Use of features from RR-time series and EEG signals for automated classification of sleep stages in deep neural network framework

MLS-Net: An Automatic Sleep Stage Classifier Utilizing Multimodal Physiological Signals in Mice

Over the past decades, feature-based statistical machine learning and deep neural networks have been extensively utilized for automatic sleep stage classification (ASSC). Feature-based approaches offer clear insights into sleep characteristics and require low computational power but often fail to capture the spatial-temporal context of the data. In contrast, deep neural networks can process raw sleep signals directly and deliver superior performance. However, their overfitting, inconsistent accuracy, and computational cost were the primary drawbacks that limited their end-user acceptance. To address these challenges, we developed a novel neural network model, MLS-Net, which integrates the strengths of neural networks and feature extraction for automated sleep staging in mice. MLS-Net leverages temporal and spectral features from multimodal signals, such as EEG, EMG, and eye movements (EMs), as inputs and incorporates a bidirectional Long Short-Term Memory (bi-LSTM) to effectively capture the spatial-temporal nonlinear characteristics inherent in sleep signals. Our studies demonstrate that MLS-Net achieves an overall classification accuracy of 90.4% and REM state precision of 91.1%, sensitivity of 84.7%, and an F1-Score of 87.5% in mice, outperforming other neural network and feature-based algorithms in our multimodal dataset.

Efficient Sleep Stage Identification Using Piecewise Linear EEG Signal Reduction: A Novel Algorithm for Sleep Disorder Diagnosis

Sleep is a vital physiological process for human health, and accurately detecting various sleep states is crucial for diagnosing sleep disorders. This study presents a novel algorithm for identifying sleep stages using EEG signals, which is more efficient and accurate than the state-of-the-art methods. The key innovation lies in employing a piecewise linear data reduction technique called the Halfwave method in the time domain. This method simplifies EEG signals into a piecewise linear form with reduced complexity while preserving sleep stage characteristics. Then, a features vector with six statistical features is built using parameters obtained from the reduced piecewise linear function. We used the MIT-BIH Polysomnographic Database to test our proposed method, which includes more than 80 h of long data from different biomedical signals with six main sleep classes. We used different classifiers and found that the K-Nearest Neighbor classifier performs better in our proposed method. According to experimental findings, the average sensitivity, specificity, and accuracy of the proposed algorithm on the Polysomnographic Database considering eight records is estimated as 94.82%, 96.65%, and 95.73%, respectively. Furthermore, the algorithm shows promise in its computational efficiency, making it suitable for real-time applications such as sleep monitoring devices. Its robust performance across various sleep classes suggests its potential for widespread clinical adoption, making significant advances in the knowledge, detection, and management of sleep problems.

Strength of ensemble learning in automatic sleep stages classification using single-channel EEG and ECG signals

Healthy sleep plays an essential role in human daily life. Classification of sleep stages is a crucial tool for assisting physicians in diagnosing and treating sleep disorders. In this study, a strong ensemble learning model is proposed to enhance the ability of classification models in accurate sleep staging, particularly in multi-class classification. We asserted that high-accuracy sleep classification is achievable using only single-channel electroencephalogram (EEG) and electrocardiogram (ECG) by combining their best-extractable features in the time and frequency domains we recommended. More importantly, the superiority of the recommended method, which is the simultaneous use of stacking and bagging, over conventional machine learning classifiers in sleep staging was demonstrated, using the MIT-BIH Polysomnographic and Sleep-EDF expanded databases. Finally, K-fold cross-validation was used to fairly estimate these models. The best mean test accuracy rates for distinguishing between two classes of "sleep vs. wake," "rapid vs. non-rapid eye movement," and "deep vs. light sleep," were obtained 99.93%, 99.64%, and 99.69%, respectively. Furthermore, our proposed method achieved accuracies of 97.14%, 95.18%, 92.7%, and 85.64% for separating three, four, five, and six sleep classes, respectively. Compared to recent studies, our method outperforms other sleep stage classification schemes, especially in multi-class staging.

An automatic method using MFCC features for sleep stage classification

Sleep stage classification is a necessary step for diagnosing sleep disorders. Generally, experts use traditional methods based on every 30 seconds (s) of the biological signals, such as electrooculograms (EOGs), electrocardiograms (ECGs), electromyograms (EMGs), and electroencephalograms (EEGs), to classify sleep stages. Recently, various state-of-the-art approaches based on a deep learning model have been demonstrated to have efficient and accurate outcomes in sleep stage classification. In this paper, a novel deep convolutional neural network (CNN) combined with a long short-time memory (LSTM) model is proposed for sleep scoring tasks. A key frequency domain feature named Mel-frequency Cepstral Coefficient (MFCC) is extracted from EEG and EMG signals. The proposed method can learn features from frequency domains on different bio-signal channels. It firstly extracts the MFCC features from multi-channel signals, and then inputs them to several convolutional layers and an LSTM layer. Secondly, the learned representations are fed to a fully connected layer and a softmax classifier for sleep stage classification. The experiments are conducted on two widely used sleep datasets, Sleep Heart Health Study (SHHS) and Vincent's University Hospital/University College Dublin Sleep Apnoea (UCDDB) to test the effectiveness of the method. The results of this study indicate that the model can perform well in the classification of sleep stages using the features of the 2-dimensional (2D) MFCC feature. The advantage of using the feature is that it can be used to input a two-dimensional data stream, which can be used to retain information about each sleep stage. Using 2D data streams can reduce the time it takes to retrieve the data from the one-dimensional stream. Another advantage of this method is that it eliminates the need for deep layers, which can help improve the performance of the model. For instance, by reducing the number of layers, our seven layers of the model structure takes around 400 s to train and test 100 subjects in the SHHS1 dataset. Its best accuracy and Cohen's kappa are 82.35% and 0.75 for the SHHS dataset, and 73.07% and 0.63 for the UCDDB dataset, respectively.

