Investigation of an automatic sleep stage classification by means of multiscorer hypnogram.

Objectives: Scoring sleep visually based on polysomnography is an important but time-consuming element of sleep medicine. Whereas computer software assists human experts in the assignment of sleep stages to polysomnogram epochs, their performance is usually insufficient. This study evaluates the pos...

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Publicado en:Methods of Information in Medicine Vol. 49; no. 5; pp. 467 - 473
Autores principales: Figueroa Helland VC, Gapelyuk A, Suhrbier A, Riedl M, Penzel T, Kurths J, Wessel N, Figueroa Helland, V C, Gapelyuk, A, Suhrbier, A, Riedl, M, Penzel, T, Kurths, J, Wessel, N
Formato: research Journal Article
Publicado: Thieme Medical Publishing Inc. 2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2010
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      pub: Thieme Medical Publishing Inc.
      place: New York, New York
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        10.3414/ME09-02-0052
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        atl: Investigation of an automatic sleep stage classification by means of multiscorer hypnogram.
      aug:
        au:
          Figueroa Helland VC
          Gapelyuk A
          Suhrbier A
          Riedl M
          Penzel T
          Kurths J
          Wessel N
          Figueroa Helland, V C
          Gapelyuk, A
          Suhrbier, A
          Riedl, M
          Penzel, T
          Kurths, J
          Wessel, N
        affil: Interdisciplinary Center for Dynamics of Complex Systems, University of Potsdam, Potsdam, Germany
      sug:
        subj:
          Polysomnography Methods
          Sleep Stages
          Algorithms
          Discriminant Analysis
          Electroencephalography
          Electromyography
          Human
          Reference Values
          Reproducibility of Results
          Respiratory Rate
      ab: Objectives: Scoring sleep visually based on polysomnography is an important but time-consuming element of sleep medicine. Whereas computer software assists human experts in the assignment of sleep stages to polysomnogram epochs, their performance is usually insufficient. This study evaluates the possibility to fully automatize sleep staging considering the reliability of the sleep stages available from human expert sleep scorers.Methods: We obtain features from EEG, ECG and respiratory signals of polysomnograms from ten healthy subjects. Using the sleep stages provided by three human experts, we evaluate the performance of linear discriminant analysis on the entire polysomnogram and only on epochs where the three experts agree in their sleep stage scoring.Results: We show that in polysomnogram intervals, to which all three scorers assign the same sleep stage, our algorithm achieves 90% accuracy. This high rate of agreement with the human experts is accomplished with only a small set of three frequency features from the EEG. We increase the performance to 93% by including ECG and respiration features. In contrast, on intervals of ambiguous sleep stage, the sleep stage classification obtained from our algorithm, agrees with the human consensus scorer in approximately 61%.Conclusions: These findings suggest that machine classification is highly consistent with human sleep staging and that error in the algorithm's assignments is rather a problem of lack of well-defined criteria for human experts to judge certain polysomnogram epochs than an insufficiency of computational procedures.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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