利用实验室和家庭记录验证无失眠的快速眼动睡眠自动检测。

IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY
Daniel J Levendowski, Lana M Chahine, Simon J G Lewis, Thomas J Finstuen, Andrea Galbiati, Chris Berka, Sherri Mosovsky, Hersh Parikh, Jack Anderson, Christine M Walsh, Joyce K Lee-Iannotti, Thomas C Neylan, Luigi Ferini Strambi, Bradley F Boeve, Erik K St Louis
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引用次数: 0

摘要

研究目的评估快速动眼期睡眠行为障碍(RBD)患者和对照组(CG)的视觉评分与自动检测快速动眼期无失张睡眠(RSWA)之间的一致性,以及室内自动检测快速动眼期无失张睡眠(RSWA)的有效性和可靠性:方法:在对 24 名孤立的 RBD 患者进行实验室多导睡眠图检查时,同时采集睡眠分析仪信号。将由睡眠技术专家目测评分的下巴和手臂RSWA测量值与设计用于自动检测RSWA的算法进行比较。在第二个队列中,通过多晚家庭记录评估了自动 RSWA 检测区分 RBD 和 CG(分别为 21 人和 42 人)的准确性:在实验室研究中,来自下巴和手臂的目测 RSWA 与自动评分 RSWA 之间的一致性非常好,类内相关性分别为 0.89 和 0.95,根据 Kappa 评分,两者之间的相关性分别为 0.68 和 0.74。在对 iRBD 患者和对照组进行分类时,根据室内记录自动检测到的 RSWA 密度得出的下巴特异性为 0.88,手臂特异性为 0.93,下巴或手臂特异性为 0.90,而灵敏度分别为 0.81、0.81 和 0.86。根据0.81、0.79和0.84的类内相关性,各自动检测到的RSWA密度的夜间一致性良好,但在异常RSWA检测中也观察到一些夜间间的差异:结论:与专家目测 RSWA 评分相比,自动 RSWA 检测显示出检测 RBD 的前景。在家中获得的下巴和手臂 RSWA 密度的夜间可靠性相当。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Validation of automated detection of REM sleep without atonia using in-laboratory and in-home recordings.

Study objectives: To evaluate the concordance between visual scoring and automated detection of REM sleep without atonia (RSWA) and the validity and reliability of in-home automated-RSWA detection in REM sleep behavior disorder (RBD) patients and a control group (CG).

Methods: Sleep Profiler signals were acquired during simultaneous in-laboratory polysomnography in 24 isolated RBD patients. Chin and arm RSWA measures visually scored by an expert sleep technologist were compared to algorithms designed to automate RSWA detection. In a second cohort, the accuracy of automated-RSWA detection for discriminating between RBD and CG (n = 21 and 42, respectively) was assessed in multi-night in-home recordings.

Results: For the in-laboratory studies, agreement between visual and auto-scored RSWA from the chin and arm were excellent, with intra-class correlations of 0.89 and 0.95, respectively, and substantial, based on Kappa scores of 0.68 and 0.74, respectively. For classification of iRBD patients versus controls, specificities derived from auto-detected RSWA densities obtained from in-home recordings were 0.88 for the chin, 0.93 for the arm, and 0.90 for the chin or arm, while the sensitivities were 0.81, 0.81 and 0.86, respectively. The night-to-night consistencies of the respective auto-detected RSWA densities were good based on intra-class correlations of 0.81, 0.79 and 0.84, however some night-to-night disagreements in abnormal RSWA detection were observed.

Conclusions: When compared to expert visual RSWA scoring, automated RSWA detection demonstrates promise for detection of RBD. The night-to-night reliability of chin- and arm-RSWA densities acquired in-home were equivalent.

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来源期刊
CiteScore
6.20
自引率
7.00%
发文量
321
审稿时长
1 months
期刊介绍: Journal of Clinical Sleep Medicine focuses on clinical sleep medicine. Its emphasis is publication of papers with direct applicability and/or relevance to the clinical practice of sleep medicine. This includes clinical trials, clinical reviews, clinical commentary and debate, medical economic/practice perspectives, case series and novel/interesting case reports. In addition, the journal will publish proceedings from conferences, workshops and symposia sponsored by the American Academy of Sleep Medicine or other organizations related to improving the practice of sleep medicine.
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