Neural network analysis of sleep stages enables efficient diagnosis of narcolepsy
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Neural network analysis of sleep stages enables efficient diagnosis of narcolepsy. / Stephansen, Jens B; Olesen, Alexander N; Olsen, Mads; Ambati, Aditya; Leary, Eileen B; Moore, Hyatt E; Carrillo, Oscar; Lin, Ling; Han, Fang; Yan, Han; Sun, Yun L; Dauvilliers, Yves; Scholz, Sabine; Barateau, Lucie; Hogl, Birgit; Stefani, Ambra; Hong, Seung Chul; Kim, Tae Won; Pizza, Fabio; Plazzi, Giuseppe; Vandi, Stefano; Antelmi, Elena; Perrin, Dimitri; Kuna, Samuel T; Schweitzer, Paula K; Kushida, Clete; Peppard, Paul E; Sorensen, Helge B D; Jennum, Poul; Mignot, Emmanuel.
I: Nature Communications, Bind 9, 5229, 2018.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Neural network analysis of sleep stages enables efficient diagnosis of narcolepsy
AU - Stephansen, Jens B
AU - Olesen, Alexander N
AU - Olsen, Mads
AU - Ambati, Aditya
AU - Leary, Eileen B
AU - Moore, Hyatt E
AU - Carrillo, Oscar
AU - Lin, Ling
AU - Han, Fang
AU - Yan, Han
AU - Sun, Yun L
AU - Dauvilliers, Yves
AU - Scholz, Sabine
AU - Barateau, Lucie
AU - Hogl, Birgit
AU - Stefani, Ambra
AU - Hong, Seung Chul
AU - Kim, Tae Won
AU - Pizza, Fabio
AU - Plazzi, Giuseppe
AU - Vandi, Stefano
AU - Antelmi, Elena
AU - Perrin, Dimitri
AU - Kuna, Samuel T
AU - Schweitzer, Paula K
AU - Kushida, Clete
AU - Peppard, Paul E
AU - Sorensen, Helge B D
AU - Jennum, Poul
AU - Mignot, Emmanuel
PY - 2018
Y1 - 2018
N2 - Analysis of sleep for the diagnosis of sleep disorders such as Type-1 Narcolepsy (T1N) currently requires visual inspection of polysomnography records by trained scoring technicians. Here, we used neural networks in approximately 3,000 normal and abnormal sleep recordings to automate sleep stage scoring, producing a hypnodensity graph-a probability distribution conveying more information than classical hypnograms. Accuracy of sleep stage scoring was validated in 70 subjects assessed by six scorers. The best model performed better than any individual scorer (87% versus consensus). It also reliably scores sleep down to 5 s instead of 30 s scoring epochs. A T1N marker based on unusual sleep stage overlaps achieved a specificity of 96% and a sensitivity of 91%, validated in independent datasets. Addition of HLA-DQB1*06:02 typing increased specificity to 99%. Our method can reduce time spent in sleep clinics and automates T1N diagnosis. It also opens the possibility of diagnosing T1N using home sleep studies.
AB - Analysis of sleep for the diagnosis of sleep disorders such as Type-1 Narcolepsy (T1N) currently requires visual inspection of polysomnography records by trained scoring technicians. Here, we used neural networks in approximately 3,000 normal and abnormal sleep recordings to automate sleep stage scoring, producing a hypnodensity graph-a probability distribution conveying more information than classical hypnograms. Accuracy of sleep stage scoring was validated in 70 subjects assessed by six scorers. The best model performed better than any individual scorer (87% versus consensus). It also reliably scores sleep down to 5 s instead of 30 s scoring epochs. A T1N marker based on unusual sleep stage overlaps achieved a specificity of 96% and a sensitivity of 91%, validated in independent datasets. Addition of HLA-DQB1*06:02 typing increased specificity to 99%. Our method can reduce time spent in sleep clinics and automates T1N diagnosis. It also opens the possibility of diagnosing T1N using home sleep studies.
KW - Adolescent
KW - Adult
KW - Aged
KW - Algorithms
KW - Cohort Studies
KW - Female
KW - HLA-DQ beta-Chains/analysis
KW - Humans
KW - Male
KW - Middle Aged
KW - Narcolepsy/diagnosis
KW - Neural Networks (Computer)
KW - Polysomnography
KW - Sensitivity and Specificity
KW - Sleep Stages/immunology
KW - Young Adult
U2 - 10.1038/s41467-018-07229-3
DO - 10.1038/s41467-018-07229-3
M3 - Journal article
C2 - 30523329
VL - 9
JO - Nature Communications
JF - Nature Communications
SN - 2041-1723
M1 - 5229
ER -
ID: 216471926