An evolutionary model for sleep quality analytics using fuzzy system

Electroencephalography (EEG) is a neuro signal reflecting brain activity. These signals provide information about brain activity, eye movements, and muscle tone, which can be used to determine the sleep stage. Categorizing sleep stages can be done manually by visually. Alternatively, automated algorithms can be developed using machine learning techniques to classify sleep stages based on signal features and patterns. This paper aims to automatically classify sleep stages based on extracted patterns from EEG signals. A fuzzy min-max neural network is proposed and implemented for sleep stage classification and clustering. The paper concludes that the fuzzy min-max neural network outperforms other tested methods in sleep stage classification. The models implemented in the study include K-Nearest Neighbor (KNN), Random Forest, Decision Tree, XGBoost, AdaBoost, Linear Discriminant Analysis (LDA), Quadratic Discriminant Analysis (QDA), Convolutional Neural Network (CNN), and the fuzzy min-max classifier. The results indicate that the fuzzy classifier achieves the highest accuracy of 86%, followed by the CNN model with 81%. Among the machine learning algorithms, Random Forest with an accuracy of 55.46%, followed by XGBoost with 53.18%, surpassing the other algorithms used in the experiment. AdaBoost and Gaussian Naive Bayes both achieve an accuracy of 45.10%. Decision Tree, KNN, LDA, and QDA yield accuracies of 37.66%, 16.46%, 28.57%, and 29.5% respectively. These findings demonstrate the efficiency of the fuzzy min-max neural network and the superiority of the fuzzy classifier and CNN models in sleep stage classification, indicating their potential for accurate automated sleep stage analysis.

MultiResUNet3+: A Full-Scale Connected Multi-Residual UNet Model to Denoise Electrooculogram and Electromyogram Artifacts from Corrupted Electroencephalogram Signals

Electroencephalogram (EEG) signals immensely suffer from several physiological artifacts, including electrooculogram (EOG), electromyogram (EMG), and electrocardiogram (ECG) artifacts, which must be removed to ensure EEG's usability. This paper proposes a novel one-dimensional convolutional neural network (1D-CNN), i.e., MultiResUNet3+, to denoise physiological artifacts from corrupted EEG. A publicly available dataset containing clean EEG, EOG, and EMG segments is used to generate semi-synthetic noisy EEG to train, validate and test the proposed MultiResUNet3+, along with four other 1D-CNN models (FPN, UNet, MCGUNet, LinkNet). Adopting a five-fold cross-validation technique, all five models' performance is measured by estimating temporal and spectral percentage reduction in artifacts, temporal and spectral relative root mean squared error, and average power ratio of each of the five EEG bands to whole spectra. The proposed MultiResUNet3+ achieved the highest temporal and spectral percentage reduction of 94.82% and 92.84%, respectively, in EOG artifacts removal from EOG-contaminated EEG. Moreover, compared to the other four 1D-segmentation models, the proposed MultiResUNet3+ eliminated 83.21% of the spectral artifacts from the EMG-corrupted EEG, which is also the highest. In most situations, our proposed model performed better than the other four 1D-CNN models, evident by the computed performance evaluation metrics.

A novel automated robust dual-channel EEG-based sleep scoring system using optimal half-band pair linear-phase biorthogonal wavelet filter bank

Nowadays, the hectic work life of people has led to sleep deprivation. This may further result in sleep-related disorders and adverse physiological conditions. Therefore, sleep study has become an active research area. Sleep scoring is crucial for detecting sleep-related disorders like sleep apnea, insomnia, narcolepsy, periodic leg movement (PLM), and restless leg syndrome (RLS). Sleep is conventionally monitored in a sleep laboratory using polysomnography (PSG) which is the recording of various physiological signals. The traditional sleep stage scoring (SSG) done by professional sleep scorers is a tedious, strenuous, and time-consuming process as it is manual. Hence, developing a machine-learning model for automatic SSG is essential. In this study, we propose an automated SSG approach based on the biorthogonal wavelet filter bank's (BWFB) novel least squares (LS) design. We have utilized a huge Wisconsin sleep cohort (WSC) database in this study. The proposed study is a pioneering work on automatic sleep stage classification using the WSC database, which includes good sleepers and patients suffering from various sleep-related disorders, including apnea, insomnia, hypertension, diabetes, and asthma. To investigate the generalization of the proposed system, we evaluated the proposed model with the following publicly available databases: cyclic alternating pattern (CAP), sleep EDF, ISRUC, MIT-BIH, and the sleep apnea database from St. Vincent's University. This study uses only two unipolar EEG channels, namely O1-M2 and C3-M2, for the scoring. The Hjorth parameters (HP) are extracted from the wavelet subbands (SBS) that are obtained from the optimal BWFB. To classify sleep stages, the HP features are fed to several supervised machine learning classifiers. 12 different datasets have been created to develop a robust model. A total of 12 classification tasks (CT) have been conducted employing various classification algorithms. Our developed model achieved the best accuracy of 83.2% and Cohen's Kappa of 0.7345 to reliably distinguish five sleep stages, using an ensemble bagged tree classifier with 10-fold cross-validation using WSC data. We also observed that our system is either better or competitive with existing state-of-art systems when we tested with the above-mentioned five databases other than WSC. This method yielded promising results using only two EEG channels using a huge WSC database. Our approach is simple and hence, the developed model can be installed in home-based clinical systems and wearable devices for sleep scoring.

An automatic sleep-scoring system in elderly women with osteoporosis fractures using frequency localized finite orthogonal quadrature Fejer Korovkin kernels

Healthy sleep signifies a good physical and mental state of the body. However, factors such as inappropriate work schedules, medical complications, and others can make it difficult to get enough sleep, leading to various sleep disorders. The identification of these disorders requires sleep stage classification. Visual evaluation of sleep stages is time intensive, placing a significant strain on sleep experts and prone to human errors. As a result, it is crucial to develop machine learning algorithms to score sleep stages to acquire an accurate diagnosis. Hence, a new methodology for automated sleep stage classification is suggested using machine learning and filtering electroencephalogram (EEG) signals. The national sleep research resource's (NSRR) study of osteoporotic fractures (SOF) dataset comprising 453 subjects' polysomnograph (PSG) data is used in this study. Only two unipolar EEG derivations C4-A1 and C3-A2 are employed individually and jointly in this work. The EEG signals are decomposed into sub-bands using a frequency-localized finite orthogonal quadrature Fejer Korovkin wavelet filter bank. The wavelet-based entropy features are extracted from sub-bands. Subsequently, extracted features are classified using machine learning techniques. Our developed model obtained the highest classification accuracy of 81.3%, using an ensembled bagged trees classifier with a 10-fold cross-validation method and Cohen's Kappa coefficient of 0.72. The proposed model is accurate, dependable, and easy to implement and can be employed as an alternative to a PSG-based system at home with minimal resources. It is also ready to be tested on other EEG data to evaluate the sleep stages of healthy and unhealthy subjects.

