Oliver Y. Chén

Huy Phan, Kristian P. Lorenzen, Elisabeth Heremans et al.

Human sleep is cyclical with a period of approximately 90 minutes, implying long temporal dependency in the sleep data. Yet, exploring this long-term dependency when developing sleep staging models has remained untouched. In this work, we show that while encoding the logic of a whole sleep cycle is crucial to improve sleep staging performance, the sequential modelling approach in existing state-of-the-art deep learning models are inefficient for that purpose. We thus introduce a method for efficient long sequence modelling and propose a new deep learning model, L-SeqSleepNet, which takes into account whole-cycle sleep information for sleep staging. Evaluating L-SeqSleepNet on four distinct databases of various sizes, we demonstrate state-of-the-art performance obtained by the model over three different EEG setups, including scalp EEG in conventional Polysomnography (PSG), in-ear EEG, and around-the-ear EEG (cEEGrid), even with a single EEG channel input. Our analyses also show that L-SeqSleepNet is able to alleviate the predominance of N2 sleep (the major class in terms of classification) to bring down errors in other sleep stages. Moreover the network becomes much more robust, meaning that for all subjects where the baseline method had exceptionally poor performance, their performance are improved significantly. Finally, the computation time only grows at a sub-linear rate when the sequence length increases.

Huy Phan, Ian V. McLoughlin, Lam Pham et al.

Generative adversarial networks (GAN) have recently been shown to be efficient for speech enhancement. However, most, if not all, existing speech enhancement GANs (SEGAN) make use of a single generator to perform one-stage enhancement mapping. In this work, we propose to use multiple generators that are chained to perform multi-stage enhancement mapping, which gradually refines the noisy input signals in a stage-wise fashion. Furthermore, we study two scenarios: (1) the generators share their parameters and (2) the generators' parameters are independent. The former constrains the generators to learn a common mapping that is iteratively applied at all enhancement stages and results in a small model footprint. On the contrary, the latter allows the generators to flexibly learn different enhancement mappings at different stages of the network at the cost of an increased model size. We demonstrate that the proposed multi-stage enhancement approach outperforms the one-stage SEGAN baseline, where the independent generators lead to more favorable results than the tied generators. The source code is available at http://github.com/pquochuy/idsegan.

Huy Phan, Oliver Y. Chén, Philipp Koch et al.

Background: Despite recent significant progress in the development of automatic sleep staging methods, building a good model still remains a big challenge for sleep studies with a small cohort due to the data-variability and data-inefficiency issues. This work presents a deep transfer learning approach to overcome these issues and enable transferring knowledge from a large dataset to a small cohort for automatic sleep staging. Methods: We start from a generic end-to-end deep learning framework for sequence-to-sequence sleep staging and derive two networks as the means for transfer learning. The networks are first trained in the source domain (i.e. the large database). The pretrained networks are then finetuned in the target domain (i.e. the small cohort) to complete knowledge transfer. We employ the Montreal Archive of Sleep Studies (MASS) database consisting of 200 subjects as the source domain and study deep transfer learning on three different target domains: the Sleep Cassette subset and the Sleep Telemetry subset of the Sleep-EDF Expanded database, and the Surrey-cEEGrid database. The target domains are purposely adopted to cover different degrees of data mismatch to the source domains. Results: Our experimental results show significant performance improvement on automatic sleep staging on the target domains achieved with the proposed deep transfer learning approach. Conclusions: These results suggest the efficacy of the proposed approach in addressing the above-mentioned data-variability and data-inefficiency issues. Significance: As a consequence, it would enable one to improve the quality of automatic sleep staging models when the amount of data is relatively small. The source code and the pretrained models are available at http://github.com/pquochuy/sleep_transfer_learning.

Duy-Cat Can, Linh D. Dang, Quang-Huy Tang et al.

