用血氧信号和临床数据,智能诊断睡眠呼吸暂停,准确率超90%。
KindSleep: Knowledge-Informed Diagnosis of Obstructive Sleep Apnea from Oximetry
- 融合血氧信号与临床数据,自动提取可解释的医学概念
- 在三组数据上预测阻塞性睡眠呼吸暂停指数(AHI)R²达0.917
- 结果透明可解释,适合临床医生辅助诊断使用
阻塞性睡眠呼吸暂停(OSA)影响全球近十亿人,显著增加心血管风险。传统多导睡眠图诊断成本高、资源消耗大,限制了普及应用。本文提出KindSleep,一种结合临床知识与单通道患者特异性血氧信号及临床数据的深度学习框架,用于精准诊断OSA。KindSleep首先从原始血氧信号中学习识别临床可解释的概念,如低氧饱和度指数和呼吸事件;随后融合这些由AI提取的概念与多模态临床数据,估计呼吸暂停低通气指数(AHI)。在来自国家睡眠研究资源库(SHHS、CFS、MrOS)的三个独立数据集上评估,总样本量9,815,KindSleep在预测AHI方面表现优异(R² = 0.917,ICC = 0.957),且在不同人群中的分类性能优于现有方法,加权F1分数达0.827至0.941。通过基于临床意义概念的建模,KindSleep提供了更透明可信的睡眠医学诊断工具。
原文摘要 · Abstract (English)
Obstructive sleep apnea (OSA) is a sleep disorder that affects nearly one billion people globally and significantly elevates cardiovascular risk. Traditional diagnosis through polysomnography is resource-intensive and limits widespread access, creating a critical need for accurate and efficient alternatives. In this paper, we introduce KindSleep, a deep learning framework that integrates clinical knowledge with single-channel patient-specific oximetry signals and clinical data for precise OSA diagnosis. KindSleep first learns to identify clinically interpretable concepts, such as desaturation indices and respiratory disturbance events, directly from raw oximetry signals. It then fuses these AI-derived concepts with multimodal clinical data to estimate the Apnea-Hypopnea Index (AHI). We evaluate KindSleep on three large, independent datasets from the National Sleep Research Resource (SHHS, CFS, MrOS; total n = 9,815). KindSleep demonstrates excellent performance in estimating AHI scores (R2 = 0.917, ICC = 0.957) and consistently outperforms existing approaches in classifying OSA severity, achieving weighted F1-scores from 0.827 to 0.941 across diverse populations. By grounding its predictions in a layer of clinically meaningful concepts, KindSleep provides a more transparent and trustworthy diagnostic tool for sleep medicine practices.
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