EEG Entropy in REM Sleep as a Physiologic Biomarker in Early Clinical Stages of Alzheimer's Disease

BACKGROUND

Alzheimer's disease (AD) is associated with EEG changes across the sleep-wake cycle. As the brain is a non-linear system, non-linear EEG features across behavioral states may provide an informative physiologic biomarker of AD. Multiscale fluctuation dispersion entropy (MFDE) provides a sensitive non-linear measure of EEG information content across a range of biologically relevant time-scales.

OBJECTIVE

To evaluate MFDE in awake and sleep EEGs as a potential biomarker for AD.

METHODS

We analyzed overnight scalp EEGs from 35 cognitively normal healthy controls, 23 participants with mild cognitive impairment (MCI), and 19 participants with mild dementia due to AD. We examined measures of entropy in wake and sleep states, including a slow-to-fast-activity ratio of entropy (SFAR-entropy). We compared SFAR-entropy to linear EEG measures including a slow-to-fast-activity ratio of power spectral density (SFAR-PSD) and relative alpha power, as well as to cognitive function.

RESULTS

SFAR-entropy differentiated dementia from MCI and controls. This effect was greatest in REM sleep, a state associated with high cholinergic activity. Differentiation was evident in the whole brain EEG and was most prominent in temporal and occipital regions. Five minutes of REM sleep was sufficient to distinguish dementia from MCI and controls. Higher SFAR-entropy during REM sleep was associated with worse performance on the Montreal Cognitive Assessment. Classifiers based on REM sleep SFAR-entropy distinguished dementia from MCI and controls with high accuracy, and outperformed classifiers based on SFAR-PSD and relative alpha power.

CONCLUSION

SFAR-entropy measured in REM sleep robustly discriminates dementia in AD from MCI and healthy controls.

MLMRS-Net: Electroencephalography (EEG) motion artifacts removal using a multi-layer multi-resolution spatially pooled 1D signal reconstruction network

Electroencephalogram (EEG) signals suffer substantially from motion artifacts when recorded in ambulatory settings utilizing wearable sensors. Because the diagnosis of many neurological diseases is heavily reliant on clean EEG data, it is critical to eliminate motion artifacts from motion-corrupted EEG signals using reliable and robust algorithms. Although a few deep learning-based models have been proposed for the removal of ocular, muscle, and cardiac artifacts from EEG data to the best of our knowledge, there is no attempt has been made in removing motion artifacts from motion-corrupted EEG signals: In this paper, a novel 1D convolutional neural network (CNN) called multi-layer multi-resolution spatially pooled (MLMRS) network for signal reconstruction is proposed for EEG motion artifact removal. The performance of the proposed model was compared with ten other 1D CNN models: FPN, LinkNet, UNet, UNet+, UNetPP, UNet3+, AttentionUNet, MultiResUNet, DenseInceptionUNet, and AttentionUNet++ in removing motion artifacts from motion-contaminated single-channel EEG signal. All the eleven deep CNN models are trained and tested using a single-channel benchmark EEG dataset containing 23 sets of motion-corrupted and reference ground truth EEG signals from PhysioNet. Leave-one-out cross-validation method was used in this work. The performance of the deep learning models is measured using three well-known performance matrices viz. mean absolute error (MAE)-based construction error, the difference in the signal-to-noise ratio (ΔSNR), and percentage reduction in motion artifacts (η). The proposed MLMRS-Net model has shown the best denoising performance, producing an average ΔSNR, η, and MAE values of 26.64 dB, 90.52%, and 0.056, respectively, for all 23 sets of EEG recordings. The results reported using the proposed model outperformed all the existing state-of-the-art techniques in terms of average η improvement.

A multi-modal assessment of sleep stages using adaptive Fourier decomposition and machine learning

Healthy sleep is essential for the rejuvenation of the body and helps in maintaining good health. Many people suffer from sleep disorders that are characterized by abnormal sleep patterns. Automated assessment of such disorders using biomedical signals has been an active subject of research. Electroencephalogram (EEG) is a popular diagnostic used in this regard. We consider a widely-used publicly available database and process the signals using the Fourier decomposition method (FDM) to obtain narrowband signal components. Statistical features extracted from these components are passed on to machine learning classifiers to identify different stages of sleep. A novel feature measuring the non-stationarity of the signal is also used to capture salient information. It is shown that classification results can be improved by using multi-channel EEG instead of single-channel EEG data. Simultaneous utilization of multiple modalities, such as Electromyogram (EMG), Electrooculogram (EOG) along with EEG data leads to further enhancement in the obtained results. The proposed method can be efficiently implemented in real-time using fast Fourier transform (FFT), and it provides better classification results than the other algorithms existing in the literature. It can assist in the development of low-cost sensor-based setups for continuous patient monitoring and feedback.

Multi-Level Classification of Lung Pathologies in Neonates using Recurrence Features

The use of Lung Ultrasound (LUS) as a tool to diagnose and monitor lung diseases in neonates has increased in urban hospitals. LUS's main advantages compared to chest CT or X-rays is that it is less expensive, more accessible, and does not expose the patient to radiation. Performing LUS on neonates and diagnosing the LUS images require highly trained medical professional and clinicians. While availability of such specialists in general is not an issue in urban areas, there is lack of such personnel in rural and remote communities. Hence, an automated computer-aided screening approach as a first level diagnosis assistance in such scenarios might be of significant value. Many of the image morphologies used by clinicians in diagnosing the LUS have strong recurrence characteristics. Building upon this knowledge, in this paper, we propose a feature extraction method designed to quantify such recurrent features for classification of LUS images into 6 common neonatal lung conditions. These conditions were normal lung, chronic lung disease (CLD), transient tachypnea of the newborn (TTN), pneumothorax (PTX), respiratory distress syndrome (RDS), and consolidation (CON) that could be pneumonia or atelectasis. The proposed method extracts virtual scanlines from the LUS images and converts them into signals. Then using recurrence quantification analysis (RQA), features were extracted and fed to pattern classifiers. Using a simple linear classifier the proposed features can achieve a classification accuracy of 69.3% without clinical features and 77.6% with clinical features. Clinical Relevance- Development of an automated computer-aided screening tool for first level diagnosis assistance in neonatal LUS pathologies. Such a tool will be of significant value in rural and remote medical communities.

