Key result
Hybrid deep learning model detects obstructive sleep apnea from single-lead ECG with ~90% accuracy.
Why the study?
Polysomnography is complex and expensive, and existing machine learning methods using single-lead signals for obstructive sleep apnea detection have low accuracy, reliability, and high computation time.
Absolute Event Rate: 90.29% vs 89.5%
Machine learning models may enable accessible OSA screening; leaves open prospective validation before clinical adoption.
An increasing number of patients and a lack of awareness about obstructive sleep apnea is a point of concern for the healthcare industry. Polysomnography is recommended by health experts to detect obstructive sleep apnea. The patient is paired up with devices that track patterns and activities during their sleep. Polysomnography, being a complex and expensive process, cannot be adopted by the majority of patients. Therefore, an alternative is required. The researchers devised various machine learning algorithms using single lead signals such as electrocardiogram, oxygen saturation, etc., for the detection of obstructive sleep apnea. These methods have low accuracy, less reliability, and high computation time. Thus, the authors introduced two different paradigms for the detection of obstructive sleep apnea. The first is MobileNet V1, and the other is the convergence of MobileNet V1 with two separate recurrent neural networks, Long-Short Term Memory and Gated Recurrent Unit. They evaluate the efficacy of their proposed method using authentic medical cases from the PhysioNet Apnea-Electrocardiogram database. The model MobileNet V1 achieves an accuracy of 89.5%, a convergence of MobileNet V1 with LSTM achieves an accuracy of 90%, and a convergence of MobileNet V1 with GRU achieves an accuracy of 90.29%. The obtained results prove the supremacy of the proposed approach in comparison to the state-of-the-art methods. To showcase the implementation of devised methods in a real-life scenario, the authors design a wearable device that monitors ECG signals and classifies them into apnea and normal. The device employs a security mechanism to transmit the ECG signals securely over the cloud with the consent of patients.
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Hemrajani et al. (2023) studied Obstructive Sleep Apnea (n=70). MobileNet V1 combined with Gated Recurrent Unit (GRU) vs. MobileNet V1 alone was evaluated on Accuracy of obstructive sleep apnea detection. A hybrid deep learning model converging MobileNet V1 with a Gated Recurrent Unit (GRU) achieved an accuracy of 90.29% in detecting obstructive sleep apnea from single-lead ECG signals.
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