Automated solutions classify sleep stages with minimal labels, reducing the need for expert input.
Manual sleep stage classification from polysomnography (PSG) is labor-intensive and subject to expert variability, motivating automated and deployment-oriented solutions for clinical use. We present a multi-channel self-supervised learning (SSL) contrastive framework combined with iterative self-distillation for accurate and label-efficient sleep staging. The approach employs a dual-branch convolutional network that processes electroencephalogram (EEG) channels independently and integrates complementary information via a cross-attention fusion module. During pre-training, a contrastive objective leverages temporal adjacency to form positive pairs and maintains hard negatives dynamically to learn robust representations from unlabeled data. Subsequent fine-tuning with minimal labels is enhanced by iterative self-distillation through pseudo-label refinement. On the Sleep-EDF Expanded (SleepEDF-v2) dataset, the method achieves strong performance with only 1% labeled data (accuracy 76.31%, macro-F1 66.53%), competitive against existing SSL baselines. The resulting compact model and single-site training setup align with practical constraints in hospitals and wearable scenarios, reducing annotation burden and supporting secure, scalable clinical deployment. • Dual-channel SSL with cross-attention and self-distillation for sleep staging. • Label-efficient: 76.31% accuracy and 66.53% macro-F1 using only 1% labels. • Compact model and single-site setup support resource-constrained deployment.
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Ouyang et al. (2026) studied this question.
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