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Reference corpus

Publications

Research memoirs, deployment frameworks and doctrinal articles. Most of the corpus is freely accessible upon registration — no sales outreach.

The Twingital Institute's publications document the concrete transition from performant AI model to industrially deployable system. They are intended for decision-makers, system architects, compliance officers and general management of organizations deploying AI in critical environments.

The corpus is organized in three categories: research memoirs and reports (long, foundational documents), reference frameworks and deployment guides (operational tools), articles and doctrinal positions (position papers on open questions).

Filter 88 publications

Research memoirs & reports

5 documents

Research memoir · Twingital Institute

From Medical Drift to Predictive Medicine — Arbitration Brief

Medical vigilance and chronicity: systemic diagnosis and architectural properties of a sustainable regime. 2-page cabinet synthesis.

Jérôme Vetillard · May 2026 · 2 pages

PREDICAREPredictive medicineArbitrationCabinetSynthesisTwingital Institute
○ Open access Read → ↓ PDF

Research memoir · Twingital Institute

From Medical Drift to Predictive Medicine — Clinical Note

On what we see in consultation, what we cannot see, and what could change. A PREDICARE note for care actors.

Jérôme Vetillard · May 2026 · 11 pages

PREDICAREPredictive medicineClinical practiceLongitudinal vigilanceChronicityClinical vigilance densityTwingital Institute
○ Open access Read → ↓ PDF

Research memoir · Twingital Institute

The Economic Regime of Avoidance

Doctrine of a territorial predictive vigilance infrastructure under advanced chronicity: why prevention remains structurally non-financeable.

Jérôme Vetillard · May 2026 · 12 pages

PREDICAREPredictive medicineHealth economicsActivity-based pricingPublic health budgetingLong-term conditionsChronicityTwingital Institute
○ Open access Read → ↓ PDF

Research memoir · Twingital Institute

From Medical Drift to Predictive Medicine — Policy Brief

Systemic diagnosis of the French healthcare system and architectural properties of a sustainable vigilance regime under chronicity.

Jérôme Vetillard · May 2026 · 11 pages

PREDICAREPredictive medicineHealth policyGovernanceLongitudinal vigilanceChronicityTwingital Institute
○ Open access Read → ↓ PDF

Research memoir · Twingital Institute

From medical desertification to predictive medicine — structural diagnosis and territorial prevention infrastructure

Memoir documenting the full arc of the PREDICARE programme: epidemiological foundations, architecture, validation, governance.

Jérôme Vetillard · June 2025 · 110 pages

Predictive medicinePREDICAREDigital twinsTerritorial healthMedical desertification
◎ Upcoming Get notified →

Reference frameworks & deployment guides

9 documents

Reference framework · Twingital Institute

Beyond the next token: three architectures for three shortcomings of the LLM paradigm

Technical note distinguishing three architectural families (world models, JEPA, memory models) as responses to the three blind spots of the LLM paradigm.

Jérôme Vetillard · April 2026 · 9 pages

LLMPost-LLM ArchitecturesWorld ModelsJEPAMemory ModelsComposite ArchitectureAI DoctrineClinical Digital TwinsAI Governance
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

The Contractualised Promotion Port: What the FDA Built Before the Architects Named It

The FDA PCCP is the mature form of a contractualised promotion port, distinct from the model registry. Tripartite apparatus and ex ante admission regime.

Jérôme Vetillard · April 2026 · 12 pages

Promotion portPCCPFDAEMAQMSRAI ActMLOpsModel registryHexagonal architectureSilent trialPharmacovigilanceToxTwinAI GovernanceRegulated AI
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

What an Agent Refuses Says More Than What It Does

Structural taxonomy of agentic refusals in 6 categories. Refusal as architectural primitive of governance, not as a residue of the system.

Jérôme Vetillard · April 2026 · 16 pages

AI GovernanceAgentic AIRefusalTaxonomyObservabilityDecision ContractPolicy-as-codeEU AI ActToxTwinPREDICAREArchitecture
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

Public Benchmarks Have Lost the Right to Decide Alone

Apparent vs structural exogeneity. Three-layer validation architecture for AI systems in regulated contexts.

Jérôme Vetillard · April 2026 · 11 pages

AI BenchmarksAI GovernanceValidationRegulated contextsArchitectureMMLUHumanEvalNIST AI 800-2Perimeter biasStructural exogeneity
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

Hexagonal Architecture Is Not Just a Development Pattern. It Is a Structural Condition of Governability.

Hexagonal architecture as a condition of governability for regulated AI. Reliability ports, domain-infrastructure separation, normative testability.

Jérôme Vetillard · April 2026 · 9 pages

Hexagonal architectureGovernabilityReliability portsRegulated AIDomain-Driven DesignDomain-infrastructure separationConstitutive traceabilityEU AI ActMDRToxTwin
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

Measured Performance, Operational Reliability: The Distinction the Industry Refuses to Make

Measured performance vs operational reliability: calibration, applicability domain, decisional validity — three properties regulated AI can no longer conflate.

Jérôme Vetillard · April 2026 · 12 pages

Regulated AIOperational reliabilityCalibrationApplicability domainAUCValidationToxTwinCheminformaticsHealthcareMLOps
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

AI Governance Is Not a Policy. It Is an Architecture.

Procedural vs architectural AI governance. Native auditability, validity domain, decision/automation separation.

Jérôme Vetillard · April 2026 · 7 pages

AI GovernanceArchitectureEU AI ActMDRAuditabilityTraceabilityNIST AI RMFISO 42001HealthcareRegulated systems
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

Beyond the LLM-Centric Paradigm: Composite Agentic Architecture for Digital Twins in Regulated Environments

Composite agentic architecture: algorithmic swarms, domain memory, and event-driven orchestration for regulated digital twins.

Jérôme Vetillard · April 2026 · 13 pages

Agentic AIComposite Agentic ArchitectureAlgorithmic SwarmDigital TwinDelta LakeAlgorithmic CompositionEvent-Driven ArchitectureDomain MemoryAI ActTweenMePREDICARE
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

Event-Driven Architecture as the Essential Complement to Agentic AI

Why agentic AI is fundamentally an enterprise architecture problem. Five structural functions of EDA for situated, auditable, governable AI agents.

Jérôme Vetillard · April 2026 · 22 pages

Agentic AIEvent-Driven ArchitectureEnterprise ArchitectureAI GovernanceDigital TwinsMulti-Agent SystemsAI ActNIST AI RMF
○ Open access Read → ↓ PDF

Articles & position papers

67 documents

Article — Position paper · Twingital Institute

A Model Is Not Sovereign Because It Is Open

A model does not become sovereign because it is open. Three chains of proof: inspectable weights, documentable training data, governable versions.

Jérôme Vetillard · May 2026 · 15 pages

Model SovereigntyFoundation ModelsOpen-weightAI Act GPAIOSAIDAuditabilityVersion GovernanceArchitecture
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Energy Sovereignty: The Layer Nothing Can Compensate

Of four digital sovereignty layers, only the energy layer is allocated, not composed. AI enters macro-industrial governance.

