Multimodal sleep staging network based on obstructive sleep apnea.

Background: Automatic sleep staging is essential for assessing sleep quality and diagnosing sleep disorders. While previous research has achieved high classification performance, most current sleep staging networks have only been validated in healthy populations, ignoring the impact of Obstructive Sleep Apnea (OSA) on sleep stage classification. In addition, it remains challenging to effectively improve the fine-grained detection of polysomnography (PSG) and capture multi-scale transitions between sleep stages. Therefore, a more widely applicable network is needed for sleep staging.

Methods: This paper introduces MSDC-SSNet, a novel deep learning network for automatic sleep stage classification. MSDC-SSNet transforms two channels of electroencephalogram (EEG) and one channel of electrooculogram (EOG) signals into time-frequency representations to obtain feature sequences at different temporal and frequency scales. An improved Transformer encoder architecture ensures temporal consistency and effectively captures long-term dependencies in EEG and EOG signals. The Multi-Scale Feature Extraction Module (MFEM) employs convolutional layers with varying dilation rates to capture spatial patterns from fine to coarse granularity. It adaptively fuses the weights of features to enhance the robustness of the model. Finally, multiple channel data are integrated to address the heterogeneity between different modalities effectively and alleviate the impact of OSA on sleep stages.

Results: We evaluated MSDC-SSNet on three public datasets and our collection of PSG records of 17 OSA patients. It achieved an accuracy of 80.4% on the OSA dataset. It also outperformed the state-of-the-art methods in terms of accuracy, F1 score, and Cohen's Kappa coefficient on the remaining three datasets.

Conclusion: The MSDC-SSRNet multi-channel sleep staging architecture proposed in this study enhances widespread system applicability by supplementing inter-channel features. It employs multi-scale attention to extract transition rules between sleep stages and effectively integrates multimodal information. Our method address the limitations of single-channel approaches, enhancing interpretability for clinical applications.