Lecturer at the University Paris Diderot (Paris 7), doing his research in the IMNC laboratory, in the team for modeling of biological systems. Formerly postdoc, in the team of Thomas Nattermann. Former PhD student at the LPTENS under the advice of Rémi Monasson.
IMNC Campus d'Orsay  Building 440 91405 Orsay CEDEX  France 
Email: deroulers # imnc.in2p3.fr Office: 135 Phone: +33 1 69 15 36 41 Fax: +33 1 69 15 71 96 
In international, peerreviewed journals, or, when indicated, in proceedings of international conferences.
Background
The World Health Organization (WHO) adult glioma grading system is questionable in pediatric highgrade gliomas (pHGGs), which are biologically distinct from adult HGGs. We took advantage of the neuropathological review data obtained during one of the largest prospective randomized pHGG trials, namely HERBY (NCT01390948), to address this issue in children with newly diagnosed nonbrainstem HGG.
Methods
HGG diagnosis was confirmed by prerandomization, realtime central pathology review using WHO 2007 criteria, followed by a consensus review blinded to clinical factors and outcomes. We evaluated association between WHO 2007 grade and other clinical/radiological/biological characteristics and the prognostic value of WHO 2007 grade, midline location, and selected biomarkers (Ki67 index/Olig2/CD34/EGFR/p53/H3F3A K27M mutation) on overall survival.
Results
Realtime central neuropathological review was feasible in a multicenter study, with a mean time of 2.4 days, and led to the rejection of HGG diagnosis in 20 of 163 cases (12.3%). The different grading criteria and resulting WHO grade were not significantly associated with overall survival in the entire population (n = 118) or in midline and nonmidline subgroups. H3F3A K27M mutation was significantly associated with poor outcome. No significant prognostic value was observed for grade, even after regrading H3F3A K27Mmutated midline glioma as grade IV (WHO 2016). Midline location and a high Ki67 index (≥20%) were associated with poor outcome (P = 0.004 and P = 0.04, respectively). A 10% increase in Ki67 index was associated with a hazard ratio of 1.53 (95% CI: 1.27–1.83; P < 0.0001).
Conclusion
Our findings suggest that WHO grade III versus IV has no prognostic value in pediatric HGG.
Background:
Angiogenesis is a key phenomenon for tumour progression, diagnosis and treatment in brain tumours and more generally in oncology. Presently, its precise, direct quantitative assessment can only be done on whole tissue sections immunostained to reveal vascular endothelial cells. But this is a tremendous task for the pathologist and a challenge for the computer since digitised whole tissue sections, whole slide mages (WSI), contain typically around ten gigapixels.
Methods:
We define and implement an algorithm that determines automatically, on a WSI at objective magnification 40x, the regions of tissue, the regions without blur and the regions of large puddles of red blood cells, and constructs the mask of blurfree, significant tissue on the WSI.
Then it calibrates automatically the optical density ratios of the immunostaining of the vessel walls and of the counterstaining, performs a colour deconvolution inside the regions of blurfree tissue, and finds the vessel walls inside these regions by selecting, on the image resulting from the colour deconvolution, zones which satisfy a doublethreshold criterion. The two thresholds involved are automatically computed from the WSI so as to cope with variations in staining and digitisation parameters. A mask of vessel wall regions on the WSI is produced.
The density of microvessels is finally computed as the fraction of the area of significant tissue which is occupied by vessel walls.
We apply this algorithm to a set of 186 WSI of paediatric brain tumours from World Health Organisation grades I to IV.
Results:
The algorithm and its implementation are able to distinguish on the WSI the significant tissue and the vessel walls. The segmentations are of very good quality although the set of slides is very heterogeneous (in tumour type, in staining and digitisation parameters, and inside WSI themselves, where the tissue was often very fragmented). The computation time is of the order of a fraction of an hour for each WSI even though a modest desktop computer is used (a 2012 Mac mini) and the average size of WSI is 7 gigapixels. The computed microvascular density is found to be robust. We find that it strongly correlates with the tumour grade.
