Year 2024,
, 622 - 634, 01.06.2024
İlhan Umut
,
Hakan Üstünel
,
Güven Çentik
,
Erdem Uçar
,
Levent Öztürk
References
- [1] Gabran, S.R.I., Zhang, S., Salama M.M.A., and Mansour R.R., "Real-time automated neural-network sleep classifier using single channel EEG recording for detection of narcolepsy episodes", 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, IEEE, (2008). DOI: https://doi.org/10.1109/IEMBS.2008.4649361
- [2] Karakulak, E., "ARM MCU-Based Experimental EEG Signal Generator Using Internal DAC and PWM Outputs", Gazi University Journal of Science, 35(3): 886-894, (2022). DOI: https://doi.org/10.35378/gujs.860994
- [3] Darroudi, A., Parchami, J., Razavi, M.K., and Sarbisheie, G., "EEG adaptive noise cancellation using information theoretic approach”, Bio-medical Materials and Engineering, 28(4): 325-338, (2017). DOI: https://doi.org/10.3233/BME-171680
- [4] Malinowska, U., Durka, P.J., Blinowska, K., and Szelenberger, W., "Micro-and macrostructure of sleep EEG", IEEE Engineering in Medicine and Biology Magazine, 25(4): 26-31, (2006). DOI: https://doi.org/10.1109/MEMB.2006.1657784
- [5] Rechtschaffen, A., Kales, A., “Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages in Human Subjects”, Public Health Service, U.S. Government Printing Office, Washington, DC, (1968).
- [6] Ross, S.D., Allen, I.E., Harrison, K.J., Kvasz, M., Connelly, J., and Sheinhait, I.A., "Systematic review of the literature regarding the diagnosis of sleep apnea", Evidence Report/Technology Assessment (Summary), 1: 1-4, (1998). DOI: https://doi.org/10.1093/sleep/23.4.1f
- [7] Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., and Badr, S., "The occurrence of sleep-disordered breathing among middle-aged adults", New England Journal of Medicine, 328(17): 1230-1235, (1993). DOI: https://doi.org/10.1056/NEJM199304293281704
- [8] Kirby, S.D., Danter, W., George, C., Francovic, T., and Ferguson, K.A., "Neural network prediction of obstructive sleep apnea from clinical criteria", Chest, 116(2): 409-415, (1999). DOI: https://doi.org/10.1378/chest.116.2.409
- [9] Guilleminault, C., Ara, T., and Dement, W.C., "The sleep apnea syndromes", Annual Review of Medicine, 27(1): 465-484, (1976). DOI: https://doi.org/10.1146/annurev.me.27.020176.002341
- [10] Herer, B., Fuhrman, C., Roing, C., and Housset, B., "Prediction of obstructive sleep apnea by OxiFlow in overweight patients", Sleep Medicine, 3(5): 417-422, (2002). DOI: https://doi.org/10.1016/S1389-9457(02)00040-0
- [11] Kiely, J.L., Delahunty, C., Matthews, S., and McNicholas, W.T., "Comparison of a limited computerized diagnostic system (ResCare Autoset) with polysomnography in the diagnosis of obstructive sleep apnoea syndrome", European Respiratory Journal, 9(11): 2360-2364, (1996). DOI: https://doi.org/10.1183/09031936.96.09112360
- [12] Wang, Y., Xiao, Z., Fang, S., Li, W., Wang, J., and Zhao, X., "BI-Directional long short-term memory for automatic detection of sleep apnea events based on single channel EEG signal", Computers in Biology and Medicine, 142: 105211, (2022). DOI: https://doi.org/10.1016/j.compbiomed.2022.105211
- [13] Lee, J.M., Kim, D.J., Kim, I.Y., Park, K.S., and Kim, S.I., "Detrended fluctuation analysis of EEG in sleep apnea using MIT/BIH polysomnography data", Computers in biology and medicine, 32(1): 37-47, (2002). DOI: https://doi.org/10.1016/S0010-4825(01)00031-2
- [14] Herbert, J., "Report of the committee on methods of clinical examination in electroencephalography" Electroencephalography and Clinical Neurophysiology, 10: 370-375, (1958). DOI: https://doi.org/10.1016/0013-4694(58)90053-1
- [15] Kemp, B., Jesus, O., "European data format ‘plus’(EDF+), an EDF alike standard format for the exchange of physiological data" Clinical neurophysiology, 114(9): 1755-1761, (2003). DOI: https://doi.org/10.1016/S1388-2457(03)00123-8
- [16] Quan, S.F., Gillin, J.C., Littner, M.R., and Shepard J.W., "Sleep-related breathing disorders in adults: Recommendations for syndrome definition and measurement techniques in clinical research. editorials", Sleep (New York, NY), 22(5): 662-689, (1999).
