MF-DFA–Enhanced Deep Learning for Robust Sleep Disorder Classification from EEG Signals

Sleep disorders are prevalent in the world, and they lead to severe health issues such as cardiovascular disease and cognitive disabilities. Conventional polysomnography-based diagnosis is based on manual EEG analysis under the supervision of trained specialists, which is time-consuming and may have inter-rater variability. Although the predictions of deep learning (DL) models on the task of sleep classification of EEG have been promising, they, in many cases, do not explain the multiscale, temporal dynamics that physiological signals are characterized by. In this work, a hybrid model that is a combination of CNN and multifractal detrended fluctuation analysis (MF-DFA) was proposed to detect localized temporal features and long-term fractal-based dynamics of single-channel EEG recordings. The performance of the suggested model was tested using two separate polysomnographic datasets: the CAP Sleep Dataset of five-class sleep disorder classification (Healthy, Insomnia, Narcolepsy, PLM, and RBD) and the ISRUC Sleep Dataset on the three-class subject-independent validation. In the CAP dataset, the framework had an accuracy of 86.38%. Cross-dataset transfer to the ISRUC Sleep Dataset, where only the classification head was fine-tuned on a small labeled subset while all feature-extraction layers remained frozen from CAP training, achieved 87.50% accuracy, demonstrating that the learned representations generalize across differing recording protocols, sampling rates, and diagnostic label spaces. The experiments of ablation proved the paramount importance of the MF-DFA features, and the lack of them led to low classification rates. The findings demonstrate the clinical feasibility of applying fractal analysis in conjunction with DL to detect sleep disorders in an automated, generalizable manner, suitable for use in large-scale monitoring and resource-starved clinical environments.