搜索结果：Sleep & breathing = Schlaf & Atmung

Sleep is an essential component of human physiology, contributing significantly to overall health and quality of life. Accurate sleep staging and disorder detection are crucial for assessing sleep quality. Studies in the literature have proposed PSG-based approaches and machine-learning methods utilizing single-modality signals. However, existing methods often lack multimodal, multilabel frameworks and address sleep stages and disorders classification separately. In this paper, we propose a 1D-Vision Transformer for simultaneous classification of sleep stages and sleep disorders. Our method exploits the sleep disorders' correlation with specific sleep stage patterns and performs a simultaneous identification of a sleep stage and sleep disorder. The model is trained and tested using multimodal-multilabel sensory data (including photoplethysmogram, respiratory flow, and respiratory effort signals). The proposed method shows an overall accuracy (cohen's Kappa) of 78% (0.66) for five-stage sleep classification and 74% (0.58) for sleep apnea classification. Moreover, we analyzed the encoder attention weights to clarify our models' predictions and investigate the influence different feat

Sleep foundation models have recently demonstrated strong performance on in-domain polysomnography tasks, including sleep staging, apnea detection, and disease risk prediction. In this work, we investigate whether sleep biosignals can serve as an effective pretraining distribution for learning representations that transfer beyond sleep to adjacent domains. Following sleep foundation models, we perform sleep-only multimodal contrastive pretraining (with a leave-one-out objective) and evaluate transfer to non-sleep EEG and ECG, two well-benchmarked biosignal modalities with heterogeneous datasets and clinically meaningful downstream tasks. Across eight downstream tasks spanning multiple EEG and ECG datasets, sleep pretraining consistently improves performance relative to training from scratch. Moreover, on several tasks, we achieve performance competitive with or surpassing prior specialized state-of-the-art and foundation models.

Sleep staging has become a critical task in diagnosing and treating sleep disorders to prevent sleep related diseases. With growing large scale sleep databases, significant progress has been made toward automatic sleep staging. However, previous studies face critical problems in sleep studies; the heterogeneity of subjects' physiological signals, the inability to extract meaningful information from unlabeled data to improve predictive performances, the difficulty in modeling correlations between sleep stages, and the lack of an effective mechanism to quantify predictive uncertainty. In this study, we propose a neural network based sleep staging model, DREAM, to learn domain generalized representations from physiological signals and models sleep dynamics. DREAM learns sleep related and subject invariant representations from diverse subjects' sleep signals and models sleep dynamics by capturing interactions between sequential signal segments and between sleep stages. We conducted a comprehensive empirical study to demonstrate the superiority of DREAM, including sleep stage prediction experiments, a case study, the usage of unlabeled data, and uncertainty. Notably, the case study vali

Polysomnography (PSG), the current gold standard method for monitoring and detecting sleep disorders, is cumbersome and costly. At-home testing solutions, known as home sleep apnea testing (HSAT), exist. However, they are contact-based, a feature which limits the ability of some patient populations to tolerate testing and discourages widespread deployment. Previous work on non-contact sleep monitoring for sleep apnea detection either estimates respiratory effort using radar or nasal airflow using a thermal camera, but has not compared the two or used them together. We conducted a study on 10 participants, ages 34 - 78, with suspected sleep disorders using a hardware setup with a synchronized radar and thermal camera. We show the first comparison of radar and thermal imaging for sleep monitoring, and find that our thermal imaging method outperforms radar significantly. Our thermal imaging method detects apneas with an accuracy of 0.99, a precision of 0.68, a recall of 0.74, an F1 score of 0.71, and an intra-class correlation of 0.70; our radar method detects apneas with an accuracy of 0.83, a precision of 0.13, a recall of 0.86, an F1 score of 0.22, and an intra-class correlation of

As sleep disorders are becoming more prevalent there is an urgent need to classify sleep stages in a less disturbing way.In particular, sleep-stage classification using simple sensors, such as single-channel electroencephalography (EEG), electrooculography (EOG), electromyography (EMG), or electrocardiography (ECG) has gained substantial interest. In this study, we proposed a sleep model that predicts the next sleep stage and used it to improve sleep classification accuracy. The sleep models were built using sleep-sequence data and employed either statistical $n$-gram or deep neural network-based models. We developed beam-search decoding to combine the information from the sensor and the sleep models. Furthermore, we evaluated the performance of the $n$-gram and long short-term memory (LSTM) recurrent neural network (RNN)-based sleep models and demonstrated the improvement of sleep-stage classification using an EOG sensor. The developed sleep models significantly improved the accuracy of sleep-stage classification, particularly in the absence of an EEG sensor.

