Evidence map›Paper›PMID 28460602›Full record

ArticleInternational journal of neural systems2017

An Automated Quiet Sleep Detection Approach in Preterm Infants as a Gateway to Assess Brain Maturation.

Anneleen Dereymaeker, Kirubin Pillay, Jan Vervisch, Sabine Van Huffel, Gunnar Naulaers, Katrien Jansen, Maarten De Vos

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in International journal of neural systems, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03493113 (Transient Hypothyroxinemia of Prematurity), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
11.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03493113 completednot on this map

Transient Hypothyroxinemia of Prematurity: Electrophysiological Changes in the Preterm Infants' Brain, a Retrospective Study

TypeobservationalSponsorUniversitaire Ziekenhuizen KU LeuvenRan2011 to 2017Enrolled87ConditionsTransient Hypothyroxinemia of PrematurityArmsEEG
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 67 citations in OpenAlex.

  1. Article
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  5. Observational
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  8. A deep learning algorithm based on 1D CNN-LSTM for automatic sleep staging.Technology and health care : official journal of the European Society for Engineering and Medicine · 2022
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  9. Article
  10. Article
  11. Article
  12. Review
  13. Identifying tracé alternant activity in neonatal EEG using an inter-burst detection approach.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2020
    Article
  14. Article
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  16. Article
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  18. A Deep Learning Model for Automated Sleep Stages Classification Using PSG Signals.International journal of environmental research and public health · 2019
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  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Anneleen Dereymaeker1 Department of Development and Regeneration, University Hospitals Leuven, Neonatal Intensive Care Unit, KU Leuven (University of Leuven), Leuven, Belgium.
Kirubin Pillay2 Institute of Biomedical Engineering (IBME), Department of Engineering Science, University of Oxford, Oxford, United Kingdom.
Jan Vervisch3 Department of Development and Regeneration, University Hospitals Leuven, Neonatal Intensive Care, Unit & Child Neurology, KU Leuven, (University of Leuven), Leuven, Belgium.
Sabine Van Huffel4 Department of Electrical Engineering-ESAT, Division Stadius, KU Leuven (University of Leuven), Leuven, Belgium.
Gunnar Naulaers1 Department of Development and Regeneration, University Hospitals Leuven, Neonatal Intensive Care Unit, KU Leuven (University of Leuven), Leuven, Belgium.
Katrien Jansen3 Department of Development and Regeneration, University Hospitals Leuven, Neonatal Intensive Care, Unit & Child Neurology, KU Leuven, (University of Leuven), Leuven, Belgium.
Maarten De Vos6 Institute of Biomedical Engineering (IBME), Department of Engineering Science, University of Oxford, Old Road Campus Research Building, OX3 7DG, Oxford, United Kingdom.
KU Leuven · BEIMEC · BEUniversity of Oxford · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Sleep state development in preterm neonates can provide crucial information regarding functional brain maturation and give insight into neurological well being. However, visual labeling of sleep stages from EEG requires expertise and is very time consuming, prompting the need for an automated procedure. We present a robust method for automated detection of preterm sleep from EEG, over a wide postmenstrual age ([Formula: see text] age) range, focusing first on Quiet Sleep (QS) as an initial marker for sleep assessment. Our algorithm, CLuster-based Adaptive Sleep Staging (CLASS), detects QS if it remains relatively more discontinuous than non-QS over PMA. CLASS was optimized on a training set of 34 recordings aged 27-42 weeks PMA, and performance then assessed on a distinct test set of 55 recordings of the same age range. Results were compared to visual QS labeling from two independent raters (with inter-rater agreement [Formula: see text]), using Sensitivity, Specificity, Detection Factor ([Formula: see text] of visual QS periods correctly detected by CLASS) and Misclassification Factor ([Formula: see text] of CLASS-detected QS periods that are misclassified). CLASS performance proved optimal across recordings at 31-38 weeks (median [Formula: see text], median MF 0-0.25, median Sensitivity 0.93-1.0, and median Specificity 0.80-0.91 across this age range), with minimal misclassifications at 35-36 weeks (median [Formula: see text]). To illustrate the potential of CLASS in facilitating clinical research, normal maturational trends over PMA were derived from CLASS-estimated QS periods, visual QS estimates, and nonstate specific periods (containing QS and non-QS) in the EEG recording. CLASS QS trends agreed with those from visual QS, with both showing stronger correlations than nonstate specific trends. This highlights the benefit of automated QS detection for exploring brain maturation.

Indexed as

AutomationAgingAlgorithmsBrainElectroencephalographyHumansInfantInfant, NewbornInfant, PrematureSleepautomated sleep detectionbrain maturationCLASSEEGpreterm neonatequiet sleep

Identifiers

PMID28460602
PMCPMC6342251
OpenAlexW2589719932

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.