The analysis of lifelogs can yield valuable insights into an individual's daily life, particularly with regard to their health and well-being. The accurate assessment of quality of life is necessitated by the use of diverse sensors and precise synchronization. To rectify this issue, this study proposes the image-based sleep quality and stress level estimation flow (PixleepFlow). PixleepFlow employs a conversion methodology into composite image data to examine sleep patterns and their impact on overall health. Experiments were conducted using lifelog datasets to ascertain the optimal combination of data formats. In addition, we identified which sensor information has the greatest influence on the quality of life through Explainable Artificial Intelligence(XAI). As a result, PixleepFlow produced more significant results than various data formats. This study was part of a written-based competition, and the additional findings from the lifelog dataset are detailed in Section Section IV. More information about PixleepFlow can be found at https://github.com/seongjiko/Pixleep.
Sleep is essential for maintaining human health and quality of life. Analyzing physiological signals during sleep is critical in assessing sleep quality and diagnosing sleep disorders. However, manual diagnoses by clinicians are time-intensive and subjective. Despite advances in deep learning that have enhanced automation, these approaches remain heavily dependent on large-scale labeled datasets. This study introduces SynthSleepNet, a multimodal hybrid self-supervised learning framework designed for analyzing polysomnography (PSG) data. SynthSleepNet effectively integrates masked prediction and contrastive learning to leverage complementary features across multiple modalities, including electroencephalogram (EEG), electrooculography (EOG), electromyography (EMG), and electrocardiogram (ECG). This approach enables the model to learn highly expressive representations of PSG data. Furthermore, a temporal context module based on Mamba was developed to efficiently capture contextual information across signals. SynthSleepNet achieved superior performance compared to state-of-the-art methods across three downstream tasks: sleep-stage classification, apnea detection, and hypopnea detection, with accuracies of 89.89%, 99.75%, and 89.60%, respectively. The model demonstrated robust performance in a semi-supervised learning environment with limited labels, achieving accuracies of 87.98%, 99.37%, and 77.52% in the same tasks. These results underscore the potential of the model as a foundational tool for the comprehensive analysis of PSG data. SynthSleepNet demonstrates comprehensively superior performance across multiple downstream tasks compared to other methodologies, making it expected to set a new standard for sleep disorder monitoring and diagnostic systems.
Sleep staging is critical to assess sleep quality and diagnose disorders. Despite advancements in artificial intelligence enabling automated sleep staging, significant challenges remain: (1) Simultaneously extracting prominent temporal and spatial sleep features from multi-channel raw signals, including characteristic sleep waveforms and salient spatial brain networks. (2) Capturing the spatial-temporal coupling patterns essential for accurate sleep staging. To address these challenges, we propose a novel framework named ST-USleepNet, comprising a spatial-temporal graph construction module (ST) and a U-shaped sleep network (USleepNet). The ST module converts raw signals into a spatial-temporal graph based on signal similarity, temporal, and spatial relationships to model spatial-temporal coupling patterns. The USleepNet employs a U-shaped structure for both the temporal and spatial streams, mirroring its original use in image segmentation to isolate significant targets. Applied to raw sleep signals and graph data from the ST module, USleepNet effectively segments these inputs, simultaneously extracting prominent temporal and spatial sleep features. Testing on three datasets demonstrates that ST-USleepNet outperforms existing baselines, and model visualizations confirm its efficacy in extracting prominent sleep features and temporal-spatial coupling patterns across various sleep stages. The code is available at https://github.com/Majy-Yuji/ST-USleepNet.
Traditional sleep staging categorizes sleep and wakefulness into five coarse-grained classes, overlooking subtle variations within each stage. It provides limited information about the duration of arousal and may hinder research on sleep fragmentation and relevant sleep disorders. To address this issue, we propose a deep learning method for automatic and scalable annotation of continuous sleep depth index (SDI) using existing discrete sleep staging labels. Our approach was validated using polysomnography from over 10,000 recordings across four large-scale cohorts. The results showcased a strong correlation between the decrease in sleep depth index and the increase in duration of arousal. Specific case studies indicated that the sleep depth index captured more nuanced sleep structures than conventional sleep staging. Gaussian mixture models based on the digital biomarkers extracted from the sleep depth index identified two subtypes of sleep, where participants in the disturbed sleep group had a higher prevalence of sleep apnea, insomnia, poor subjective sleep quality, hypertension, and cardiovascular disease. The disturbed subtype was associated with a 42% (hazard ratio 1.42, 95% CI 1.24-1.62) increased risk of mortality and a 29% (hazard ratio 1.29, 95% CI 1.00-1.67) increased risk of fatal cardiovascular disease. Our study underscores the utility of the proposed method for continuous sleep depth annotation, which could reveal more detailed information about the sleep structure and yield novel digital biomarkers for routine clinical use in sleep medicine.