Jérôme Vetillard · May 2026 · 11 pages

Digital sovereigntyEnergy sovereigntyAI infrastructureDatacentersRegulated AINIS2AI ActGPAIEPR2Nuclear PPATwingital Institute
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Sovereignty Is a Stack, Not a Label

Seven layers, three verdicts: arbitration doctrine of composite sovereignty for AI in regulated European environments. Silicon changes political nature.

Jérôme Vetillard · May 2026 · 12 pages

Composite SovereigntySupply ChainSiliconHBMHardware AttestationAI ActSecNumCloudArchitecture
○ Open access Read → ↓ PDF

Research memoir · Twingital Institute

From Medical Drift to Predictive Medicine — Arbitration Brief

Medical vigilance and chronicity: systemic diagnosis and architectural properties of a sustainable regime. 2-page cabinet synthesis.

Jérôme Vetillard · May 2026 · 2 pages

PREDICAREPredictive medicineArbitrationCabinetSynthesisTwingital Institute
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Digital sovereignty is not a political debate. It is a condition for the capitalisation of performance.

Architectural doctrine of the sovereignty port: compliance computed by the gate, proven by the ledger. Three planes, three threats, AI Act, SecNumCloud.

Jérôme Vetillard · May 2026 · 14 pages

Digital SovereigntyArchitectureSovereign CloudAI ActSecNumCloudHDSCLOUD ActRuntime Compliance
○ Open access Read → ↓ PDF

Research memoir · Twingital Institute

From Medical Drift to Predictive Medicine — Clinical Note

On what we see in consultation, what we cannot see, and what could change. A PREDICARE note for care actors.

Jérôme Vetillard · May 2026 · 11 pages

PREDICAREPredictive medicineClinical practiceLongitudinal vigilanceChronicityClinical vigilance densityTwingital Institute
○ Open access Read → ↓ PDF

Research memoir · Twingital Institute

The Economic Regime of Avoidance

Doctrine of a territorial predictive vigilance infrastructure under advanced chronicity: why prevention remains structurally non-financeable.

Jérôme Vetillard · May 2026 · 12 pages

PREDICAREPredictive medicineHealth economicsActivity-based pricingPublic health budgetingLong-term conditionsChronicityTwingital Institute
○ Open access Read → ↓ PDF

Research memoir · Twingital Institute

From Medical Drift to Predictive Medicine — Policy Brief

Systemic diagnosis of the French healthcare system and architectural properties of a sustainable vigilance regime under chronicity.

Jérôme Vetillard · May 2026 · 11 pages

PREDICAREPredictive medicineHealth policyGovernanceLongitudinal vigilanceChronicityTwingital Institute
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

The agent that decides has no signatory

CTO doctrine on citizen agentic AI, unassignable decisional debt, and the four COMEX decisions that turn unassignable risk into accountable risk.

Jérôme Vetillard · May 2026 · 11 pages

Agentic AIAI GovernanceAccountabilityGDPRAI ActShadow ITCTO doctrineCOMEXTwingital Institute
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Allocating the AI Kilowatt-Hour: Why the Energy Market Is Not a Protocol

AI kilowatt-hour allocation is triply distributed (market, contracts, local blockages) without deliberative procedure. Conditions for a sectoral protocol.

Jérôme Vetillard · May 2026 · 11 pages

Energy allocationAI governanceDeliberative protocolBenchmarkPPANormative arbitrationAI ActRAISE
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Benchmark performance is not deployability: three reliability ports, not three metrics

Doctrinal note distinguishing three reliability ports (disciplined split, explicit calibration, signed AD) as architectural alternative to the benchmark.

Jérôme Vetillard · May 2026 · 2 pages

BenchmarksValidationCalibrationApplicability domainMLOpsHealthcare AIAI GovernanceAI Doctrine
○ Open access Read → ↓ PDF

Exploration · Twingital Institute

The Promotion Gap. Why a public mitigation remains an artifact until tested on the actual target

The CVE-2026-31431 (Copy Fail) case on WSL2 kernel 6.6.87.2 as empirical terrain for the promotion gate between technical artifact and normative dependency.

Jérôme Vetillard · April 2026 · 6 pages

ai-governancecybersecurityhexagonal-architecturepromotion-gatepromotion-gapregulated-domainsbehavioral-validationcvelinux-kernel
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

The Ontological Collision of the Product Regime and the System Regime

The EU is not softening medical AI regulation: it is recording a categorial MDR/AI Act incompatibility it cannot resolve, externalizing it to manufacturers.

Jérôme Vetillard · April 2026 · 12 pages

AI ActMDR/IVDRMedical AIRegulationGovernanceHRAISPCCPCompliance
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

Beyond the next token: three architectures for three shortcomings of the LLM paradigm

Technical note distinguishing three architectural families (world models, JEPA, memory models) as responses to the three blind spots of the LLM paradigm.

Jérôme Vetillard · April 2026 · 9 pages

LLMPost-LLM ArchitecturesWorld ModelsJEPAMemory ModelsComposite ArchitectureAI DoctrineClinical Digital TwinsAI Governance
○ Open access Read → ↓ PDF
🔒

Exploration · Twingital Institute

Learning what cannot vary: memory as a constraint of the world

JEPA and latent predictive architectures: geometry of predictability, anti-collapse constraints, the unmet threshold of biographical memory.

Jérôme Vetillard · April 2026 · 12 pages

JEPALeCunI-JEPAV-JEPASelf-supervised learningVICRegLatent predictabilityLatent predictive architecturesWorld modelsBiographical memoryBiographical edgePredictive processingFristonGenerative agentsVoyagerReActSurvTRACETweenMeOCTOPUSmNSCLCBRAF V600EMDREU AI ActOut-of-distribution robustnessHDLSS
🔒 Registration required Preview → ↓ PDF

Article — Position paper · Twingital Institute

82 percent. AI regulation in health insurance and the variable it refuses to measure

Regulation by friction-of-use in U.S. health insurance. Unobservability as a political variable. The concept of administrative abandonment.

Jérôme Vetillard · April 2026 · 8 pages

AI RegulationHealth InsuranceMedicare AdvantagePrior AuthorizationAdministrative AbandonmentRegulatory FrictionUnobservabilitynH PredictEviCorePxDxCMS-0057-FWISeRSB 1120SludgeUnitedHealthCignaHealth Affairs
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

The Contractualised Promotion Port: What the FDA Built Before the Architects Named It

The FDA PCCP is the mature form of a contractualised promotion port, distinct from the model registry. Tripartite apparatus and ex ante admission regime.

Jérôme Vetillard · April 2026 · 12 pages

Promotion portPCCPFDAEMAQMSRAI ActMLOpsModel registryHexagonal architectureSilent trialPharmacovigilanceToxTwinAI GovernanceRegulated AI
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

What an Agent Refuses Says More Than What It Does

Structural taxonomy of agentic refusals in 6 categories. Refusal as architectural primitive of governance, not as a residue of the system.

Jérôme Vetillard · April 2026 · 16 pages

AI GovernanceAgentic AIRefusalTaxonomyObservabilityDecision ContractPolicy-as-codeEU AI ActToxTwinPREDICAREArchitecture
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

Public Benchmarks Have Lost the Right to Decide Alone

Apparent vs structural exogeneity. Three-layer validation architecture for AI systems in regulated contexts.

