Deep Convolutional Recurrent Model for Automatic Scoring Sleep Stages Based on Single-Lead ECG Signal

Background: Sleep stage scoring, which is an essential step in the quantitative analysis of sleep monitoring, relies on human experts and is therefore subjective and time-consuming; thus, an easy and accurate method is needed for the automatic scoring of sleep stages. Methods: In this study, we cons...

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Main Authors: Erdenebayar Urtnasan, Jong-Uk Park, Eun Yeon Joo, Kyoung-Joung Lee
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/5/1235
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author Erdenebayar Urtnasan
Jong-Uk Park
Eun Yeon Joo
Kyoung-Joung Lee
author_facet Erdenebayar Urtnasan
Jong-Uk Park
Eun Yeon Joo
Kyoung-Joung Lee
author_sort Erdenebayar Urtnasan
collection DOAJ
description Background: Sleep stage scoring, which is an essential step in the quantitative analysis of sleep monitoring, relies on human experts and is therefore subjective and time-consuming; thus, an easy and accurate method is needed for the automatic scoring of sleep stages. Methods: In this study, we constructed a deep convolutional recurrent (DCR) model for the automatic scoring of sleep stages based on a raw single-lead electrocardiogram (ECG). The DCR model uses deep convolutional and recurrent neural networks to apply the complex and cyclic rhythms of human sleep. It consists of three convolutional and two recurrent layers and is optimized by dropout and batch normalization. The constructed DCR model was evaluated using multiclass classification, including five-class sleep stages (wake, N1, N2, N3, and rapid eye movement (REM)) and three-class sleep stages (wake, non-REM (NREM), and REM), using a raw single-lead ECG signal. The single-lead ECG signal was collected from 112 subjects in two groups: control (52 subjects) and sleep apnea (60 subjects). The single-lead ECG signal was preprocessed, segmented at a duration of 30 s, and divided into a training set of 89 subjects and test set of 23 subjects. Results: We achieved an overall accuracy of 74.2% for five classes and 86.4% for three classes. Conclusions: These results show the DCR model’s superior performance over those in the previous studies, highlighting that the model can be an alternative tool for sleep monitoring and sleep screening.
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spelling doaj.art-294588ffc1d444db9ec882a9b06b1de62023-11-23T10:41:17ZengMDPI AGDiagnostics2075-44182022-05-01125123510.3390/diagnostics12051235Deep Convolutional Recurrent Model for Automatic Scoring Sleep Stages Based on Single-Lead ECG SignalErdenebayar Urtnasan0Jong-Uk Park1Eun Yeon Joo2Kyoung-Joung Lee3Artificial Intelligence Big Data Medical Center, Wonju College of Medicine, Yonsei University, Wonju 26417, KoreaDepartment of Medical Artificial Intelligence, Medical Engineering College, Konyang University, Daejeon 35365, KoreaDepartment of Neurology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Suwon 16419, KoreaDepartment of Biomedical Engineering, College of Health Science, Yonsei University, Wonju 26493, KoreaBackground: Sleep stage scoring, which is an essential step in the quantitative analysis of sleep monitoring, relies on human experts and is therefore subjective and time-consuming; thus, an easy and accurate method is needed for the automatic scoring of sleep stages. Methods: In this study, we constructed a deep convolutional recurrent (DCR) model for the automatic scoring of sleep stages based on a raw single-lead electrocardiogram (ECG). The DCR model uses deep convolutional and recurrent neural networks to apply the complex and cyclic rhythms of human sleep. It consists of three convolutional and two recurrent layers and is optimized by dropout and batch normalization. The constructed DCR model was evaluated using multiclass classification, including five-class sleep stages (wake, N1, N2, N3, and rapid eye movement (REM)) and three-class sleep stages (wake, non-REM (NREM), and REM), using a raw single-lead ECG signal. The single-lead ECG signal was collected from 112 subjects in two groups: control (52 subjects) and sleep apnea (60 subjects). The single-lead ECG signal was preprocessed, segmented at a duration of 30 s, and divided into a training set of 89 subjects and test set of 23 subjects. Results: We achieved an overall accuracy of 74.2% for five classes and 86.4% for three classes. Conclusions: These results show the DCR model’s superior performance over those in the previous studies, highlighting that the model can be an alternative tool for sleep monitoring and sleep screening.https://www.mdpi.com/2075-4418/12/5/1235electrocardiogramautomatic sleep scoringdeep learningconvolutional neural networkrecurrent neural networkdeep convolutional recurrent network
spellingShingle Erdenebayar Urtnasan
Jong-Uk Park
Eun Yeon Joo
Kyoung-Joung Lee
Deep Convolutional Recurrent Model for Automatic Scoring Sleep Stages Based on Single-Lead ECG Signal
Diagnostics
electrocardiogram
automatic sleep scoring
deep learning
convolutional neural network
recurrent neural network
deep convolutional recurrent network
title Deep Convolutional Recurrent Model for Automatic Scoring Sleep Stages Based on Single-Lead ECG Signal
title_full Deep Convolutional Recurrent Model for Automatic Scoring Sleep Stages Based on Single-Lead ECG Signal
title_fullStr Deep Convolutional Recurrent Model for Automatic Scoring Sleep Stages Based on Single-Lead ECG Signal
title_full_unstemmed Deep Convolutional Recurrent Model for Automatic Scoring Sleep Stages Based on Single-Lead ECG Signal
title_short Deep Convolutional Recurrent Model for Automatic Scoring Sleep Stages Based on Single-Lead ECG Signal
title_sort deep convolutional recurrent model for automatic scoring sleep stages based on single lead ecg signal
topic electrocardiogram
automatic sleep scoring
deep learning
convolutional neural network
recurrent neural network
deep convolutional recurrent network
url https://www.mdpi.com/2075-4418/12/5/1235
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AT eunyeonjoo deepconvolutionalrecurrentmodelforautomaticscoringsleepstagesbasedonsingleleadecgsignal
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