Conclusions:
We have introduced a method of automatic segmentation of significant, blurfree tissue and of vessel walls, and of quantification of the density of microvessels, in WSI. We successfully tested it on a large variety of brain tumour tissue samples. This method requires no training and estimates automatically several important parameters of the segmentation. It is robust and can easily be applied to other tumour types and other stainings. It should improve the reproducibility of quantitative estimates in pathology while sparing the pathologist time and effort.
Objectives
Diffuse lowgrade gliomas are characterized by slow growth. Despite
appropriate treatment, they change inexorably into more aggressive
forms, jeopardizing the patient's life. Optimizing treatments, for
example with the use of mathematical modelling, could help to prevent
tumour regrowth and anaplastic transformation. Here, we present a model
of the effect of radiotherapy on such tumours. Our objective is to
explain observed delay of tumour regrowth following radiotherapy and to
predict its duration.
Materials and methods We have used a
migrationproliferation model complemented by an equation describing
appearance and draining of oedema. The model has been applied to
clinical data of tumour radius over time, for a population of 28
patients.
Results We were able to show that draining of oedema
accounts for regrowth delay after radiotherapy and have been able to fit
the clinical data in a robust way. The model predicts strong correlation
between high proliferation coefficient and low progressionfree gain of
lifetime, due to radiotherapy among the patients, in agreement with
clinical studies.
We argue that, with reasonable assumptions, it is possible to
predict (precision ~20%) regrowth delay after radiotherapy and the gain
of lifetime due to radiotherapy.
Conclusions Our oedemabased model provides an early
estimation of individual duration of tumour response to radiotherapy and
thus, opens the door to the possibility of personalized medicine.
Background: Digital pathology images are increasingly
used both for diagnosis and research, because slide scanners are
nowadays broadly available and because the quantitative study of
these images yields new insights in systems biology. However, such
virtual slides build up a technical challenge since the images
occupy often several gigabytes and cannot be fully opened in a
computer's memory. Moreover, there is no standard format. Therefore,
most common open source tools such as ImageJ fail at treating them,
and the others require expensive hardware while still being
prohibitively slow.
Results: We have developed several crossplatform open
source software tools to overcome these limitations. The NDPITools provide a way to transform
microscopy images initially in the loosely supported NDPI format
into one or several standard TIFF files, and to create mosaics
(division of huge images into small ones, with or without overlap)
in various TIFF and JPEG formats. They can be driven through ImageJ
plugins. The LargeTIFFTools
achieve similar functionality for huge TIFF images which do not fit
into RAM. We test the performance of these tools on several digital
slides and compare them, when applicable, to standard software. A
statistical study of the cells in a tissue sample from an
oligodendroglioma was performed on an average laptop computer to
demonstrate the efficiency of the tools.
Conclusions: Our open source software enables dealing with
huge images with standard software on average computers. They are
crossplatform, independent of proprietary libraries and very
modular, allowing them to be used in other open source projects.
They have excellent performance in terms of execution speed and RAM
requirements. They open promising perspectives both to the clinician
who wants to study a single slide and to the research team or data
centre who do image analysis of many slides on a computer cluster.
Background: Supratentorial diffuse lowgrade gliomas in
adults extend beyond maximal visible MRIdefined abnormalities and a
gap exists between the imaging signal changes and the actual tumor
margins. Direct quantitative comparisons between imaging and
histological analyses are lacking even if they are mandatory to
develop realistic models for diffuse glioma growth.
Methods: In this study, we quantitatively compare the cell
concentration and the edema fraction from human histological biopsy
samples (BSs) performed within and outside imaging abnormalities
during serial imaging based stereotactic biopsy of diffuse
lowgrade gliomas.
