Automated sleep stage scoring using hybrid rule- and case-based reasoning.

Interdisciplinary Program of Medical and Biological Engineering Major, College of Medicine, Seoul National University, Korea.
Computers and Biomedical Research 11/2000; 33(5):330-49. DOI: 10.1006/cbmr.2000.1549
Source: PubMed

ABSTRACT We propose an automated method for sleep stage scoring using hybrid rule- and case-based reasoning. The system first performs rule-based sleep stage scoring, according to the Rechtschaffen and Kale's sleep-scoring rule (1968), and then supplements the scoring with case-based reasoning. This method comprises signal processing unit, rule-based scoring unit, and case-based scoring unit. We applied this methodology to three recordings of normal sleep and three recordings of obstructive sleep apnea (OSA). Average agreement rate in normal recordings was 87.5% and case-based scoring enhanced the agreement rate by 5.6%. This architecture showed several advantages over the other analytical approaches in sleep scoring: high performance on sleep disordered recordings, the explanation facility, and the learning ability. The results suggest that combination of rule-based reasoning and case-based reasoning is promising for an automated sleep scoring and it is also considered to be a good model of the cognitive scoring process.


Available from: Jungsu S Oh, Oct 09, 2014
1 Follower
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Electroencephalogram (EEG) provides important and unique information about the sleeping brain. Polysomnography was the major method of sleep analysis and the main diagnostic tool in sleep medicine. The standard interpretation of polysomnographic recordings describes their macrostructure in terms of sleep stages, delineated according to R&K scoring criteria. Several descriptors of sleep microstructure rely on the quantification of sleep spindles and slow wave activities, detection of arousals, etc. However, these descriptors are usually assessed by means of substantially different signal processing (or visual) methods. This hinders possibilities of combining their results into a coherent description of the sleep process. This study proposes a solution to these problems in terms of a framework based upon adaptive time-frequency approximations - a recent, advanced method of signal processing. The proposed approach provides compatibility with the visual EEG analysis and standard definitions of EEG structures and describes both the macro- and microstructure of sleep EEG. Adaptive time-frequency approximations of signals calculated by means of the matching pursuit (MP) algorithm allow for the discrimination between series of unrelated structures and oscillatory activity. The detection, parametrization, and description of all these features of sleep are based upon the same unifying approach
    IEEE Engineering in Medicine and Biology Magazine 08/2006; DOI:10.1109/MEMB.2006.1657784 · 26.30 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: We propose a new framework for quantitative analysis of sleep EEG, compatible with the traditional analysis, based upon adaptive time-frequency approximation of signals. Using a high resolution description of EEG rhythms and transients in terms of their time occurrence and width, frequency and amplitude, we present a detailed detection and parameterization of delta waves, including also the time occupied by each delta wave-a parameter inaccessible directly by previously applied signal processing methods. To validate the proposed parameterization, we construct a simple detector of sleep stages 3 and 4, based explicitly upon the classical criteria related to delta waves. To properly compare its performance to the inter-expert agreements and other expert systems, we sort out and discuss the methodology of reporting concordance in this context. Since the proposed parameterization proves to be compatible with the visual analysis of EEG, we can derive new variables for quantitative analysis of EEG patterns recognized for decades. As examples, we present a continuous description of delta waves and sleep spindles in the overnight sleep, and compare results to the traditional FFT-based estimates.
    Journal of Neuroscience Methods 09/2005; 147(1):15-21. DOI:10.1016/j.jneumeth.2005.02.010 · 1.96 Impact Factor
  • Source
    IEEE Engineering in Medicine and Biology Magazine 25(4):26-31. · 26.30 Impact Factor