Sleep quality directly impacts human health and quality of life, so accurate sleep staging is essential for assessing sleep quality. However, most traditional methods are inefficient and time-consuming due to segmenting different sleep cycles by manual labeling. In contrast, automated sleep staging technology not only directly assesses sleep quality but also helps sleep specialists analyze sleep status, significantly improving efficiency and reducing the cost of sleep monitoring, especially for continuous sleep monitoring. Most of the existing models, however, are deficient in computational efficiency, lightweight design, and model interpretability. In this paper, we propose a neural network architecture based on the prior knowledge of sleep experts. Specifically, 1) Propose an end-to-end model named DetectsleepNet that uses single-channel EEG signals without additional data processing, which has achieved an impressive 80.9% accuracy on the SHHS dataset and an outstanding 88.0% accuracy on the Physio2018 dataset. 2) Constructure an efficient lightweight sleep staging model named DetectsleepNet-tiny based on DetectsleepNet, which has just 6% of the parameter numbers of existing models, but its accuracy exceeds 99% of state-of-the-art models, 3) Introducing a specific inference header to assess the attention given to a specific EEG segment in each sleep frame, enhancing the transparency in the decisions of models. Our model comprises fewer parameters compared to existing ones and ulteriorly explores the interpretability of the model to facilitate its application in healthcare. The code is available at https://github.com/komdec/DetectSleepNet.git.
Study Objectives: Polysomnography (PSG) currently serves as the benchmark for evaluating sleep disorders. Its discomfort makes long-term monitoring unfeasible, leading to bias in sleep quality assessment. Hence, less invasive, cost-effective, and portable alternatives need to be explored. One promising contender is the in-ear-EEG sensor. This study aims to establish a methodology to assess the similarity between the single-channel in-ear-EEG and standard PSG derivations. Methods: The study involves four-hour signals recorded from ten healthy subjects aged 18 to 60 years. Recordings are analyzed following two complementary approaches: (i) a hypnogram-based analysis aimed at assessing the agreement between PSG and in-ear-EEG-derived hypnograms; and (ii) a feature-based analysis based on time- and frequency- domain feature extraction, unsupervised feature selection, and definition of Feature-based Similarity Index via Jensen-Shannon Divergence (JSD-FSI). Results: We find large variability between PSG and in-ear-EEG hypnograms scored by the same sleep expert according to Cohen's kappa metric, with significantly greater agreements for PSG scorers than for in-ear-EEG scorers (p < 0.001) based on Fleiss' kappa metric. On average, we demonstrate a high similarity between PSG and in-ear-EEG signals in terms of JSD-FSI (0.79 +/- 0.06 -awake, 0.77 +/- 0.07 -NREM, and 0.67 +/- 0.10 -REM) and in line with the similarity values computed independently on standard PSG-channel-combinations. Conclusions: In-ear-EEG is a valuable solution for home-based sleep monitoring, however further studies with a larger and more heterogeneous dataset are needed.
This paper explores the intersection of technology and sleep pattern comprehension, presenting a cutting-edge two-stage framework that harnesses the power of Large Language Models (LLMs). The primary objective is to deliver precise sleep predictions paired with actionable feedback, addressing the limitations of existing solutions. This innovative approach involves leveraging the GLOBEM dataset alongside synthetic data generated by LLMs. The results highlight significant improvements, underlining the efficacy of merging advanced machine-learning techniques with a user-centric design ethos. Through this exploration, we bridge the gap between technological sophistication and user-friendly design, ensuring that our framework yields accurate predictions and translates them into actionable insights.
