Decomposition of a Multiscale Entropy Tensor for Sleep Stage Identification in Preterm Infants

Established sleep cycling is one of the main hallmarks of early brain development in preterm infants, therefore, automated classification of the sleep stages in preterm infants can be used to assess the neonate’s cerebral maturation. Tensor algebra is a powerful tool to analyze multidimensional data and has proven successful in many applications. In this paper, a novel unsupervised algorithm to identify neonatal sleep stages based on the decomposition of a multiscale entropy tensor is presented. The method relies on the difference in electroencephalography(EEG) complexity between the neonatal sleep stages and is evaluated on a dataset of 97 EEG recordings. An average sensitivity, specificity, accuracy and area under the receiver operating characteristic curve of 0.80, 0.79, 0.79 and 0.87 was obtained if the rank of the tensor decomposition is selected based on the age of the infant.

[1]  Sabine Van Huffel,et al.  Review of sleep-EEG in preterm and term neonates. , 2017, Early human development.

[2]  Sabine Van Huffel,et al.  Complexity Analysis of Neonatal EEG Using Multiscale Entropy: Applications in Brain Maturation and Sleep Stage Classification , 2017, Entropy.

[3]  Bülent Yener,et al.  Unsupervised Multiway Data Analysis: A Literature Survey , 2009, IEEE Transactions on Knowledge and Data Engineering.

[4]  Rasmus Bro,et al.  A comparison of algorithms for fitting the PARAFAC model , 2006, Comput. Stat. Data Anal..

[5]  Sabine Van Huffel,et al.  An Automated Quiet Sleep Detection Approach in Preterm Infants as a Gateway to Assess Brain Maturation , 2017, Int. J. Neural Syst..

[6]  K. A. Loparo,et al.  Nonlinear dynamical analysis of the neonatal EEG time series: The relationship between sleep state and complexity , 2008, Clinical Neurophysiology.

[7]  J. Escudero,et al.  Analysis of electroencephalograms in Alzheimer's disease patients with multiscale entropy , 2006, Physiological measurement.

[8]  Andrzej Cichocki,et al.  Tensor Decompositions for Signal Processing Applications: From two-way to multiway component analysis , 2014, IEEE Signal Processing Magazine.

[9]  Sabine Van Huffel,et al.  Quiet sleep detection in preterm infants using deep convolutional neural networks , 2018, Journal of neural engineering.

[10]  A. Okumura,et al.  Absent Cyclicity on aEEG within the First 24 h is Associated with Brain Damage in Preterm Infants , 2010, Neuropediatrics.

[11]  Anne Humeau-Heurtier,et al.  The Multiscale Entropy Algorithm and Its Variants: A Review , 2015, Entropy.

[12]  Andrzej Cichocki,et al.  Linked Component Analysis From Matrices to High-Order Tensors: Applications to Biomedical Data , 2015, Proceedings of the IEEE.

[13]  Simon Van Eyndhoven,et al.  Identifying Stable Components of Matrix /Tensor Factorizations via Low-Rank Approximation of Inter-Factorization Similarity , 2019, 2019 27th European Signal Processing Conference (EUSIPCO).

[14]  Nikos D. Sidiropoulos,et al.  Tensor Decomposition for Signal Processing and Machine Learning , 2016, IEEE Transactions on Signal Processing.

[15]  Andrea Catalina,et al.  Influencia del patrón de lactancia materna en el desarrollo del sueño en lactantes menores de 3 meses , 2020 .

[16]  Ronald M. Aarts,et al.  Unobtrusive sleep state measurements in preterm infants - A review. , 2017, Sleep medicine reviews.

[17]  Tasuku Kimura,et al.  Combined effects of age and gender on gait symmetry and regularity assessed by autocorrelation of trunk acceleration , 2014, Journal of NeuroEngineering and Rehabilitation.

[18]  Michael D. Weiss,et al.  Sleep Disturbances in Newborns , 2017, Children.

[19]  Floris Groenendaal,et al.  Sleep-Wake Cycling on Amplitude-Integrated Electroencephalography in Term Newborns With Hypoxic-Ischemic Encephalopathy , 2005, Pediatrics.

[20]  J. Berge,et al.  Tucker's congruence coefficient as a meaningful index of factor similarity. , 2006 .

[21]  Nico Vervliet,et al.  Nonlinear least squares updating of the canonical polyadic decomposition , 2017, 2017 25th European Signal Processing Conference (EUSIPCO).

[22]  R. Chervin,et al.  Neonatal Sleep–Wake Analyses Predict 18-month Neurodevelopmental Outcomes , 2017, Sleep.

[23]  Madalena Costa,et al.  Multiscale entropy analysis of complex physiologic time series. , 2002, Physical review letters.

[24]  Perumpillichira J. Cherian,et al.  Technical standards for recording and interpretation of neonatal electroencephalogram in clinical practice , 2009, Annals of Indian Academy of Neurology.

[25]  Sara Mariani,et al.  Use of multiscale entropy to facilitate artifact detection in electroencephalographic signals , 2015, 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[26]  S. Graven Sleep and brain development. , 2006, Clinics in perinatology.

[27]  Lieven De Lathauwer,et al.  On the Uniqueness of the Canonical Polyadic Decomposition of Third-Order Tensors - Part I: Basic Results and Uniqueness of One Factor Matrix , 2013, SIAM J. Matrix Anal. Appl..

[28]  H. Kiers,et al.  Three-mode principal components analysis: choosing the numbers of components and sensitivity to local optima. , 2000, The British journal of mathematical and statistical psychology.

[29]  R. Montirosso,et al.  The sleep protection in the preterm infants , 2011, The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians.

[30]  Kenneth A. Loparo,et al.  Automated detection of neonate EEG sleep stages , 2009, Comput. Methods Programs Biomed..

[31]  Tamara G. Kolda,et al.  Tensor Decompositions and Applications , 2009, SIAM Rev..

[32]  S. Rioualen,et al.  How to improve sleep in a neonatal intensive care unit: A systematic review. , 2017, Early human development.

[33]  Xiaofeng Gong,et al.  Tensor decomposition of EEG signals: A brief review , 2015, Journal of Neuroscience Methods.

[34]  Madalena Costa,et al.  Multiscale entropy analysis of biological signals. , 2005, Physical review. E, Statistical, nonlinear, and soft matter physics.

[35]  R. Bro PARAFAC. Tutorial and applications , 1997 .

[36]  S. Vanhatalo,et al.  Automated classification of neonatal sleep states using EEG , 2017, Clinical Neurophysiology.