Motion Artifacts Correction from Single-Channel EEG and fNIRS Signals Using Novel Wavelet Packet Decomposition in Combination with Canonical Correlation Analysis

The electroencephalogram (EEG) and functional near-infrared spectroscopy (fNIRS) signals, highly non-stationary in nature, greatly suffers from motion artifacts while recorded using wearable sensors. Since successful detection of various neurological and neuromuscular disorders is greatly dependent upon clean EEG and fNIRS signals, it is a matter of utmost importance to remove/reduce motion artifacts from EEG and fNIRS signals using reliable and robust methods. In this regard, this paper proposes two robust methods: (i) Wavelet packet decomposition (WPD) and (ii) WPD in combination with canonical correlation analysis (WPD-CCA), for motion artifact correction from single-channel EEG and fNIRS signals. The efficacy of these proposed techniques is tested using a benchmark dataset and the performance of the proposed methods is measured using two well-established performance matrices: (i) difference in the signal to noise ratio ( ) and (ii) percentage reduction in motion artifacts ( ). The proposed WPD-based single-stage motion artifacts correction technique produces the highest average (29.44 dB) when db2 wavelet packet is incorporated whereas the greatest average (53.48%) is obtained using db1 wavelet packet for all the available 23 EEG recordings. Our proposed two-stage motion artifacts correction technique, i.e., the WPD-CCA method utilizing db1 wavelet packet has shown the best denoising performance producing an average and values of 30.76 dB and 59.51%, respectively, for all the EEG recordings. On the other hand, for the available 16 fNIRS recordings, the two-stage motion artifacts removal technique, i.e., WPD-CCA has produced the best average (16.55 dB, utilizing db1 wavelet packet) and largest average (41.40%, using fk8 wavelet packet). The highest average and using single-stage artifacts removal techniques (WPD) are found as 16.11 dB and 26.40%, respectively, for all the fNIRS signals using fk4 wavelet packet. In both EEG and fNIRS modalities, the percentage reduction in motion artifacts increases by 11.28% and 56.82%, respectively when two-stage WPD-CCA techniques are employed in comparison with the single-stage WPD method. In addition, the average also increases when WPD-CCA techniques are used instead of single-stage WPD for both EEG and fNIRS signals. The increment in both and values is a clear indication that two-stage WPD-CCA performs relatively better compared to single-stage WPD. The results reported using the proposed methods outperform most of the existing state-of-the-art techniques.

Motion Artifacts Correction from Single-Channel EEG and fNIRS Signals Using Novel Wavelet Packet Decomposition in Combination with Canonical Correlation Analysis

The electroencephalogram (EEG) and functional near-infrared spectroscopy (fNIRS) signals, highly non-stationary in nature, greatly suffers from motion artifacts while recorded using wearable sensors. Since successful detection of various neurological and neuromuscular disorders is greatly dependent upon clean EEG and fNIRS signals, it is a matter of utmost importance to remove/reduce motion artifacts from EEG and fNIRS signals using reliable and robust methods. In this regard, this paper proposes two robust methods: (i) Wavelet packet decomposition (WPD) and (ii) WPD in combination with canonical correlation analysis (WPD-CCA), for motion artifact correction from single-channel EEG and fNIRS signals. The efficacy of these proposed techniques is tested using a benchmark dataset and the performance of the proposed methods is measured using two well-established performance matrices: (i) difference in the signal to noise ratio ( ) and (ii) percentage reduction in motion artifacts ( ). The proposed WPD-based single-stage motion artifacts correction technique produces the highest average (29.44 dB) when db2 wavelet packet is incorporated whereas the greatest average (53.48%) is obtained using db1 wavelet packet for all the available 23 EEG recordings. Our proposed two-stage motion artifacts correction technique, i.e., the WPD-CCA method utilizing db1 wavelet packet has shown the best denoising performance producing an average and values of 30.76 dB and 59.51%, respectively, for all the EEG recordings. On the other hand, for the available 16 fNIRS recordings, the two-stage motion artifacts removal technique, i.e., WPD-CCA has produced the best average (16.55 dB, utilizing db1 wavelet packet) and largest average (41.40%, using fk8 wavelet packet). The highest average and using single-stage artifacts removal techniques (WPD) are found as 16.11 dB and 26.40%, respectively, for all the fNIRS signals using fk4 wavelet packet. In both EEG and fNIRS modalities, the percentage reduction in motion artifacts increases by 11.28% and 56.82%, respectively when two-stage WPD-CCA techniques are employed in comparison with the single-stage WPD method. In addition, the average also increases when WPD-CCA techniques are used instead of single-stage WPD for both EEG and fNIRS signals. The increment in both and values is a clear indication that two-stage WPD-CCA performs relatively better compared to single-stage WPD. The results reported using the proposed methods outperform most of the existing state-of-the-art techniques.

Automatic Detection of the Cyclic Alternating Pattern of Sleep and Diagnosis of Sleep-Related Pathologies Based on Cardiopulmonary Resonance Indices

The cyclic alternating pattern is the periodic electroencephalogram activity occurring during non-rapid eye movement sleep. It is a marker of sleep instability and is correlated with several sleep-related pathologies. Considering the connection between the human heart and brain, our study explores the feasibility of using cardiopulmonary features to automatically detect the cyclic alternating pattern of sleep and hence diagnose sleep-related pathologies. By statistically analyzing and comparing the cardiopulmonary characteristics of a healthy group and groups with sleep-related diseases, an automatic recognition scheme of the cyclic alternating pattern is proposed based on the cardiopulmonary resonance indices. Using the Hidden Markov and Random Forest, the scheme combines the variation and stability of measurements of the coupling state of the cardiopulmonary system during sleep. In this research, the F1 score of the sleep-wake classification reaches 92.0%. In terms of the cyclic alternating pattern, the average recognition rate of A-phase reaches 84.7% on the CAP Sleep Database of 108 cases of people. The F1 score of disease diagnosis is 87.8% for insomnia and 90.0% for narcolepsy.

A Comprehensive Review: Computational Models for Obstructive Sleep Apnea Detection in Biomedical Applications

Obstructive sleep apnea (OSA) is a sleep disorder characterized by periodic episodes of partial or complete upper airway obstruction caused by narrowing or collapse of the pharyngeal airway despite ongoing breathing efforts during sleep. Fall in the blood oxygen saturation and cortical arousals are prompted by this reduction in the airflow which lasts for at least 10 seconds. Impaired labor performance, debilitated quality of life, excessive daytime sleepiness, high snoring, and tiredness even after a whole night's sleep are the primary symptoms of OSA. In due course, the long-standing contributions of OSA culminate in hypertension, arrhythmia, cerebrovascular disease, and heart failure. The traditional diagnostic approach of OSA is the laboratory-based polysomnography (PSG) overnight sleep study, which is a tedious and labor-intensive process that exaggerates the discomfort to the patient. With the advent of computer-aided diagnosis (CAD), automatic detection of OSA has gained increasing interest among researchers in the area of sleep disorders as it influences both diagnostic and therapeutic decisions. The research literature on sleep apnea published during the last decade has been surveyed, focusing on the varied screening approaches accustomed to identifying OSA events and the developmental knowledge offered by multiple contributors from the software perspective. The current study presents an overview of the pathophysiology of OSA, the detection methods, physiological signals related to OSA, the different preprocessing, feature extraction, feature selection, and classification techniques employed for the detection and classification of OSA. Consequently, the research challenges and research gaps in the diagnosis of OSA are identified, critically analyzed, and presented in the best possible light.