Jérôme Vetillard · April 2026 · 11 pages

AI BenchmarksAI GovernanceValidationRegulated contextsArchitectureMMLUHumanEvalNIST AI 800-2Perimeter biasStructural exogeneity
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Agentic Governance Will Not Come from the Models

Exogenous agentic governance: action-space/autonomy/reversibility risk grid, decision regimes and admission contracts.

Jérôme Vetillard · April 2026 · 13 pages

AI GovernanceAgentic AIArchitectureDecision ContractAdmission ControlDecision RegimesAction-spaceReversibilityEU AI ActIMDANIST
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

Hexagonal Architecture Is Not Just a Development Pattern. It Is a Structural Condition of Governability.

Hexagonal architecture as a condition of governability for regulated AI. Reliability ports, domain-infrastructure separation, normative testability.

Jérôme Vetillard · April 2026 · 9 pages

Hexagonal architectureGovernabilityReliability portsRegulated AIDomain-Driven DesignDomain-infrastructure separationConstitutive traceabilityEU AI ActMDRToxTwin
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

Measured Performance, Operational Reliability: The Distinction the Industry Refuses to Make

Measured performance vs operational reliability: calibration, applicability domain, decisional validity — three properties regulated AI can no longer conflate.

Jérôme Vetillard · April 2026 · 12 pages

Regulated AIOperational reliabilityCalibrationApplicability domainAUCValidationToxTwinCheminformaticsHealthcareMLOps
○ Open access Read → ↓ PDF

Exploration · Twingital Institute

ToxTwin V2.4 — The Tri-Router, or Why a Single Model Never Suffices

ToxTwin V2.4: endpoint tri-router, enriched Ames ISS and hERG ChEMBL corpora. Tox21 mean AUC 0.898, Ames 0.853, hERG 0.800. Lessons from a controlled cycle.

Jérôme Vetillard · April 2026 · 4 pages

ToxTwinGNNTri-routerAmeshERGTox21Ensemble learningCheminformaticsCalibrationSovereignty
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

AI Governance Is Not a Policy. It Is an Architecture.

Procedural vs architectural AI governance. Native auditability, validity domain, decision/automation separation.

Jérôme Vetillard · April 2026 · 7 pages

AI GovernanceArchitectureEU AI ActMDRAuditabilityTraceabilityNIST AI RMFISO 42001HealthcareRegulated systems
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

Beyond the LLM-Centric Paradigm: Composite Agentic Architecture for Digital Twins in Regulated Environments

Composite agentic architecture: algorithmic swarms, domain memory, and event-driven orchestration for regulated digital twins.

Jérôme Vetillard · April 2026 · 13 pages

Agentic AIComposite Agentic ArchitectureAlgorithmic SwarmDigital TwinDelta LakeAlgorithmic CompositionEvent-Driven ArchitectureDomain MemoryAI ActTweenMePREDICARE
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

Event-Driven Architecture as the Essential Complement to Agentic AI

Why agentic AI is fundamentally an enterprise architecture problem. Five structural functions of EDA for situated, auditable, governable AI agents.

Jérôme Vetillard · April 2026 · 22 pages

Agentic AIEvent-Driven ArchitectureEnterprise ArchitectureAI GovernanceDigital TwinsMulti-Agent SystemsAI ActNIST AI RMF
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Being a dominant platform is not enough

Gap between massive deployment and real adoption of Microsoft 365 Copilot. 3.3% penetration, negative NPS, generative shadow IT.

Jérôme Vetillard · March 2026

Microsoft CopilotAI adoptionGovernanceGenerative shadow ITEnterprise LLMROIEU AI ActGDPR
○ Open access Read → ↓ PDF

Exploration · Twingital Institute

Encoding, transduction, and world models — Part 1/3

Dreyfus, Searle, and the language/representation confusion. Explicit, implicit, and pipeline encoding. The data scientist layer.

Jérôme Vetillard · March 2026 · 10 pages

EncodingRepresentationDreyfusSearleTransformerVAECLIPCNNData pipelineData scientistLatent spaceLLMsEmbodied cognition
○ Open access Read → ↓ PDF

Exploration · Twingital Institute

Encoding, transduction, and world models — Part 2/3

Biological transduction vs mediated encoding. Symbol grounding problem. Molyneux's problem, Mary's argument. Three grounding levels.

Jérôme Vetillard · March 2026 · 12 pages

TransductionSymbol groundingHarnadMolyneuxMaryMultimodal groundingBarsalouTulvingDamasioAutonoesisLLMsEmbodied cognition
○ Open access Read → ↓ PDF
🔒

Exploration · Twingital Institute

Encoding, transduction, and world models — Part 3/3

Memory as polycentric graph. Biographical edge vs statistical edge. World models: decisive advance but insufficient threshold.

Jérôme Vetillard · March 2026 · 18 pages

Polycentric graphBiographical memoryBiographical edgeDistributed engramTonegawaSynaesthesiaAutonoesisWorld modelsJEPALeCunTulvingDamasioBarsalouEmbodied cognitionLLMs
🔒 Registration required Preview → ↓ PDF
🔒

Exploration · Twingital Institute

Encoding, transduction, and world models — Complete article

Full article (28 pp.). Encoding, transduction, stratified grounding, polycentric memory graph, biographical edge, world models.

Jérôme Vetillard · March 2026 · 28 pages

EncodingTransductionSymbol groundingPolycentric graphBiographical edgeEpisodic memoryAutonoesisWorld modelsJEPAEmbodied cognitionLLMsDreyfusSearleHarnadBarsalouTulvingDamasioTonegawaLeCun
🔒 Registration required Preview → ↓ PDF

Article — Position paper · Twingital Institute

Bayesian: the word that buys regulatory credibility without earning it

Why most Bayesian implementations in health AI are frequentism dressed up as a probabilistic graph. Calibration, drift, and the HR argument.

Jérôme Vetillard · March 2026 · 10 pages

BayesianismFrequentismCalibrationHealth startupsDataset shift
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Demanding AI explainability: a human vanity

AI explainability in medicine is a relational predicate, not an absolute. Measured, audited, monitored reliability over illusory transparency.

Jérôme Vetillard · March 2026

ExplainabilityXAIEU AI ActHealth AISHAPLIMECognitive neuroscienceReliabilityPharmacovigilanceAnthropocentrism

Article — Position paper · Twingital Institute

AI's Supposed Virtuality Facing the Wall of Reality

Analysis of AI's physical constraints: energy, water, data, silicon. $200B in GPUs, <10% adoption, Jevons rebound effect.

Jérôme Vetillard · February 2026 · 17 pages

Industrial AIEnergyPhysical constraintsGPURebound effectGeopoliticsReal optionsAgentic AI
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

AI in healthcare is not just an algorithm problem — it is primarily an architecture problem

Six-dimension eligibility framework: decision topology, time balance, uncertainty reduction, coupling, TCO, reversibility.

