Snoring sounds variability as a signature of obstructive sleep apnea

Medical Engineering and Physics

Volumn 35, Issue 4, 2013, Pages 479-485

  Azarbarzin, Ali ^a   Moussavi, Zahra ^a,b  

^a UNIVERSITY OF MANITOBA   (Canada)

^b Riverview Health Center   (Canada)

Author keywords

Classification; Linear discriminant analysis; Linear regression; Obstructive sleep apnea; Snoring sound; Spectral features

Indexed keywords

LINEAR DISCRIMINANT ANALYSIS; NON-PARAMETRIC STATISTICAL TESTS; OBSTRUCTIVE SLEEP APNEA; POLYSOMNOGRAPHY; SNORING SOUNDS; SPECTRAL FEATURE; TOTAL VARIATION NORM;

CLASSIFICATION (OF INFORMATION); LINEAR REGRESSION; STATISTICAL TESTS;

UNDERWATER ACOUSTICS;

ADULT; APNEA HYPOPNEA INDEX; ARTICLE; AUDIO RECORDING; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DISEASE ASSOCIATION; DISEASE SEVERITY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MICROPHONE; NONPARAMETRIC TEST; POLYSOMNOGRAPHY; PRIORITY JOURNAL; RESPIRATORY AIRFLOW; SENSITIVITY AND SPECIFICITY; SLEEP DISORDERED BREATHING; SNORING;

FEMALE; HUMANS; MALE; MIDDLE AGED; POLYSOMNOGRAPHY; REGRESSION ANALYSIS; SIGNAL PROCESSING, COMPUTER-ASSISTED; SLEEP APNEA, OBSTRUCTIVE; SNORING;

EID: 84876121155     PISSN: 13504533     EISSN: 18734030     Source Type: Journal    
DOI: 10.1016/j.medengphy.2012.06.013     Document Type: Article

References (36)

