Evidence map›Paper›PMID 42884211›Full record

ArticleSensors (Basel, Switzerland)2026

Multichannel Polysomnographic Sensor Fusion for Automatic Sleep Stage Classification.

Simone Mari, Lorenzo Di Vaira, Giovanni Bucci, Fabrizio Ciancetta, Edoardo Fiorucci

Abstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Simone MariDipartimento di Ingegneria Industriale e dell'Informazione e dell'Economia, Università degli Studi dell'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0002-7227-2975
Lorenzo Di VairaDipartimento di Ingegneria Industriale e dell'Informazione e dell'Economia, Università degli Studi dell'Aquila, 67100 L'Aquila, Italy.
Giovanni BucciDipartimento di Ingegneria Industriale e dell'Informazione e dell'Economia, Università degli Studi dell'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0002-5605-1136
Fabrizio CiancettaDipartimento di Ingegneria Industriale e dell'Informazione e dell'Economia, Università degli Studi dell'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0002-1676-5273
Edoardo FiorucciDipartimento di Ingegneria Industriale e dell'Informazione e dell'Economia, Università degli Studi dell'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0001-6244-5521

Funding

University of L'Aquila
6 · The paper itself

Abstract

Automatic sleep stage classification can reduce the burden of manual polysomnographic scoring, but reliable models must account for heterogeneous physiological signals, temporal dependencies, and severe class imbalance. This study presents a dual-stream deep learning framework for five-class sleep staging from 30 s polysomnographic segments using two EEG signals, one EOG signal, and one submental EMG signal. Time-domain features are extracted through one-dimensional convolutions, while complementary time-frequency information is obtained from short-time Fourier transform spectrograms processed by a two-dimensional convolutional branch. The resulting features are fused and analyzed over a five-segment context window using a bidirectional long short-term memory network. Prolonged wake periods are censored only during training to reduce majority-class dominance without altering the evaluation distribution. Subject-wise five-fold cross-validation across 78 subjects yielded a mean accuracy of 91.5%, a balanced accuracy of 78.5%, a macro-F1 score of 77.4%, and a Cohen's kappa of 0.829. Controlled architectural and channel-ablation experiments further quantified the contributions of temporal context, time-frequency processing, wake censoring, and the individual PSG signals. A lightweight time-domain-only variant achieved 88.8% accuracy, 72.7% balanced accuracy, a macro-F1 score of 73.8%, and a Cohen's kappa of 0.779. These findings support the use of multimodal time-frequency fusion for robust automatic sleep staging while highlighting the trade-off between classification performance and model complexity.

Indexed as

PolysomnographySleep StagesAlgorithmsElectroencephalographyElectromyographyElectrooculographyHumansLong Short Term MemorySignal Processing, Computer-Assisteddeep learningedge artificial intelligenceEEGEMGEOGLSTMpolysomnographysensor fusionsleep stage classificationSTFT

Identifiers

PMID42884211
PMCPMC13667155

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.