Usefulness of Artificial Neural Networks in the Diagnosis and Treatment of Sleep Apnea-Hypopnea Syndrome

Sleep apnea-hypopnea syndrome (SAHS) is a chronic and highly prevalent disease considered a major health problem in industrialized countries. The gold standard diagnostic methodology is in-laboratory nocturnal polysomnography (PSG), which is complex, costly, and time consuming. In order to overcome these limitations, novel and simplified diagnostic alternatives are demanded. Sleep scientists carried out an exhaustive research during the last decades focused on the design of automated expert systems derived from artificial intelligence able to help sleep specialists in their daily practice. Among automated pattern recognition techniques, artificial neural networks (ANNs) have demonstrated to be efficient and accurate algorithms in order to implement computer-aided diagnosis systems aimed at assisting physicians in the management of SAHS. In this regard, several applications of ANNs have been developed, such as classification of patients suspected of suffering from SAHS, apnea-hypopnea index (AHI) prediction, detection and quantification of respiratory events, apneic events classification, automated sleep staging and arousal detection, alertness monitoring systems, and airflow pressure optimization in positive airway pressure (PAP) devices to fit patients’ needs. In the present research, current applications of ANNs in the framework of SAHS management are thoroughly reviewed

Sleep Analytics and Online Selective Anomaly Detection

We introduce a new problem, the Online Selective Anomaly Detection (OSAD), to model a specific scenario emerging from research in sleep science. Scientists have segmented sleep into several stages and stage two is characterized by two patterns (or anomalies) in the EEG time series recorded on sleep subjects. These two patterns are sleep spindle (SS) and K-complex. The OSAD problem was introduced to design a residual system, where all anomalies (known and unknown) are detected but the system only triggers an alarm when non-SS anomalies appear. The solution of the OSAD problem required us to combine techniques from both machine learning and control theory. Experiments on data from real subjects attest to the effectiveness of our approach.Comment: Submitted to 20th ACM SIGKDD Conference on Knowledge Discovery and Data Mining 201

Sleep Stage Classification: A Deep Learning Approach

Sleep occupies significant part of human life. The diagnoses of sleep related disorders are of great importance. To record specific physical and electrical activities of the brain and body, a multi-parameter test, called polysomnography (PSG), is normally used. The visual process of sleep stage classification is time consuming, subjective and costly. To improve the accuracy and efficiency of the sleep stage classification, automatic classification algorithms were developed. In this research work, we focused on pre-processing (filtering boundaries and de-noising algorithms) and classification steps of automatic sleep stage classification. The main motivation for this work was to develop a pre-processing and classification framework to clean the input EEG signal without manipulating the original data thus enhancing the learning stage of deep learning classifiers. For pre-processing EEG signals, a lossless adaptive artefact removal method was proposed. Rather than other works that used artificial noise, we used real EEG data contaminated with EOG and EMG for evaluating the proposed method. The proposed adaptive algorithm led to a significant enhancement in the overall classification accuracy. In the classification area, we evaluated the performance of the most common sleep stage classifiers using a comprehensive set of features extracted from PSG signals. Considering the challenges and limitations of conventional methods, we proposed two deep learning-based methods for classification of sleep stages based on Stacked Sparse AutoEncoder (SSAE) and Convolutional Neural Network (CNN). The proposed methods performed more efficiently by eliminating the need for conventional feature selection and feature extraction steps respectively. Moreover, although our systems were trained with lower number of samples compared to the similar studies, they were able to achieve state of art accuracy and higher overall sensitivity

CES-513 Stages for Developing Control Systems using EMG and EEG Signals: A survey

Bio-signals such as EMG (Electromyography), EEG (Electroencephalography), EOG (Electrooculogram), ECG (Electrocardiogram) have been deployed recently to develop control systems for improving the quality of life of disabled and elderly people. This technical report aims to review the current deployment of these state of the art control systems and explain some challenge issues. In particular, the stages for developing EMG and EEG based control systems are categorized, namely data acquisition, data segmentation, feature extraction, classification, and controller. Some related Bio-control applications are outlined. Finally a brief conclusion is summarized.

Automated sleep classification using the new sleep stage standards

Sleep is fundamental for physical health and good quality of life, and clinicians and researchers have long debated how best to understand it. Manual approaches to sleep classification have been in use for over 40 years, and in 2007, the American Academy of Sleep Medicine (AASM) published a new sleep scoring manual. Over the years, many attempts have been made to introduce and validate machine learning and automated classification techniques in the sleep research field, with the goals of improving consistency and reliability. This thesis explored and assessed the use of automated classification systems with the updated sleep stage definitions and scoring rules using neuro-fuzzy system (NFS) and support vector machine (SVM) methodology. For both the NFS and SVM classification techniques, the overall percent correct was approximately 65%, with sensitivity and specificity rates around 80% and 95%, respectively. The overall Kappa scores, one means for evaluating system reliability, were approximately 0.57 for both the NFS and SVM, indicating moderate agreement that is not accidental. Stage 3 sleep was detected with an 87-89% success rate. The results presented in this thesis show that the use of NFS and SVM methods for classifying sleep stages is possible using the new AASM guidelines. While the current work supports and confirms the use of these classification techniques within the research community, the results did not indicate a significant difference in the accuracy of either approach-nor a difference in one over the other. The results suggest that the important clinical stage 3 (slow wave sleep) can be accurately scored with these classifiers; however, the techniques used here would need more investigation and optimization prior to serious use in clinical applications