Objective: Assessing Alzheimer's disease (AD) using high-dimensional radiology images is clinically important but challenging. Although Artificial Intelligence (AI) has advanced AD diagnosis, it remains unclear how to design AI models embracing predictability and explainability. Here, we propose VisTA, a multimodal language-vision model assisted by contrastive learning, to optimize disease prediction and evidence-based, interpretable explanations for clinical decision-making. Methods: We developed VisTA (Vision-Text Alignment Model) for AD diagnosis. Architecturally, we built VisTA from BiomedCLIP and fine-tuned it using contrastive learning to align images with verified abnormalities and their descriptions. To train VisTA, we used a constructed reference dataset containing images, abnormality types, and descriptions verified by medical experts. VisTA produces four outputs: predicted abnormality type, similarity to reference cases, evidence-driven explanation, and final AD diagnoses. To illustrate VisTA's efficacy, we reported accuracy metrics for abnormality retrieval and dementia prediction. To demonstrate VisTA's explainability, we compared its explanations with human experts' explanations. Results: Compared to 15 million images used for baseline pretraining, VisTA only used 170 samples for fine-tuning and obtained significant improvement in abnormality retrieval and dementia prediction. For abnormality retrieval, VisTA reached 74% accuracy and an AUC of 0.87 (26% and 0.74, respectively, from baseline models). For dementia prediction, VisTA achieved 88% accuracy and an AUC of 0.82 (30% and 0.57, respectively, from baseline models). The generated explanations agreed strongly with human experts' and provided insights into the diagnostic process. Taken together, VisTA optimize prediction, clinical reasoning, and explanation.

Narmina Baghirova, Duy-Thanh Vũ, Duy-Cat Can et al.

Alzheimer's disease (AD) affects 50 million people worldwide and is projected to overwhelm 152 million by 2050. AD is characterized by cognitive decline due partly to disruptions in metabolic brain connectivity. Thus, early and accurate detection of metabolic brain network impairments is crucial for AD management. Chief to identifying such impairments is FDG-PET data. Despite advancements, most graph-based studies using FDG-PET data rely on group-level analysis or thresholding. Yet, group-level analysis can veil individual differences and thresholding may overlook weaker but biologically critical brain connections. Additionally, machine learning-based AD prediction largely focuses on univariate outcomes, such as disease status. Here, we introduce explainable graph-theoretical machine learning (XGML), a framework employing kernel density estimation and dynamic time warping to construct individual metabolic brain graphs that capture the distance between pair-wise brain regions and identify subgraphs most predictive of multivariate AD-related outcomes. Using FDG-PET data from the Alzheimer's Disease Neuroimaging Initiative, XGML builds metabolic brain graphs and uncovers subgraphs predictive of eight AD-related cognitive scores in new subjects. XGML shows robust performance, particularly for predicting scores measuring learning, memory, language, praxis, and orientation, such as CDRSB ($r = 0.74$), ADAS11 ($r = 0.73$), and ADAS13 ($r = 0.71$). Moreover, XGML unveils key edges jointly but differentially predictive of several AD-related outcomes; they may serve as potential network biomarkers for assessing overall cognitive decline. Together, we show the promise of graph-theoretical machine learning in biomarker discovery and disease prediction and its potential to improve our understanding of network neural mechanisms underlying AD.

Georgi Hrusanov, Oliver Y. Chén, Julien S. Bodelet

Deep Generative models (DGMs) play two key roles in modern machine learning: (i) producing new information (e.g., image synthesis) and (ii) reducing dimensionality. However, traditional architectures often rely on auxiliary networks such as encoders in Variational Autoencoders (VAEs) or discriminators in Generative Adversarial Networks (GANs), which introduce training instability, computational overhead, and risks like mode collapse. We present NeuroSQL, a new generative paradigm that eliminates the need for auxiliary networks by learning low-dimensional latent representations implicitly. NeuroSQL leverages an asymptotic approximation that expresses the latent variables as the solution to an optimal transportation problem. Specifically, NeuroSQL learns the latent variables by solving a linear assignment problem and then passes the latent information to a standalone generator. We benchmark its performance against GANs, VAEs, and a budget-matched diffusion baseline on four datasets: handwritten digits (MNIST), faces (CelebA), animal faces (AFHQ), and brain images (OASIS). Compared to VAEs, GANs, and diffusion models: (1) in terms of image quality, NeuroSQL achieves overall lower mean pixel distance between synthetic and authentic images and stronger perceptual/structural fidelity; (2) computationally, NeuroSQL requires the least training time; and (3) practically, NeuroSQL provides an effective solution for generating synthetic data with limited training samples. By embracing quantile assignment rather than an encoder, NeuroSQL provides a fast, stable, and robust way to generate synthetic data with minimal information loss.