Sleep plays a crucial role in the well-being of human lives. Traditional sleep studies using Polysomnography are associated with discomfort and often lower sleep quality caused by the acquisition setup. Previous works have focused on developing less obtrusive methods to conduct high-quality sleep studies, and ear-EEG is among popular alternatives. However, the performance of sleep staging based on ear-EEG is still inferior to scalp-EEG based sleep staging. In order to address the performance gap between scalp-EEG and ear-EEG based sleep staging, we propose a cross-modal knowledge distillation strategy, which is a domain adaptation approach. Our experiments and analysis validate the effectiveness of the proposed approach with existing architectures, where it enhances the accuracy of the ear-EEG based sleep staging by 3.46% and Cohen's kappa coefficient by a margin of 0.038.
Sleep spindles are neurophysiological phenomena that appear to be linked to memory formation and other functions of the central nervous system, and that can be observed in electroencephalographic recordings (EEG) during sleep. Manually identified spindle annotations in EEG recordings suffer from substantial intra- and inter-rater variability, even if raters have been highly trained, which reduces the reliability of spindle measures as a research and diagnostic tool. The Massive Online Data Annotation (MODA) project has recently addressed this problem by forming a consensus from multiple such rating experts, thus providing a corpus of spindle annotations of enhanced quality. Based on this dataset, we present a U-Net-type deep neural network model to automatically detect sleep spindles. Our model's performance exceeds that of the state-of-the-art detector and of most experts in the MODA dataset. We observed improved detection accuracy in subjects of all ages, including older individuals whose spindles are particularly challenging to detect reliably. Our results underline the potential of automated methods to do repetitive cumbersome tasks with super-human performance.
This paper describes an open-access database focusing on the study of mental workload (MW) assessment system for wearable devices. A wristband photoplethysmogram (PPG) was provided as a representative of wearable devices. In addition, a clinical device that can record Electrocardiography (ECG) , galvanic skin response (GSR) and, fingertip PPG was included in the database as a reference. The MW was induced by performing the N-back task with 22 subjects. The participants were asked to answer the Pittsburgh Sleep Quality Index (PSQI) questionnaire at the beginning of the experiment and the NASA Task Load Index (NASA-TLX) questionnaire after each N-back task. The result of data analysis show the potential uses of the recorded modalities and the feasibility of the MW elicitation protocol. Finally the MAUS dataset is now available for academic use (The MAUS dataset is available at IEEE Dataport: https://ieee-dataport.org/open-access/maus-dataset-mental-workload-assessment-n-back-task-using-wearable-sensor). Besides, we also presents a reproducible baseline system as a preliminary benchmark (The code of the baseline system on MAUS dataset is available on Github: https://github.com/rickwu11/MAUS\_dataset\_baseline\_system), which testing accuracy are 71.6 %, 66.7 %, and 59.9 % in ECG, fingertip PPG, wristband PPG, respectively.
This paper applies statistical learning techniques to an observational Quantified-Self (QS) study to build a descriptive model of sleep quality. A total of 472 days of my sleep data was collected with an Oura ring and combined with lifestyle, environmental, and psychological data. Such n-of-1 QS projects pose a number of challenges: heterogeneous data sources; missing values; high dimensionality; dynamic feedback loops; human biases. This paper directly addresses these challenges with an end-to-end QS pipeline that produces robust descriptive models. Sleep quality is one of the most difficult modelling targets in QS research, due to high noise and a large number of weakly-contributing factors. Sleep quality was selected so that approaches from this paper would generalise to most other n-of-1 QS projects. Techniques are presented for combining and engineering features for the different classes of data types, sample frequencies, and schema - including event logs, weather, and geo-spatial data. Statistical analyses for outliers, normality, (auto)correlation, stationarity, and missing data are detailed, along with a proposed method for hierarchical clustering to identify correlated groups of features. The missing data was overcome using a combination of knowledge-based and statistical techniques, including several multivariate imputation algorithms. "Markov unfolding" is presented for collapsing the time series into a collection of independent observations, whilst incorporating historical information. The final model was interpreted in two ways: by inspecting the internal $\beta$-parameters, and using the SHAP framework. These two interpretation techniques were combined to produce a list of the 16 most-predictive features, demonstrating that an observational study can greatly narrow down the number of features that need to be considered when designing interventional QS studies.