1. Automatic Cyclic Alternating Pattern (CAP) analysis: Local and multi-trace approaches
- Author
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Fantozzi, M. P. T., Faraguna, U., Ugon, A., Ciuti, G., Pinna, A., University of Pisa - Università di Pisa, Systèmes Electroniques (SYEL), LIP6, Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), IRCCS Fondazione Stella Maris [Pisa], ESIEE Paris, and Scuola Universitaria Superiore Sant'Anna [Pisa] (SSSUP)
- Subjects
Signal filtering ,Physiology ,Machine Learning ,Visual inspection ,Medical Conditions ,Medicine and Health Sciences ,Clinical Neurophysiology ,Brain Mapping ,Applied Mathematics ,Simulation and Modeling ,Electroencephalography ,Sleep disorders ,Electrophysiology ,Bioassays and Physiological Analysis ,Brain Electrophysiology ,Neurology ,Physical Sciences ,Engineering and Technology ,Medicine ,Sleep Stages ,Algorithms ,Research Article ,Sleep Wake Disorders ,Computer and Information Sciences ,Insomnia ,Imaging Techniques ,Polysomnography ,Science ,Neurophysiology ,Neuroimaging ,Research and Analysis Methods ,Case-Control Studies ,Humans ,Sleep ,Machine Learning Algorithms ,Artificial Intelligence ,[INFO]Computer Science [cs] ,Support vector machines ,Electrophysiological Techniques ,Biology and Life Sciences ,Bandpass filters ,Dyssomnias ,Signal Processing ,Clinical Medicine ,Physiological Processes ,Mathematics ,Neuroscience - Abstract
International audience; The Cyclic Alternating Pattern (CAP) is composed of cycles of two different electroencephalographic features: an activation A-phase followed by a B-phase representing the background activity. CAP is considered a physiological marker of sleep instability. Despite its informative nature, the clinical applications remain limited as CAP analysis is a time-consuming activity. In order to overcome this limit, several automatic detection methods were recently developed. In this paper, two new dimensions were investigated in the attempt to optimize novel, efficient and automatic detection algorithms: 1) many electroencephalographic leads were compared to identify the best local performance, and 2) the global contribution of the concurrent detection across several derivations to CAP identification. The developed algorithms were tested on 41 polysomnographic recordings from normal (n = 8) and pathological (n = 33) subjects. In comparison with the visual CAP analysis as the gold standard, the performance of each algorithm was evaluated. Locally, the detection on the F4-C4 derivation showed the best performance in comparison with all other leads, providing practical suggestions of electrode montage when a lean and minimally invasive approach is preferable. A further improvement in the detection was achieved by a multi-trace method, the Global Analysis-Common Events, to be applied when several recording derivations are available. Moreover, CAP time and CAP rate obtained with these algorithms positively correlated with the ones identified by the scorer. These preliminary findings support efficient automated ways for the evaluation of the sleep instability, generalizable to both normal and pathological subjects affected by different sleep disorders.
- Published
- 2021