Jérôme Vetillard · February 2026

ArchitectureHealth AIDeploymentDecision topologyArchitectural couplingTCOReversibilityDRP BCPTweenMePREDICARE

Article — Position paper · Twingital Institute

Does AI reduce clinicians' cognitive load — or increase it?

Structural analysis of AI-induced clinical cognitive load: techno-solutionism, collective decision-making, strained IT departments, TweenMe encapsulation.

Jérôme Vetillard · February 2026

Cognitive loadDecision supportClinical UXHealth AIHospital ITCybersecurityEU AI ActTweenMePREDICARETumor board

Article — Position paper · LinkedIn

Article 5.5 — Scaling without betrayal

How to scale a predictive prevention infrastructure without betraying territorial equity, clinical safety and the human purpose of care.

Jérôme Vetillard · January 2026

PREDICAREScalingTerritorial equityClinical safetyGovernanceHealth policyMedical abandonment

Article — Position paper · LinkedIn

PREDICARE: from acute medicine to predictive medicine — general overview

Overview of the PREDICARE series: from the systemic diagnosis of medical abandonment to a territorial predictive prevention infrastructure.

Jérôme Vetillard · January 2026

PREDICAREPredictive medicineMedical abandonmentPreventionChronic diseasesHealth infrastructureDigital twins
○ Open access Read → ↓ PDF

Article — Position paper · LinkedIn Pulse

Industrialise without losing clinical safety

From experimentation to mass production without manufacturing risk. Alert fatigue, verified interoperability, change management, clinical safety.

Jérôme Vetillard · January 2026 · 19 pages

IndustrialisationClinical safetyAlert fatigueInteroperabilityChange managementFHIREU AI ActIatrogenesisPREDICAREScalability
○ Open access Read → ↓ PDF

Article — Position paper · LinkedIn Pulse

How to finance predictive prevention?

Five levers to unlock funding: FIR/Article 51, ONDAM allocation, disciplined PPP, SIB/OIS, incentive reform. Territorial digital twins for accountability.

Jérôme Vetillard · January 2026 · 12 pages

Healthcare financingPredictive preventionONDAMFIRArticle 51PPPSIBTerritorial digital twinsFee-for-servicePREDICARE
○ Open access Read → ↓ PDF

Article — Position paper · LinkedIn Pulse

The roadmap: how to finance, govern and scale predictive prevention

Predictive prevention as 21st-century infrastructure. Five conditions: governance, financing, training, interoperability, outcomes-based management.

Jérôme Vetillard · January 2026 · 6 pages

Predictive preventionHealthcare infrastructureGovernanceONDAMHealthcare financingInteroperabilityAI trainingPREDICARESentinelle IA
○ Open access Read → ↓ PDF

Article — Position paper · LinkedIn Pulse

The economic lock: why our healthcare system finances failure rather than prevention

The value creation/capture decoupling, the rational budgetary suicide of hospitals under fee-for-service, the BFR valley of death. Systemic analysis.

Jérôme Vetillard · January 2026 · 9 pages

Economic lockFee-for-serviceHealthcare financingPredictive preventionKaiser PermanenteWorking capitalONDAMScalabilityPREDICARE

Article — Position paper · LinkedIn Pulse

From planned to predictive maintenance — Part 2: how and why it works

Clinical scenario of André's digital twin: detection at D-21, alert at D-13, intervention at D-12. RPM evidence base and the PREDICARE project.

Jérôme Vetillard · December 2025 · 14 pages

Digital twinRemote Patient MonitoringHeart failure decompensationHeart failurePREDICARESentinelle IARemote monitoringETAPES

Article — Position paper · LinkedIn Pulse

From planned to predictive maintenance — Part 1: a possible architecture

Why the system intervenes too late by design. 5-layer architecture: IoMT, companion app, digital twins, alerts, professional dashboard.

Jérôme Vetillard · December 2025 · 12 pages

Predictive maintenanceDigital twinIoMTAgentic AIRemote monitoringSystem architecturePREDICARESentinelle IA

Article — Position paper · LinkedIn Pulse

The mechanics of abandonment: how the system makes 'complex' patients invisible

Four systemic mechanisms turn the abandonment of polypathological patients into a statistical phenomenon: demography, economics, cognition, fragmentation.

Jérôme Vetillard · December 2025 · 9 pages

Medical desertificationFee-for-serviceCognitive loadFragmentationMedical demographyPolypathologyPREDICARE

Article — Position paper · LinkedIn Pulse

Medical desertification and care wandering: when André disappears from the radar

12 million patients with chronic conditions, a collapsing medical workforce. How the French system produces invisible patients.

Jérôme Vetillard · December 2025 · 4 pages

Medical desertificationCare wanderingChronic diseaseCare pathwaysPublic healthPREDICARE

Article — Position paper · LinkedIn

AI Investment ROI: Why 95% "Failure" Rate Says More About Our Measuring Tools

The MIT 95% AI failure rate reflects measurement bias, not technology failure. Portfolio ROI, platform economics, and the Data+AI foundation.

Jérôme Vetillard · September 2025 · 8 pages

AI ROIPlatform economicsPortfolio managementFinOpsMIT studyTweenMeDigital twinsEnterprise AI
○ Open access Read → ↓ PDF

Article — Position paper · Doctrinal position · LinkedIn

Clinical Cohort Augmentation through Generative AI

How generative AI can correct representativeness biases in clinical cohorts through synthetic data augmentation.

Jérôme Vetillard · July 2025 · 8 pages

Generative AIClinical cohortsBias correctionSynthetic dataClinical trialsTweenMeSmart Data Fertilizer

Exploration · Twingital Institute

Hyperscaler vs SecNumCloud: GVI/PCI optimisation under respective constraints

GVI/PCI analysis (MIT CPO) of the French sovereign cloud market: hyperscalers, SecNumCloud, territorialised hybridisation, risk matrix.

Jérôme Vetillard · July 2025

Sovereign cloudSecNumCloudHyperscalerGVIPCIMIT CPO ProgramPublic sectorGAIA-XDigital sovereigntyCloud architecture
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Article — Position paper · Twingital Institute

AI-Enabled Clinical Trials: The 2025 Evidence Engineering Framework

A framework combining adaptive trials, synthetic controls and RCTs under unified governance for AI clinical evidence.

Jérôme Vetillard · July 2025 · 21 pages

Clinical trialsAdaptive trialsSynthetic controlTweenMeTRIPOD-AIPROBAST-AIDECIDE-AICONSORT-AIAlgorithmovigilanceEvidence engineering
🔒 Registration required Preview → ↓ PDF

Article — Position paper · Doctrinal position · LinkedIn

AI in Healthcare: Impressive Progress, Missing Proof

Impressive technical progress does not exempt from economic and clinical proof. The missing independent health-economic evidence for AI in healthcare.

Jérôme Vetillard · July 2025 · 3 pages

AI healthcareHealth economicsClinical evidenceCommon goodRegulationMAI-DxOHealth-economic evaluation
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Article — Position paper · Twingital Institute

Clinically-Informed Neural Networks (CINNs)

Transposing the PINNs principle to clinical medicine. Published biomedical literature integrated as a constraint in the loss function.

