1 Department of Electrical Engineering, Technical University of Denmark2 Biomedical Engineering, Department of Electrical Engineering, Technical University of Denmark3 Department of Applied Mathematics and Computer Science, Technical University of Denmark4 Statistics and Data Analysis, Department of Applied Mathematics and Computer Science, Technical University of Denmark5 Technical University of Denmark6 University of Copenhagen7 Department of Informatics and Mathematical Modeling, Technical University of Denmark8 H. Lundbeck A/S9 Copenhagen Center for Health Technology, Center, Technical University of Denmark
Background: The golden standard for sleep classification uses manual scoring of polysomnography despite points of criticism such as oversimplification, low inter-rater reliability and the standard being designed on young and healthy subjects. New method: To meet the criticism and reveal the latent sleep states, this study developed a general and automatic sleep classifier using a data-driven approach. Spectral EEG and EOG measures and eye correlation in 1 s windows were calculated and each sleep epoch was expressed as a mixture of probabilities of latent sleep states by using the topic model Latent Dirichlet Allocation. Model application was tested on control subjects and patients with periodic leg movements (PLM) representing a non-neurodegenerative group, and patients with idiopathic REM sleep behavior disorder (iRBD) and Parkinson's Disease (PD) representing a neurodegenerative group. The model was optimized using 50 subjects and validated on 76 subjects. Results: The optimized sleep model used six topics, and the topic probabilities changed smoothly during transitions. According to the manual scorings, the model scored an overall subject-specific accuracy of 68.3 +/- 7.44 (% mu +/-sigma) and group specific accuracies of 69.0 +/- 4.62 (control), 70.1 +/- 5.10 (PLM), 67.2 +/- 8.30 (iRBD) and 67.7 +/- 9.07 (PD). Comparison with existing method: Statistics of the latent sleep state content showed accordances to the sleep stages defined in the golden standard. However, this study indicates that sleep contains six diverse latent sleep states and that state transitions are continuous processes. Conclusions: The model is generally applicable and may contribute to the research in neurodegenerative diseases and sleep disorders. (C) 2014 Elsevier B.V. All rights reserved.
Journal of Neuroscience Methods, 2014, Vol 235, Issue 235, p. 130-137
Aged; Brain; Electroencephalography; Electrooculography; Eye; Female; Humans; Male; Middle Aged; Nocturnal Myoclonus Syndrome; Ocular Physiological Phenomena; Parkinson Disease; Pattern Recognition, Automated; Polysomnography; Probability; REM Sleep Behavior Disorder; Sensitivity and Specificity; Signal Processing, Computer-Assisted; Sleep; Journal Article; Validation Studies; BIOCHEMICAL; NEUROSCIENCES; Automatic sleep classification; Topic modeling; Electroencephalography (EEG); Electrooculography (EOG); Sleep state switching; Neurodegenerative diseases; latent sleep state; idiopathic REM sleep behavior disorder nervous system disease; Parkinson's disease nervous system disease; periodic leg movement nervous system disease; Primates Mammalia Vertebrata Chordata Animalia (Animals, Chordates, Humans, Mammals, Primates, Vertebrates) - Hominidae  human common middle age, aged female, male; 04500, Mathematical biology and statistical methods; 10515, Biophysics - Biocybernetics; 20004, Sense organs - Physiology and biochemistry; 20506, Nervous system - Pathology; 24500, Gerontology; Computational Biology; Human Medicine, Medical Sciences; eye sensory system; EEG electroencephalography clinical techniques, diagnostic techniques; electrooculography clinical techniques, diagnostic techniques; optimized sleep model mathematical and computer techniques; topic model Latent Dirichlet Allocation mathematical and computer techniques; Models and Simulations; Neurology