Automatic Sleep Scoring from a Single Electrode Using Delay Differential Equations

Sleep scoring is commonly performed from electroencephalogram (EEG), electrooculogram (EOG), and electromyogram (EMG) to produce a so-called hypnogram. A neurologist thus visually encodes each epoch of 30 s into one of the sleep stages (wake, REM sleep, S1, S2, S3, S4). To avoid such a long process (about 3–4 hours) a technique for automatic sleep scoring from the signal of a single EEG electrode located in the C3/A2 area using nonlinear delay differential equations (DDEs) is presented here. Our approach considers brain activity as resulting from a dynamical system whose parameters should vary according to the sleep stages. It is thus shown that there is at least one coefficient that depends on sleep stages and which can be used to construct a hypnogram. The correlation between manual hypnograms and the coefficient evolution is around 80%, that is, about the inter-rater variability. In order to rank sleep quality from the best to the worst, we introduced a global sleep quality index which is used to compare manual and automatic sleep scorings, thus using our ability to state about sleep quality that is the final goal for physicians.

[1]  A. Rechtschaffen A manual of Standardized Terminology , 1968 .

[2]  Christophe Letellier,et al.  Global modeling of the Rössler system from the /z-variable , 2003 .

[3]  J.C. Principe,et al.  Sleep staging automaton based on the theory of evidence , 1989, IEEE Transactions on Biomedical Engineering.

[4]  P. Anderer,et al.  Automatic sleep classification according to Rechtschaffen and Kales , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[5]  Daniel J Buysse,et al.  The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research , 1989, Psychiatry Research.

[6]  R. Harper,et al.  Machine classification of infant sleep state using cardiorespiratory measures. , 1987, Electroencephalography and clinical neurophysiology.

[7]  Thomas Penzel,et al.  Inter-rater agreement in sleep stage classification between centers with different backgrounds , 2008 .

[8]  H Poizner,et al.  Finger tapping movements of Parkinson's disease patients automatically rated using nonlinear delay differential equations. , 2012, Chaos.

[9]  T. Sejnowski,et al.  Electrocardiogram classification using delay differential equations. , 2013, Chaos.

[10]  A. Rechtschaffen,et al.  A manual of standardized terminology, technique and scoring system for sleep stages of human subjects , 1968 .

[11]  A. Chesson,et al.  The American Academy of Sleep Medicine (AASM) Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications , 2007 .

[12]  Goldberg,et al.  Genetic algorithms , 1993, Robust Control Systems with Genetic Algorithms.

[13]  P. Anderer,et al.  Interrater reliability for sleep scoring according to the Rechtschaffen & Kales and the new AASM standard , 2009, Journal of sleep research.

[14]  D. E. Goldberg,et al.  Genetic Algorithms in Search , 1989 .

[15]  Jacob Cohen,et al.  The Equivalence of Weighted Kappa and the Intraclass Correlation Coefficient as Measures of Reliability , 1973 .

[16]  A. Muzet,et al.  Sleep stage scoring using the neural network model: comparison between visual and automatic analysis in normal subjects and patients. , 1996, Sleep.

[17]  E. Wolpert A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects. , 1969 .

[18]  A. Bachelor GLOSSARY OF TERMS GLOSSARY OF TERMS , 2010 .

[19]  Joachim Röschke,et al.  Online detection of rem sleep based on the comprehensive evaluation of short adjacent eeg segments by artificial neural networks , 1997, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[20]  B.H. Jansen,et al.  Knowledge-based approach to sleep EEG analysis-a feasibility study , 1989, IEEE Transactions on Biomedical Engineering.

[21]  Jacob Cohen A Coefficient of Agreement for Nominal Scales , 1960 .

[22]  David E. Goldberg,et al.  Genetic Algorithms in Search Optimization and Machine Learning , 1988 .

[23]  W. A. Scott,et al.  Reliability of Content Analysis ; The Case of Nominal Scale Cording , 1955 .

[24]  Bruce J. Gluckman,et al.  Improved sleep–wake and behavior discrimination using MEMS accelerometers , 2007, Journal of Neuroscience Methods.

[25]  Kristína Susmáková,et al.  Discrimination ability of individual measures used in sleep stages classification , 2008, Artif. Intell. Medicine.

[26]  Christophe Letellier,et al.  Dynamics Underlying Patient-Ventilator Interactions during nocturnal Noninvasive Ventilation , 2012, Int. J. Bifurc. Chaos.

[27]  L. A. Aguirre,et al.  Improved structure selection for nonlinear models based on term clustering , 1995 .