Probabilistic neural network approach for the detection of SAHS from overnight pulse oximetry

Medical and Biological Engineering and Computing

Volumn 51, Issue 3, 2013, Pages 305-315

  Morillo, Daniel Sánchez ^a   Gross, Nicole ^b  

^a UNIVERSITY OF CÁDIZ   (Spain)

^b FZI RESEARCH CENTER FOR INFORMATION TECHNOLOGY   (Germany)

Author keywords

Cross validation; Multiparametric; Multivariate; Probabilistic neural network; Pulse oximetry; SAHS; Screening; Sleep apnea; SpO2

Indexed keywords

CROSS VALIDATION; MULTIPARAMETRIC; MULTIVARIATE; PROBABILISTIC NEURAL NETWORKS; PULSE OXIMETRY; SAHS; SLEEP APNEA; SPO2;

FREQUENCY BANDS; OXIMETERS; OXYGEN; SCREENING; STATISTICAL METHODS;

NEURAL NETWORKS;

ADULT; APNEA HYPOPNEA INDEX; ARTICLE; BLOOD OXYGEN TENSION; DIAGNOSTIC TEST ACCURACY STUDY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; NERVE CELL NETWORK; OXYGEN DESATURATION; POLYSOMNOGRAPHY; PROBABILITY; PULSE OXIMETRY; RECEIVER OPERATING CHARACTERISTIC; SENSITIVITY AND SPECIFICITY; SLEEP APNEA HYPOPNOEA SYNDROME; SLEEP DISORDERED BREATHING; AGED; ANALYSIS OF VARIANCE; ARTIFICIAL NEURAL NETWORK; METHODOLOGY; OXIMETRY; PATHOPHYSIOLOGY; REPRODUCIBILITY; VERY ELDERLY; PROCEDURES; SLEEP APNEA, OBSTRUCTIVE;

ADULT; AGED; AGED, 80 AND OVER; ANALYSIS OF VARIANCE; FEMALE; HUMANS; MALE; MIDDLE AGED; NEURAL NETWORKS (COMPUTER); OXIMETRY; POLYSOMNOGRAPHY; REPRODUCIBILITY OF RESULTS; ROC CURVE; SLEEP APNEA, OBSTRUCTIVE;

EID: 84885615137     PISSN: 01400118     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11517-012-0995-4     Document Type: Article

References (36)

