论文标题

一种新型的基于学习的深度学习方法,用于使用单铅ECG信号进行睡眠呼吸暂停检测

A novel deep learning-based approach for sleep apnea detection using single-lead ECG signals

论文作者

Nguyen, Anh-Tu, Nguyen, Thao, Le, Huy-Khiem, Pham, Huy-Hieu, Do, Cuong

论文摘要

睡眠呼吸暂停(SA)是一种睡眠障碍,其特征是打ing和慢性睡眠,这可能导致严重的疾病,例如高血压,心力衰竭和心肌病(心脏肌肉组织的增大)。心电图(ECG)在识别SA中起着至关重要的作用,因为它可能显示出异常的心脏活性。对基于ECG的SA检测的最新研究集中在特征工程技术上,这些技术从多铅ECG信号中提取特定特征,并将其用作分类模型输入。在这项研究中,提出了一种基于S峰检测的新型特征提取方法,以增强使用单铅ECG对相邻SA段的检测。特别是,使用单个铅(V2)收集的ECG特征用于识别SA发作。在提取的功能上,训练了CNN模型检测SA。实验结果表明,所提出的方法从单铅ECG数据中检测到SA比现有的最新方法更准确,分类精度为91.13%,灵敏度为92.58%和88.75%的特异性。此外,与S峰相关的特征的进一步使用可以提高分类准确性0.85%。我们的发现表明,提出的机器学习系统有可能成为检测SA发作的有效方法。

Sleep apnea (SA) is a type of sleep disorder characterized by snoring and chronic sleeplessness, which can lead to serious conditions such as high blood pressure, heart failure, and cardiomyopathy (enlargement of the muscle tissue of the heart). The electrocardiogram (ECG) plays a critical role in identifying SA since it might reveal abnormal cardiac activity. Recent research on ECG-based SA detection has focused on feature engineering techniques that extract specific characteristics from multiple-lead ECG signals and use them as classification model inputs. In this study, a novel method of feature extraction based on the detection of S peaks is proposed to enhance the detection of adjacent SA segments using a single-lead ECG. In particular, ECG features collected from a single lead (V2) are used to identify SA episodes. On the extracted features, a CNN model is trained to detect SA. Experimental results demonstrate that the proposed method detects SA from single-lead ECG data is more accurate than existing state-of-the-art methods, with 91.13% classification accuracy, 92.58% sensitivity, and 88.75% specificity. Moreover, the further usage of features associated with the S peaks enhances the classification accuracy by 0.85%. Our findings indicate that the proposed machine learning system has the potential to be an effective method for detecting SA episodes.

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