Why the study?
Polysomnography requires specialized personnel, a laboratory environment, and uncomfortable sensors, prompting investigation of non-contact machine learning sleep staging methods.
Does an Attention Bi-LSTM model using IR-UWB radar improve sleep stage classification accuracy compared to conventional LSTM networks in healthy volunteers?
Does an Attention Bi-LSTM model using IR-UWB radar improve sleep stage classification accuracy compared to conventional LSTM networks in healthy volunteers?
An attention-based Bi-LSTM model using non-contact IR-UWB radar provides highly accurate automatic sleep stage classification, outperforming conventional LSTM networks.
Attention Bi-LSTM enables accurate non-contact 4-class sleep staging; leaves open prospective validation in diverse clinical cohorts.
Manual scoring of sleep stages from polysomnography (PSG) records is essential to understand the sleep quality and architecture. Since the PSG requires specialized personnel, a lab environment, and uncomfortable sensors, non-contact sleep staging methods based on machine learning techniques have been investigated over the past years. In this study, we propose an attention-based bidirectional long short-term memory (Attention Bi-LSTM) model for automatic sleep stage scoring using an impulse-radio ultra-wideband (IR-UWB) radar which can remotely detect vital signs. Sixty-five young (30.0 ± 8.6 yrs.) and healthy volunteers underwent nocturnal PSG and IR-UWB radar measurement simultaneously; From 51 recordings, 26 were used for training, 8 for validation, and 17 for testing. Sixteen features including movement-, respiration-, and heart rate variability-related indices were extracted from the raw IR-UWB signals in each 30-s epoch. Sleep stage classification performances of Attention Bi-LSTM model with optimized hyperparameters were evaluated and compared with those of conventional LSTM networks for same test dataset. In the results, we achieved an accuracy of 82.6 ± 6.7% and a Cohen's kappa coefficient of 0.73 ± 0.11 in the classification of wake stage, REM sleep, light (N1+N2) sleep, and deep (N3) sleep which is significantly higher than the conventional LSTM networks (p < 0.01). Moreover, the classification performances were higher than those reported in comparative studies, demonstrating the effectiveness of the attention mechanism coupled with bi-LSTM networks for the sleep staging using cardiorespiratory signals.
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Kwon et al. (2021) studied this question.
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