Efficiently identifying sleep stages is crucial for unraveling the intricacies of sleep in both preclinical and clinical research. The labor-intensive nature of manual sleep scoring, demanding substantial expertise, has prompted a surge of interest in automated alternatives. Sleep studies in mice play a significant role in understanding sleep patterns and disorders and underscore the need for robust scoring methodologies. In response, this study introduces LG-Sleep, a novel subject-independent deep neural network architecture designed for mice sleep scoring through electroencephalogram (EEG) signals. LG-Sleep extracts local and global temporal transitions within EEG signals to categorize sleep data into three stages: wake, rapid eye movement (REM) sleep, and non-rapid eye movement (NREM) sleep. The model leverages local and global temporal information by employing time-distributed convolutional neural networks to discern local temporal transitions in EEG data. Subsequently, features derived from the convolutional filters traverse long short-term memory blocks, capturing global transitions over extended periods. Crucially, the model is optimized in an autoencoder-decoder fashion, fa

The ability to assess sleep at home, capture sleep stages, and detect the occurrence of apnea (without on-body sensors) simply by analyzing the radio waves bouncing off people's bodies while they sleep is quite powerful. Such a capability would allow for longitudinal data collection in patients' homes, informing our understanding of sleep and its interaction with various diseases and their therapeutic responses, both in clinical trials and routine care. In this article, we develop an advanced machine learning algorithm for passively monitoring sleep and nocturnal breathing from radio waves reflected off people while asleep. Validation results in comparison with the gold standard (i.e., polysomnography) (n=849) demonstrate that the model captures the sleep hypnogram (with an accuracy of 81% for 30-second epochs categorized into Wake, Light Sleep, Deep Sleep, or REM), detects sleep apnea (AUROC = 0.88), and measures the patient's Apnea-Hypopnea Index (ICC=0.95; 95% CI = [0.93, 0.97]). Notably, the model exhibits equitable performance across race, sex, and age. Moreover, the model uncovers informative interactions between sleep stages and a range of diseases including neurological, ps

A micro-sleep is a short sleep that lasts from 1 to 30 secs. Its detection during driving is crucial to prevent accidents that could claim a lot of people's lives. Electroencephalogram (EEG) is suitable to detect micro-sleep because EEG was associated with consciousness and sleep. Deep learning showed great performance in recognizing brain states, but sufficient data should be needed. However, collecting micro-sleep data during driving is inefficient and has a high risk of obtaining poor data quality due to noisy driving situations. Night-sleep data at home is easier to collect than micro-sleep data during driving. Therefore, we proposed a deep learning approach using night-sleep EEG to improve the performance of micro-sleep detection. We pre-trained the U-Net to classify the 5-class sleep stages using night-sleep EEG and used the sleep stages estimated by the U-Net to detect micro-sleep during driving. This improved micro-sleep detection performance by about 30\% compared to the traditional approach. Our approach was based on the hypothesis that micro-sleep corresponds to the early stage of non-rapid eye movement (NREM) sleep. We analyzed EEG distribution during night-sleep and mi

Sleep apnea, a prevalent sleep disorder, involves repeated episodes of breathing interruptions during sleep, leading to various health complications, including cognitive impairments, high blood pressure, heart disease, stroke, and even death. One of the main challenges in diagnosing and treating sleep apnea is identifying individuals at risk. The current gold standard for diagnosis, Polysomnography (PSG), is costly, labor intensive, and inconvenient, often resulting in poor quality sleep data. This paper presents a novel approach to the detection of sleep apnea using a Convolutional Neural Network (CNN) trained on single channel EEG data. The proposed CNN achieved an accuracy of 85.1% and a Matthews Correlation Coefficient (MCC) of 0.22, demonstrating a significant potential for home based applications by addressing the limitations of PSG in automated sleep apnea detection. Key contributions of this work also include the development of a comprehensive preprocessing pipeline with an Infinite Impulse Response (IIR) Butterworth filter, a dataset construction method providing broader temporal context, and the application of SMOTETomek to address class imbalance. This research underscor

