0481 Use of Continuous Wavelet Transform to Identify Central Sleep Apnoea from Overnight Oximetry Data

Abstract Introduction Overnight oximetry may be a useful tool to screen for sleep disordered breathing but, although reasonably specific, is not very sensitive. It cannot reliably distinguish central from obstructive sleep apnoea. The continuous wavelet transform is an advanced mathematical analysis...

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Veröffentlicht in:Sleep (New York, N.Y.) N.Y.), 2018-04, Vol.41 (suppl_1), p.A181-A182
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description Abstract Introduction Overnight oximetry may be a useful tool to screen for sleep disordered breathing but, although reasonably specific, is not very sensitive. It cannot reliably distinguish central from obstructive sleep apnoea. The continuous wavelet transform is an advanced mathematical analysis technique that yields a high resolution time-frequency spectrogram that is able to give more information regarding the finer details of the oximetry. The aim of this study is to determine the differences in the continuous wavelet transform, between central and obstructive sleep apnea. Methods A retrospective analysis of the continuous wavelet transform of oximetry data extracted from a cohort of 209 diagnostic sleep studies was performed. The spectral characteristics of central sleep apnoea were compared to those of obstructive sleep apnoea and normal sleep results. Results The oximetry spectrogram for central sleep apnoea shows a clear dominant frequency of desaturations across all sleep stages, with a decrease in amplitude during REM sleep. In contrast the oximetry spectrogram in obstructive sleep apnoea shows no clear dominant frequency across the sleep stages, and an increase in the amplitude and frequency variability during REM sleep. There is a significant difference in the prominence of the maximum amplitude and in the variability of the frequency of the maximum amplitude in central sleep apnoea compared to obstructive (5.3 (3.1 - 15) vs 3.1 (2.5 - 5.1), p=0.001 and 1 (0.5 - 2.3) vs 1.5 (1.1–2.2), p=0.002 respectively). Conclusion The continuous wavelet transform is a mathematical technique that allows further information to be extracted from overnight oximetry data. There are clear differences in the oximetry spectrograms of central and obstructive sleep apnoea that can be used to distinguish between them. This can be further adapted to improve the utility of overnight oximetry as a screening tool. Support (If Any) No conflicts of interest or funding sources to declare.
doi_str_mv 10.1093/sleep/zsy061.480
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It cannot reliably distinguish central from obstructive sleep apnoea. The continuous wavelet transform is an advanced mathematical analysis technique that yields a high resolution time-frequency spectrogram that is able to give more information regarding the finer details of the oximetry. The aim of this study is to determine the differences in the continuous wavelet transform, between central and obstructive sleep apnea. Methods A retrospective analysis of the continuous wavelet transform of oximetry data extracted from a cohort of 209 diagnostic sleep studies was performed. The spectral characteristics of central sleep apnoea were compared to those of obstructive sleep apnoea and normal sleep results. Results The oximetry spectrogram for central sleep apnoea shows a clear dominant frequency of desaturations across all sleep stages, with a decrease in amplitude during REM sleep. In contrast the oximetry spectrogram in obstructive sleep apnoea shows no clear dominant frequency across the sleep stages, and an increase in the amplitude and frequency variability during REM sleep. There is a significant difference in the prominence of the maximum amplitude and in the variability of the frequency of the maximum amplitude in central sleep apnoea compared to obstructive (5.3 (3.1 - 15) vs 3.1 (2.5 - 5.1), p=0.001 and 1 (0.5 - 2.3) vs 1.5 (1.1–2.2), p=0.002 respectively). Conclusion The continuous wavelet transform is a mathematical technique that allows further information to be extracted from overnight oximetry data. There are clear differences in the oximetry spectrograms of central and obstructive sleep apnoea that can be used to distinguish between them. This can be further adapted to improve the utility of overnight oximetry as a screening tool. Support (If Any) No conflicts of interest or funding sources to declare.</description><identifier>ISSN: 0161-8105</identifier><identifier>EISSN: 1550-9109</identifier><identifier>DOI: 10.1093/sleep/zsy061.480</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>REM sleep ; Sleep apnea ; Sleep deprivation ; Wavelet transforms</subject><ispartof>Sleep (New York, N.Y.), 2018-04, Vol.41 (suppl_1), p.A181-A182</ispartof><rights>Sleep Research Society 2018. Published by Oxford University Press [on behalf of the Sleep Research Society]. All rights reserved. For permissions, please email: journals.permissions@oup.com 2018</rights><rights>Copyright © 2018 Sleep Research Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1583,27915,27916</link.rule.ids></links><search><creatorcontrib>Suthers, B</creatorcontrib><title>0481 Use of Continuous Wavelet Transform to Identify Central Sleep Apnoea from Overnight Oximetry Data</title><title>Sleep (New York, N.Y.)