Results: The cell concentration was significantly higher in
BSs located inside (1189±378 cell/mm2) than outside (740±124
cell/mm2) MRIdefined abnormalities (p=0.0003). The edema fraction
was significantly higher in BSs located inside (mean, 45±23%) than
outside (mean, 5±9%) MRIdefined abnormalities (p<0.0001). At
the MRIdefined abnormalities borders, the edema fraction
corresponded to 20% whereas tumor cells occupied a mean surface of
3%. The cycling cell concentration was significantly higher in BSs
located inside (10±12 cell/mm2) than outside (0.5±0.9 cell/mm2)
MRIdefined abnormalities (p=0.0001).
Conclusions: We show that the margins of T2weighted signal
changes are mainly correlated to the edema fraction. In 62.5% of
patients, the cycling tumor cell fraction (defined as the ratio of
the cycling tumor cell concentration to the total number of tumor
cells) was higher at the inner limits of the MRIdefined
abnormalities than inside the tumor center. In the remaining
patients, the cycling tumor cell fraction increased towards the
center of the tumor.
Objectives: Here we present a model aiming to provide an
estimate of time from tumour genesis, for grade II gliomas. The
model is based on a differential equation describing the
diffusionproliferation process. We have applied our model to
situations where tumour diameter was shown to increase linearly with
time, with characteristic diametric velocity.
Materials and methods: We have performed numerical
simulations to analyse data, on patients with grade II gliomas and
to extract information concerning time of tumour biological onset,
as well as radiology and distribution of model parameters.
Results and conclusions: We show that the estimate of
tumour onset obtained from extrapolation using a constant velocity
assumption, always underestimates biological tumour age, and that
the correction one should add to this estimate is given roughly by
20/v (year), where v is the diametric velocity of expansion of the
tumour (expressed in mm/year). Within the assumptions of the model,
we have identified two types of tumour: the first corresponds to
very slowly growing tumours that appear during adolescence, and the
second type corresponds to slowly growing tumours that appear later,
during early adulthood. That all these tumours become detectable
around a mean patient age of 30 years could be interesting for
formulation of strategies for early detection of tumours.
We present a model aiming at the description of intercellular communication on the invasive character of gliomas. We start from a previous model of ours based on a cellular automaton and develop a new version of it in a threedimensional geometry. Introducing the hydrodynamic limit of the automaton we obtain a macroscopic model involving a nonlinear diffusion equation. We show that this macroscopic model is quite adequate for the description of realistic situations. Comparison of the simulations with experimental results shows agreement with the finding that the inhibition of intercellular communication (through gap junctions) tends to decrease migration. As an application of our model we estimated the possible increase in life expectancy, due to reduced cell migration mediated by the inhibition of intercellular communication, on patients suffering from gliomas. We find that the obtained increase may amount to a 20% gain in the case of unresectable tumours.
Background: Imaging determinations of the spatial extent of
diffuse lowgrade gliomas (DLGGs) are of paramount importance in
evaluating the risktobenefit ratio of surgical resection. However,
it is not clear how accurately preoperative conventional MRI can
delineate DLGGs.
Methods: We report a retrospective histologic and imaging
correlation study in 16 adult patients who underwent serial
stereotactic biopsies for the diagnosis of untreated supratentorial
welldefined and noncontrastenhanced DLGG, in whom biopsy samples
were taken within and beyond (OutBSs) MRIdefined abnormalities.
Results: Thirtyseven OutBSs that extended from 10 to 26 mm
beyond MRIdefined abnormalities were studied. Immunostaining
revealed MIB1positive cells (i.e., cycling cells) in all but 2 of
the OutBSs. None of the MIB1positive cells coexpressed glial
fibrillary acidic protein, and all of them coexpressed OLIG2.
MIB1positive cells were cycling isolated tumor cells, because 1)
their morphologic characteristics reflected those of tumor cells, 2)
the number of MIB1positive cells per square centimeter was
significantly higher than that of controls, 3) the number of
MIB1positive cells per square centimeter was positively correlated
with the tumor growth fraction (p = 0.012), and 4) the number of
MIB1positive cells per square centimeter in OutBSs decreased with
distance from the tumor (p = 0.003).
