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Published on: October 2, 2019
Radar-based sleep stage classification in children undergoing polysomnography: a pilot-study
R de Goederen1, S Pu2, M Silos Viu3
1Pediatric Intensive Care Unit, Erasmus MC, Sophia Children's Hospital, Rotterdam, the Netherlands; Department of Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht Utrecht, the Netherlands.
Insights
Ultra-Wide band (UWB) radar shows promise for unobtrusive sleep monitoring in children, achieving up to 89.8% accuracy in classifying wake and sleep states. Further development is needed for clinical application.
Area of Science:
- Biomedical Engineering
- Sleep Medicine
- Pediatric Health
Background:
- Monitoring sleep in children non-invasively is challenging.
- Polysomnography is the gold standard but can be intrusive for pediatric subjects.
Purpose of the Study:
- To evaluate the feasibility of using Ultra-Wide band (UWB) radar for unobtrusive sleep monitoring in children.
- To assess UWB radar's ability to measure sleep stages and breathing patterns.
Main Methods:
- Thirty-two children (2 months to 14 years) underwent polysomnography with simultaneous UWB radar monitoring.
- UWB radar captured body movements and breathing rate, from which 38 features were extracted.
- An adaptive boosting machine learning classifier was employed to estimate sleep stages.
Main Results:
- The study achieved 89.8% accuracy and a Cohen's Kappa of 0.67 for wake vs. sleep classification.
- Classification accuracy for wake, REM, and non-REM sleep was 72.9% (Kappa=0.47).
- Accuracy for differentiating wake, REM, light, and deep sleep was 58.0% (Kappa=0.43).
Conclusions:
- UWB radar demonstrates potential as a non-contact method for pediatric sleep analysis.
- Current performance levels require further improvement for widespread clinical adoption.
- This technology offers a promising avenue for less intrusive sleep disorder assessment in children.
Study Objectives:
Unobtrusive monitoring of sleep and sleep disorders in children presents challenges. We investigated the possibility of using Ultra-Wide band (UWB) radar to measure sleep in children.
Methods:
Thirty-two children scheduled to undergo a clinical polysomnography participated; their ages ranged from 2 months to 14 years. During the polysomnography, the children's body movements and breathing rate were measured by an UWB-radar. A total of 38 features were calculated from the motion signals and breathing rate obtained from the raw radar signals. Adaptive boosting was used as machine learning classifier to estimate sleep stages, with polysomnography as gold standard method for comparison.
Results:
Data of all participants combined, this study achieved a Cohen's Kappa coefficient of 0.67 and an overall accuracy of 89.8% for wake and sleep classification, a Kappa of 0.47 and an accuracy of 72.9% for wake, rapid-eye-movement (REM) sleep, and non-REM sleep classification, and a Kappa of 0.43 and an accuracy of 58.0% for wake, REM sleep, light sleep and deep sleep classification.
Conclusion:
Although the current performance is not sufficient for clinical use yet, UWB radar is a promising method for non-contact sleep analysis in children.
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