Sleep Apnea Severity Estimation from Respiratory Related Movements Using Deep Learning

Abstract

Sleep apnea is a common chronic respiratory disorder which occurs due to the repetitive complete or partial cessations of breathing during sleep. The gold standard assessment of sleep apnea requires full night polysomnography in a sleep laboratory which is expensive, time consuming, and inconvenient. Hence, there is an urgent need for a convenient, robust and wearable monitoring device for screening of sleep apnea. A simple and convenient accelerometer-based portable system is presented to estimate the severity of sleep apnea by analyzing tracheal movements. Respiratory related movements were recorded over the suprasternal notch using a 3D accelerometer. Twenty-one physiological features (7 features, 3 accelerometer channels) were extracted. Performance of three different deep learning models - convolutional neural network, recurrent neural network, and their combination - were evaluated for estimating the apnea hypopnea index (AHI). The estimated AHI is compared to the gold standard polysomnography. In 3-fold cross-validation experiments with 20 participants (9 female, age=47.8±18.0 years, BMI=30.8±4.8, AHI=22.2±21.8 events/hr), we achieved a correlation coefficient between gold standard and estimated values (r-value = 0.84). The proposed system is an accurate, convenient, and portable device suitable for home sleep apnea screening.