Synchronization of the Processes of Autonomic Control of Blood Circulation in Humans Is Different in the Awake State and in Sleep Stages

The influence of higher nervous activity on the processes of autonomic control of the cardiovascular system and baroreflex regulation is of considerable interest, both for understanding the fundamental laws of the functioning of the human body and for developing methods for diagnostics and treatment of pathologies. The complexity of the analyzed systems limits the possibilities of research in this area and requires the development of new tools. Earlier we propose a method for studying the collective dynamics of the processes of autonomic control of blood circulation in the awake state and in different stages of sleep. The method is based on estimating a quantitative measure representing the total percentage of phase synchronization between the low-frequency oscillations in heart rate and blood pressure. Analysis of electrocardiogram and invasive blood pressure signals in apnea patients in the awake state and in different sleep stages showed a high sensitivity of the proposed measure. It is shown that in slow-wave sleep the degree of synchronization of the studied rhythms is higher than in the awake state and lower than in sleep with rapid eye movement. The results reflect the modulation of the processes of autonomic control of blood circulation by higher nervous activity and can be used for the quantitative assessment of this modulation.

Wavelet skeletons in sleep EEG-monitoring as biomarkers of early diagnostics of mild cognitive impairment

Many neuro-degenerative diseases are difficult to diagnose in their early stages. For example, early diagnosis of Mild Cognitive Impairment (MCI) requires a wide variety of tests to distinguish MCI symptoms and normal consequences of aging. In this article, we use the wavelet-skeleton approach to find some characteristic patterns in the electroencephalograms (EEGs) of healthy adult patients and patients with cognitive dysfunctions. We analyze the EEG activity recorded during natural sleep of 11 elderly patients aged between 60 and 75, six of whom have mild cognitive impairment, and apply a nonlinear analysis method based on continuous wavelet transformskeletons. Our studies show that a comprehensive analysis of EEG signals of the entire sleep state allows us to identify a significant decrease in the average duration of oscillatory patterns in the frequency band [12; 14] Hz in the presence of mild cognitive impairment. Thus, the changes in this frequency range can be interpreted as related to the activity in the motor cortex, as a candidate for developing the criteria for early objective MCI.

A deep learning algorithm based on 1D CNN-LSTM for automatic sleep staging

BACKGROUND

Sleep staging is an important part of sleep research. Traditional automatic sleep staging based on machine learning requires extensive feature extraction and selection.

OBJECTIVE

This paper proposed a deep learning algorithm without feature extraction based on one-dimensional convolutional neural network and long short-term memory.

METHODS

The algorithm can automatically divide sleep into 5 phases including awake period, non-rapid eye movement sleep period (N1 ∼ N3) and rapid eye movement using the electroencephalogram signals. The raw signal was processed by the wavelet transform. Then, the processed signal was directly input into the deep learning algorithm to obtain the staging result.

RESULTS

The accuracy of staging is 93.47% using the Fpz-Cz electroencephalogram signal. When using the Fpz-Cz and electroencephalogram signal, the algorithm can obtain the highest accuracy of 94.15%.

CONCLUSION

These results show that this algorithm is suitable for different physiological signals and can realize end-to-end automatic sleep staging without any manual feature extraction.

Automated accurate emotion recognition system using rhythm-specific deep convolutional neural network technique with multi-channel EEG signals

Emotion is interpreted as a psycho-physiological process, and it is associated with personality, behavior, motivation, and character of a person. The objective of affective computing is to recognize different types of emotions for human-computer interaction (HCI) applications. The spatiotemporal brain electrical activity is measured using multi-channel electroencephalogram (EEG) signals. Automated emotion recognition using multi-channel EEG signals is an exciting research topic in cognitive neuroscience and affective computing. This paper proposes the rhythm-specific multi-channel convolutional neural network (CNN) based approach for automated emotion recognition using multi-channel EEG signals. The delta (δ), theta (θ), alpha (α), beta (β), and gamma (γ) rhythms of EEG signal for each channel are evaluated using band-pass filters. The EEG rhythms from the selected channels coupled with deep CNN are used for emotion classification tasks such as low-valence (LV) vs. high valence (HV), low-arousal (LA) vs. high-arousal (HA), and low-dominance (LD) vs. high dominance (HD) respectively. The deep CNN architecture considered in the proposed work has eight convolutions, three average pooling, four batch-normalization, three spatial drop-outs, two drop-outs, one global average pooling and, three dense layers. We have validated our developed model using three publicly available databases: DEAP, DREAMER, and DASPS. The results reveal that the proposed multivariate deep CNN approach coupled with β-rhythm has obtained the accuracy values of 98.91%, 98.45%, and 98.69% for LV vs. HV, LA vs. HA, and LD vs. HD emotion classification strategies, respectively using DEAP database with 10-fold cross-validation (CV) scheme. Similarly, the accuracy values of 98.56%, 98.82%, and 98.99% are obtained for LV vs. HV, LA vs. HA, and LD vs. HD classification schemes, respectively, using deep CNN and θ-rhythm. The proposed multi-channel rhythm-specific deep CNN classification model has obtained the average accuracy value of 57.14% using α-rhythm and trial-specific CV using DASPS database. Moreover, for 8-quadrant based emotion classification strategy, the deep CNN based classifier has obtained an overall accuracy value of 24.37% using γ-rhythms of multi-channel EEG signals. Our developed deep CNN model can be used for real-time automated emotion recognition applications.

