用可穿戴设备无创检测睡眠呼吸暂停,准确率超95%。
Sleep Apnea Detection on a Wireless Multimodal Wearable Device Without Oxygen Flow Using a Mamba-based Deep Learning Approach
- 基于Mamba架构的深度学习模型,分析多模态生理信号。
- 预测的呼吸暂停低通气指数(AHI)与金标准相关性达0.95。
- 可在30秒时段内精准识别呼吸事件,适合临床筛查使用。
本研究提出并评估了一种基于Mamba架构的深度学习模型,用于基于ANNE One无线可穿戴设备采集的胸部心电图、三轴加速度、胸腹及指尖温度、指尖光电容积脉搏波信号,诊断和表征睡眠呼吸紊乱。在384名成人中同步获取了多导睡眠图(PSG)与可穿戴设备数据,呼吸事件由专家按AASM指南手动标注。通过心电图信号自动对齐可穿戴与PSG数据,并以人工标注的呼吸事件标签训练和评估该模型。在测试集57例中(平均年龄56岁,平均AHI 10.8,女性占43.86%),模型预测的AHI与PSG结果高度相关(R=0.95,p=8.3e-30,男性绝对误差2.83),且不受年龄或性别影响。当阈值为AHI>5时,敏感度0.96,特异度0.87,一致性系数kappa=0.82;当阈值为AHI>15时,敏感度0.86,特异度0.98,kappa=0.85。在30秒时间窗下,模型对呼吸事件的敏感度为0.93,特异度为0.95,事件存在判断的kappa为0.68。结论表明,该模型在ANNE One设备上可精准预测AHI,有效识别睡眠呼吸紊乱,并具备区分事件类型与持续时间的潜力。
原文摘要 · Abstract (English)
Objectives: We present and evaluate a Mamba-based deep-learning model for diagnosis and event-level characterization of sleep disordered breathing based on signals from the ANNE One, a non-intrusive dual-module wireless wearable system measuring chest electrocardiography, triaxial accelerometry, chest and finger temperature, and finger phototplethysmography. Methods: We obtained concurrent PSG and wearable sensor recordings from 384 adults attending a tertiary care sleep laboratory. Respiratory events in the PSG were manually annotated in accordance with AASM guidelines. Wearable sensor and PSG recordings were automatically aligned based on the ECG signal, alignment confirmed by visual inspection, and PSG-derived respiratory event labels were used to train and evaluate a deep sequential neural network based on the Mamba architecture. Results: In 57 recordings in our test set (mean age 56, mean AHI 10.8, 43.86\% female) the model-predicted AHI was highly correlated with that derived form the PSG labels (R=0.95, p=8.3e-30, men absolute error 2.83). This performance did not vary with age or sex. At a threshold of AHI$>$5, the model had a sensitivity of 0.96, specificity of 0.87, and kappa of 0.82, and at a threshold of AHI$>$15, the model had a sensitivity of 0.86, specificity of 0.98, and kappa of 0.85. At the level of 30-sec epochs, the model had a sensitivity of 0.93 and specificity of 0.95, with a kappa of 0.68 regarding whether any given epoch contained a respiratory event. Conclusions: Applied to data from the ANNE One, a Mamba-based deep learning model can accurately predict AHI and identify SDB at clinically relevant thresholds, achieves good epoch- and event-level identification of individual respiratory events, and shows promise at physiological characterization of these events including event type (central vs. other) and event duration.
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