Jérôme Vetillard · March 2025

CINNsPINNsHDLSSMedical AIClinical constraint
🔒 Registration required Preview → ↓ PDF

Article — Position paper · Twingital Institute · January 2025

Impact of Artificial Intelligence on bio-industries

AI as research accelerator in bio-industries. Data quality, HDLSS, cybersecurity, AlphaFold v3 limitations.

Jérôme Vetillard · January 2025

Bio-industriesHDLSSAlphaFoldCybersecurityTweenMeQualeesHealth dataAI Act
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

The patient digital twin: anatomy of an epistemological misunderstanding

Why the patient digital twin concept lacks defensible scientific content — and why the answer is a generator.

Jérôme Vetillard · January 2025

Digital twinDigital patientHDLSSTweenMeEpistemologyHealth AIMDR
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Do Buzzwords Dream of Clearer Substance?

From buzzword to operational discipline. Analytical framework, maturity models, ontological intelligence, cybersecurity and TweenMe.

Jérôme Vetillard · January 2025

Digital twinsHealthcareOntologyCybersecurityTweenMeISO 23247MDR
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

AI Never-Ending Story: Agentic Frameworks and the Tale of Self-Reinvention

Critical analysis of agentic AI frameworks. Historical roots, structural novelties, persistent challenges, and the cybersecurity blind spot.

Jérôme Vetillard · November 2024

Agentic AIMulti-agentCybersecurityLLMBDIEU AI Act
○ Open access Read → ↓ PDF

Exploration · LinkedIn · January 2024

Artificial intelligence and the question of 'consciousness' — Chapter 1: The Glasgow Scale

What emergency medicine and philosophy of mind say about consciousness — and its implications for AI.

Jérôme Vetillard · January 2024

ConsciousnessGlasgow Coma ScalePhilosophy of mindArtificial intelligenceSingularityNeurologyEthics

Exploration · Twingital Institute

Artificial Intelligence: Is It as 'Dumb' as a Galton Board?

Perceptrons, transformers, emergent complexity through massification. The brain is fractal, not a lasagna dish.

Jérôme Vetillard · April 2023 · 14 pages

Galton boardTransformersEmergenceChaos theoryFractalsLLMPerceptronNeural networks

Exploration · LinkedIn · April 2020

Why mortality is so high in nursing homes and why palliative care is offered

COVID-19 excess mortality in nursing homes: geriatric frailty, polypharmacy, ICU limits, palliative care ethics.

Jérôme Vetillard · April 2020

COVID-19Nursing homesGeriatricsPalliative careMedical ethicsPharmacology
○ Open access Read → ↓ PDF

Exploration · LinkedIn · March 2020

Reflections on some very nasty little things — Episode 3: Physiopathology of COVID19

Physiopathology of SARS-CoV-2: ACE2 binding, TMPRSS2 activation, cytokine storm, ARDS, sepsis, and therapeutic approaches (March 2020).

Jérôme Vetillard · March 2020

COVID-19PhysiopathologyCytokine stormARDSACE2Immunology
○ Open access Read → ↓ PDF

Exploration · LinkedIn · March 2020

Reflections on some very nasty little things — Episode 2: Diagnosis kits & testing strategy

RT-PCR mechanics, ELISA immunological tests, sensitivity/specificity trade-offs, and why massive testing alone cannot contain a pandemic.

Jérôme Vetillard · March 2020

COVID-19RT-PCRDiagnosticPublic healthEpidemiology
○ Open access Read → ↓ PDF

Exploration · LinkedIn · March 2020

Reflections on some very nasty little things — Episode 1: What is a virus?

Fundamental virology refresher: viral structure, envelope, genetic payload, replication cycle, mutations and recombination of SARS-CoV-2.

Jérôme Vetillard · March 2020

COVID-19VirologySARS-CoV-2CoronavirusBiotechnology
○ Open access Read → ↓ PDF

Article — Position paper · LinkedIn Pulse

Inflationary causes of healthcare system costs

Technological progressivism and the refusal of death as structural inflation drivers. The SOVALDI case. Alzheimer's, cancers, metabolic syndrome.

Jérôme Vetillard · September 2018 · 12 pages

Cost inflationSOVALDIAgeingMetabolic syndromeCancersPREDICARETranshumanism
○ Open access Read → ↓ PDF

Article — Position paper · LinkedIn Pulse

Health economics: principles and financing models

Health as a superior good per Kenneth Arrow. Bismarck vs Beveridge comparison. The American model: 18% of GDP.

Jérôme Vetillard · September 2018 · 7 pages

Health economicsBismarckBeveridgeKenneth ArrowWelfare state
○ Open access Read → ↓ PDF

Article — Position paper · LinkedIn Pulse

The French healthcare system: an architectural overview

Mapping the French healthcare ecosystem. Institutions, agencies, care providers, payers, industry. ONDAM, T2A, PMSI.

Jérôme Vetillard · September 2018 · 6 pages

Healthcare systemONDAMT2AInstitutional architecturePREDICARE
○ Open access Read → ↓ PDF

Article — Position paper · LinkedIn

Sustainable healthcare services through digital innovation — Part 2

Applying NIST cloud patterns to healthcare. Standardized service catalogue, IoT self-service, elastic capacity, anywhere access.

Jérôme Vetillard · January 2016 · 5 pages

Digital healthCloud architectureIoTPatient routingSupply chain
○ Open access Read → ↓ PDF

Article — Position paper · LinkedIn

Sustainable healthcare services through digital innovation — Part 1

Healthcare sustainability challenge. Demographics, economic crisis, provider architecture, and cloud architectural patterns as inspiration.

Jérôme Vetillard · June 2015 · 7 pages

Digital healthSustainabilityCloud architectureHealthcare services
○ Open access Read → ↓ PDF

Conferences & scientific presentations

8 documents

Conference · AFCRO 2026 · Qualees · YouTube

Decisive Contribution of Synthetic Data in Precision Oncology

TweenMe pipeline applied to the OCTOPUS study. Population synthesis, TSTR validation 95.2%, counterfactual simulator. ISPOR 2026 top 5%.

Jérôme Vetillard · March 2026

AFCROTweenMeOCTOPUSSynthetic dataPrecision oncologyBRAF V600EISPOR 2026
○ Open access Read →
🔒

Conference · ISPOR Europe 2025

High-Fidelity Synthetic Patient Generation and Validation for NSCLC Using TVAE and OCTOPUS Clinical Data

Validated TVAE pipeline for high-fidelity synthetic NSCLC cohort generation. ML Utility 0.907, correlation 0.935. OCTOPUS study, n=184.

Jérôme Vetillard · November 2025

ISPOR Europe 2025TweenMeSynthetic dataTVAENSCLCOCTOPUSPierre FabreQualeesSDTMValidation
🔒 Registration required Preview → ↓ PDF
🔒

Conference · ISPOR Europe 2025

Can an Ensemble Machine Learning Approach Outperform Traditional Models While Enhancing Accuracy, Fairness, and Interpretability in Clinical Risk Prediction?

TweenMe Single/Best/Ensemble: Bayesian optimisation OPTUNA, SMOTE, stacking. Accuracy 99.50%, ROC AUC 99.97% on diabetes.