Automated Classification of Mental Arithmetic Tasks Using Recurrent Neural Network and Entropy Features Obtained from Multi-Channel EEG Signals

The automated classification of cognitive workload tasks based on the analysis of multi-channel EEG signals is vital for human–computer interface (HCI) applications. In this paper, we propose a computerized approach for categorizing mental-arithmetic-based cognitive workload tasks using multi-channel electroencephalogram (EEG) signals. The approach evaluates various entropy features, such as the approximation entropy, sample entropy, permutation entropy, dispersion entropy, and slope entropy, from each channel of the EEG signal. These features were fed to various recurrent neural network (RNN) models, such as long-short term memory (LSTM), bidirectional LSTM (BLSTM), and gated recurrent unit (GRU), for the automated classification of mental-arithmetic-based cognitive workload tasks. Two cognitive workload classification strategies (bad mental arithmetic calculation (BMAC) vs. good mental arithmetic calculation (GMAC); and before mental arithmetic calculation (BFMAC) vs. during mental arithmetic calculation (DMAC)) are considered in this work. The approach was evaluated using the publicly available mental arithmetic task-based EEG database. The results reveal that our proposed approach obtained classification accuracy values of 99.81%, 99.43%, and 99.81%, using the LSTM, BLSTM, and GRU-based RNN classifiers, respectively for the BMAC vs. GMAC cognitive workload classification strategy using all entropy features and a 10-fold cross-validation (CV) technique. The slope entropy features combined with each RNN-based model obtained higher classification accuracy compared with other entropy features for the classification of the BMAC vs. GMAC task. We obtained the average classification accuracy values of 99.39%, 99.44%, and 99.63% for the classification of the BFMAC vs. DMAC tasks, using the LSTM, BLSTM, and GRU classifiers with all entropy features and a hold-out CV scheme. Our developed automated mental arithmetic task system is ready to be tested with more databases for real-world applications.

Deep Learning in Automatic Sleep Staging With a Single Channel Electroencephalography

This study centers on automatic sleep staging with a single channel electroencephalography (EEG), with some significant findings for sleep staging. In this study, we proposed a deep learning-based network by integrating attention mechanism and bidirectional long short-term memory neural network (AT-BiLSTM) to classify wakefulness, rapid eye movement (REM) sleep and non-REM (NREM) sleep stages N1, N2 and N3. The AT-BiLSTM network outperformed five other networks and achieved an accuracy of 83.78%, a Cohen's kappa coefficient of 0.766 and a macro F1-score of 82.14% on the PhysioNet Sleep-EDF Expanded dataset, and an accuracy of 81.72%, a Cohen's kappa coefficient of 0.751 and a macro F1-score of 80.74% on the DREAMS Subjects dataset. The proposed AT-BiLSTM network even achieved a higher accuracy than the existing methods based on traditional feature extraction. Moreover, better performance was obtained by the AT-BiLSTM network with the frontal EEG derivations than with EEG channels located at the central, occipital or parietal lobe. As EEG signal can be easily acquired using dry electrodes on the forehead, our findings might provide a promising solution for automatic sleep scoring without feature extraction and may prove very useful for the screening of sleep disorders.

An Electroencephalogram Metric of Temporal Complexity Tracks Psychometric Impairment Caused by Low-dose Nitrous Oxide

BACKGROUND

Nitrous oxide produces non-γ-aminobutyric acid sedation and psychometric impairment and can be used as scientific model for understanding mechanisms of progressive cognitive disturbances. Temporal complexity of the electroencephalogram may be a sensitive indicator of these effects. This study measured psychometric performance and the temporal complexity of the electroencephalogram in participants breathing low-dose nitrous oxide.

METHODS

In random order, 20, 30, and 40% end-tidal nitrous oxide was administered to 12 participants while recording 32-channel electroencephalogram and psychometric function. A novel metric quantifying the spatial distribution of temporal electroencephalogram complexity, comprised of (1) absolute cross-correlation calculated between consecutive 0.25-s time samples; 2) binarizing these cross-correlation matrices using the median of all channels as threshold; (3) using quantitative recurrence analysis, the complexity in temporal changes calculated by the Shannon entropy of the probability distribution of the diagonal line lengths; and (4) overall spatial extent and intensity of brain complexity, was quantified by calculating median temporal complexity of channels whose complexities were above 1 at baseline. This region approximately overlay the brain's default mode network, so this summary statistic was termed "default-mode-network complexity."

RESULTS

Nitrous oxide concentration correlated with psychometric impairment (r = 0.50, P < 0.001). Baseline regional electroencephalogram complexity at midline was greater than in lateral temporal channels (1.33 ± 0.14 bits vs. 0.81 ± 0.12 bits, P < 0.001). A dose of 40% N2O decreased midline (mean difference [95% CI], 0.20 bits [0.09 to 0.31], P = 0.002) and prefrontal electroencephalogram complexity (mean difference [95% CI], 0.17 bits [0.08 to 0.27], P = 0.002). The lateral temporal region did not change significantly (mean difference [95% CI], 0.14 bits [-0.03 to 0.30], P = 0.100). Default-mode-network complexity correlated with N2O concentration (r = -0.55, P < 0.001). A default-mode-network complexity mixed-effects model correlated with psychometric impairment (r2 = 0.67; receiver operating characteristic area [95% CI], 0.72 [0.59 to 0.85], P < 0.001).

CONCLUSIONS

Temporal complexity decreased most markedly in medial cortical regions during low-dose nitrous oxide exposures, and this change tracked psychometric impairment.

EDITOR’S PERSPECTIVE

Automated detection of schizophrenia using optimal wavelet-based l 1 norm features extracted from single-channel EEG

Schizophrenia (SZ) is a mental disorder, which affects the ability of human thinking, memory, and way of living. Manual screening of SZ patients is tedious, laborious and prone to human errors. Hence, we developed a computer-aided diagnosis (CAD) system to diagnose SZ patients accurately using single-channel electroencephalogram (EEG) signals. The EEG signals are nonlinear and non-stationary. Hence, we have used wavelet-based features to capture the hidden non-stationary nature present in the signal. First, the EEG signals are subjected to the the wavelet decomposition through six iterations, which yields seven sub-bands. The l 1 norm is computed for each sub-band. The extracted norm features are disseminated to various classification algorithms. We have obtained the highest accuracy of 99.21% and 97.2% using K-nearest neighbor classifiers with ten-fold and leave-one-subject-out cross-validations. The developed single-channel EEG wavelet-based CAD model can help the clinicians to confirm the outcome of their manual screening and obtain an accurate diagnosis.

