Evidence map›Paper›PMID 35132533›Full record

ArticleSleep & breathing = Schlaf & Atmung2022

Detecting obstructive sleep apnea by craniofacial image-based deep learning.

Shuai He, Hang Su, Yanru Li, Wen Xu, Xingjun Wang, Demin Han

Abstract read
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 18% 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.

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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  6. Review
  7. Article
  8. Predicting obstructive sleep apnea severity from craniofacial images using ensemble machine learning models.Proceedings of SPIE--the International Society for Optical Engineering · 2023
    Article
  9. Article
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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

6 authors at 2 institutions in 1 country.

Shuai He *Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, 1 Dongjiaominxiang, Dongcheng District, Beijing, 100730, People's Republic of China.
Hang Su *Department of Electronic Engineering, Tsinghua Shenzhen International Graduate School, Tsinghua University, 2279 Lishui Road, Nanshan District, Shenzhen, People's Republic of China.
Yanru LiDepartment of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, 1 Dongjiaominxiang, Dongcheng District, Beijing, 100730, People's Republic of China.
Wen XuDepartment of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, 1 Dongjiaominxiang, Dongcheng District, Beijing, 100730, People's Republic of China.
Xingjun WangDepartment of Electronic Engineering, Tsinghua Shenzhen International Graduate School, Tsinghua University, 2279 Lishui Road, Nanshan District, Shenzhen, People's Republic of China. wangxingjun@tsinghua.edu.cn.
Demin HanDepartment of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, 1 Dongjiaominxiang, Dongcheng District, Beijing, 100730, People's Republic of China. deminhan_ent@hotmail.com.ORCID 0000-0002-2180-7394
Beijing Tongren Hospital · CNTsinghua–Berkeley Shenzhen Institute · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesThis study aimed to develop a deep learning-based model to detect obstructive sleep apnea (OSA) using craniofacial photographs.

methodsParticipants referred for polysomnography (PSG) were recruited consecutively and randomly divided into the training, validation, and test groups for model development and evaluation. Craniofacial photographs were taken from five different angles (front, right 90° profile, left 90° profile, right 45° profile, and left 45° profile) and inputted to the convolutional neural networks. The neural networks extracted features from photographs and outputted the probabilities of the presence of the disease. Sensitivity, specificity, and area under the receiver operating characteristic curve (AUC) were calculated using PSG diagnosis as the reference standard. These analyses were repeated using two apnea-hypopnea index thresholds (≥ 5 and ≥ 15events/h).

resultsA total of 393 participants were enrolled. Using the operating point with maximum sum of sensitivity and specificity, the model of the photographs exhibited an AUC of 0.916 (95% confidence interval [CI], 0.847-0.960) with a sensitivity of 0.95 and a specificity of 0.80 at an AHI threshold of 5 events/h; an AUC of 0.812 (95% CI, 0.729-0.878) with a sensitivity of 0.91 and a specificity of 0.73 at an AHI threshold of 15 events/h.

conclusionsThe results suggest that combining craniofacial photographs and deep learning techniques can help detect OSA automatically. The model may have potential utility as a tool to assess OSA probability in clinics or screen for OSA in the community.

Indexed as

Deep LearningSleep Apnea, ObstructiveHumansPolysomnographyROC CurveSensitivity and SpecificityCraniofacial photographsDeep learningObstructive sleep apnea

Identifiers

PMID35132533
OpenAlexW4210362421

What OpenQuestion holds

Textmetadata
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.