Georgi Hrusanov, Duy-Thanh Vu, Duy-Cat Can et al.

Early forecasting of individual cognitive decline in Alzheimer's disease (AD) is central to disease evaluation and management. Despite advances, it is as of yet challenging for existing methodological frameworks to integrate multimodal data for longitudinal personalized forecasting while maintaining interpretability. To address this gap, we present the Neural Koopman Machine (NKM), a new machine learning architecture inspired by dynamical systems and attention mechanisms, designed to forecast multiple cognitive scores simultaneously using multimodal genetic, neuroimaging, proteomic, and demographic data. NKM integrates analytical ($α$) and biological ($β$) knowledge to guide feature grouping and control the hierarchical attention mechanisms to extract relevant patterns. By implementing Fusion Group-Aware Hierarchical Attention within the Koopman operator framework, NKM transforms complex nonlinear trajectories into interpretable linear representations. To demonstrate NKM's efficacy, we applied it to study the Alzheimer's Disease Neuroimaging Initiative (ADNI) dataset. Our results suggest that NKM consistently outperforms both traditional machine learning methods and deep learning models in forecasting trajectories of cognitive decline. Specifically, NKM (1) forecasts changes of multiple cognitive scores simultaneously, (2) quantifies differential biomarker contributions to predicting distinctive cognitive scores, and (3) identifies brain regions most predictive of cognitive deterioration. Together, NKM advances personalized, interpretable forecasting of future cognitive decline in AD using past multimodal data through an explainable, explicit system and reveals potential multimodal biological underpinnings of AD progression.

Tung-Lam Ngo, Ba-Hoang Tran, Duy-Cat Can et al.

Understanding the interaction between different drugs (drug-drug interaction or DDI) is critical for ensuring patient safety and optimizing therapeutic outcomes. Existing DDI datasets primarily focus on textual information, overlooking multimodal data that reflect complex drug mechanisms. In this paper, we (1) introduce MUDI, a large-scale Multimodal biomedical dataset for Understanding pharmacodynamic Drug-drug Interactions, and (2) benchmark learning methods to study it. In brief, MUDI provides a comprehensive multimodal representation of drugs by combining pharmacological text, chemical formulas, molecular structure graphs, and images across 310,532 annotated drug pairs labeled as Synergism, Antagonism, or New Effect. Crucially, to effectively evaluate machine-learning based generalization, MUDI consists of unseen drug pairs in the test set. We evaluate benchmark models using both late fusion voting and intermediate fusion strategies. All data, annotations, evaluation scripts, and baselines are released under an open research license.

Duy-Cat Can, Quang-Huy Tang, Huong Ha et al.

Timely and accurate diagnosis of neurodegenerative disorders, such as Alzheimer's disease, is central to disease management. Existing deep learning models require large-scale annotated datasets and often function as "black boxes". Additionally, datasets in clinical practice are frequently small or unlabeled, restricting the full potential of deep learning methods. Here, we introduce REMEMBER -- Retrieval-based Explainable Multimodal Evidence-guided Modeling for Brain Evaluation and Reasoning -- a new machine learning framework that facilitates zero- and few-shot Alzheimer's diagnosis using brain MRI scans through a reference-based reasoning process. Specifically, REMEMBER first trains a contrastively aligned vision-text model using expert-annotated reference data and extends pseudo-text modalities that encode abnormality types, diagnosis labels, and composite clinical descriptions. Then, at inference time, REMEMBER retrieves similar, human-validated cases from a curated dataset and integrates their contextual information through a dedicated evidence encoding module and attention-based inference head. Such an evidence-guided design enables REMEMBER to imitate real-world clinical decision-making process by grounding predictions in retrieved imaging and textual context. Specifically, REMEMBER outputs diagnostic predictions alongside an interpretable report, including reference images and explanations aligned with clinical workflows. Experimental results demonstrate that REMEMBER achieves robust zero- and few-shot performance and offers a powerful and explainable framework to neuroimaging-based diagnosis in the real world, especially under limited data.

