Phenotype-Based and Self-Learning Inter-Individual Sleep Apnea Screening With a Level IV-Like Monitoring System

Purpose: We propose a phenotype-based artificial intelligence system that can self-learn and is accurate for screening purposes and test it on a Level IV-like monitoring system.Methods: Based on the physiological knowledge, we hypothesize that the phenotype information will allow us to find subjects...

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Main Authors: Hau-Tieng Wu, Jhao-Cheng Wu, Po-Chiun Huang, Ting-Yu Lin, Tsai-Yu Wang, Yuan-Hao Huang, Yu-Lun Lo
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-07-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphys.2018.00723/full
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author Hau-Tieng Wu
Hau-Tieng Wu
Hau-Tieng Wu
Jhao-Cheng Wu
Po-Chiun Huang
Ting-Yu Lin
Tsai-Yu Wang
Yuan-Hao Huang
Yu-Lun Lo
author_facet Hau-Tieng Wu
Hau-Tieng Wu
Hau-Tieng Wu
Jhao-Cheng Wu
Po-Chiun Huang
Ting-Yu Lin
Tsai-Yu Wang
Yuan-Hao Huang
Yu-Lun Lo
author_sort Hau-Tieng Wu
collection DOAJ
description Purpose: We propose a phenotype-based artificial intelligence system that can self-learn and is accurate for screening purposes and test it on a Level IV-like monitoring system.Methods: Based on the physiological knowledge, we hypothesize that the phenotype information will allow us to find subjects from a well-annotated database that share similar sleep apnea patterns. Therefore, for a new-arriving subject, we can establish a prediction model from the existing database that is adaptive to the subject. We test the proposed algorithm on a database consisting of 62 subjects with the signals recorded from a Level IV-like wearable device measuring the thoracic and abdominal movements and the SpO2.Results: With the leave-one-subject-out cross validation, the accuracy of the proposed algorithm to screen subjects with an apnea-hypopnea index greater or equal to 15 is 93.6%, the positive likelihood ratio is 6.8, and the negative likelihood ratio is 0.03.Conclusion: The results confirm the hypothesis and show that the proposed algorithm has potential to screen patients with SAS.
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spelling doaj.art-653b457511254157939730d522b847fd2022-12-22T01:27:32ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2018-07-01910.3389/fphys.2018.00723373195Phenotype-Based and Self-Learning Inter-Individual Sleep Apnea Screening With a Level IV-Like Monitoring SystemHau-Tieng Wu0Hau-Tieng Wu1Hau-Tieng Wu2Jhao-Cheng Wu3Po-Chiun Huang4Ting-Yu Lin5Tsai-Yu Wang6Yuan-Hao Huang7Yu-Lun Lo8Department of Mathematics, Duke University, Durham, NC, United StatesDepartment of Statistical Science, Duke University, Durham, NC, United StatesMathematics Division, National Center for Theoretical Sciences, Taipei, TaiwanDepartment of Electrical Engineering, National Tsing Hua University, Hsinchu, TaiwanDepartment of Electrical Engineering, National Tsing Hua University, Hsinchu, TaiwanDepartment of Thoracic Medicine, Chang Gung Memorial Hospital, School of Medicine, Chang Gung University, Taipei, TaiwanDepartment of Thoracic Medicine, Chang Gung Memorial Hospital, School of Medicine, Chang Gung University, Taipei, TaiwanDepartment of Electrical Engineering, Institute of Communications Engineering, National Tsing Hua University, Hsinchu, TaiwanDepartment of Thoracic Medicine, Chang Gung Memorial Hospital, School of Medicine, Chang Gung University, Taipei, TaiwanPurpose: We propose a phenotype-based artificial intelligence system that can self-learn and is accurate for screening purposes and test it on a Level IV-like monitoring system.Methods: Based on the physiological knowledge, we hypothesize that the phenotype information will allow us to find subjects from a well-annotated database that share similar sleep apnea patterns. Therefore, for a new-arriving subject, we can establish a prediction model from the existing database that is adaptive to the subject. We test the proposed algorithm on a database consisting of 62 subjects with the signals recorded from a Level IV-like wearable device measuring the thoracic and abdominal movements and the SpO2.Results: With the leave-one-subject-out cross validation, the accuracy of the proposed algorithm to screen subjects with an apnea-hypopnea index greater or equal to 15 is 93.6%, the positive likelihood ratio is 6.8, and the negative likelihood ratio is 0.03.Conclusion: The results confirm the hypothesis and show that the proposed algorithm has potential to screen patients with SAS.https://www.frontiersin.org/article/10.3389/fphys.2018.00723/fullsleep apnea screeningLevel IV-like monitoringself-learning AI systemphenotype metricinter-individual prediction
spellingShingle Hau-Tieng Wu
Hau-Tieng Wu
Hau-Tieng Wu
Jhao-Cheng Wu
Po-Chiun Huang
Ting-Yu Lin
Tsai-Yu Wang
Yuan-Hao Huang
Yu-Lun Lo
Phenotype-Based and Self-Learning Inter-Individual Sleep Apnea Screening With a Level IV-Like Monitoring System
Frontiers in Physiology
sleep apnea screening
Level IV-like monitoring
self-learning AI system
phenotype metric
inter-individual prediction
title Phenotype-Based and Self-Learning Inter-Individual Sleep Apnea Screening With a Level IV-Like Monitoring System
title_full Phenotype-Based and Self-Learning Inter-Individual Sleep Apnea Screening With a Level IV-Like Monitoring System
title_fullStr Phenotype-Based and Self-Learning Inter-Individual Sleep Apnea Screening With a Level IV-Like Monitoring System
title_full_unstemmed Phenotype-Based and Self-Learning Inter-Individual Sleep Apnea Screening With a Level IV-Like Monitoring System
title_short Phenotype-Based and Self-Learning Inter-Individual Sleep Apnea Screening With a Level IV-Like Monitoring System
title_sort phenotype based and self learning inter individual sleep apnea screening with a level iv like monitoring system
topic sleep apnea screening
Level IV-like monitoring
self-learning AI system
phenotype metric
inter-individual prediction
url https://www.frontiersin.org/article/10.3389/fphys.2018.00723/full
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