Sleep apnea detection with polysomnography and depth sensors

Abstract

This paper is devoted to proving two goals, to show that various depth sensors can be used to record breathing rate with the same accuracy as contact sensors used in polysomnography (PSG), in addition to proving that breathing signals from depth sensors have the same sensitivity to breathing changes as in PSG records. The breathing signal from depth sensors can be used for classification of sleep apnea events with the same success rate as with PSG data. The recent development of computational technologies has led to a big leap in the usability of range imaging sensors. New depth sensors are smaller, have a higher sampling rate, with better resolution, and have bigger precision. They are widely used for computer vision in robotics, but they can be used as non-contact and non-invasive systems for monitoring breathing and its features. The breathing rate can be easily represented as the frequency of a recorded signal. All tested depth sensors (MS Kinect v2, RealSense SR300, R200, D415 and D435) are capable of recording depth data with enough precision in depth sensing and sampling frequency in time (20–35 frames per second (FPS)) to capture breathing rate. The spectral analysis shows a breathing rate between 0.2 Hz and 0.33 Hz, which corresponds to the breathing rate of an adult person during sleep. To test the quality of breathing signal processed by the proposed workflow, a neural network classifier (simple competitive NN) was trained on a set of 57 whole night polysomnographic records with a classification of sleep apneas by a sleep specialist. The resulting classifier can mark all apnea events with 100% accuracy when compared to the classification of a sleep specialist, which is useful to estimate the number of events per hour. When compared to the classification of polysomnographic breathing signal segments by a sleep specialist, which is used for calculating length of the event, the classifier has an F1 score of 92.2% (sensitivity 89.1% and specificity 98.8%). The classifier also proves successful when tested on breathing signals from MS Kinect v2 and RealSense R200 with simulated sleep apnea events. The whole process can be fully automatic after implementation of automatic chest area segmentation of depth data.