在中使用标准脑电图和可穿戴数据的深度学习进行自动化睡眠分期
Jaiver Macea1, Elisabeth R M Heremans2, Renee Proost3,4
1Laboratory for Epilepsy Research, Department of Neurosciences, Leuven Brain Institute, KU Leuven, Leuven, Belgium.
Journal of sleep research
|April 3, 2025
概括
使用可穿戴设备的自动睡眠分期显示了患者的中度准确性. 虽然对睡眠监测有希望,但对临床使用需要进一步改进.
科学领域:
- 神经学 神经学
- 生物医学工程 生物医学工程
- 睡眠医学 睡眠医学
背景情况:
- 使用可穿戴设备的自动睡眠分期为改善管理提供了潜力.
- 目前的方法通常需要繁的临床设备,如脑电图 (EEG).
研究的目的:
- 评估深度学习模型在自动睡眠分期中的表现,使用可穿戴数据与标准EEG相比.
- 探索发作和没有发作的患者的睡眠结构差异.
主要方法:
- 在50名患者的223个夜间睡眠记录中使用深度学习模型进行睡眠分阶段.
- 用医院的EEG和可穿戴设备收集数据.
- 模型性能与临床专家评分使用布兰德-阿尔特曼分析和混合效应模型进行了比较.
主要成果:
- 该模型与临床专家相比,实现了中度的准确性 (科恩卡帕0.59对EEG,0.43对可穿戴设备).
- 可穿戴数据低估了大多数睡眠宏观结构参数,除了N2睡眠.
- 与没有发作的患者相比,患者睡得更久,在N2睡眠中花费的时间也更长.
结论:
- 可穿戴式EEG和加速度计显示了对患者睡眠监测的潜力.
- 自动化分析方法需要进一步细化,以便在临床实施.
- 睡眠监测可能会揭示与活动相关的睡眠模式的差异.
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