Classification of sleep apnea by using wavelet transform and artificial neural networks

This paper describes a new method to classify sleep apnea syndrome (SAS) by using wavelet transforms and an artificial neural network (ANN). The network was trained and tested for different momentum coefficients. The abdominal respiration signals are separated into spectral components by using multi-resolution wavelet transforms. These spectral components are applied to the inputs of the artificial neural network. Then the neural network was configured to give three outputs to classify the SAS situation of the patient. The apnea can be broadly classified into three types: obstructive sleep apnea (OSA), central sleep apnea (CSA) and mixed sleep apnea (MSA). During OSA, the airway is blocked while respiratory efforts continue. During CSA the airway is open, however, there are no respiratory efforts. In this paper we aim to classify sleep apnea in one of three basic types: obstructive, central and mixed.

[1]  Amparo Alonso-Betanzos,et al.  A new method for sleep apnea classification using wavelets and feedforward neural networks , 2005, Artif. Intell. Medicine.

[2]  A. Malhotra,et al.  Airway mechanics and ventilation in response to resistive loading during sleep: influence of gender. , 2000, American journal of respiratory and critical care medicine.

[3]  Henry Ferreyra,et al.  Does Tongue Size Differ Between Patients With and Without Sleep‐Disordered Breathing? , 2000, The Laryngoscope.

[4]  Griewank,et al.  On automatic differentiation , 1988 .

[5]  W C Dement,et al.  The sleep apnea syndromes. , 1976, Annual review of medicine.

[6]  L. Findley,et al.  Automobile accidents involving patients with obstructive sleep apnea. , 1988, The American review of respiratory disease.

[7]  Raanan Arens,et al.  Identification of upper airway anatomic risk factors for obstructive sleep apnea with volumetric magnetic resonance imaging. , 2003, American journal of respiratory and critical care medicine.

[8]  J. Bosma,et al.  Maintenance of the pharyngeal airway. , 1962, Journal of applied physiology.

[9]  R. Rosen,et al.  Obesity and weight loss in obstructive sleep apnea: a critical review. , 1996, Sleep.

[10]  N. Ayas,et al.  Hypercapnia can induce arousal from sleep in the absence of altered respiratory mechanoreception. , 2000, American journal of respiratory and critical care medicine.

[11]  M. Kryger,et al.  Principles and Practice of Sleep Medicine , 1989 .

[12]  M G Hans,et al.  The relationship between craniofacial morphology and obstructive sleep apnea in whites and in African-Americans. , 2001, American journal of respiratory and critical care medicine.

[13]  M. Akin,et al.  Comparison of Wavelet Transform and FFT Methods in the Analysis of EEG Signals , 2002, Journal of Medical Systems.

[14]  Chwan-Lu Tseng,et al.  A NEW APPROACH FOR IDENTIFYING SLEEP APNEA SYNDROME USING WAVELET TRANSFORM AND NEURAL NETWORKS , 2006 .

[15]  R Walld,et al.  Utilization of health care services in patients with severe obstructive sleep apnea. , 1996, Sleep.

[16]  Thomas Zemen,et al.  Classification of Sleep Apnea Events by Means of Radial Basis Function Networks , 1998, NC.

[17]  H Bearpark,et al.  Snoring and sleep apnea. A population study in Australian men. , 1995, American journal of respiratory and critical care medicine.

[18]  E Benlloch,et al.  Ventilatory pattern at rest and response to hypercapnic stimulation in patients with obstructive sleep apnea syndrome. , 1995, Respiration; international review of thoracic diseases.

[19]  Gert Pfurtscheller,et al.  Automatic differentiation of multichannel EEG signals , 2001, IEEE Transactions on Biomedical Engineering.

[20]  E. Bixler,et al.  Severe obstructive sleep apnea--I: Onset, clinical course, and characteristics. , 1985, Journal of chronic diseases.

[21]  R. Stafford,et al.  Principles and Practice of Sleep Medicine , 2001 .

[22]  V. Mohsenin,et al.  Gender differences in the expression of sleep-disordered breathing : role of upper airway dimensions. , 2001, Chest.

[23]  A J Block,et al.  Alcohol increases sleep apnea and oxygen desaturation in asymptomatic men. , 1981, The American journal of medicine.

[24]  Elif Derya Übeyli,et al.  Wavelet-based neural network analysis of ophthalmic artery Doppler signals , 2004, Comput. Biol. Medicine.