Christelle Schneuwly Diaz, Duy-Thanh Vu, Julien Bodelet et al.

Alzheimer's disease, a neurodegenerative disorder, is associated with neural, genetic, and proteomic factors while affecting multiple cognitive and behavioral faculties. Traditional AD prediction largely focuses on univariate disease outcomes, such as disease stages and severity. Multimodal data encode broader disease information than a single modality and may, therefore, improve disease prediction; but they often contain missing values. Recent "deeper" machine learning approaches show promise in improving prediction accuracy, yet the biological relevance of these models needs to be further charted. Integrating missing data analysis, predictive modeling, multimodal data analysis, and explainable AI, we propose OPTIMUS, a predictive, modular, and explainable machine learning framework, to unveil the many-to-many predictive pathways between multimodal input data and multivariate disease outcomes amidst missing values. OPTIMUS first applies modality-specific imputation to uncover data from each modality while optimizing overall prediction accuracy. It then maps multimodal biomarkers to multivariate outcomes using machine-learning and extracts biomarkers respectively predictive of each outcome. Finally, OPTIMUS incorporates XAI to explain the identified multimodal biomarkers. Using data from 346 cognitively normal subjects, 608 persons with mild cognitive impairment, and 251 AD patients, OPTIMUS identifies neural and transcriptomic signatures that jointly but differentially predict multivariate outcomes related to executive function, language, memory, and visuospatial function. Our work demonstrates the potential of building a predictive and biologically explainable machine-learning framework to uncover multimodal biomarkers that capture disease profiles across varying cognitive landscapes. The results improve our understanding of the complex many-to-many pathways in AD.

Annie Hu, Samuel Stockman, Xun Wu et al.

Early and timely prediction of patient care demand not only affects effective resource allocation but also influences clinical decision-making as well as patient experience. Accurately predicting patient care demand, however, is a ubiquitous challenge for hospitals across the world due, in part, to the demand's time-varying temporal variability, and, in part, to the difficulty in modelling trends in advance. To address this issue, here, we develop two methods, a relatively simple time-vary linear model, and a more advanced neural network model. The former forecasts patient arrivals hourly over a week based on factors such as day of the week and previous 7-day arrival patterns. The latter leverages a long short-term memory (LSTM) model, capturing non-linear relationships between past data and a three-day forecasting window. We evaluate the predictive capabilities of the two proposed approaches compared to two naïve approaches - a reduced-rank vector autoregressive (VAR) model and the TBATS model. Using patient care demand data from Rambam Medical Center in Israel, our results show that both proposed models effectively capture hourly variations of patient demand. Additionally, the linear model is more explainable thanks to its simple architecture, whereas, by accurately modelling weekly seasonal trends, the LSTM model delivers lower prediction errors. Taken together, our explorations suggest the utility of machine learning in predicting time-varying patient care demand; additionally, it is possible to predict patient care demand with good accuracy (around 4 patients) three days or a week in advance using machine learning.

Huy Phan, Kaare Mikkelsen, Oliver Y. Chén et al.