Jérôme Vetillard · November 2025

ISPOR Europe 2025TweenMeEnsemble learningOptiTweenOPTUNASMOTEClinical predictionQualeesClassificationRegression
🔒 Registration required Preview → ↓ PDF

Conference · AFCRO 2025 · YouTube

AFCRO 2025 — AI in Clinical Trials

AI in clinical trials: methodological approaches, synthetic control arms, deployment in a demanding regulatory framework.

Jérôme Vetillard · January 2025

AFCROClinical trialsHealthcare AISynthetic control arms
○ Open access Read →

Conference · PHUSE 2024 · Paper CM05

GPTs and LLMs in the context of Life Sciences and Clinical Trials

GANs, VAEs, Transformers applied to drug discovery, clinical data automation, precision medicine and decentralized trials. 16 pages.

Jérôme Vetillard · November 2024 · 16 pages

PHUSEGenerative AILLMsDrug discoveryClinical trialsPrecision medicineGANsVAEsTransformers
○ Open access Read → ↓ PDF

Conference · AFCRO 2024 · YouTube

AFCRO 2024 — TweenMe Presentation

TweenMe presentation at AFCRO 2024. Data pipeline architecture, dimensional enrichment, first clinical validation results.

Jérôme Vetillard · June 2024

AFCROTweenMeDigital twinsData pipeline
○ Open access Read →

Conference · AbbVie · YouTube

Revolutionary impacts of AI on clinical research

AbbVie symposium for oncology clinicians. AI demystified, clinical research use cases, and computational haemato-oncology.

Jérôme Vetillard · March 2024

Clinical AIHaemato-oncologyAbbVieClinical researchDemystificationUse cases

Video · VivaTech 2019 · Microsoft H&LS · YouTube

AI in Health: Revolution or Evolution?

VivaTech 2019 on AI trajectory in medicine and requirements for industrial deployment. First TweenMe/PREDICARE formulation.

Jérôme Vetillard · May 2019

VivaTechMicrosoftHealthcare AIIndustrial deploymentTweenMe
○ Open access Read →

Explorations — The Polymath's Corner

41 documents

Article — Position paper · Twingital Institute

Energy Sovereignty: The Layer Nothing Can Compensate

Of four digital sovereignty layers, only the energy layer is allocated, not composed. AI enters macro-industrial governance.

Jérôme Vetillard · May 2026 · 11 pages

Digital sovereigntyEnergy sovereigntyAI infrastructureDatacentersRegulated AINIS2AI ActGPAIEPR2Nuclear PPATwingital Institute
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Sovereignty Is a Stack, Not a Label

Seven layers, three verdicts: arbitration doctrine of composite sovereignty for AI in regulated European environments. Silicon changes political nature.

Jérôme Vetillard · May 2026 · 12 pages

Composite SovereigntySupply ChainSiliconHBMHardware AttestationAI ActSecNumCloudArchitecture
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Allocating the AI Kilowatt-Hour: Why the Energy Market Is Not a Protocol

AI kilowatt-hour allocation is triply distributed (market, contracts, local blockages) without deliberative procedure. Conditions for a sectoral protocol.

Jérôme Vetillard · May 2026 · 11 pages

Energy allocationAI governanceDeliberative protocolBenchmarkPPANormative arbitrationAI ActRAISE
○ Open access Read → ↓ PDF

Exploration · Twingital Institute

The Promotion Gap. Why a public mitigation remains an artifact until tested on the actual target

The CVE-2026-31431 (Copy Fail) case on WSL2 kernel 6.6.87.2 as empirical terrain for the promotion gate between technical artifact and normative dependency.

Jérôme Vetillard · April 2026 · 6 pages

ai-governancecybersecurityhexagonal-architecturepromotion-gatepromotion-gapregulated-domainsbehavioral-validationcvelinux-kernel
○ Open access Read → ↓ PDF
🔒

Exploration · Twingital Institute

Learning what cannot vary: memory as a constraint of the world

JEPA and latent predictive architectures: geometry of predictability, anti-collapse constraints, the unmet threshold of biographical memory.

Jérôme Vetillard · April 2026 · 12 pages

JEPALeCunI-JEPAV-JEPASelf-supervised learningVICRegLatent predictabilityLatent predictive architecturesWorld modelsBiographical memoryBiographical edgePredictive processingFristonGenerative agentsVoyagerReActSurvTRACETweenMeOCTOPUSmNSCLCBRAF V600EMDREU AI ActOut-of-distribution robustnessHDLSS
🔒 Registration required Preview → ↓ PDF

Exploration · Twingital Institute

ToxTwin V2.4 — The Tri-Router, or Why a Single Model Never Suffices

ToxTwin V2.4: endpoint tri-router, enriched Ames ISS and hERG ChEMBL corpora. Tox21 mean AUC 0.898, Ames 0.853, hERG 0.800. Lessons from a controlled cycle.

Jérôme Vetillard · April 2026 · 4 pages

ToxTwinGNNTri-routerAmeshERGTox21Ensemble learningCheminformaticsCalibrationSovereignty
○ Open access Read → ↓ PDF

Exploration

Predictive Toxicological Report — Doxorubicin

Full toxicological report on doxorubicin via ToxTwin V1.3: 14 Tox21 endpoints, Ames, hERG, mechanistic interpretation, and literature concordance.

Jérôme Vetillard · April 2026

○ Open access Read → ↓ PDF

Exploration · Twingital Institute

ToxTwin V2.3 — Consolidated Technical Synthesis

ToxTwin V2.3 technical synthesis: 14 endpoints, AUC 0.867, corrected biases, IR calibration, composite AD, V2.4 plan.

Jérôme Vetillard · April 2026 · 8 pages

GNNPredictive toxicologyCalibrationApplicability domainEnsemble learningSovereigntyToxTwinTox21hERGAmes
○ Open access Read → ↓ PDF

Exploration · Twingital Institute

ToxTwin V2.3 — User Guide

ToxTwin V2.3 user guide for toxicologists and researchers. SMILES, 14 endpoints, calibrated scores, applicability domain, FAQ.

Jérôme Vetillard · April 2026 · 9 pages

ToxTwinUser guidePredictive toxicologySMILESTox21hERGAmesApplicability domain
○ Open access Read → ↓ PDF

Reference framework · Twingital Institute

Event-Driven Architecture as the Essential Complement to Agentic AI

Why agentic AI is fundamentally an enterprise architecture problem. Five structural functions of EDA for situated, auditable, governable AI agents.

Jérôme Vetillard · April 2026 · 22 pages

Agentic AIEvent-Driven ArchitectureEnterprise ArchitectureAI GovernanceDigital TwinsMulti-Agent SystemsAI ActNIST AI RMF
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Being a dominant platform is not enough

Gap between massive deployment and real adoption of Microsoft 365 Copilot. 3.3% penetration, negative NPS, generative shadow IT.

Jérôme Vetillard · March 2026

Microsoft CopilotAI adoptionGovernanceGenerative shadow ITEnterprise LLMROIEU AI ActGDPR
○ Open access Read → ↓ PDF

Exploration · Twingital Institute

ToxTwin API — Validation Tests and Usage Guide

ToxTwin FastAPI API documentation. Aspirin and ibuprofen validation tests, differential NR-PPAR-gamma signal, ScoreResponse format.

