IEEE J Biomed Health Inform. 2023 Jun;27(6):2647-2655. doi: 10.1109/JBHI.2022.3213171. Epub 2023 Jun 5.
The continuing increase in the incidence and recognition of children's sleep disorders has heightened the demand for automatic pediatric sleep staging. Supervised sleep stage recognition algorithms, however, are often faced with challenges such as limited availability of pediatric sleep physicians and data heterogeneity. Drawing upon two quickly advancing fields, i.e., semi-supervised learning and self-supervised contrastive learning, we propose a multi-task contrastive learning strategy for semi-supervised pediatric sleep stage recognition, abbreviated as MtCLSS. Specifically, signal-adapted transformations are applied to electroencephalogram (EEG) recordings of the full night polysomnogram, which facilitates the network to improve its representation ability through identifying the transformations. We also introduce an extension of contrastive loss function, thus adapting contrastive learning to the semi-supervised setting. In this way, the proposed framework learns not only task-specific features from a small amount of supervised data, but also extracts general features from signal transformations, improving the model robustness. MtCLSS is evaluated on a real-world pediatric sleep dataset with promising performance (0.80 accuracy, 0.78 F1-score and 0.74 kappa). We also examine its generality on a well-known public dataset. The experimental results demonstrate the effectiveness of the MtCLSS framework for EEG based automatic pediatric sleep staging in very limited labeled data scenarios.
儿童睡眠障碍的发病率和认知率不断上升,对自动儿科睡眠分期的需求也随之增加。然而,监督睡眠分期识别算法通常面临儿科睡眠医生数量有限和数据异质性等挑战。受两个快速发展的领域,即半监督学习和自监督对比学习的启发,我们提出了一种用于半监督儿科睡眠分期识别的多任务对比学习策略,简称 MtCLSS。具体来说,自适应信号变换应用于整夜多导睡眠图的脑电图 (EEG) 记录,这有助于网络通过识别变换来提高其表示能力。我们还引入了对比损失函数的扩展,从而使对比学习适应半监督设置。通过这种方式,所提出的框架不仅可以从少量有监督数据中学习特定于任务的特征,还可以从信号变换中提取通用特征,从而提高模型的鲁棒性。在一个真实的儿科睡眠数据集上进行评估,MtCLSS 取得了有前途的性能(准确率为 0.80,F1 得分为 0.78,kappa 为 0.74)。我们还在一个著名的公共数据集上检验了它的通用性。实验结果表明,在非常有限的标记数据场景中,MtCLSS 框架对于基于 EEG 的自动儿科睡眠分期是有效的。