Conclusions: This study demonstrates, using a multiscale
correlative approach, that conventional MRI underestimates the
actual spatial extent of diffuse lowgrade gliomas (DLGGs), even
when they are well delineated. These results suggest that an
extended resection of a margin beyond MRIdefined abnormalities,
whenever feasible in noneloquent brain areas, might improve the
outcome of DLGGs.
Twelve pregnancies in 11 adult women harboring World Health Organization (WHO) grade II gliomas (GIIGs) prior to pregnancy were reviewed to address whether pregnancy affects tumor growth using a quantitative approach of the radiological velocity of diametric expansion (VDE) on successive magnetic resonance images. VDE was significantly increased during pregnancy as compared to prepregnancy (p < 0.001) and to postdelivery (p = 0.012) periods. Pregnancy increases the radiological growth rates of GIIGs. An increase in seizure frequency was observed concomitantly in 40% of cases and further oncological treatment was started after delivery in 25% of cases.
We analyze the outofequilibrium behavior of exclusion processes where agents interact with their nearest neighbors, and we study the shortrange correlations which develop because of the exclusion and other contact interactions. The form of interactions we focus on, including adhesion and contactpreserving interactions, is especially relevant for migration processes of living cells. We show the local agent density and nearestneighbor twopoint correlations resulting from simulations on twodimensional lattices in the transient regime where agents invade an initially empty space from a source and in the stationary regime between a source and a sink. We compare the results of simulations with the corresponding quantities derived from the master equation of the exclusion processes, and in both cases, we show that, during the invasion of space by agents, a wave of correlations travels with velocity v(t) ~ t^(1/2). The relative placement of this wave to the agent density front and the time dependence of its height may be used to discriminate between different forms of contact interactions or to quantitatively estimate the intensity of interactions. We discuss, in the stationary density profile between a full and an empty reservoir of agents, the presence of a discontinuity close to the empty reservoir. Then we develop a method for deriving approximate hydrodynamic limits of the processes. From the resulting systems of partial differential equations, we recover the selfsimilar behavior of the agent density and correlations during space invasion.
We propose a simple cellular automaton model for the description of the evolution of a colony of Bacillus subtilis. The originality of our model lies in the fact that the bacteria can move in a pool of liquid. We assume that each migrating bacterium is surrounded by an individual pool, and the overlap of the latter gives rise to a collective pool with a higher water level. The bacteria migrate collectively when the level of water is high enough. When the bacteria are far enough from each other, the level of water becomes locally too low to allow migration, and the bacteria switch to a proliferating state. The proliferationtomigration switch is triggered by high levels of a substance produced by proliferating bacteria. We show that it is possible to reproduce in a fairly satisfactory way the various forms that make up the experimentally observed morphological diagram of B. subtilis. We propose a phenomenological relation between the size of the water pool used in our model and the agar concentration of the substrate on which the bacteria migrate. We also compare experimental results from cutting the central part of the colony with the results of our simulations.
It has been shown experimentally that contact interactions may influence the migration of cancer cells. Previous works have modelized this thanks to stochastic, discrete models (cellular automata) at the cell level. However, for the study of the growth of realsize tumors with several million cells, it is best to use a macroscopic model having the form of a partial differential equation (PDE) for the density of cells. The difficulty is to predict the effect, at the macroscopic scale, of contact interactions that take place at the microscopic scale. To address this, we use a multiscale approach: starting from a very simple, yet experimentally validated, microscopic model of migration with contact interactions, we derive a macroscopic model. We show that a diffusion equation arises, as is often postulated in the field of glioma modeling, but it is nonlinear because of the interactions. We give the explicit dependence of diffusivity on the cell density and on a parameter governing cellcell interactions. We discuss in detail the conditions of validity of the approximations used in the derivation, and we compare analytic results from our PDE to numerical simulations and to some in vitro experiments. We notice that the family of microscopic models we started from includes as special cases some kinetically constrained models that were introduced for the study of the physics of glasses, supercooled liquids, and jamming systems.