Deep Layer Kernel Sparse Representation Network for the Detection of Heart Valve Ailments from the Time-Frequency Representation of PCG Recordings

The heart valve ailments (HVAs) are due to the defects in the valves of the heart and if untreated may cause heart failure, clots, and even sudden cardiac death. Automated early detection of HVAs is necessary in the hospitals for proper diagnosis of pathological cases, to provide timely treatment, and to reduce the mortality rate. The heart valve abnormalities will alter the heart sound and murmurs which can be faithfully captured by phonocardiogram (PCG) recordings. In this paper, a time-frequency based deep layer kernel sparse representation network (DLKSRN) is proposed for the detection of various HVAs using PCG signals. Spline kernel-based Chirplet transform (SCT) is used to evaluate the time-frequency representation of PCG recording, and the features like L1-norm (LN), sample entropy (SEN), and permutation entropy (PEN) are extracted from the different frequency components of the time-frequency representation of PCG recording. The DLKSRN formulated using the hidden layers of extreme learning machine- (ELM-) autoencoders and kernel sparse representation (KSR) is used for the classification of PCG recordings as normal, and pathology cases such as mitral valve prolapse (MVP), mitral regurgitation (MR), aortic stenosis (AS), and mitral stenosis (MS). The proposed approach has been evaluated using PCG recordings from both public and private databases, and the results demonstrated that an average sensitivity of 100%, 97.51%, 99.00%, 98.72%, and 99.13% are obtained for normal, MVP, MR, AS, and MS cases using the hold-out cross-validation (CV) method. The proposed approach is applicable for the Internet of Things- (IoT-) driven smart healthcare system for the accurate detection of HVAs.

Automated Detection of Sleep Stages Using Deep Learning Techniques: A Systematic Review of the Last Decade (2010–2020)

Sleep is vital for one’s general well-being, but it is often neglected, which has led to an increase in sleep disorders worldwide. Indicators of sleep disorders, such as sleep interruptions, extreme daytime drowsiness, or snoring, can be detected with sleep analysis. However, sleep analysis relies on visuals conducted by experts, and is susceptible to inter- and intra-observer variabilities. One way to overcome these limitations is to support experts with a programmed diagnostic tool (PDT) based on artificial intelligence for timely detection of sleep disturbances. Artificial intelligence technology, such as deep learning (DL), ensures that data are fully utilized with low to no information loss during training. This paper provides a comprehensive review of 36 studies, published between March 2013 and August 2020, which employed DL models to analyze overnight polysomnogram (PSG) recordings for the classification of sleep stages. Our analysis shows that more than half of the studies employed convolutional neural networks (CNNs) on electroencephalography (EEG) recordings for sleep stage classification and achieved high performance. Our study also underscores that CNN models, particularly one-dimensional CNN models, are advantageous in yielding higher accuracies for classification. More importantly, we noticed that EEG alone is not sufficient to achieve robust classification results. Future automated detection systems should consider other PSG recordings, such as electroencephalogram (EEG), electrooculogram (EOG), and electromyogram (EMG) signals, along with input from human experts, to achieve the required sleep stage classification robustness. Hence, for DL methods to be fully realized as a practical PDT for sleep stage scoring in clinical applications, inclusion of other PSG recordings, besides EEG recordings, is necessary. In this respect, our report includes methods published in the last decade, underscoring the use of DL models with other PSG recordings, for scoring of sleep stages.

Development of Automated Sleep Stage Classification System Using Multivariate Projection-Based Fixed Boundary Empirical Wavelet Transform and Entropy Features Extracted from Multichannel EEG Signals

The categorization of sleep stages helps to diagnose different sleep-related ailments. In this paper, an entropy-based information–theoretic approach is introduced for the automated categorization of sleep stages using multi-channel electroencephalogram (EEG) signals. This approach comprises of three stages. First, the decomposition of multi-channel EEG signals into sub-band signals or modes is performed using a novel multivariate projection-based fixed boundary empirical wavelet transform (MPFBEWT) filter bank. Second, entropy features such as bubble and dispersion entropies are computed from the modes of multi-channel EEG signals. Third, a hybrid learning classifier based on class-specific residuals using sparse representation and distances from nearest neighbors is used to categorize sleep stages automatically using entropy-based features computed from MPFBEWT domain modes of multi-channel EEG signals. The proposed approach is evaluated using the multi-channel EEG signals obtained from the cyclic alternating pattern (CAP) sleep database. Our results reveal that the proposed sleep staging approach has obtained accuracies of 91.77%, 88.14%, 80.13%, and 73.88% for the automated categorization of wake vs. sleep, wake vs. rapid eye movement (REM) vs. Non-REM, wake vs. light sleep vs. deep sleep vs. REM sleep, and wake vs. S1-sleep vs. S2-sleep vs. S3-sleep vs. REM sleep schemes, respectively. The developed method has obtained the highest overall accuracy compared to the state-of-art approaches and is ready to be tested with more subjects before clinical application.

A Smart Service Platform for Cost Efficient Cardiac Health Monitoring

AIM

In this study we have investigated the problem of cost effective wireless heart health monitoring from a service design perspective.

SUBJECT AND METHODS

There is a great medical and economic need to support the diagnosis of a wide range of debilitating and indeed fatal non-communicable diseases, like Cardiovascular Disease (CVD), Atrial Fibrillation (AF), diabetes, and sleep disorders. To address this need, we put forward the idea that the combination of Heart Rate (HR) measurements, Internet of Things (IoT), and advanced Artificial Intelligence (AI), forms a Heart Health Monitoring Service Platform (HHMSP). This service platform can be used for multi-disease monitoring, where a distinct service meets the needs of patients having a specific disease. The service functionality is realized by combining common and distinct modules. This forms the technological basis which facilitates a hybrid diagnosis process where machines and practitioners work cooperatively to improve outcomes for patients.

RESULTS

Human checks and balances on independent machine decisions maintain safety and reliability of the diagnosis. Cost efficiency comes from efficient signal processing and replacing manual analysis with AI based machine classification. To show the practicality of the proposed service platform, we have implemented an AF monitoring service.

CONCLUSION

Having common modules allows us to harvest the economies of scale. That is an advantage, because the fixed cost for the infrastructure is shared among a large group of customers. Distinct modules define which AI models are used and how the communication with practitioners, caregivers and patients is handled. That makes the proposed HHMSP agile enough to address safety, reliability and functionality needs from healthcare providers.

Current Status, Challenges, and Possible Solutions of EEG-Based Brain-Computer Interface: A Comprehensive Review

Brain-Computer Interface (BCI), in essence, aims at controlling different assistive devices through the utilization of brain waves. It is worth noting that the application of BCI is not limited to medical applications, and hence, the research in this field has gained due attention. Moreover, the significant number of related publications over the past two decades further indicates the consistent improvements and breakthroughs that have been made in this particular field. Nonetheless, it is also worth mentioning that with these improvements, new challenges are constantly discovered. This article provides a comprehensive review of the state-of-the-art of a complete BCI system. First, a brief overview of electroencephalogram (EEG)-based BCI systems is given. Secondly, a considerable number of popular BCI applications are reviewed in terms of electrophysiological control signals, feature extraction, classification algorithms, and performance evaluation metrics. Finally, the challenges to the recent BCI systems are discussed, and possible solutions to mitigate the issues are recommended.

