Evidence map›Paper›PMID 31938990›Full record

ArticleSleep & breathing = Schlaf & Atmung2020

Automated multi-model deep neural network for sleep stage scoring with unfiltered clinical data.

Xiaoqing Zhang, Mingkai Xu, Yanru Li, Minmin Su, Ziyao Xu, Chunyan Wang, Dan Kang, Hongguang Li, Xin Mu, Xiu Ding and 3 more

Abstract read
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
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  3. Review
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  5. [Automatic sleep staging model based on single channel electroencephalogram signal].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2023
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  7. Review
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  17. Machine and Deep Learning in Molecular and Genetic Aspects of Sleep Research.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Review
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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

13 authors.

Xiaoqing ZhangBeijing Tongren Hospital, Capital Medical University, Beijing, 100730, People's Republic of China.
Mingkai XuDepartment of Electronic Engineering, Tsinghua Shenzhen International Graduate School, Tsinghua University, Shenzhen, China.
Yanru LiBeijing Tongren Hospital, Capital Medical University, Beijing, 100730, People's Republic of China.
Minmin SuBeijing Tongren Hospital, Capital Medical University, Beijing, 100730, People's Republic of China.
Ziyao XuDepartment of Electronic Engineering, Tsinghua Shenzhen International Graduate School, Tsinghua University, Shenzhen, China.
Chunyan WangBeijing Tongren Hospital, Capital Medical University, Beijing, 100730, People's Republic of China.
Dan KangBeijing Tongren Hospital, Capital Medical University, Beijing, 100730, People's Republic of China.
Hongguang LiBeijing Tongren Hospital, Capital Medical University, Beijing, 100730, People's Republic of China.
Xin MuBeijing Tongren Hospital, Capital Medical University, Beijing, 100730, People's Republic of China.
Xiu DingBeijing Tongren Hospital, Capital Medical University, Beijing, 100730, People's Republic of China.
Wen XuBeijing Tongren Hospital, Capital Medical University, Beijing, 100730, People's Republic of China.
Xingjun WangDepartment of Electronic Engineering, Tsinghua Shenzhen International Graduate School, Tsinghua University, Shenzhen, China. wangxingjun@tsinghua.edu.cn.
Demin HanBeijing Tongren Hospital, Capital Medical University, Beijing, 100730, People's Republic of China. deminhan_ent@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo develop an automated framework for sleep stage scoring from PSG via a deep neural network.

methodsAn automated deep neural network was proposed by using a multi-model integration strategy with multiple signal channels as input. All of the data were collected from one single medical center from July 2017 to April 2019. Model performance was evaluated by overall classification accuracy, precision, recall, weighted F1 score, and Cohen's Kappa.

resultsTwo hundred ninety-four sleep studies were included in this study; 122 composed the training dataset, 20 composed the validation dataset, and 152 were used in the testing dataset. The network achieved human-level annotation performance with an average accuracy of 0.8181, weighted F1 score of 0.8150, and Cohen's Kappa of 0.7276. Top-2 accuracy (the proportion of test samples for which the true label is among the two most probable labels given by the model) was significantly improved compared to the overall classification accuracy, with the average being 0.9602. The number of arousals affected the model's performance.

conclusionThis research provides a robust and reliable model with the inter-rater agreement nearing that of human experts. Determining the most appropriate evaluation parameters for sleep staging is a direction for future research.

Indexed as

Neural Networks, ComputerAdultAgedDeep LearningFemaleHumansMaleMiddle AgedPolysomnographySleep Apnea, ObstructiveSleep StagesYoung AdultDeep learningObstructive sleep apnea (OSA)Polysomnography (PSG)Sleep staging

Identifiers

PMID31938990
PMCPMC7289784

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.