Motivated by recent experiments on nanowires and carbon nanotubes, we study theoretically the effect of strong, pointlike impurities on the linear electrical resistance R of finite length quantum wires. Charge transport is limited by Coulomb blockade and cotunneling. ln R is slowly selfaveraging and non Gaussian. Its distribution is Gumbel with finitesize corrections which we compute. At low temperatures, the distribution is similar to the variable range hopping (VRH) behaviour found long ago in doped semiconductors. We show that a result by Raikh and Ruzin does not apply. The finitesize corrections decay with the length L like 1/ln L. At higher temperatures, this regime is replaced by new laws and the shape of the finitesize corrections changes strongly: if the electrons interact weakly, the corrections vanish already for wires with a few tens impurities.
The probability Psuccess(α, N) that stochastic greedy algorithms successfully solve the random SATisfiability problem is studied as a function of the ratio α of constraints per variable and the number N of variables. These algorithms assign variables according to the unitpropagation (UP) rule in presence of constraints involving a unique variable (1clauses), to some heuristic (H) prescription otherwise. In the infinite N limit, Psuccess vanishes at some critical ratio α_H which depends on the heuristic H. We show that the critical behaviour is determined by the UP rule only. In the case where only constraints with 2 and 3 variables are present, we give the phase diagram and identify two universality classes: the power law class, where Psuccess[α_{H} (1+ε N^{1/3}), N] ∼ A(ε)/N^{γ}; the stretched exponential class, where Psuccess[α_{H} (1+ε N^{1/3}), N] ∼ exp[N^{1/6} Φ(ε)]. Which class is selected depends on the characteristic parameters of input data. The critical exponent γ is universal and calculated; the scaling functions A and Φ weakly depend on the heuristic H and are obtained from the solutions of reactiondiffusion equations for 1clauses. Computation of some nonuniversal corrections allows us to match numerical results with good precision. The critical behaviour for constraints with >3 variables is given. Our results are interpreted in terms of dynamical graph percolation and we argue that they should apply to more general situations where UP is used.
The probability P(α, N) that search algorithms for random Satisfiability problems successfully find a solution is studied as a function of the ratio α of constraints per variable and the number N of variables. P is shown to be finite if α lies below an algorithmdependent threshold α_A, and exponentially small in N above. The critical behaviour is universal for all algorithms based on the widelyused unitary propagation rule: P[ (1 + ε) α_{A} , N] ∼ exp[N^{1/6} Φ(ε N^{1/3}) ]. Exponents are related to the critical behaviour of random graphs, and the scaling function Φ is exactly calculated through a mapping onto a diffusionanddeath problem.
A quantum field theoretic formulation of the dynamics of the Contact Process on a regular graph of degree z is introduced. A perturbative calculation in powers of 1/z of the effective potential for the density of particles φ(t) and an instantonic field ψ(t) emerging from the quantum formalism is performed. Corrections to the meanfield distribution of densities of particles in the outofequilibrium stationary state are derived in powers of 1/z. Results for typical (e.g. average density) and rare fluctuation (e.g. lifetime of the metastable state) properties are in very good agreement with numerical simulations carried out on Ddimensional hypercubic (z=2D) and Cayley lattices.
We study the dynamics of the qstate random bond Potts ferromagnet on the square lattice at its critical point by Monte Carlo simulations with single spinflip dynamics. We concentrate on q=3 and q=24 and find, in both cases, conventional, rather than activated, dynamics. We also look at the distribution of relaxation times among different samples, finding different results for the two q values. For q=3 the relative variance of the relaxation time tau at the critical point is finite. However, for q=24 this appears to diverge in the thermodynamic limit and it is ln(tau) which has a finite relative variance. We speculate that this difference occurs because the transition of the corresponding pure system is second order for q=3 but first order for q=24.
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