Magosso Elisa, Provini Federica, Montagna Pasquale, Ursino Mauro
Department of Electronics, Computer Science and Systems, University of Bologna, Cesena, Italy.
Med Eng Phys. 2006 Nov;28(9):860-75. doi: 10.1016/j.medengphy.2006.01.002. Epub 2006 Feb 21.
Electro-oculographic (EOG) activity during the wake-sleep transition is characterized by the appearance of slow eye movements (SEM). The present work describes an algorithm for the automatic localisation of SEM events from EOG recordings. The algorithm is based on a wavelet multiresolution analysis of the difference between right and left EOG tracings, and includes three main steps: (i) wavelet decomposition down to 10 detail levels (i.e., 10 scales), using Daubechies order 4 wavelet; (ii) computation of energy in 0.5s time steps at any level of decomposition; (iii) construction of a non-linear discriminant function expressing the relative energy of high-scale details to both high- and low-scale details. The main assumption is that the value of the discriminant function increases above a given threshold during SEM episodes due to energy redistribution toward higher scales. Ten EOG recordings from ten male patients with obstructive sleep apnea syndrome were used. All tracings included a period from pre-sleep wakefulness to stage 2 sleep. Two experts inspected the tracings separately to score SEMs. A reference set of SEM (gold standard) were obtained by joint examination by both experts. Parameters of the discriminant function were assigned on three tracings (design set) to minimize the disagreement between the system classification and classification by the two experts; the algorithm was then tested on the remaining seven tracings (test set). Results show that the agreement between the algorithm and the gold standard was 80.44+/-4.09%, the sensitivity of the algorithm was 67.2+/-7.37% and the selectivity 83.93+/-8.65%. However, most errors were not caused by an inability of the system to detect intervals with SEM activity against NON-SEM intervals, but were due to a different localisation of the beginning and end of some SEM episodes. The proposed method may be a valuable tool for computerized EOG analysis.
在清醒 - 睡眠转换期间,眼电图(EOG)活动的特征是出现慢眼球运动(SEM)。本研究描述了一种从EOG记录中自动定位SEM事件的算法。该算法基于对左右EOG描记图差异的小波多分辨率分析,包括三个主要步骤:(i)使用Daubechies 4阶小波进行小波分解至10个细节级别(即10个尺度);(ii)在任何分解级别以0.5秒的时间步长计算能量;(iii)构建一个非线性判别函数,该函数表示高尺度细节相对于高尺度和低尺度细节的相对能量。主要假设是,在SEM发作期间,由于能量向更高尺度重新分布,判别函数的值会增加到给定阈值以上。使用了来自10名患有阻塞性睡眠呼吸暂停综合征男性患者的10份EOG记录。所有描记图都包括从睡前清醒到睡眠2期的时间段。两名专家分别检查这些描记图以对SEM进行评分。通过两名专家的联合检查获得了一组SEM参考集(金标准)。在三个描记图(设计集)上分配判别函数的参数,以尽量减少系统分类与两名专家分类之间的不一致;然后在其余七个描记图(测试集)上测试该算法。结果表明,算法与金标准之间的一致性为80.44±4.09%,算法的敏感性为67.2±7.37%,选择性为83.93±8.65%。然而,大多数错误不是由于系统无法检测到具有SEM活动的间隔与非SEM间隔,而是由于一些SEM发作的开始和结束位置不同。所提出的方法可能是计算机化EOG分析的一个有价值的工具。