[25]  M Partinen,et al.  Familial aggregates in obstructive sleep apnea syndrome. , 1995, Chest.

[26]  S. Hyakin,et al.  Neural Networks: A Comprehensive Foundation , 1994 .

[27]  Remmers Je,et al.  Pathogenesis of upper airway occlusion during sleep , 1978 .

[28]  A. Kataura,et al.  Adenotonsillar hypertrophy and skeletal morphology of children with obstructive sleep apnea syndrome. , 1996, Acta oto-laryngologica. Supplementum.

[29]  Ian G. Robin.  Snoring , 1948, Nursing times.

[30]  C. Sullivan,et al.  Alcohol, snoring and sleep apnea. , 1982, Journal of neurology, neurosurgery, and psychiatry.

[31]  T. Young,et al.  The occurrence of sleep-disordered breathing among middle-aged adults. , 1993, The New England journal of medicine.

[32]  Ronald D. Chervin,et al.  Use of Clinical Tools and Tests In Sleep Medicine , 2005 .

[33]  Francesco Gianfelici.  Review of Random signals and systems by B. Pincibono Englewood Cliffs, NJ, Prentice-Hall, 2003 , 2009 .

[34]  Necmettin Sezgin,et al.  Estimating vigilance level by using EEG and EMG signals , 2008, Neural Computing and Applications.

[35]  M. Kryger,et al.  Chapter 92 – Management of Obstructive Sleep Apnea-Hypopnea Syndrome: Overview , 2005 .

[36]  I A Basheer,et al.  Artificial neural networks: fundamentals, computing, design, and application. , 2000, Journal of microbiological methods.

[37]  M. Broudy,et al.  Increased severity of obstructive sleep apnea after bedtime alcohol ingestion: diagnostic potential and proposed mechanism of action. , 1982, Sleep.

[38]  E. van Marck,et al.  Morphometric analysis of the uvula in patients with sleep-related breathing disorders , 2000, European Archives of Oto-Rhino-Laryngology.

[39]  D. White,et al.  The influence of increasing ventilatory effort on arousal from sleep. , 1990, The American review of respiratory disease.

[40]  S. Redline,et al.  The familial aggregation of obstructive sleep apnea. , 1995, American journal of respiratory and critical care medicine.

[41]  Daniel J Buysse,et al.  Sleep–Related Breathing Disorders in Adults: Recommendations for Syndrome Definition and Measurement Techniques in Clinical Research , 2000 .

[42]  Laurene V. Fausett,et al.  Fundamentals Of Neural Networks , 1994 .

[43]  J. Stradling,et al.  Neck circumference and other clinical features in the diagnosis of the obstructive sleep apnoea syndrome. , 1992, Thorax.

[44]  A. Murray,et al.  Systematic comparison of different algorithms for apnoea detection based on electrocardiogram recordings , 2002, Medical and Biological Engineering and Computing.

[45]  J. Remmers,et al.  Pathogenesis of upper airway occlusion during sleep. , 1978, Journal of applied physiology: respiratory, environmental and exercise physiology.

[46]  J. Stradling,et al.  Relation between systemic hypertension and sleep hypoxaemia or snoring: analysis in 748 men drawn from general practice. , 1990, BMJ.

[47]  W C Dement,et al.  Diagnosis and treatment of sleep apnea within the community. The Walla Walla Project. , 1997, Archives of internal medicine.

[48]  R Alvarez-Sala,et al.  [Sleep apnea syndrome]. , 1986, Medicina clinica.

[49]  A. Gevins,et al.  Detecting transient cognitive impairment with EEG pattern recognition methods. , 1999, Aviation, space, and environmental medicine.

[50]  Ron Kikinis,et al.  The male predisposition to pharyngeal collapse: importance of airway length. , 2002, American journal of respiratory and critical care medicine.

[51]  R Mathur,et al.  Family Studies in Patients with the Sleep Apnea-Hypopnea Syndrome , 1995, Annals of Internal Medicine.

[52]  M. Kryger,et al.  SLEEP APNOEA PATIENTS HAVE MORE AUTOMOBILE ACCIDENTS , 1987, The Lancet.

[53]  T. Sejnowski,et al.  Estimating alertness from the EEG power spectrum , 1997, IEEE Transactions on Biomedical Engineering.

[54]  C. Guilleminault,et al.  Central sleep apnea , 1998, Otolaryngologic clinics of North America.

[55]  Christian Guilleminault,et al.  Clinical overview of the sleep apnea syndromes , 1978 .