Obstructive sleep Apnea (OSA) is a form of sleep disordered breathing characterized by frequent episodes of upper airway collapse during sleep. Pediatric OSA occurs in 1-5% of children and can related to other serious health conditions such as high blood pressure, behavioral issues, or altered growth. OSA is often diagnosed by studying the patient's sleep cycle, the pattern with which they progress through various sleep states such as wakefulness, rapid eye-movement, and non-rapid eye-movement. The sleep state data is obtained using an overnight polysomnography test that the patient undergoes at a hospital or sleep clinic, where a technician manually labels each 30 second time interval, also called an "epoch", with the current sleep state. This process is laborious and prone to human error. We seek an automatic method of classifying the sleep state, as well as a method to analyze the sleep cycles. This article is a pilot study in sleep state classification using two approaches: first, we'll use methods from the field of topological data analysis to classify the sleep state and second, we'll model sleep states as a Markov chain and visually analyze the sleep patterns. In the future,

Obstructive Sleep Apnea (OSA) is a breathing disorder during sleep that affects millions of people worldwide. The diagnosis of OSA often occurs through an overnight polysomnogram (PSG) sleep study that generates a massive amount of physiological data. However, despite the evidence of substantial heterogeneity in the expression and symptoms of OSA, diagnosis and scientific analysis of severity typically focus on a single summary statistic, the Apnea-Hypopnea Index (AHI). We address the limitations of this approach through hierarchical Bayesian modeling of PSG data. Our approach produces interpretable random effects for each patient, which govern sleep-stage dynamics, rates of OSA events, and impacts of OSA events on subsequent sleep-stage dynamics. We propose a novel approach for using these random effects to produce a Bayes optimal clustering of patients. We use the proposed approach to analyze data from the APPLES study. Our analysis produces clinically interesting groups of patients with sleep apnea and a novel finding of an association between OSA expression and cognitive performance that is missed by an AHI-based analysis.

Classification of sleep stages plays an essential role in diagnosing sleep-related diseases including Sleep Disorder Breathing (SDB) disease. In this study, we propose an end-to-end deep learning architecture, named SSNet, which comprises of two deep learning networks based on Convolutional Neuron Networks (CNN) and Long Short Term Memory (LSTM). Both deep learning networks extract features from the combination of Electrooculogram (EOG), Electroencephalogram (EEG), and Electromyogram (EMG) signals, as each signal has distinct features that help in the classification of sleep stages. The features produced by the two-deep learning networks are concatenated to pass to the fully connected layer for the classification. The performance of our proposed model is evaluated by using two public datasets Sleep-EDF Expanded dataset and ISRUC-Sleep dataset. The accuracy and Kappa coefficient are 96.36% and 93.40% respectively, for classifying three classes of sleep stages using Sleep-EDF Expanded dataset. Whereas, the accuracy and Kappa coefficient are 96.57% and 83.05% respectively for five classes of sleep stages using Sleep-EDF Expanded dataset. Our model achieves the best performance in clas

Recently, growing health awareness, novel methods allow individuals to monitor sleep at home. Utilizing sleep sounds offers advantages over conventional methods like smartwatches, being non-intrusive, and capable of detecting various physiological activities. This study aims to construct a machine learning-based sleep assessment model providing evidence-based assessments, such as poor sleep due to frequent movement during sleep onset. Extracting sleep sound events, deriving latent representations using VAE, clustering with GMM, and training LSTM for subjective sleep assessment achieved a high accuracy of 94.8% in distinguishing sleep satisfaction. Moreover, TimeSHAP revealed differences in impactful sound event types and timings for different individuals.

Monitoring sleep states is essential for evaluating sleep quality and diagnosing sleep disorders. Traditional manual staging is time-consuming and prone to subjective bias, often resulting in inconsistent outcomes. Here, we developed an automated model for sleep staging and disorder classification to enhance diagnostic accuracy and efficiency. Considering the characteristics of polysomnography (PSG) multi-lead sleep monitoring, we designed a multimodal sleep state classification model, MSSC-BiMamba, that combines an Efficient Channel Attention (ECA) mechanism with a Bidirectional State Space Model (BSSM). The ECA module allows for weighting data from different sensor channels, thereby amplifying the influence of diverse sensor inputs. Additionally, the implementation of bidirectional Mamba (BiMamba) enables the model to effectively capture the multidimensional features and long-range dependencies of PSG data. The developed model demonstrated impressive performance on sleep stage classification tasks on both the ISRUC-S3 and ISRUC-S1 datasets, respectively containing data with healthy and unhealthy sleep patterns. Also, the model exhibited a high accuracy for sleep health prediction