</title><description>Abstract Introduction Overnight oximetry may be a useful tool to screen for sleep disordered breathing but, although reasonably specific, is not very sensitive. It cannot reliably distinguish central from obstructive sleep apnoea. The continuous wavelet transform is an advanced mathematical analysis technique that yields a high resolution time-frequency spectrogram that is able to give more information regarding the finer details of the oximetry. The aim of this study is to determine the differences in the continuous wavelet transform, between central and obstructive sleep apnea. Methods A retrospective analysis of the continuous wavelet transform of oximetry data extracted from a cohort of 209 diagnostic sleep studies was performed. The spectral characteristics of central sleep apnoea were compared to those of obstructive sleep apnoea and normal sleep results. Results The oximetry spectrogram for central sleep apnoea shows a clear dominant frequency of desaturations across all sleep stages, with a decrease in amplitude during REM sleep. In contrast the oximetry spectrogram in obstructive sleep apnoea shows no clear dominant frequency across the sleep stages, and an increase in the amplitude and frequency variability during REM sleep. There is a significant difference in the prominence of the maximum amplitude and in the variability of the frequency of the maximum amplitude in central sleep apnoea compared to obstructive (5.3 (3.1 - 15) vs 3.1 (2.5 - 5.1), p=0.001 and 1 (0.5 - 2.3) vs 1.5 (1.1–2.2), p=0.002 respectively). Conclusion The continuous wavelet transform is a mathematical technique that allows further information to be extracted from overnight oximetry data. There are clear differences in the oximetry spectrograms of central and obstructive sleep apnoea that can be used to distinguish between them. This can be further adapted to improve the utility of overnight oximetry as a screening tool. Support (If Any) No conflicts of interest or funding sources to declare.</description><subject>REM sleep</subject><subject>Sleep apnea</subject><subject>Sleep deprivation</subject><subject>Wavelet transforms</subject><issn>0161-8105</issn><issn>1550-9109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkM9LwzAUx4MoOKd3jwGP0u2lSdP0OOqvwWAHNzyGbE20o21q0g7rX29mvXv68nif73vwQeiWwIxARue-0rqdf_sBOJkxAWdoQpIEoixsz9EECCeRIJBcoivvDxBmltEJMsAEwVuvsTU4t01XNr3tPX5TR13pDm-caryxrsadxctCB8AMOA_pVIVfT0_xom2sVtg4W-P1UbumfP_o8PqrrHXnBvygOnWNLoyqvL75yynaPj1u8pdotX5e5otVtCcshUjFxT4BkXLBd7QoUkZMHEMWp5wIYLEWO86ZYBQSnjEwNI25MgVlKS1YtstSOkV3493W2c9e-04ebO-a8FLGQDlPiSA8UDBSe2e9d9rI1pW1coMkIE825a9NOdqUwWao3I8V27f_0z-_uHbg</recordid><startdate>20180427</startdate><enddate>20180427</enddate><creator>Suthers, B</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20180427</creationdate><title>0481 Use of Continuous Wavelet Transform to Identify Central Sleep Apnoea from Overnight Oximetry Data</title><author>Suthers, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1470-a2dc5087686b3dd741f220927618042e8b664843056940f3726afd3473d49b973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>REM sleep</topic><topic>Sleep apnea</topic><topic>Sleep deprivation</topic><topic>Wavelet transforms</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Suthers, B</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Sleep (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Suthers, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>0481 Use of Continuous Wavelet Transform to Identify Central Sleep Apnoea from Overnight Oximetry Data</atitle><jtitle>Sleep (New York, N.Y.)</jtitle><date>2018-04-27</date><risdate>2018</risdate><volume>41</volume><issue>suppl_1</issue><spage>A181</spage><epage>A182</epage><pages>A181-A182</pages><issn>0161-8105</issn><eissn>1550-9109</eissn><abstract>Abstract Introduction Overnight oximetry may be a useful tool to screen for sleep disordered breathing but, although reasonably specific, is not very sensitive. It cannot reliably distinguish central from obstructive sleep apnoea. The continuous wavelet transform is an advanced mathematical analysis technique that yields a high resolution time-frequency spectrogram that is able to give more information regarding the finer details of the oximetry. The aim of this study is to determine the differences in the continuous wavelet transform, between central and obstructive sleep apnea. Methods A retrospective analysis of the continuous wavelet transform of oximetry data extracted from a cohort of 209 diagnostic sleep studies was performed. The spectral characteristics of central sleep apnoea were compared to those of obstructive sleep apnoea and normal sleep results. Results The oximetry spectrogram for central sleep apnoea shows a clear dominant frequency of desaturations across all sleep stages, with a decrease in amplitude during REM sleep. In contrast the oximetry spectrogram in obstructive sleep apnoea shows no clear dominant frequency across the sleep stages, and an increase in the amplitude and frequency variability during REM sleep. There is a significant difference in the prominence of the maximum amplitude and in the variability of the frequency of the maximum amplitude in central sleep apnoea compared to obstructive (5.3 (3.1 - 15) vs 3.1 (2.5 - 5.1), p=0.001 and 1 (0.5 - 2.3) vs 1.5 (1.1–2.2), p=0.002 respectively). Conclusion The continuous wavelet transform is a mathematical technique that allows further information to be extracted from overnight oximetry data. There are clear differences in the oximetry spectrograms of central and obstructive sleep apnoea that can be used to distinguish between them. This can be further adapted to improve the utility of overnight oximetry as a screening tool. Support (If Any) No conflicts of interest or funding sources to declare.</abstract><cop>US</cop><pub>Oxford University Press</pub><doi>10.1093/sleep/zsy061.480</doi><oa>free_for_read</oa></addata></record>
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
subjects REM sleep
Sleep apnea
Sleep deprivation
Wavelet transforms
title 0481 Use of Continuous Wavelet Transform to Identify Central Sleep Apnoea from Overnight Oximetry Data
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