Validation study demonstrates automated five-class sleep staging using multimodal biosignals in healthy adults, highlighting explainable machine learning for wearable sleep monitoring.
Objectives: Sleep staging from polysomnographic (PSG) recordings is clinically critical for diagnosing sleep-related disorders, yet manual scoring by certified technologists remains time-consuming, costly, and subject to inter-rater variability. Methods: This study presents an automated, explainable, and multimodal framework for five-class sleep stage classification using simultaneously acquired electroencephalography (EEG), electrooculography (EOG), and electromyography (EMG) signals. A total of 1946 annotated 30 s epochs from 30 healthy adult recording sessions (Sleep-EDF Expanded and Sleep Cassette subset) were processed through a 37-dimensional multimodal feature extraction pipeline encompassing temporal amplitude statistics, frequency-domain spectral band powers, nonlinear entropy and complexity measures, and Daubechies-4 discrete wavelet transform (DWT) energy coefficients. Four classical machine learning classifiers -Random Forest (RF), Support Vector Machine with radial basis function kernel (SVM-RBF), Gradient Boosting (GB), and K-Nearest Neighbours (KNN, k = 7) were benchmarked under stratified five-fold cross-validation. Results: SVM-RBF achieved the highest macro-averaged F1-score of 0.7322 (Cohen’s kappa 0.6784, overall accuracy 75.18%). N3 deep slow-wave sleep achieved the highest per-class F1 of 0.879, while N1 light sleep was the most challenging (F1 = 0.668). SHapley Additive exPlanations (SHAP) and RF mean decrease in Gini impurity (MDGI) analysis jointly identified EMG root mean square amplitude (MDGI = 0.0805), gamma band power (0.0784), and permutation entropy (0.0434) as the three most discriminative features. As a novel methodological contribution, sixteen categories of signal sculpting visualisations were developed, translating abstract multivariate features into clinically interpretable graphical representations. Conclusions: The proposed framework achieves substantial kappa agreement approaching the lower bound of expert inter-rater reliability (0.76–0.82) while providing full model transparency, with direct implications for wearable sleep monitoring device design.
No takes yet. Share an insight, caveat, or question.
Sarker et al. (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: