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Towards automatic EEG cyclic alternating pattern analysis: a systematic review.

Fábio Mendonça1,2, Sheikh Shanawaz Mostafa2, Fernando Morgado-Dias1,2

  • 1University of Madeira, Funchal, Portugal.

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|July 31, 2023
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Summary
This summary is machine-generated.

Automatic analysis of Cyclic Alternating Pattern (CAP) is feasible for clinical use. This systematic review found that machine and deep learning models show promise for reliable CAP and A-phase detection in sleep studies.

Keywords:
A phaseAutomatic classificationCAPEEG

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Area of Science:

  • Sleep Medicine
  • Computational Neuroscience
  • Biomedical Engineering

Background:

  • Cyclic Alternating Pattern (CAP) is a key indicator of sleep quality and instability.
  • Manual CAP analysis is time-consuming and subjective.
  • Automating CAP analysis could improve diagnostic efficiency and consistency.

Purpose of the Study:

  • To systematically review the feasibility of automatic Cyclic Alternating Pattern (CAP) analysis for clinical application.
  • To identify trends in methodologies for automatic CAP analysis.
  • To assess the challenges and future directions in automated sleep analysis.

Main Methods:

  • Systematic literature review following PRISMA 2020 guidelines.
  • Inclusion of 35 studies from 1,280 identified articles on automatic CAP analysis.
  • Analysis of methods for A phase classification, subtype identification, and CAP cycle detection.

Main Results:

  • Observed evolution in A phase classification from mathematical models to machine and deep learning.
  • Prevalence of finite state machines for CAP cycle detection, dependent on A phase classifiers.
  • Challenges in A-phase subtype assessment due to diverse detection approaches.

Conclusions:

  • Automatic CAP analysis is viable and can be reliably performed for clinical applications.
  • Further validation on larger datasets with diverse sleep disorders is recommended.
  • Sharing source code is crucial for independent verification and advancement.