Jérôme Vetillard · March 2026 · 10 pages

ToxTwinFastAPISwaggerAspirinIbuprofenNR-PPAR-gammaREST APIOpenAPI
○ Open access Read → ↓ PDF

Exploration · Twingital Institute

Encoding, transduction, and world models — Part 1/3

Dreyfus, Searle, and the language/representation confusion. Explicit, implicit, and pipeline encoding. The data scientist layer.

Jérôme Vetillard · March 2026 · 10 pages

EncodingRepresentationDreyfusSearleTransformerVAECLIPCNNData pipelineData scientistLatent spaceLLMsEmbodied cognition
○ Open access Read → ↓ PDF

Exploration · Twingital Institute

Encoding, transduction, and world models — Part 2/3

Biological transduction vs mediated encoding. Symbol grounding problem. Molyneux's problem, Mary's argument. Three grounding levels.

Jérôme Vetillard · March 2026 · 12 pages

TransductionSymbol groundingHarnadMolyneuxMaryMultimodal groundingBarsalouTulvingDamasioAutonoesisLLMsEmbodied cognition
○ Open access Read → ↓ PDF
🔒

Exploration · Twingital Institute

Encoding, transduction, and world models — Part 3/3

Memory as polycentric graph. Biographical edge vs statistical edge. World models: decisive advance but insufficient threshold.

Jérôme Vetillard · March 2026 · 18 pages

Polycentric graphBiographical memoryBiographical edgeDistributed engramTonegawaSynaesthesiaAutonoesisWorld modelsJEPALeCunTulvingDamasioBarsalouEmbodied cognitionLLMs
🔒 Registration required Preview → ↓ PDF
🔒

Exploration · Twingital Institute

Encoding, transduction, and world models — Complete article

Full article (28 pp.). Encoding, transduction, stratified grounding, polycentric memory graph, biographical edge, world models.

Jérôme Vetillard · March 2026 · 28 pages

EncodingTransductionSymbol groundingPolycentric graphBiographical edgeEpisodic memoryAutonoesisWorld modelsJEPAEmbodied cognitionLLMsDreyfusSearleHarnadBarsalouTulvingDamasioTonegawaLeCun
🔒 Registration required Preview → ↓ PDF

Exploration · Twingital Institute

Predictive Toxicological Analysis Report RPT-2026-001

Full ToxTwin workflow on an unknown candidate out of domain (Tanimoto 0.153). SR-p53 (32.6%) and SR-ARE (25.5%) signals.

Jérôme Vetillard · March 2026 · 8 pages

ToxTwinSMILESSR-p53GenotoxicityMC DropoutApplicability domainWorkflow
○ Open access Read → ↓ PDF

Exploration · Twingital Institute

ToxTwin: Industrialisation of a Pre-Phase 1 Toxicological Prediction Pipeline

End-to-end ToxGNN-V1 pipeline (Mean AUC 0.857 on Tox21). Medallion architecture, NER extraction via Phi-4 14B, MDR and EU AI Act.

Jérôme Vetillard · March 2026 · 11 pages

GNNMedallionTox21MLflowMDREU AI ActPhi-4Predictive toxicologyToxTwin
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Bayesian: the word that buys regulatory credibility without earning it

Why most Bayesian implementations in health AI are frequentism dressed up as a probabilistic graph. Calibration, drift, and the HR argument.

Jérôme Vetillard · March 2026 · 10 pages

BayesianismFrequentismCalibrationHealth startupsDataset shift
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Demanding AI explainability: a human vanity

AI explainability in medicine is a relational predicate, not an absolute. Measured, audited, monitored reliability over illusory transparency.

Jérôme Vetillard · March 2026

ExplainabilityXAIEU AI ActHealth AISHAPLIMECognitive neuroscienceReliabilityPharmacovigilanceAnthropocentrism

Article — Position paper · Twingital Institute

AI's Supposed Virtuality Facing the Wall of Reality

Analysis of AI's physical constraints: energy, water, data, silicon. $200B in GPUs, <10% adoption, Jevons rebound effect.

Jérôme Vetillard · February 2026 · 17 pages

Industrial AIEnergyPhysical constraintsGPURebound effectGeopoliticsReal optionsAgentic AI
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

AI in healthcare is not just an algorithm problem — it is primarily an architecture problem

Six-dimension eligibility framework: decision topology, time balance, uncertainty reduction, coupling, TCO, reversibility.

Jérôme Vetillard · February 2026

ArchitectureHealth AIDeploymentDecision topologyArchitectural couplingTCOReversibilityDRP BCPTweenMePREDICARE

Article — Position paper · Twingital Institute

Does AI reduce clinicians' cognitive load — or increase it?

Structural analysis of AI-induced clinical cognitive load: techno-solutionism, collective decision-making, strained IT departments, TweenMe encapsulation.

Jérôme Vetillard · February 2026

Cognitive loadDecision supportClinical UXHealth AIHospital ITCybersecurityEU AI ActTweenMePREDICARETumor board

Exploration · Twingital Institute

Hyperscaler vs SecNumCloud: GVI/PCI optimisation under respective constraints

GVI/PCI analysis (MIT CPO) of the French sovereign cloud market: hyperscalers, SecNumCloud, territorialised hybridisation, risk matrix.

Jérôme Vetillard · July 2025

Sovereign cloudSecNumCloudHyperscalerGVIPCIMIT CPO ProgramPublic sectorGAIA-XDigital sovereigntyCloud architecture

Article — Position paper · Doctrinal position · LinkedIn

AI in Healthcare: Impressive Progress, Missing Proof

Impressive technical progress does not exempt from economic and clinical proof. The missing independent health-economic evidence for AI in healthcare.

Jérôme Vetillard · July 2025 · 3 pages

AI healthcareHealth economicsClinical evidenceCommon goodRegulationMAI-DxOHealth-economic evaluation

Exploration · Le Coin du Polymathe · LinkedIn

Some answers on quantum computing

Answers to fundamental quantum computing questions: storage, computing basis, memory architecture and RSA decryption.

Jérôme Vetillard · March 2025 · 8 pages

Series · Quantum PhysicsQuantum storageMemory architectureShor's algorithmRSA-2048Post-quantum cryptographyLattice-based cryptography

Exploration · Le Coin du Polymathe · LinkedIn

Qubits Under Control: The Grand Challenge of Quantum Stability

The quantum stability challenge: bosonic cat-qubits, Amazon's Ocelot chip and Alice & Bob's TomCat architecture.

Jérôme Vetillard · March 2025 · 12 pages

Series · Quantum PhysicsCat-qubitsOcelot chipAlice & BobTomCatBosonsDecoherenceError correctionAmazon AWS

Exploration · Le Coin du Polymathe · LinkedIn

Majorana fermions: To qubit or not qubit?

Majorana fermions — particles that are their own antiparticle — as candidates for fault-tolerant topological qubits.

