机构:[1]Otorhinolaryngology Hospital, The FirstAffiliated Hospital, Sun Yat-senUniversity, Guangzhou, 510080, People’sRepublic of China[2]School of ComputerScience, South China Normal University,Guangzhou, 510631, People’s Republic ofChina[3]Guangdong Province TraditionalChinese Medical Hospital, Guangzhou,510000, People’s Republic of China
Purpose: This study evaluated a novel approach for diagnosis and classification of obstructive sleep apnea (OSA), called Obstructive Sleep Apnea Smart System (OSASS), using residual networks and single-channel nasal pressure airflow signals. Methods: Data were collected from the sleep center of the First Affiliated Hospital, Sun Yat-sen University, and the Integrative Department of Guangdong Province Traditional Chinese Medical Hospital. We developed a new model called the multi-resolution residual network (Mr-ResNet) based on a residual network to detect nasal pressure airflow signals recorded by polysomnography (PSG) automatically. The performance of the model was assessed by its sensitivity, specificity, accuracy, and F1-score. We built OSASS based on MrResNet to estimate the apnea.hypopnea index (AHI) and to classify the severity of OSA, and compared the agreement between OSASS output and the registered polysomnographic technologist (RPSGT) score, assessed by two technologists. Results: In the primary test set, the sensitivity, specificity, accuracy, and F1-score of MrResNet were 90.8%, 90.5%, 91.2%, and 90.5%, respectively. In the independent test set, the Spearman correlation for AHI between OSASS and the RPSGT score determined by two technologists was 0.94 (p < 0.001) and 0.96 (p < 0.001), respectively. Cohen's Kappa scores for classification between OSASS and the two technologists' scores were 0.81 and 0.84, respectively. Conclusion: Our results indicated that OSASS can automatically diagnose and classify OSA using signals from a single-channel nasal pressure airflow, which is consistent with polysomnographic technologists' findings. Thus, OSASS holds promise for clinical application.
基金:
National Key R&D Program of China [2020YFC1316903, 2018YFB1404402]; Science and Technology Program of Guangzhou of China [201704020092, 20180203004, 201804010314]; 5010 Clinical Research Program of Sun Yat-sen University [2017004]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81972528]; Major Program of National Social Science Fund of China [19ZDA041]
第一作者机构:[1]Otorhinolaryngology Hospital, The FirstAffiliated Hospital, Sun Yat-senUniversity, Guangzhou, 510080, People’sRepublic of China
共同第一作者:
通讯作者:
通讯机构:[1]Otorhinolaryngology Hospital, The FirstAffiliated Hospital, Sun Yat-senUniversity, Guangzhou, 510080, People’sRepublic of China[2]School of ComputerScience, South China Normal University,Guangzhou, 510631, People’s Republic ofChina[*1]Otorhinolaryngology Hospital, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan Road II, Guangzhou, Guangdong, 510080, People’s Republic of China[*2]School of Computer Science, South China Normal University, 55 West Zhongshan Avenue, Guangzhou, Guangdong, 510631, People’s Republic of China
推荐引用方式(GB/T 7714):
Yue Huijun,Lin Yu,Wu Yitao,et al.Deep Learning for Diagnosis and Classification of Obstructive Sleep Apnea: A Nasal Airflow-Based Multi-Resolution Residual Network[J].NATURE AND SCIENCE OF SLEEP.2021,13:361-373.doi:10.2147/NSS.S297856.
APA:
Yue, Huijun,Lin, Yu,Wu, Yitao,Wang, Yongquan,Li, Yun...&Lei, Wenbin.(2021).Deep Learning for Diagnosis and Classification of Obstructive Sleep Apnea: A Nasal Airflow-Based Multi-Resolution Residual Network.NATURE AND SCIENCE OF SLEEP,13,
MLA:
Yue, Huijun,et al."Deep Learning for Diagnosis and Classification of Obstructive Sleep Apnea: A Nasal Airflow-Based Multi-Resolution Residual Network".NATURE AND SCIENCE OF SLEEP 13.(2021):361-373