Background: Black-box skepticism is one of the main hindrances impeding deep-learning-based automatic sleep scoring from being used in clinical environments. Methods: Towards interpretability, this work proposes a sequence-to-sequence sleep-staging model, namely SleepTransformer. It is based on the transformer backbone and offers interpretability of the model's decisions at both the epoch and sequence level. We further propose a simple yet efficient method to quantify uncertainty in the model's decisions. The method, which is based on entropy, can serve as a metric for deferring low-confidence epochs to a human expert for further inspection. Results: Making sense of the transformer's self-attention scores for interpretability, at the epoch level, the attention scores are encoded as a heat map to highlight sleep-relevant features captured from the input EEG signal. At the sequence level, the attention scores are visualized as the influence of different neighboring epochs in an input sequence (i.e. the context) to recognition of a target epoch, mimicking the way manual scoring is done by human experts. Conclusion: Additionally, we demonstrate that SleepTransformer performs on par with existing methods on two databases of different sizes. Significance: Equipped with interpretability and the ability of uncertainty quantification, SleepTransformer holds promise for being integrated into clinical settings.

Huy Phan, Huy Le Nguyen, Oliver Y. Chén et al.

We propose in this work a multi-view learning approach for audio and music classification. Considering four typical low-level representations (i.e. different views) commonly used for audio and music recognition tasks, the proposed multi-view network consists of four subnetworks, each handling one input types. The learned embedding in the subnetworks are then concatenated to form the multi-view embedding for classification similar to a simple concatenation network. However, apart from the joint classification branch, the network also maintains four classification branches on the single-view embedding of the subnetworks. A novel method is then proposed to keep track of the learning behavior on the classification branches and adapt their weights to proportionally blend their gradients for network training. The weights are adapted in such a way that learning on a branch that is generalizing well will be encouraged whereas learning on a branch that is overfitting will be slowed down. Experiments on three different audio and music classification tasks show that the proposed multi-view network not only outperforms the single-view baselines but also is superior to the multi-view baselines based on concatenation and late fusion.

Huy Phan, Huy Le Nguyen, Oliver Y. Chén et al.

Existing generative adversarial networks (GANs) for speech enhancement solely rely on the convolution operation, which may obscure temporal dependencies across the sequence input. To remedy this issue, we propose a self-attention layer adapted from non-local attention, coupled with the convolutional and deconvolutional layers of a speech enhancement GAN (SEGAN) using raw signal input. Further, we empirically study the effect of placing the self-attention layer at the (de)convolutional layers with varying layer indices as well as at all of them when memory allows. Our experiments show that introducing self-attention to SEGAN leads to consistent improvement across the objective evaluation metrics of enhancement performance. Furthermore, applying at different (de)convolutional layers does not significantly alter performance, suggesting that it can be conveniently applied at the highest-level (de)convolutional layer with the smallest memory overhead.

Huy Phan, Oliver Y. Chén, Minh C. Tran et al.

Automating sleep staging is vital to scale up sleep assessment and diagnosis to serve millions experiencing sleep deprivation and disorders and enable longitudinal sleep monitoring in home environments. Learning from raw polysomnography signals and their derived time-frequency image representations has been prevalent. However, learning from multi-view inputs (e.g., both the raw signals and the time-frequency images) for sleep staging is difficult and not well understood. This work proposes a sequence-to-sequence sleep staging model, XSleepNet, that is capable of learning a joint representation from both raw signals and time-frequency images. Since different views may generalize or overfit at different rates, the proposed network is trained such that the learning pace on each view is adapted based on their generalization/overfitting behavior. In simple terms, the learning on a particular view is speeded up when it is generalizing well and slowed down when it is overfitting. View-specific generalization/overfitting measures are computed on-the-fly during the training course and used to derive weights to blend the gradients from different views. As a result, the network is able to retain the representation power of different views in the joint features which represent the underlying distribution better than those learned by each individual view alone. Furthermore, the XSleepNet architecture is principally designed to gain robustness to the amount of training data and to increase the complementarity between the input views. Experimental results on five databases of different sizes show that XSleepNet consistently outperforms the single-view baselines and the multi-view baseline with a simple fusion strategy. Finally, XSleepNet also outperforms prior sleep staging methods and improves previous state-of-the-art results on the experimental databases.

