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.

Sleep Medicine
|April 18, 2021
PubMed

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.
Abstract

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