Biomedical Engineering Department, Faculty of Engineering, Baskent University, Baglica Campus, 06790, Etimesgut, Ankara, Turkey.
Comput Methods Programs Biomed. 2019 May;173:131-138. doi: 10.1016/j.cmpb.2019.03.013. Epub 2019 Mar 19.
Electroencephalographic arousal is a transient waveform that instantaneously happens in sleep as an inherent component. It has distinctive amplitude and frequency features. However, it is visually difficult to distinguish arousal from the background of the electroencephalogram. This visual scoring is important for brain researches, sleep studies, sleep stage scorings and assessment of sleep disorders. The scoring process is a time-consuming and difficult clinical procedure which is evaluated by sleep experts. It may also have subjective consequences due to the variability of personal expertise of physicians. Conversely, this scoring process can be significantly accelerated with computer-aided automated algorithms. Moreover, reproducible and objective results can be obtained. In this work, we propose a novel algorithm for the automatic detection of electroencephalographic arousals in sleep polysomnographic recordings.
The approach uses a well-known time-frequency localization method, the continuous wavelet transform, to identify relevant arousal patterns. Special emphasis was carried out to produce a robust, reliable, fast and artifact tolerant algorithm. In the first part, the electroencephalographic scalogram, the squared magnitude of the continuous wavelet transform, was obtained. The mean and variance of the scalogram coefficients were determined as novel features. Support vector machine was applied as a classifier. Half of the recordings were used for training with five-fold cross-validation and a high accuracy training rate was obtained. Then, the rest of the recordings were used for testing.
As a result, the overall sensitivity, specificity, accuracy, and positive predictive value of the algorithm are 94.67%, 99.33%, 98.2%, and 97.93%, respectively.
In this paper, we have shown that the electroencephalographic arousal pattern can be characterized by the scalogram in the wavelet domain. The proposed algorithm works with high accuracy, reproducibility and gives objective results without case-specific sensitivity.
脑电觉醒是睡眠中作为固有成分瞬时发生的短暂性波形。它具有独特的振幅和频率特征。然而,从脑电图的背景中视觉上很难区分觉醒。这种视觉评分对于脑研究、睡眠研究、睡眠分期评分和睡眠障碍评估都很重要。评分过程是一个耗时且困难的临床过程,由睡眠专家进行评估。由于医生个人专业知识的可变性,它也可能具有主观后果。相反,通过计算机辅助自动化算法可以显著加快评分过程。此外,可以获得可重复和客观的结果。在这项工作中,我们提出了一种用于自动检测睡眠多导睡眠记录中脑电觉醒的新算法。
该方法使用一种众所周知的时频定位方法——连续小波变换来识别相关的觉醒模式。特别强调了产生稳健、可靠、快速且抗伪影的算法。在第一部分中,获得了脑电图标度图,即连续小波变换的平方幅度。作为新特征,确定了标度系数的均值和方差。支持向量机被用作分类器。记录的一半用于训练,采用五折交叉验证,获得了高准确率的训练率。然后,其余的记录用于测试。
该算法的整体灵敏度、特异性、准确性和阳性预测值分别为 94.67%、99.33%、98.2%和 97.93%。
在本文中,我们表明可以通过小波域中的标度图来描述脑电图觉醒模式。所提出的算法具有高精度、可重复性,并给出客观结果,而无需针对特定病例的敏感性。