions we identified with a given neural network. According to the experiments conducted, the recommended format is a spectrum issued from long observations as its classification results are better for most criteria

    Complex-valued neural networks for polarimetric sar segmentation using pauli representation

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    International audienceIn the context of a growing popularity of Complex-Valued Neural Network (CVNN) for Polarimetric Synthetic Aperture Radar (PolSAR) applications, the input features often play a central role in classification and segmentation tasks. The socalled coherency matrix, widely used in the radar community, might limit the full potential of CVNNs. Particularly, complex-valued Pauli representation contains richer information than the coherency matrix. And the spatial coherent/local summation can also be performed by the first convolutional layers of CVNN. Letting this network learn itself the filters weights will further enhance its performance. In this paper, we propose a Complex-Valued Fully Convolutional Neural Network (CV-FCNN) which directly infers on the Pauli vector representation rather than on the coherency matrix to perform PolSAR image segmentation. The performance of CV-FCNN is then statistically evaluated on Bretigny PolSAR dataset and compared against an equivalent real-valued model

    About the equivalence between complex-valued and real-valued fully connected neural networks -application to polinsar images

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    International audienceIn this paper we provide an exhaustive statistical comparison between Complex-Valued MultiLayer Perceptron (CV-MLP) and Real-Valued MultiLayer Perceptron (RV-MLP) on Oberpfaffenhofen Polarimetric and Interferometric Synthetic Aperture Radar (PolInSAR) database. In order to compare both networks in a fair manner, the need to define the equivalence between the models arises. A novel definition for an equivalent Real-Valued Neural Network (RVNN) is proposed in terms of its real-valued trainable parameters that maintain the aspect ratio and analyze its dynamics. We show that CV-MLP gets a slightly better statistical performance for classification on the PolInSAR image than a capacity equivalent RV-MLP

    Merits of Complex-Valued Neural Networks for PolSAR image segmentation

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    International audienceDans cet article, nous mettons en oeuvre deux réseaux de neurones, l'un à valeurs complexes et l'autre à valeurs réelles, de dimensions équivalentes, pour la segmentation d'images Polarimetric Synthetic Aperture Radar (PolSAR). Ces réseaux sont basés sur des architectures convolutives de type U-Net. Une comparaison statistique exhaustive entre ces réseaux est présentée pour l'image PolSAR de Flevoland, en prenant en entrée la matrice de cohérence. Les résultats montrent une meilleure classification par le réseau de neurones à valeurs complexes
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