Deep Recurrent Neural Networks for Automatic Detection of Sleep Apnea from Single Channel Respiration Signals

• Published in: Sensors (Basel, Switzerland) Vol. 20; no. 18; p. 5037
• Main Authors: ElMoaqet, Hisham, Eid, Mohammad, Glos, Martin, Ryalat, Mutaz, Penzel, Thomas
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 04-09-2020; MDPI
• Subjects: Abdomen; Air flow; deep learning; Humans; Inductance; long short-term memory; Neural networks; Neural Networks, Computer; Plethysmography; Polysomnography; recurrent neural network; Recurrent neural networks; Respiration; Sensors; Sleep; Sleep apnea; Sleep Apnea Syndromes - diagnosis; sleep-disordered breathing; Germany; deep learning; recurrent neural network; sleep-disordered breathing; sleep apnea; long short-term memory
• ISSN: 1424-8220; 1424-8220
• DOI: 10.3390/s20185037

Sleep apnea is a common sleep disorder that causes repeated breathing interruption during sleep. The performance of automated apnea detection methods based on respiratory signals depend on the signals considered and feature extraction methods. Moreover, feature engineering techniques are highly dependent on the experts' experience and their prior knowledge about different physiological signals and conditions of the subjects. To overcome these problems, a novel deep recurrent neural network (RNN) framework is developed for automated feature extraction and detection of apnea events from single respiratory channel inputs. Long short-term memory (LSTM) and bidirectional long short-term memory (BiLSTM) are investigated to develop the proposed deep RNN model. The proposed framework is evaluated over three respiration signals: Oronasal thermal airflow (FlowTh), nasal pressure (NPRE), and abdominal respiratory inductance plethysmography (ABD). To demonstrate our results, we use polysomnography (PSG) data of 17 patients with obstructive, central, and mixed apnea events. Our results indicate the effectiveness of the proposed framework in automatic extraction for temporal features and automated detection of apneic events over the different respiratory signals considered in this study. Using a deep BiLSTM-based detection model, the NPRE signal achieved the highest overall detection results with true positive rate (sensitivity) = 90.3%, true negative rate (specificity) = 83.7%, and area under receiver operator characteristic curve = 92.4%. The present results contribute a new deep learning approach for automated detection of sleep apnea events from single channel respiration signals that can potentially serve as a helpful and alternative tool for the traditional PSG method.