1. Martikainen K., Partinen M., Urponen H., Vuori I., Laippala P., Hasan J. Natural evolution of snoring: a 5-year follow-up study. Acta Neurol Scand 1994, 90:437-442.
2. Hoffstein V. Apnea and snoring: state of the art and future directions. Acta Otorhinolaryngol Belg 2002, 56:205-236.
3. Ketterer M., Brymer J., Rhoads K., Kraft P., Kenyon L. Snoring and the severity of coronary artery disease in men. Psychosom Med 1994, 56:232-236.
4. Lugaresi E., Cirignotta F., Coccagna C., Piana C. Some epidemiological data on snoring and cardiorespiratory disturbances. Sleep 1980, 3:221-224.
5. Palomaki H. Snoring and the risk of ischemic brain infarction. Stroke 1991, 22:1021-1025.
6. Polo O.J., Tafti M., Fraga J., Porkka K.V.K., Dejean Y., Billiard M., Why don't all heavy snorers have obstructive sleep apnea? Am J Respir Crit Care Med 1991, 143:1288-1293.
7. Suratt P.M., Wilhoit S.C., Cooper K. Induction of airway collapse with subatmospheric pressure in awake patients with sleep apnea. J Appl Physiol 1984, 57:140-146.
8. White D.P. Occlusion pressure and ventilation during sleep in normal humans. J Appl Physiol 1986, 61:1279-1287.
9. Gavriely N., Jensen O. Theory and measurements of snores. J Appl Physiol 1993, 74(6):2828-2837.
10. Shome B., Wang L.P., Santare M.H., Prasad A.K., Szeri A.Z., Roberts D. Modeling of airflow in the pharynx with application to sleep apnea. J Biomech Eng 1998, 120:416-422.
11. Guilleminault C., Stoohs R., Duncan S. Snoring (I). Daytime sleepiness in regular heavy snorers. Chest 1991, 99(1). 40-8.
12. Abeyratne U., Wakwella A., Hukins C. Pitch jump probability measures for the analysis of snoring sounds in apnea. Physiol Meas 2005, 26:779-798.
13. Sola-Soler J, Jane R, Fiz J, Morera J. Pitch analysis in snoring signals from simple snorers and patients with obstructive sleep apnea. Houston, TX; 2002.
14. Abeyratne U., Karunajeewa A., Hukins C. Mixed-phase modeling in snore sound analysis. Med Bio Eng Comput 2007, 45:791-806.
15. Ng AK, Wong KY, Tan CH, Koh TS. Bispectral analysis of snore signals for obstructive sleep apnea detection; 2007, p. 6195-98.
16. Ng A.K., Koh T.S., Baey E., Puvanendran K. Diagnosis of obstructive sleep apnea using formant features of snore signals 2007, vol. 14, no. 2. Springer, Berlin, Heidelberg, p. 967-970.
17. Michael H., Andreas S., Thomas B., Beatrice H., Werner H., Holger K. Analysed snoring sounds correlate to obstructive sleep disordered breathing. Eur Arch Otorhinolaryngol 2008, 265:105-113.
18. Ng A., Koh T., Abeyratne U., Puvanendran K. Investigation of obstructive sleep apnea using nonlinear mode interactions in nonstationary snore signals. Ann Biomed Eng 2009, 37:1796-1806.
19. Wilson K., Stoohs R.A., Mulrooney T.F., Johnson L.J., Guilleminault C., Huang Z. The snoring spectrum*: acoustic assessment of snoring sound intensity in 1139 individuals undergoing polysomnography. Chest 1999, 115:762-770.
20. Vogel C.R., Oman M.E. Iterative methods for total variation denoising. SIAM J Sci Comput 1996, 17:227-238.
21. Azarbarzin A., Moussavi Z. Automatic and unsupervised snore sound extraction from respiratory sound signals. IEEE Trans Biomed Eng 2011, 58:1156-1162.
22. Perez-Padilla J., Slawinski E., Difrancesco L., Feige R., Remmers J., Whitelaw W. Characteristics of the snoring noise in patients with and without occlusive sleep apnea. Am Rev Respir Dis 1993, 147(3):635-644.
23. Proakis J.G., Manolakis D.K. Digital signal processing 2006, Anonymous/4th; Prentice Hall.
24. Rabiner L., Schafer R. Digital processing of speech signals 1978, Anonymous Prentice-Hall, Englewood Cliffs, NJ.
25. Cohen M.E., Hudson D.L., Deedwania P.C. Applying continuous chaotic modeling to cardiac signal analysis Engineering in Medicine. Biol Mag IEEE 1996, 15:97-102.
26. Kvam P.H., Vidakovic B. Nonparametric statistics with applications to science and engineering 2007, Anonymous Wiley-Interscience.
27. Searle S.R. Linear models 1971, Anonymous John Wiley & Sons, Inc., New York.
28. Duda R., Hart P., Stork D. Pattern classification 2001, Anonymous John Wiley and Sons, Inc.
29. Burman P. A comparative study of ordinary cross-validation, v-fold cross-validation and the repeated learning-testing methods. Biometrika 1989, 76:503-514.
30. Nakano H., Hayashi M., Ohshima E., Nishikata N., Shinohara T. Validation of a new system of tracheal sound analysis for the diagnosis of sleep apnea-hypopnea syndrome. Sleep 2004, 27(5):951-957.
31. Younes M., Ostrowski M., Atkar R., Laprairie J., Siemens A., Hanly P. Mechanisms of breathing instability in patients with obstructive sleep apnea. J Appl Physiol 2007, 103:1929-1941.
32. Tvinnereim M., Cole P., Haight J.S., Hoffstein V. Diagnostic airway pressure recording in sleep apnea syndrome. Acta Otolaryngol 1995, 115:449-454.
33. Roldan G., Ang R.C. Overview of sleep disorders. Respir Care Clin N Am (Wb Saunders) 2006, 12:31-54.
34. Cavusoglu M., Ciloglu T., Serinagaoglu Y., Kamasak M., Erogul O., Akcam T. Investigation of sequential properties of snoring episodes for obstructive sleep apnoea identification. Physiol Meas 2008, 29:879-898.
35. Cavusoglu M., Kamasak M., Erogul O., Ciloglu T., Serinagaoglu Y., Akcam T. An efficient method for snore/nonsnore classification of sleep sounds. Physiol Meas 2007, 28:841-853.
36. Tsai W., Flemons W, Whitelaw W., Remmers J. A comparison of apnea-hypopnea indices derived from different definitions of hypopnea. Am J Respir Crit Care Med 1999, 159:43-48.