Abstract

Obstructive sleep apnea (OSA) is a common sleep disorder characterized by interrupted breathing during sleep. Because of the cost, complexity, and accessibility issue related to polysomnography, the gold standard test for apnea detection, automation of the diagnostic test based on a simpler method is desired. Several signals can be used for apnea detection, such as airflow and electrocardiogram. However, the reduction of airflow normally leads to a decrease in the blood oxygen saturation level (SpO2). This signal is usually measured by a pulse oximeter, a sensor that is cheap, portable, and easy to assemble. Therefore, the SpO2 was chosen as the reference signal. Feature based classifiers with shallow neural networks have been developed to provide apnea detection using SpO2. However, two main issues arise, the need for feature creation and the selection of the more relevant features. Deep neural networks can solve these issues by employing featureless methods. Among multiple deep classifiers that have been developed, convolution neural networks (CNN) are gaining popularity. However, the selection of the CNN structure and hyperparameters are typically done by experts, where prior knowledge is essential. With these problems in mind, an algorithm for automatic structure selection and hyper parameterization of a one dimension CNN was developed to detect OSA events using only the SpO2 signal. Three different input sizes and databases were tested, and the best model achieved an average accuracy, sensitivity, and specificity of 94%, 92%, and 96%, respectively.

Highlights

  • Sleep is a circadian rhythm that significantly contributes to maintaining a pleasant daily routine

  • The Non-dominated Sorting Genetic Algorithm II (NSGA-II) [49] was selected for this work due to the large success it has in other areas, such as filter design [50], water distribution system [51]

  • The algorithm was implemented in MATLAB and ran in a computer with Intel Core (TM) i7-8700k processor, 64 GB RAM, and two NVIDIA GeForce GTX 1080 Ti GPUs

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Summary

Introduction

Sleep is a circadian rhythm that significantly contributes to maintaining a pleasant daily routine. More than sixty sleep related disorders have been identified and obstructive sleep apnea (OSA) is one the more prevalent in the population [1]. Reduction of the airflow during sleep decreasing the oxygen level in blood. It was verified that sleep apnea increases cognitive impairment [2] and increases the risk of hypertension [3], coronary artery disease [4], stroke [5] and other diseases. 80% of the patients can be unaware of that they possess the disorder

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