The fusion of Internet of Intelligent Things (IoIT) in remote diagnosis of obstructive Sleep Apnea: A survey and a new model

Abstract

Obstructive Sleep Apnea (OSA) syndrome is one of the most widespread diseases that difficult to be detected and remedied. In particular, the examination of OSA by using the traditional Polysomnography (PSG) is one of formidable complexity as it requires full observation in a laboratory overnight. Meanwhile, the number of available laboratories and beds is minimal comparing to the number of OSA patients. What's more, the unusual environment and restricted mobility of patients may result in deficient diagnosis results. The Internet of Things (IoT) is the most appropriate solution for the previous diagnosis obstacles by allowing doctors to synchronize patient status. Besides, several studies have been introduced to consolidate the performance of IoT interoperability via the fusion with Artificial Intelligence (AI) resulting in the Internet of Intelligent Things (IoIT). This paper presents a literature survey about the intensification of IoT technologies for smart monitoring of sleep quality and OSA diagnosis. Mainly, the most recent enabling IoT and support technologies such as (smart devices, fog computing, cloud, big data, and machine learning) are covered via the discussion of more recent works of literature published from 2016 to 2019. Also, the roles of AI in optimizing the efficiency of OSA smart diagnosis are presented. Besides, a new comprehensive IoIT optimization framework is presented which employing AI for optimizing the performance of intelligent diagnosis of OSA. Finally, the open issues and challenges in this field are argued. This paper is, therefore, a major contributor to the compilation of all IoT innovative and efficient AI methods that improving the quality of OSA diagnosis.