J Foussier

Sleep and Wake Classification With Actigraphy and Respiratory Effort Using Dynamic Warping

This paper proposes the use of dynamic warping (DW) methods for improving automatic sleep and wake classification using actigraphy and respiratory effort. DW is an algorithm that finds an optimal nonlinear alignment between two series allowing scaling and shifting. It is widely used to quantify (dis)similarity between two series. To compare the respiratory effort between sleep and wake states by means of (dis)similarity, we constructed two novel features based on DW. For a given epoch of a respiratory effort recording, the features search for the optimally aligned epoch within the same recording in time and frequency domain. This is expected to yield a high (or low) similarity score when this epoch is sleep (or wake). Since the comparison occurs throughout the entire-night recording of a subject, it may reduce the effects of within- and between-subject variations of the respiratory effort, and thus help discriminate between sleep and wake states. The DW-based features were evaluated using a linear discriminant classifier on a dataset of 15 healthy subjects. Results show that the DW-based features can provide a Cohens Kappa coefficient of agreement κ = 0.59 which is significantly higher than the existing respiratory-based features and is comparable to actigraphy. After combining the actigraphy and the DW-based features, the classifier achieved a κ of 0.66 and an overall accuracy of 95.7%, outperforming an earlier actigraphy- and respiratory-based feature set ( κ = 0.62). The results are also comparable with those obtained using an actigraphy- and cardiorespiratory-based feature set but have the important advantage that they do not require an ECG signal to be recorded.

Analyzing respiratory effort amplitude for automated sleep stage classification

Abstract Respiratory effort has been widely used for objective analysis of human sleep during bedtime. Several features extracted from respiratory effort signal have succeeded in automated sleep stage classification throughout the night such as variability of respiratory frequency, spectral powers in different frequency bands, respiratory regularity and self-similarity. In regard to the respiratory amplitude, it has been found that the respiratory depth is more irregular and the tidal volume is smaller during rapid-eye-movement (REM) sleep than during non-REM (NREM) sleep. However, these physiological properties have not been explicitly elaborated for sleep stage classification. By analyzing the respiratory effort amplitude, we propose a set of 12 novel features that should reflect respiratory depth and volume, respectively. They are expected to help classify sleep stages. Experiments were conducted with a data set of 48 sleepers using a linear discriminant (LD) classifier and classification performance was evaluated by overall accuracy and Cohens Kappa coefficient of agreement. Cross validations (10-fold) show that adding the new features into the existing feature set achieved significantly improved results in classifying wake, REM sleep, light sleep and deep sleep (Kappa of 0.38 and accuracy of 63.8%) and in classifying wake, REM sleep and NREM sleep (Kappa of 0.45 and accuracy of 76.2%). In particular, the incorporation of these new features can help improve deep sleep detection to more extent (with a Kappa coefficient increasing from 0.33 to 0.43). We also revealed that calibrating the respiratory effort signals by means of body movements and performing subject-specific feature normalization can ultimately yield enhanced classification performance.

Noncontact Monitoring of Cardiorespiratory Activity by Electromagnetic Coupling

In this paper, the method of noncontact monitoring of cardiorespiratory activity by electromagnetic coupling with human tissue is investigated. Two measurement modalities were joined: an inductive coupling sensor based on magnetic eddy current induction and a capacitive coupling sensor based on displacement current induction. The systems sensitivity to electric tissue properties and its dependence on motion are analyzed theoretically as well as experimentally for the inductive and capacitive coupling path. The potential of both coupling methods to assess respiration and pulse without contact and a minimum of thoracic wall motion was verified by laboratory experiments. The demonstrator was embedded in a chair to enable recording from the back part of the thorax.

Measuring dissimilarity between respiratory effort signals based on uniform scaling for sleep staging

Polysomnography (PSG) has been extensively studied for sleep staging, where sleep stages are usually classified as wake, rapid-eye-movement (REM) sleep, or non-REM (NREM) sleep (including light and deep sleep). Respiratory information has been proven to correlate with autonomic nervous activity that is related to sleep stages. For example, it is known that the breathing rate and amplitude during NREM sleep, in particular during deep sleep, are steadier and more regular compared to periods of wakefulness that can be influenced by body movements, conscious control, or other external factors. However, the respiratory morphology has not been well investigated across sleep stages. We thus explore the dissimilarity of respiratory effort with respect to its signal waveform or morphology. The dissimilarity measure is computed between two respiratory effort signal segments with the same number of consecutive breaths using a uniform scaling distance. To capture the property of signal morphological dissimilarity, we propose a novel window-based feature in a framework of sleep staging. Experiments were conducted with a data set of 48 healthy subjects using a linear discriminant classifier and a ten-fold cross validation. It is revealed that this feature can help discriminate between sleep stages, but with an exception of separating wake and REM sleep. When combining the new feature with 26 existing respiratory features, we achieved a Cohens Kappa coefficient of 0.48 for 3-stage classification (wake, REM sleep and NREM sleep) and of 0.41 for 4-stage classification (wake, REM sleep, light sleep and deep sleep), which outperform the results obtained without using this new feature.

