Screening of obstructive sleep apnea using Hilbert-Huang decomposition of oronasal airway pressure recordings.

作者: P. Caseiro , R. Fonseca-Pinto , A. Andrade

DOI: 10.1016/J.MEDENGPHY.2010.01.008

关键词: Sleep (system call)Sleep apneaSleep disorderInternal medicineReproducibilityMedicineAirwayCardiologyHilbert–Huang transformObstructive sleep apneaPolysomnographyAnesthesia

摘要: Abstract Polysomnographic signals are usually recorded from patients exhibiting symptoms related to sleep disorders such as obstructive apnea (OSA). Analysis of polysomnographic data allows for the determination type and severity or other sleep-related by a specialist technician. The usual procedure entails an overnight recording several hours long. This paper presents methodology help with screening OSA using 5-min oronasal airway pressure signal emanating during awake period, eschewing need recording. clinical sample consisted total 41 subjects, 20 non-OSA individuals 21 OSA. A analysis technique based on Hilbert–Huang transform was used extract intrinsic oscillatory modes signals. frequency distribution both first mode second their sum were shown differ significantly between subjects patients. An index measure frequencies yielded sensitivity 81.0% (for 95% specificity) detection Two measures relation area maximum 1st 2nd halves histogram 76.2% specificity). Although further tests will be needed test reproducibility these results, proposed seem provide fast method screen patients, thus reducing costs waiting time diagnosis.

参考文章(29)
Eun Yeon Joo, Woo Suk Tae, Sun Jung Han, Jae-Wook Cho, Seung Bong Hong, Reduced Cerebral Blood Flow During Wakefulness In Obstructive Sleep Apnea-Hypopnea Syndrome Sleep. ,vol. 30, pp. 1515- 1520 ,(2007) , 10.1093/SLEEP/30.11.1515
Patrick Flandrin, Paulo Gonçalves, Gabriel Rilling, On empirical mode decomposition and its algorithms Proceedings of IEEE-EURASIP Workshop on Nonlinear Signal and Image Processing NSIP-03. ,(2003)
Norden E Huang, Samuel S P Shen, Hilbert-Huang transform and its applications World Scientific. ,(2005) , 10.1142/8804
Holger Steltner, Richard Staats, Jens Timmer, Michael Vogel, Josef Guttmann, Heinrich Matthys, J. Christian Virchow, Diagnosis of sleep apnea by automatic analysis of nasal pressure and forced oscillation impedance. American Journal of Respiratory and Critical Care Medicine. ,vol. 165, pp. 940- 944 ,(2002) , 10.1164/AJRCCM.165.7.2106018
Jingtian Tang, Qing Zou, Yan Tang, Bin Liu, Xiao-kai Zhang, Hilbert-Huang Transform for ECG De-Noising international conference on bioinformatics and biomedical engineering. pp. 664- 667 ,(2007) , 10.1109/ICBBE.2007.173
MO Mendez, J Corthout, Sabine Van Huffel, Matteo Matteucci, T Penzel, Sergio Cerutti, AM Bianchi, Automatic screening of Obstructive Sleep Apnea from the ECG based on Empirical Mode Decomposition and wavelet analysis international conference of the ieee engineering in medicine and biology society. ,vol. 2008, pp. 3608- 3611 ,(2008) , 10.1109/IEMBS.2008.4649987
R. Fonseca-Pinto, J.L. Ducla-Soares, F. Araújo, P. Aguiar, A. Andrade, On the influence of time-series length in EMD to extract frequency content: simulations and models in biomedical signals Medical Engineering & Physics. ,vol. 31, pp. 713- 719 ,(2009) , 10.1016/J.MEDENGPHY.2009.02.001
S.R. Qin, Y.M. Zhong, A new envelope algorithm of Hilbert-Huang Transform Mechanical Systems and Signal Processing. ,vol. 20, pp. 1941- 1952 ,(2006) , 10.1016/J.YMSSP.2005.07.002
O.A. Rosso, M.T. Martin, A. Figliola, K. Keller, A. Plastino, EEG analysis using wavelet-based information tools Journal of Neuroscience Methods. ,vol. 153, pp. 163- 182 ,(2006) , 10.1016/J.JNEUMETH.2005.10.009