- [17] Erl, T., “Service-Oriented Architecture a Field Guide to İntegrating XML and Web Services”, Prentice Hall, USA, 2-4: 18-44, (2004).
- [18] Dale, N.B., and John L., “Computer science illuminated”, Jones & Bartlett Learning, (2007).
- [19] Ucar, E., Süt, N., Gülyaşar, T., Umut, I., and Öztürk, L., "Can obstructive apnea and hypopnea during sleep be differentiated by using electroencephalographic frequency bands? Statistical analysis of receiver-operator curve characteristics", Turkish Journal of Medical Sciences, 41(4): 571-580, (2011). DOI: https://doi.org/10.3906/sag-1007-967
- [20] Torrence, C., and Gilbert P.C., "A practical guide to wavelet analysis", Bulletin of the American Meteorological Society, 79(1): 61-78, (1998). DOI: https://doi.org/10.1175/1520-0477(1998)079<0061: APGTWA>2.0.CO;2
- [21] Smith, S.W., “The Scientist and Engineer's Guide to Digital Signal Processing”, second ed., California Technical Publishing, San Diego, California, (1996).
- [22] Fliege, N.J., “Multirate Digital Signal Processing (Multirate Systems-Filter Banks-Wavelets)”, John Wiley & Sons, Chichester, (1996).
- [23] Fawcett, T., “An Introduction to ROC analysis”, Pattern Recognation Letterrs, 27 (8): 861-874, (2005).
- [24] Box, G.E.P., Hunter, J.S., and Hunter, W.G., “Statistics for Experimenters”, John Wiley & Sons, Inc., New Jersey, (2005).
Distinguishing Obstructive Sleep Apnea Using Electroencephalography Records
Year 2024,
, 622 - 634, 01.06.2024
İlhan Umut
,
Hakan Üstünel
,
Güven Çentik
,
Erdem Uçar
,
Levent Öztürk
Abstract
In this study, it was aimed to find out whether electroencephalographic (EEG) frequency bands can be used to distinguish people with obstructive sleep apnea (OSA) from those who do not have it. 11842 different cases taken from 121 patients suffering from OSA were combined with the case study of 30-person control group without sleep apnea. Apneas were highlighted at the respiration-record channels and EEG records which are concurrent with abnormal respiration cases were extracted from C4-A1 and C3-A2. Following that, they were examined with Fourier and Wavelet Transforms using a new software that was developed by us. The percentage values of Delta (0, 5-4 Hz), Theta (4-8 Hz), Alpha (8-13 Hz) and Beta (13-30 Hz) frequency bands were evaluated with the help of t-test and ROC Analysis to differentiate between apneas. The C3-A2 Beta (%) frequency level gave the highest distinguishing asset (AUC=0.662; p<0.001); however, the C3-A2 Alpha (%) level yielded the lowest distinguishing (AUC=0.536; p<0.001). Similarly, the C4-A1 Alpha (%) level produced the lowest distinguishing asset (AUC=0.536; p<0.001) whereas the C4-A1 Beta (%) frequency level gave the highest distinguishing asset (AUC=0.658; p<0.001). The chief finding of this study suggests that the EEG rates of patients with OSA differ from those of patients without OSA and following the changes at these channels may give rise to detection of apneas, and the Beta (%) yielded the most meaningful result among four different frequency bands in the study.
References
- [1] Gabran, S.R.I., Zhang, S., Salama M.M.A., and Mansour R.R., "Real-time automated neural-network sleep classifier using single channel EEG recording for detection of narcolepsy episodes", 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, IEEE, (2008). DOI: https://doi.org/10.1109/IEMBS.2008.4649361
- [2] Karakulak, E., "ARM MCU-Based Experimental EEG Signal Generator Using Internal DAC and PWM Outputs", Gazi University Journal of Science, 35(3): 886-894, (2022). DOI: https://doi.org/10.35378/gujs.860994
- [3] Darroudi, A., Parchami, J., Razavi, M.K., and Sarbisheie, G., "EEG adaptive noise cancellation using information theoretic approach”, Bio-medical Materials and Engineering, 28(4): 325-338, (2017). DOI: https://doi.org/10.3233/BME-171680
- [4] Malinowska, U., Durka, P.J., Blinowska, K., and Szelenberger, W., "Micro-and macrostructure of sleep EEG", IEEE Engineering in Medicine and Biology Magazine, 25(4): 26-31, (2006). DOI: https://doi.org/10.1109/MEMB.2006.1657784
- [5] Rechtschaffen, A., Kales, A., “Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages in Human Subjects”, Public Health Service, U.S. Government Printing Office, Washington, DC, (1968).