Spectral Boundary Adaptation on Heart Rate Variability for Sleep and Wake Classification

A method of adapting the boundaries when extracting the spectral features from heart rate variability (HRV) for sleep and wake classification is described. HRV series can be derived from electrocardiogram (ECG) signals obtained from single-night polysomnography (PSG) recordings. Conventionally, the HRV spectral features are extracted from the spectrum of an HRV series with fixed boundaries specifying bands of very low frequency (VLF), low frequency (LF), and high frequency (HF). However, because they are fixed, they may fail to accurately reflect certain aspects of autonomic nervous activity which in turn may limit their discriminative power, e.g. in sleep and wake classification. This is in part related to the fact that the sympathetic tone (partially reflected in the LF band) and the respiratory activity (modulated in the HF band) vary over time. In order to minimize the impact of these variations, we adapt the HRV spectral boundaries using time-frequency analysis. Experiments were conducted on a data set acquired from two groups with 15 healthy and 15 insomnia subjects each. Results show that adapting the HRV spectral features significantly increased their discriminative power when classifying sleep and wake. Additionally, this method also provided a significant improvement of the overall classification performance when used in combination with other HRV non-spectral features. Furthermore, compared with the use of actigraphy, the classification performed better when combining it with the HRV features.

Time-frequency analysis of heart rate variability for sleep and wake classification

This paper describes a method to adapt the spectral features extracted from heart rate variability (HRV) for sleep and wake classification. HRV series can be derived from electrocardiogram (ECG) signals obtained from single-night polysomnography (PSG) recordings. Traditionally, the HRV spectral features are extracted from the spectrum of an HRV series with fixed boundaries specifying bands of very low frequency (VLF), low frequency (LF), and high frequency (HF). However, because they are fixed, they may fail to accurately reflect certain aspects of autonomic nervous activity, which in turn may limit their discriminative power when using HRV spectral features, e.g., in sleep and wake classification. This is in part related to the fact that the sympathetic tone (partially reflected in the LF band) and the respiratory activity (modulated in the HF band) will vary over time. In order to minimize the impact of these differences, we adapt the HRV spectral boundaries using time-frequency analysis. Experiments conducted on a dataset acquired from 15 healthy subjects show that the discriminative power of the adapted HRV spectral features are significantly increased when classifying sleep and wake. Additionally, this method also provides a significant improvement of the overall classification performance when used in combination with some other (non-spectral) HRV features.

Using dynamic time warping for sleep and wake discrimination

In previous work, a Linear Discriminant (LD) classifier was used to classify sleep and wake states during single-night polysomnography recordings (PSG) of actigraphy, respiratory effort and electrocardiogram (ECG). In order to improve the sleep-wake discrimination performance and to reduce the number of modalities needed for class discrimination, this study incorporated Dynamic Time Warping (DTW) to help discriminate between sleep and wake states based on actigraphy and respiratory effort signal. DTW quantifies signal similarities manifested in the features extracted from the respiratory effort signal. Experiments were conducted on a dataset acquired from nine healthy subjects, using an LD-based classifier. Leave-one-out cross-validation shows that adding this DTW-based feature to the original actigraphy- and respiratory-based feature set results in an epoch-by-epoch Cohens Kappa agreement coefficient of κ = 0.69 (at an overall accuracy of 95.4%), which represents a significant improvement when compared with the performance obtained without using this feature. Furthermore it is comparable to the result obtained in the previous work which used additional ECG features (κ = 0.70).

Modeling cardiorespiratory interaction during human sleep with complex networks

Human sleep comprises several stages including wake, rapid-eye-movement sleep, light sleep, and deep sleep. Cardiorespiratory activity has been shown to correlate with sleep stages due to the regulation of autonomic nervous system. Here, the cardiorespiratory interaction (CRI) during sleep is analyzed using a visibility graph (VG) method that represents the CRI time series in complex networks. We demonstrate that the dynamics of the interaction between heartbeats and respiration can be revealed by VG-based networks, whereby sleep stages can be characterized and differentiated.

Respiration amplitude analysis for REM and NREM sleep classification

In previous work, single-night polysomnography recordings (PSG) of respiratory effort and electrocardiogram (ECG) signals combined with actigraphy were used to classify sleep and wake states. In this study, we aim at classifying rapid-eye-movement (REM) and non-REM (NREM) sleep states. Besides the existing features used for sleep and wake classification, we propose a set of new features based on respiration amplitude. This choice is motivated by the observation that the breathing pattern has a more regular amplitude during NREM sleep than during REM sleep. Experiments were conducted with a data set of 14 healthy subjects using a linear discriminant (LD) classifier. Leave-one-subject-out cross-validations show that adding the new features into the existing feature set results in an increase in Cohens Kappa coefficient to a value of κ = 0.59 (overall accuracy of 87.6%) compared to that obtained without using these features (κ of 0.54 and overall accuracy of 86.4%). In addition, we compared the results to those reported in some other studies with different features and signal modalities.

A portable magnetic induction measurement system (PIMS).

Abstract For contactless monitoring of ventilation and heart activity, magnetic induction measurements are applicable. As the technique is harmless for the human body, it is well suited for long-term monitoring solutions, e.g., bedside monitoring, monitoring of home care patients, and the monitoring of persons in critical occupations. For such settings, a two-channel portable magnetic induction system has been developed, which is small and light enough to be fitted in a chair or bed. Because demodulation, control, and filtering are implemented on a front-end digital signal processor, a PC is not required (except for visualization/data storage during research and development). The system can be connected to a local area network (LAN) or wireless network (WiFi), allowing to connect several devices to a large monitoring system, e.g., for a residential home for the elderly or a hospital with low-risk patients not requiring standard ECG monitoring. To visualize data streams, a Qt-based (Qt-framework by Nokia, Espoo, Finland) monitoring application has been developed, which runs on Netbook computers, laptops, or standard PCs. To induce and measure the magnetic fields, external coils and amplifiers are required. This article describes the system and presents results for monitoring respiration and heart activity in a (divan) bed and for respiration monitoring in a chair. Planar configurations and orthogonal coil setups were examined during the measurement procedures. The measurement data were streamed over a LAN to a monitoring PC running Matlab (The MathWorks Inc, Natick, MA, USA).