Study Objectives: Fetal sleep is a vital yet underexplored aspect of prenatal neurodevelopment. Its cyclic organization reflects the maturation of central neural circuits, and disturbances in these patterns may offer some of the earliest detectable signs of neurological compromise. This is the first review to integrate more than seven decades of research into a unified, cross-species synthesis of fetal sleep. We examine: (i) Physiology and Ontogeny-comparing human fetuses with animal models; and (ii) Methodological Evolution-transitioning from invasive neurophysiology to non-invasive monitoring and deep learning frameworks. Methods: A structured narrative synthesis was guided by a systematic literature search across four databases (PubMed, Scopus, IEEE Xplore, and Google Scholar). From 2,925 identified records, 171 studies involving fetal sleep-related physiology, sleep-state classification, or signal-based monitoring were included in this review. Results: Across the 171 studies, fetal sleep states become clearly observable as the brain matures. In fetal sheep and baboons, organized cycling between active and quiet sleep emerges at approximately 80%-90% gestation. In humans, this d

The gut microbiota has emerged as a fundamental regulator of sleep physiology, influencing neural, endocrine, and immune pathways through the gut-microbiota-brain axis (GMBA). This bidirectional communication system modulates neurotransmitter production, circadian rhythms, and metabolic homeostasis, while disruptions in microbial composition have been linked to sleep disorders, neuroinflammation, and systemic immune dysfunction. Recent findings suggest that gut dysbiosis contributes to sleep disturbances by altering serotonin, GABA, and short-chain fatty acid (SCFA) metabolism, with implications for neurodegenerative diseases, metabolic syndromes, and mood disorders. Additionally, the gut microbiota interacts with the endocrine and immune systems, shaping inflammatory responses and stress adaptation mechanisms. This review explores the intricate connections between sleep and the gut microbiota, integrating emerging research on microbiota-targeted therapies, such as probiotics, fecal microbiota transplantation (FMT), and chrononutrition, as potential interventions to restore sleep homeostasis and improve health outcomes

Over the last decade there has been high interest in home sleep monitoring among research community and society. Smartphone-based sleep monitoring seems to be especially attractive. However, smartphone should be able to register physiological processes for that, such as breathing or heartbeats. In this study, we tried to detect breathing based on the analysis of channel state information (CSI) of Wi-Fi connection between a smartphone and an access point. We collected data of 5 subjects with different body mass index (17-33) in base sleep postures: prone, supine, and side. The obtained CSI-based respiratory signal was compared with ground truth from a contact belt sensor. The mean correlation coefficient between the signals of 0.85 was achieved. The mean absolute difference between respiratory rates (breaths per epoch) is 0.39. The results show that it is possible to use smartphones without additional sensors for registering breathing based on CSI and potentially for sleep monitoring.

We introduce new quantitative approaches to study sleep-stage transitions with the goal of addressing the two following questions: (i) Can the new approaches provide more information on the structure of sleep-stage transitions? (ii) How does sleep fragmentation in patients with sleep apnea affect the structure of sleep-stage transitions? Our new results show that the distribution of sleep and wake duration have different functional forms, indicating fundamental differences in the dynamics between sleep and wake control. The difference remains even in the fragmented sleep of sleep apnea. The fragmentation of sleep in sleep apnea results in a shorter wake duration and interrupts the structure of sleep-stage transitions of sleep apnea subjects, causing the loss of certain particular transition paths.

The structure of human sleep changes across development as it consolidates from the polyphasic sleep of infants to the single nighttime sleep period typical in adults. Across this same developmental period, time scales of the homeostatic sleep drive, the physiological drive to sleep that increases with time spent awake, also change and presumably govern the transition from polyphasic to monophasic sleep behavior. Using a physiologically-based, sleep-wake regulatory network model for human sleep, we investigated the dynamics of wake, rapid eye movement (REM) sleep, and non-REM (NREM) sleep during this transition by varying the homeostatic sleep drive time constants. Previously, we introduced an algorithm for constructing a one-dimensional circle map that represents the dynamics of the full sleep-wake network model. By tracking bifurcations in the piecewise continuous circle map as the homeostatic sleep drive time constants are varied, we establish evidence for a border collision bifurcation that results in period-adding-like behavior in the number of sleep cycles per day. Interestingly, this bifurcation is preceded by bifurcations in the number of REM bouts per sleep cycle that exhi