- [6] Ross, S.D., Allen, I.E., Harrison, K.J., Kvasz, M., Connelly, J., and Sheinhait, I.A., "Systematic review of the literature regarding the diagnosis of sleep apnea", Evidence Report/Technology Assessment (Summary), 1: 1-4, (1998). DOI: https://doi.org/10.1093/sleep/23.4.1f
- [7] Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., and Badr, S., "The occurrence of sleep-disordered breathing among middle-aged adults", New England Journal of Medicine, 328(17): 1230-1235, (1993). DOI: https://doi.org/10.1056/NEJM199304293281704
- [8] Kirby, S.D., Danter, W., George, C., Francovic, T., and Ferguson, K.A., "Neural network prediction of obstructive sleep apnea from clinical criteria", Chest, 116(2): 409-415, (1999). DOI: https://doi.org/10.1378/chest.116.2.409
- [9] Guilleminault, C., Ara, T., and Dement, W.C., "The sleep apnea syndromes", Annual Review of Medicine, 27(1): 465-484, (1976). DOI: https://doi.org/10.1146/annurev.me.27.020176.002341
- [10] Herer, B., Fuhrman, C., Roing, C., and Housset, B., "Prediction of obstructive sleep apnea by OxiFlow in overweight patients", Sleep Medicine, 3(5): 417-422, (2002). DOI: https://doi.org/10.1016/S1389-9457(02)00040-0
- [11] Kiely, J.L., Delahunty, C., Matthews, S., and McNicholas, W.T., "Comparison of a limited computerized diagnostic system (ResCare Autoset) with polysomnography in the diagnosis of obstructive sleep apnoea syndrome", European Respiratory Journal, 9(11): 2360-2364, (1996). DOI: https://doi.org/10.1183/09031936.96.09112360
- [12] Wang, Y., Xiao, Z., Fang, S., Li, W., Wang, J., and Zhao, X., "BI-Directional long short-term memory for automatic detection of sleep apnea events based on single channel EEG signal", Computers in Biology and Medicine, 142: 105211, (2022). DOI: https://doi.org/10.1016/j.compbiomed.2022.105211
- [13] Lee, J.M., Kim, D.J., Kim, I.Y., Park, K.S., and Kim, S.I., "Detrended fluctuation analysis of EEG in sleep apnea using MIT/BIH polysomnography data", Computers in biology and medicine, 32(1): 37-47, (2002). DOI: https://doi.org/10.1016/S0010-4825(01)00031-2
- [14] Herbert, J., "Report of the committee on methods of clinical examination in electroencephalography" Electroencephalography and Clinical Neurophysiology, 10: 370-375, (1958). DOI: https://doi.org/10.1016/0013-4694(58)90053-1
- [15] Kemp, B., Jesus, O., "European data format ‘plus’(EDF+), an EDF alike standard format for the exchange of physiological data" Clinical neurophysiology, 114(9): 1755-1761, (2003). DOI: https://doi.org/10.1016/S1388-2457(03)00123-8
- [16] Quan, S.F., Gillin, J.C., Littner, M.R., and Shepard J.W., "Sleep-related breathing disorders in adults: Recommendations for syndrome definition and measurement techniques in clinical research. editorials", Sleep (New York, NY), 22(5): 662-689, (1999).
- [17] Erl, T., “Service-Oriented Architecture a Field Guide to İntegrating XML and Web Services”, Prentice Hall, USA, 2-4: 18-44, (2004).
- [18] Dale, N.B., and John L., “Computer science illuminated”, Jones & Bartlett Learning, (2007).
- [19] Ucar, E., Süt, N., Gülyaşar, T., Umut, I., and Öztürk, L., "Can obstructive apnea and hypopnea during sleep be differentiated by using electroencephalographic frequency bands? Statistical analysis of receiver-operator curve characteristics", Turkish Journal of Medical Sciences, 41(4): 571-580, (2011). DOI: https://doi.org/10.3906/sag-1007-967
- [20] Torrence, C., and Gilbert P.C., "A practical guide to wavelet analysis", Bulletin of the American Meteorological Society, 79(1): 61-78, (1998). DOI: https://doi.org/10.1175/1520-0477(1998)079<0061: APGTWA>2.0.CO;2
- [21] Smith, S.W., “The Scientist and Engineer's Guide to Digital Signal Processing”, second ed., California Technical Publishing, San Diego, California, (1996).
- [22] Fliege, N.J., “Multirate Digital Signal Processing (Multirate Systems-Filter Banks-Wavelets)”, John Wiley & Sons, Chichester, (1996).
- [23] Fawcett, T., “An Introduction to ROC analysis”, Pattern Recognation Letterrs, 27 (8): 861-874, (2005).
- [24] Box, G.E.P., Hunter, J.S., and Hunter, W.G., “Statistics for Experimenters”, John Wiley & Sons, Inc., New Jersey, (2005).