Bio-signal based control in assistive robots: a survey

Recently, bio-signal based control has been gradually deployed in biomedical devices and assistive robots for improving the quality of life of disabled and elderly people, among which electromyography (EMG) and electroencephalography (EEG) bio-signals are being used widely. This paper reviews the deployment of these bio-signals in the state of art of control systems. The main aim of this paper is to describe the techniques used for (i) collecting EMG and EEG signals and diving these signals into segments (data acquisition and data segmentation stage), (ii) dividing the important data and removing redundant data from the EMG and EEG segments (feature extraction stage), and (iii) identifying categories from the relevant data obtained in the previous stage (classification stage). Furthermore, this paper presents a summary of applications controlled through these two bio-signals and some research challenges in the creation of these control systems. Finally, a brief conclusion is summarized

Low-complexity algorithms for automatic detection of sleep stages and events for use in wearable EEG systems

Objective: Diagnosis of sleep disorders is an expensive procedure that requires performing a sleep study, known as polysomnography (PSG), in a controlled environment. This study monitors the neural, eye and muscle activity of a patient using electroencephalogram (EEG), electrooculogram (EOG) and electromyogram (EMG) signals which are then scored in to different sleep stages. Home PSG is often cited as an alternative of clinical PSG to make it more accessible, however it still requires patients to use a cumbersome system with multiple recording channels that need to be precisely placed. This thesis proposes a wearable sleep staging system using a single channel of EEG. For realisation of such a system, this thesis presents novel features for REM sleep detection from EEG (normally detected using EMG/EOG), a low-complexity automatic sleep staging algorithm using a single EEG channel and its complete integrated circuit implementation. Methods: The difference between Spectral Edge Frequencies (SEF) at 95% and 50% in the 8-16 Hz frequency band is shown to have high discriminatory ability for detecting REM sleep stages. This feature, together with other spectral features from single-channel EEG are used with a set of decision trees controlled by a state machine for classification. The hardware for the complete algorithm is designed using low-power techniques and implemented on chip using 0.18μm process node technology. Results: The use of SEF features from one channel of EEG resulted in 83% of REM sleep epochs being correctly detected. The automatic sleep staging algorithm, based on contextually aware decision trees, resulted in an accuracy of up to 79% on a large dataset. Its hardware implementation, which is also the very first complete circuit level implementation of any sleep staging algorithm, resulted in an accuracy of 98.7% with great potential for use in fully wearable sleep systems.Open Acces

Developing new techniques to analyse and classify EEG signals

A massive amount of biomedical time series data such as Electroencephalograph (EEG), electrocardiography (ECG), Electromyography (EMG) signals are recorded daily to monitor human performance and diagnose different brain diseases. Effectively and accurately analysing these biomedical records is considered a challenge for researchers. Developing new techniques to analyse and classify these signals can help manage, inspect and diagnose these signals. In this thesis novel methods are proposed for EEG signals classification and analysis based on complex networks, a statistical model and spectral graph wavelet transform. Different complex networks attributes were employed and studied in this thesis to investigate the main relationship between behaviours of EEG signals and changes in networks attributes. Three types of EEG signals were investigated and analysed; sleep stages, epileptic and anaesthesia. The obtained results demonstrated the effectiveness of the proposed methods for analysing these three EEG signals types. The methods developed were applied to score sleep stages EEG signals, and to analyse epileptic, as well as anaesthesia EEG signals. The outcomes of the project will help support experts in the relevant medical fields and decrease the cost of diagnosing brain diseases

Patient-specific seizure onset detection

Thesis (M. Eng.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 2003.Includes bibliographical references (p. 121-124).Approximately one percent of the world's population exhibits symptoms of epilepsy, a serious disorder of the central nervous system that predisposes those affected to experiencing recurrent seizures. The risk of injury associated with epileptic seizures might be mitigated by the use of a device that can reliably detect or predict the onset of seizure episodes and then warn caregivers of the event. In a hospital this device could also be used to initiate time-sensitive clinical procedures necessary for characterizing epileptic syndromes. This thesis discusses the design of a real-time, patient-specific method that can be used to detect the onset of epileptic seizures in non-invasive EEG, and then initiate time-sensitive clinical procedures like ictal SPECT. We adopt a patient-specific approach because of the clinically observed consistency of seizure and non-seizure EEG characteristics within patients, and their great heterogeneity across patients. We also treat patient-specific seizure onset detection as a binary classification problem. Our observation is a multi-channel EEG signal; its features include amplitude, fundamental frequency, morphology, and spatial localization on the scalp; and it is classified as an instance of non-seizure or seizure EEG based on the learned features of training examples from a single patient. We use a multi-level wavelet decomposition to extract features that capture the amplitude, fundamental frequency, and morphology of EEG waveforms. These features are then classified using a support vector machine or maximum-likelihood classifier trained on a patient's seizure and non-seizure EEG; non-seizure EEG includes normal and artifact contaminated EEG from various states of consciousness.(cont.) The outcome of the classification is examined in the context of automatically extracted spatial and temporal constraints before the onset of seizure activity is declared. During validation tests our method exhibited an average latency of 8.0[plus-minus]3.2 seconds while correctly identifying 131 of 139 seizure events from thirty-six, de-identified test subjects; and only 11 false-detections over 49 hours of randomly selected non-seizure EEG from these subjects. The validation tests also highlight the high learning rate of the detector; a property that allows it to exhibit excellent performance even when trained on as few as two seizure events from the test subject. We also demonstrate through a comparative study that our patient-specific detector outperforms a nonpatient-specific, or generic detector in terms of a lower average detection latency; a lower total number of false-detections; and a higher total number of true-detections. Our study also underscores the likely event of a generic detector performing very poorly when the seizure EEG of a subject in its training set matches the non-seizure EEG of the test subject.by Ali Hossam Shoeb.M.Eng