Biomedical Engineering Group, E.T.S.I. de Telecomunicación, University of Valladolid, Camino del Cementerio s/n, 47011, Valladolid, Spain.
Physiol Meas. 2010 Mar;31(3):375-94. doi: 10.1088/0967-3334/31/3/007. Epub 2010 Feb 3.
In the present study, multilayer perceptron (MLP) neural networks were applied to help in the diagnosis of obstructive sleep apnoea syndrome (OSAS). Oxygen saturation (SaO(2)) recordings from nocturnal pulse oximetry were used for this purpose. We performed time and spectral analysis of these signals to extract 14 features related to OSAS. The performance of two different MLP classifiers was compared: maximum likelihood (ML) and Bayesian (BY) MLP networks. A total of 187 subjects suspected of suffering from OSAS took part in the study. Their SaO(2) signals were divided into a training set with 74 recordings and a test set with 113 recordings. BY-MLP networks achieved the best performance on the test set with 85.58% accuracy (87.76% sensitivity and 82.39% specificity). These results were substantially better than those provided by ML-MLP networks, which were affected by overfitting and achieved an accuracy of 76.81% (86.42% sensitivity and 62.83% specificity). Our results suggest that the Bayesian framework is preferred to implement our MLP classifiers. The proposed BY-MLP networks could be used for early OSAS detection. They could contribute to overcome the difficulties of nocturnal polysomnography (PSG) and thus reduce the demand for these studies.
在本研究中,多层感知器(MLP)神经网络被应用于帮助诊断阻塞性睡眠呼吸暂停综合征(OSAS)。为此,我们使用夜间脉搏血氧饱和度(SaO(2))记录进行了时间和频谱分析,以提取与 OSAS 相关的 14 个特征。比较了两种不同的 MLP 分类器的性能:最大似然(ML)和贝叶斯(BY)MLP 网络。共有 187 名疑似患有 OSAS 的患者参加了这项研究。他们的 SaO(2)信号被分为训练集(74 个记录)和测试集(113 个记录)。BY-MLP 网络在测试集上的表现最好,准确率为 85.58%(87.76%的敏感性和 82.39%的特异性)。这些结果明显优于 ML-MLP 网络,后者受到过拟合的影响,准确率为 76.81%(86.42%的敏感性和 62.83%的特异性)。我们的研究结果表明,贝叶斯框架更适合于实现我们的 MLP 分类器。提出的 BY-MLP 网络可用于早期 OSAS 检测。它们有助于克服夜间多导睡眠图(PSG)的困难,从而减少对这些研究的需求。