A Deep Generative Model for Five-Class Sleep Staging with Arbitrary Sensor Input

Fuente: arXiv
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Auteurs principaux: van Gorp, Hans, van Gilst, Merel M., Fonseca, Pedro, van Meulen, Fokke B., van Dijk, Johannes P., Overeem, Sebastiaan, van Sloun, Ruud J. G.
Format: Preprint
Publié: 2024
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author van Gorp, Hans
van Gilst, Merel M.
Fonseca, Pedro
van Meulen, Fokke B.
van Dijk, Johannes P.
Overeem, Sebastiaan
van Sloun, Ruud J. G.
author_facet van Gorp, Hans
van Gilst, Merel M.
Fonseca, Pedro
van Meulen, Fokke B.
van Dijk, Johannes P.
Overeem, Sebastiaan
van Sloun, Ruud J. G.
contents Gold-standard sleep scoring is based on epoch-based assignment of sleep stages based on a combination of EEG, EOG and EMG signals. However, a polysomnographic recording consists of many other signals that could be used for sleep staging, including cardio-respiratory modalities. Leveraging this signal variety would offer important advantages, for example increasing reliability, resilience to signal loss, and application to long-term non-obtrusive recordings. We developed a deep generative model for automatic sleep staging from a plurality of sensors and any -- arbitrary -- combination thereof. We trained a score-based diffusion model using a dataset of 1947 expert-labelled overnight recordings with 36 different signals, and achieved zero-shot inference on any sensor set by leveraging a novel Bayesian factorization of the score function across the sensors. On single-channel EEG, the model reaches the performance limit in terms of polysomnography inter-rater agreement (5-class accuracy 85.6%, Cohen's kappa 0.791). Moreover, the method offers full flexibility to use any sensor set, for example finger photoplethysmography, nasal flow and thoracic respiratory movements, (5-class accuracy 79.0%, Cohen's kappa of 0.697), or even derivations very unconventional for sleep staging, such as tibialis and sternocleidomastoid EMG (5-class accuracy 71.0%, kappa 0.575). Additionally, we propose a novel interpretability metric in terms of information gain per sensor and show this is linearly correlated with classification performance. Finally, our model allows for post-hoc addition of entirely new sensor modalities by merely training a score estimator on the novel input instead of having to retrain from scratch on all inputs.
format Preprint
id arxiv_https___arxiv_org_abs_2408_15253
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle A Deep Generative Model for Five-Class Sleep Staging with Arbitrary Sensor Input
van Gorp, Hans
van Gilst, Merel M.
Fonseca, Pedro
van Meulen, Fokke B.
van Dijk, Johannes P.
Overeem, Sebastiaan
van Sloun, Ruud J. G.
Signal Processing
Machine Learning
Gold-standard sleep scoring is based on epoch-based assignment of sleep stages based on a combination of EEG, EOG and EMG signals. However, a polysomnographic recording consists of many other signals that could be used for sleep staging, including cardio-respiratory modalities. Leveraging this signal variety would offer important advantages, for example increasing reliability, resilience to signal loss, and application to long-term non-obtrusive recordings. We developed a deep generative model for automatic sleep staging from a plurality of sensors and any -- arbitrary -- combination thereof. We trained a score-based diffusion model using a dataset of 1947 expert-labelled overnight recordings with 36 different signals, and achieved zero-shot inference on any sensor set by leveraging a novel Bayesian factorization of the score function across the sensors. On single-channel EEG, the model reaches the performance limit in terms of polysomnography inter-rater agreement (5-class accuracy 85.6%, Cohen's kappa 0.791). Moreover, the method offers full flexibility to use any sensor set, for example finger photoplethysmography, nasal flow and thoracic respiratory movements, (5-class accuracy 79.0%, Cohen's kappa of 0.697), or even derivations very unconventional for sleep staging, such as tibialis and sternocleidomastoid EMG (5-class accuracy 71.0%, kappa 0.575). Additionally, we propose a novel interpretability metric in terms of information gain per sensor and show this is linearly correlated with classification performance. Finally, our model allows for post-hoc addition of entirely new sensor modalities by merely training a score estimator on the novel input instead of having to retrain from scratch on all inputs.
title A Deep Generative Model for Five-Class Sleep Staging with Arbitrary Sensor Input
topic Signal Processing
Machine Learning
url https://arxiv.org/abs/2408.15253