Northeastern University, Shenyang, Liaoning, 110819, People's Republic of China.
Physiol Meas. 2023 Feb 6;44(1). doi: 10.1088/1361-6579/aca879.
Sleep apnea-hypopnea syndrome (SAHS) is a common sleep-related respiratory disorder that is generally assessed for severity using polysomnography (PSG); however, the diversity of sampling devices and patients makes this not only costly but may also degrade the performance of the algorithms.This paper proposes a novel deep domain adaptation module which uses a long short-term memory-convolutional neural network embedded with the channel attention mechanism to achieve autonomous extraction of high-quality features. Meanwhile, a domain adaptation module was built to achieve domain-invariant feature extraction for reducing the differences in data distribution caused by different devices and other factors. In addition, during the training process, the algorithm used the last second label as the label of the PSG segment, so that second-by-second evaluation of respiratory events could be achieved.The algorithm applied the two datasets provided by PhysioNet as the source and target domains. The accuracy, sensitivity and specificity of the algorithm on the source domain were 86.46%, 86.11% and 93.17%, respectively, and on the target domain were 83.63%, 82.52%, 91.62%, respectively. The proposed algorithm showed strong generalization ability and the classification results were comparable to the current advanced methods. Besides, the apnea-hypopnea index values estimated by the proposed algorithm showed a high correlation with the manual scoring values on both domains.The proposed algorithm can effectively perform SAHS detection and evaluation with certain generalization.
睡眠呼吸暂停低通气综合征(SAHS)是一种常见的与睡眠相关的呼吸障碍,通常使用多导睡眠图(PSG)评估其严重程度;然而,采样设备和患者的多样性不仅使评估成本高昂,而且可能降低算法的性能。本文提出了一种新颖的深度域自适应模块,该模块使用带有通道注意力机制的长短期记忆卷积神经网络实现了高质量特征的自主提取。同时,构建了一个域自适应模块,以实现域不变特征提取,从而减少不同设备和其他因素引起的数据分布差异。此外,在训练过程中,该算法使用最后一秒的标签作为 PSG 段的标签,从而可以实现逐秒评估呼吸事件。该算法将 PhysioNet 提供的两个数据集分别作为源域和目标域。该算法在源域上的准确率、敏感度和特异性分别为 86.46%、86.11%和 93.17%,在目标域上的准确率、敏感度和特异性分别为 83.63%、82.52%和 91.62%。该算法表现出较强的泛化能力,分类结果可与当前先进方法相媲美。此外,该算法估计的呼吸暂停低通气指数值与两个域的手动评分值具有高度相关性。该算法可以有效地进行 SAHS 检测和评估,具有一定的泛化能力。