Detection of Atrial Fibrillation from Single Lead ECG Signal Using Multirate Cosine Filter Bank and Deep Neural Network

Atrial fibrillation (AF) is a cardiac arrhythmia which is characterized based on the irregsular beating of atria, resulting in, the abnormal atrial patterns that are observed in the electrocardiogram (ECG) signal. The early detection of this pathology is very helpful for minimizing the chances of stroke, other heart-related disorders, and coronary artery diseases. This paper proposes a novel method for the detection of AF pathology based on the analysis of the ECG signal. The method adopts a multi-rate cosine filter bank architecture for the evaluation of coefficients from the ECG signal at different subbands, in turn, the Fractional norm (FN) feature is evaluated from the extracted coefficients at each subband. Then, the AF detection is carried out using a deep learning approach known as the Hierarchical Extreme Learning Machine (H-ELM) from the FN features. The proposed method is evaluated by considering normal and AF pathological ECG signals from public databases. The experimental results reveal that the proposed multi-rate cosine filter bank based on FN features is effective for the detection of AF pathology with an accuracy, sensitivity and specificity values of 99.40%, 98.77%, and 100%, respectively. The performance of the proposed diagnostic features of the ECG signal is compared with other existing features for the detection of AF. The low-frequency subband FN features found to be more significant with a difference of the mean values as 0.69 between normal and AF classes.

Automated sleep apnea detection from cardio-pulmonary signal using bivariate fast and adaptive EMD coupled with cross time-frequency analysis

Sleep apnea is a sleep related pathology in which breathing or respiratory activity of an individual is obstructed, resulting in variations in the cardio-pulmonary (CP) activity. The monitoring of both cardiac (heart rate (HR)) and pulmonary (respiration rate (RR)) activities are important for the automated detection of this ailment. In this paper, we propose a novel automated approach for sleep apnea detection using the bivariate CP signal. The bivariate CP signal is formulated using both HR and RR signals extracted from the electrocardiogram (ECG) signal. The approach consists of three stages. First, the bivariate CP signal is decomposed into intrinsic mode functions (IMFs) and residuals for both HR and RR channels using bivariate fast and adaptive empirical mode decomposition (FAEMD). Second, the features are extracted using time-domain analysis, spectral analysis, and time-frequency domain analysis of IMFs from CP signal. The time-frequency domain features are computed from the cross time-frequency matrices of IMFs of CP signal. The cross time-frequency matrix of each IMF is evaluated using the Stockwell (S)-transform. Third, the support vector machine (SVM) and the random forest (RF) classifiers are used for automated detection of sleep apnea with the features from the bivariate CP signal. Our proposed approach has demonstrated an average sensitivity and specificity of 82.27% and 78.67%, respectively for sleep apnea detection using the 10-fold cross-validation method. The approach has yielded an average sensitivity and specificity of 73.19% and 73.13%, respectively for the subject-specific cross-validation. The performance of the approach was compared with other CPC features used for the detection of sleep apnea.

Deep learning approaches for automatic detection of sleep apnea events from an electrocardiogram

BACKGROUND AND OBJECTIVE

This study demonstrates deep learning approaches with an aim to find the optimal method to automatically detect sleep apnea (SA) events from an electrocardiogram (ECG) signal.

METHODS

Six deep learning approaches were designed and implemented for automatic detection of SA events including deep neural network (DNN), one-dimensional (1D) convolutional neural networks (CNN), two-dimensional (2D) CNN, recurrent neural networks (RNN), long short-term memory, and gated-recurrent unit (GRU). Designed deep learning models were analyzed and compared in the performances. The ECG signal was pre-processed, normalized, and segmented into 10 s intervals. Subsequently, the signal was converted into a 2D form for analysis in the 2D CNN model. A dataset collected from 86 patients with SA was used. The training set comprised data from 69 of the patients, while the test set contained data from the remaining 17 patients.

RESULTS

The accuracy of the best-performing model was 99.0%, and the 1D CNN and GRU models had 99.0% recall rates.

CONCLUSIONS

The designed deep learning approaches performed better than those developed and tested in previous studies in terms of detecting SA events, and they could distinguish between apnea and hypopnea events using an ECG signal. The deep learning approaches such as 1D CNN and GRU can be helpful tools to automatically detect SA in sleep apnea screening and related studies.

Sleep stage classification using covariance features of multi-channel physiological signals on Riemannian manifolds

BACKGROUND AND OBJECTIVE

The recognition of many sleep related pathologies highly relies on an accurate classification of sleep stages. Clinically, sleep stages are usually labelled by sleep experts through visually inspecting the whole-night polysomnography (PSG) recording of patients, wherein electroencephalogram (EEG), electrooculogram (EOG) and electromyogram (EMG) play the dominant role. Developing an automatic sleep staging system based on multi-channel physiological signals could relieve the burden of manual labeling by experts, and obtain reliable and repeatable recognition results as well.

METHODS

In this work, we find the correlation between the spatial covariance matrices of multi-channel signals and their corresponding sleep stages. Based on that, we propose two novel sleep stage classification methods based on the features extracted from the covariance matrices of multi-channel signals. Sleep stages are classified using a minimum distance classifier according to their corresponding covariance matrices mapped on Riemannian manifolds. An alternative way to classify these covariance matrices is to represent the features of covariance matrices on the tangent space of Riemannian manifolds and classify them with an ensemble learning classifier. After any of these classification methods, a rule-free refinement process is utilized to further optimize the classification results.

RESULTS

On the MASS dataset that includes 61 whole-night PSG recordings, both two methods provide satisfactory classification results while the one based on tangent space projection has better performance. On average, an accuracy of 0.812 and a Cohen's Kappa coefficient of 0.722 are obtained under leave-one-subject-out cross validation, using EEG, EOG and EMG signals. Meanwhile, the most effective combinations of EEG channels for sleep staging have been found in this work.

CONCLUSIONS

The correlation between spatial covariance matrices of multi-channel signals and their corresponding sleep stages have been found. Features based on that are used for sleep stage classification, and experimental results show the superior performance of proposed methods compared to state-of-the-art works. Results of this work are expected to provide a new vision for dealing with multi-channel or multi-modal signal processing tasks in various applications.