1. AlGhanim N, Comondore VR, Fleetham J, Marra CA, Ayas NT (2008) The economic impact of obstructive sleep apnea. Lung 186(1):7-12
2. Álvarez D, Hornero R, Abásolo D, del Campo F, Zamarrón C (2006) Nonlinear characteristics of blood oxygen saturation from nocturnal oximetry for obstructive sleep apnoea detection. Physiol Meas 27(4):399-412
3. Álvarez D, Hornero R, Marcos JV, del Campo F (2010) Multivariate analysis of blood oxygen saturation recordings in obstructive sleep apnea diagnosis. IEEE Trans Biomed Eng 57:2816-2824
4. American Academy of Sleep Medicine Task Force (1999) Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. Sleep 22(5):667-689
5. Bagai K (2010) Obstructive sleep apnea, stroke, and cardiovascular diseases. Neurologist 16(6):329-339
6. Bakker JP, Malhotra A, Patel SR (2012) Essentials of sleep medicine. In: Badr MS (ed) Obstructive sleep apnea: epidemiology of sleep apnea. Springer, Berlin, pp 91-114
7. Chiner E, Signes-Costa J, Arriero JM, Marco J, Fuentes I, Sergado A (1999) Nocturnal oximetry for the diagnosis of the sleep apnoea hypopnoea syndrome: a method to reduce the number of polysomnographies? Thorax 54:968-971
8. Del Campo F, Hornero R, Zamarron C, Abasolo DE, Alvarez D (2006) Oxygen saturation regularity analysis in the diagnosis of obstructive sleep apnea. Artif Intell Med 37(2):111-118
9. Dutta K, Prakash N, Kaushik S (2010) Probabilistic neural network approach to the classification of demonstrative pronouns for indirect anaphora in Hindi. Expert Syst Appl 37(8):5607-5613
10. Fawcett T (2006) An introduction to ROC analysis. Pattern Recogn Lett 27(8):861-874
11. Finkel K, Searleman A, Tymkew H, Finkel KJ, Searleman AC, Tymkew H, Tanaka CY, Saager L, Safer-Zadeh E, Bottros M, Selvidge JA, Jacobsohn E, Pulley D, Duntley S, Becker C, Avidan MS (2009) Prevalence of undiagnosed obstructive sleep apnea among adult surgical patients in an academic medical center. Sleep Med 10(7):753-758
12. Flemons WW, Littner MR, Rowley JA, Gay P, Anderson WM, Hudgel DW, McEvoy RD, Loube DI (2003) Home diagnosis of sleep apnea: a systematic review of the literature. An evidence review cosponsored by the American Academy of Sleep Medicine, the American College of Chest Physicians, and the American Thoracic Society. Chest 124(4):1543-1579
13. Gross N, Friedmann J, Kunze C, Stork W, Morillo DS, Jimenez AL, Foix LFC (2011) Increasing reliability and information content of pulse oximetric SAHS screening algorithms. In: BIOSIGNALS - Proceedings of the International Conference on Bio-Inspired Systems and Signal Processing, pp 438-445
14. Herer B, Roche N, Carton M, Roig C, Poujol V, Huchon G (1999) Value of clinical, functional, and oximetric data for the prediction of obstructive sleep apnea in obese patients. Chest 116:1537-1544
15. Hornero R, Álvarez D, Abásolo D, del Campo F, Zamarrón C (2007) Utility of approximate entropy from overnight pulse oximetry data in the diagnosis of the obstructive sleep apnea syndrome. IEEE Trans Biomed Eng 54(1):107-113
16. Hua CC, Yu CC (2007) Smoothed periodogram of oxyhemoglobin saturation by pulse oximetry in sleep apnea syndrome. Chest 131:750-757
17. Kapur V, Blough D, Sandblom R, Hert R, de Maine JB, Sullivan SD, Psaty BM (1999) The medical cost of undiagnosed sleep apnea. Sleep 22(6):749-755
18. Levy P, Pépin JL, Deschaux-Blanc C, Paramelle B, Brambilla C (1996) Accuracy of oximetry for detection of respiratory disturbances in sleep apnea syndrome. Chest 109:395-399
19. Magalang U, Dmochowski J, Veeramachaneni S, Draw A, Mador M, El-Solh A, Grant B (2003) Prediction of the apnea-hypopnea prediction of the apnea-hypopnea index from overnight pulse oximetry index. Chest 124(5):1694-1701
20. Marcos JV, Hornero R, Álvarez D, del Campo F, Zamarrón C (2009) Assessment of four statistical pattern recognition techniques to assist in obstructive sleep apnoea diagnosis from nocturnal oximetry. Med Eng Phys 31:971-978
21. Marcos JV, Hornero R, Álvarez D, del Campo F, Aboy M (2010) Automated detection of obstructive sleep apnoea syndrome from oxygen saturation recordings using linear discriminant analysis. Med Biol Eng Comput 48:895-902
22. Mayer G, Fietze I, Fischer J, Penzel T, Riemann D, Rodenbeck A, Sitter H, Teschler H, Becker HF, Ficker J, Geisler P, Happe S, Hornyak M, Kotterba S, Orth M, Podszus T, Raschke F, Randerath W, Rühle KH, Stiasny-Kolster K, Walther B, Wiater A (2009) S3-Leitlinie Nicht erholsamer Schlaf/ Schlafstörungen. Somnologie 13:4-160
23. Morillo DS, Rojas JL, Crespo LF, León A, Gross N (2009) Poincare analysis of an overnight arterial oxygen saturation signal applied to the diagnosis of sleep apnea hypopnea syndrome. Physiol Meas 30(4):405-420
24. Morillo DS, Gross N, León A, Crespo LF (2012) Automated frequency domain analysis of oxygen saturation as a screening tool for SAHS. Med Eng Phys 34(7):946-953
25. Netzer N, Eliasson AH, Netzer C, Kristo DA (2001) Overnight pulse oximetry for sleep-disordered breathing in adults. Chest 120:625-633
26. Parzen E (1962) On estimation of a probability density-function and mode. Ann Math Statist 33(3):1065-1076
27. Rauscher H, Popp W, Zwick H (1991) Computerized detection of respiratory events during sleep from rapid increases in oxyhemoglobin saturation. Lung 169(6):335-342
28. Rechtschaffen A, Kales A (eds) (1968) A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. US Department of Health, Education, and Welfare Public Health Service-NIH/NIND, Washington, DC
29. Rusch TL, Sankar R, Scharf JE (1996) Signal processing methods for pulse oximetry. Comput Biol Med 26(2):143-159
30. Specht DF (1990) Probabilistic neural networks and the polynomial adaline as complementary techniques for classification. IEEE Trans Neural Netw 1(1):111-121
31. Sunwoo BY, Pack AI, Gurubhagavatula I (2011) Diagnostic approaches to sleep-disordered breathing in the era of portable monitoring and biomarkers. Clin Pulm Med 18(4):192-200
32. Wolpert DH (1992) Stacked generalization. Neural Netw 5:241-259
33. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S (1993) The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 328(17):1230-1235
34. Young T, Evans L, Finn L, Palta M (1997) Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep 20:705-706
35. Zamarron C, Romero PV, Rodriguez JR, Gude F (1999) Oximetry spectral analysis in the diagnosis of obstructive sleep apnoea. Clin Sci 97(4):467-473
36. Zweig MH, Campbell G (1993) Receiver-operating characteristic (ROC) plots: a fundamental evaluation tool in clinical medicine. Clin Chem 39(4):561-577