Jérôme Vetillard · March 2025 · 16 pages

Series · Quantum PhysicsMajorana fermionsTopological qubitsTopoconductorsMicrosoft Majorana-1BraidingNon-abelianSuperconducting nanowires

Exploration · Le Coin du Polymathe · LinkedIn

Care for another ladle of quantum physics? (ladle #2)

Comparison of qubit architectures: superconducting, trapped ions, topological, neutral atoms, photonic, silicon spin.

Jérôme Vetillard · February 2025 · 21 pages

Series · Quantum PhysicsTransmonsJosephson junctionIBM QuantumQubit architecturesSuperconductingTrapped ionsPhotonic qubits

Exploration · Le Coin du Polymathe · LinkedIn

Care for another ladle of quantum physics? (ladle #1)

Quantum mechanics fundamentals: qubits, superposition, entanglement, Bloch sphere, observables and wave function collapse.

Jérôme Vetillard · February 2025 · 17 pages

Series · Quantum PhysicsQubitsSuperpositionEntanglementBloch sphereObservablesSchrödinger's cat

Article — Position paper · Twingital Institute · January 2025

Impact of Artificial Intelligence on bio-industries

AI as research accelerator in bio-industries. Data quality, HDLSS, cybersecurity, AlphaFold v3 limitations.

Jérôme Vetillard · January 2025

Bio-industriesHDLSSAlphaFoldCybersecurityTweenMeQualeesHealth dataAI Act
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

The patient digital twin: anatomy of an epistemological misunderstanding

Why the patient digital twin concept lacks defensible scientific content — and why the answer is a generator.

Jérôme Vetillard · January 2025

Digital twinDigital patientHDLSSTweenMeEpistemologyHealth AIMDR
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

Do Buzzwords Dream of Clearer Substance?

From buzzword to operational discipline. Analytical framework, maturity models, ontological intelligence, cybersecurity and TweenMe.

Jérôme Vetillard · January 2025

Digital twinsHealthcareOntologyCybersecurityTweenMeISO 23247MDR
○ Open access Read → ↓ PDF

Article — Position paper · Twingital Institute

AI Never-Ending Story: Agentic Frameworks and the Tale of Self-Reinvention

Critical analysis of agentic AI frameworks. Historical roots, structural novelties, persistent challenges, and the cybersecurity blind spot.

Jérôme Vetillard · November 2024

Agentic AIMulti-agentCybersecurityLLMBDIEU AI Act
○ Open access Read → ↓ PDF

Exploration · LinkedIn · January 2024

Artificial intelligence and the question of 'consciousness' — Chapter 1: The Glasgow Scale

What emergency medicine and philosophy of mind say about consciousness — and its implications for AI.

Jérôme Vetillard · January 2024

ConsciousnessGlasgow Coma ScalePhilosophy of mindArtificial intelligenceSingularityNeurologyEthics

Exploration · Twingital Institute

Artificial Intelligence: Is It as 'Dumb' as a Galton Board?

Perceptrons, transformers, emergent complexity through massification. The brain is fractal, not a lasagna dish.

Jérôme Vetillard · April 2023 · 14 pages

Galton boardTransformersEmergenceChaos theoryFractalsLLMPerceptronNeural networks

Exploration · LinkedIn · April 2020

Why mortality is so high in nursing homes and why palliative care is offered

COVID-19 excess mortality in nursing homes: geriatric frailty, polypharmacy, ICU limits, palliative care ethics.

Jérôme Vetillard · April 2020

COVID-19Nursing homesGeriatricsPalliative careMedical ethicsPharmacology
○ Open access Read → ↓ PDF

Exploration · LinkedIn · March 2020

Reflections on some very nasty little things — Episode 3: Physiopathology of COVID19

Physiopathology of SARS-CoV-2: ACE2 binding, TMPRSS2 activation, cytokine storm, ARDS, sepsis, and therapeutic approaches (March 2020).

Jérôme Vetillard · March 2020

COVID-19PhysiopathologyCytokine stormARDSACE2Immunology
○ Open access Read → ↓ PDF

Exploration · LinkedIn · March 2020

Reflections on some very nasty little things — Episode 2: Diagnosis kits & testing strategy

RT-PCR mechanics, ELISA immunological tests, sensitivity/specificity trade-offs, and why massive testing alone cannot contain a pandemic.

Jérôme Vetillard · March 2020

COVID-19RT-PCRDiagnosticPublic healthEpidemiology
○ Open access Read → ↓ PDF

Exploration · LinkedIn · March 2020

Reflections on some very nasty little things — Episode 1: What is a virus?

Fundamental virology refresher: viral structure, envelope, genetic payload, replication cycle, mutations and recombination of SARS-CoV-2.

Jérôme Vetillard · March 2020

COVID-19VirologySARS-CoV-2CoronavirusBiotechnology
○ Open access Read → ↓ PDF

Exploration · Twingital Ventures

Frugal Innovation as a Response to a VUCA Business World

Analysis of frugal innovation in a VUCA world: short cycles, trial-and-error culture, MVP, and the banking industry case.

Jérôme Vetillard · September 2016 · 7 pages

Frugal innovationVUCA worldMVPDigital transformationFinTechStrategyLearning organisation
○ Open access Read → ↓ PDF

Videos & media

5 documents

Conference · AFCRO 2026 · Qualees · YouTube

Decisive Contribution of Synthetic Data in Precision Oncology

TweenMe pipeline applied to the OCTOPUS study. Population synthesis, TSTR validation 95.2%, counterfactual simulator. ISPOR 2026 top 5%.

Jérôme Vetillard · March 2026

AFCROTweenMeOCTOPUSSynthetic dataPrecision oncologyBRAF V600EISPOR 2026
○ Open access Read →

Conference · AFCRO 2025 · YouTube

AFCRO 2025 — AI in Clinical Trials

AI in clinical trials: methodological approaches, synthetic control arms, deployment in a demanding regulatory framework.

Jérôme Vetillard · January 2025

AFCROClinical trialsHealthcare AISynthetic control arms
○ Open access Read →

Conference · AFCRO 2024 · YouTube

AFCRO 2024 — TweenMe Presentation

TweenMe presentation at AFCRO 2024. Data pipeline architecture, dimensional enrichment, first clinical validation results.

Jérôme Vetillard · June 2024

AFCROTweenMeDigital twinsData pipeline
○ Open access Read →

Conference · AbbVie · YouTube

Revolutionary impacts of AI on clinical research

AbbVie symposium for oncology clinicians. AI demystified, clinical research use cases, and computational haemato-oncology.

Jérôme Vetillard · March 2024

Clinical AIHaemato-oncologyAbbVieClinical researchDemystificationUse cases

Video · VivaTech 2019 · Microsoft H&LS · YouTube

AI in Health: Revolution or Evolution?

VivaTech 2019 on AI trajectory in medicine and requirements for industrial deployment. First TweenMe/PREDICARE formulation.

Jérôme Vetillard · May 2019

VivaTechMicrosoftHealthcare AIIndustrial deploymentTweenMe
○ Open access Read →

Your AI system is performant. Is it deployable?

Is it economically sustainable? Is it governable over time? If any of these questions remains open, that's where the work begins.