Huy Phan, Kaare Mikkelsen, Oliver Y. Chén et al.

Brain waves vary between people. An obvious way to improve automatic sleep staging for longitudinal sleep monitoring is personalization of algorithms based on individual characteristics extracted from the first night of data. As a single night is a very small amount of data to train a sleep staging model, we propose a Kullback-Leibler (KL) divergence regularized transfer learning approach to address this problem. We employ the pretrained SeqSleepNet (i.e. the subject independent model) as a starting point and finetune it with the single-night personalization data to derive the personalized model. This is done by adding the KL divergence between the output of the subject independent model and the output of the personalized model to the loss function during finetuning. In effect, KL-divergence regularization prevents the personalized model from overfitting to the single-night data and straying too far away from the subject independent model. Experimental results on the Sleep-EDF Expanded database with 75 subjects show that sleep staging personalization with a single-night data is possible with help of the proposed KL-divergence regularization. On average, we achieve a personalized sleep staging accuracy of 79.6%, a Cohen's kappa of 0.706, a macro F1-score of 73.0%, a sensitivity of 71.8%, and a specificity of 94.2%. We find both that the approach is robust against overfitting and that it improves the accuracy by 4.5 percentage points compared to non-personalization and 2.2 percentage points compared to personalization without regularization.

Huy Phan, Oliver Y. Chén, Philipp Koch et al.

Many sleep studies suffer from the problem of insufficient data to fully utilize deep neural networks as different labs use different recordings set ups, leading to the need of training automated algorithms on rather small databases, whereas large annotated databases are around but cannot be directly included into these studies for data compensation due to channel mismatch. This work presents a deep transfer learning approach to overcome the channel mismatch problem and transfer knowledge from a large dataset to a small cohort to study automatic sleep staging with single-channel input. We employ the state-of-the-art SeqSleepNet and train the network in the source domain, i.e. the large dataset. Afterwards, the pretrained network is finetuned in the target domain, i.e. the small cohort, to complete knowledge transfer. We study two transfer learning scenarios with slight and heavy channel mismatch between the source and target domains. We also investigate whether, and if so, how finetuning entirely or partially the pretrained network would affect the performance of sleep staging on the target domain. Using the Montreal Archive of Sleep Studies (MASS) database consisting of 200 subjects as the source domain and the Sleep-EDF Expanded database consisting of 20 subjects as the target domain in this study, our experimental results show significant performance improvement on sleep staging achieved with the proposed deep transfer learning approach. Furthermore, these results also reveal the essential of finetuning the feature-learning parts of the pretrained network to be able to bypass the channel mismatch problem.

Huy Phan, Oliver Y. Chén, Lam Pham et al.

Acoustic scenes are rich and redundant in their content. In this work, we present a spatio-temporal attention pooling layer coupled with a convolutional recurrent neural network to learn from patterns that are discriminative while suppressing those that are irrelevant for acoustic scene classification. The convolutional layers in this network learn invariant features from time-frequency input. The bidirectional recurrent layers are then able to encode the temporal dynamics of the resulting convolutional features. Afterwards, a two-dimensional attention mask is formed via the outer product of the spatial and temporal attention vectors learned from two designated attention layers to weigh and pool the recurrent output into a final feature vector for classification. The network is trained with between-class examples generated from between-class data augmentation. Experiments demonstrate that the proposed method not only outperforms a strong convolutional neural network baseline but also sets new state-of-the-art performance on the LITIS Rouen dataset.

Huy Phan, Oliver Y. Chén, Philipp Koch et al.

Due to the variability in characteristics of audio scenes, some scenes can naturally be recognized earlier than others. In this work, rather than using equal-length snippets for all scene categories, as is common in the literature, we study to which temporal extent an audio scene can be reliably recognized given state-of-the-art models. Moreover, as model fusion with deep network ensemble is prevalent in audio scene classification, we further study whether, and if so, when model fusion is necessary for this task. To achieve these goals, we employ two single-network systems relying on a convolutional neural network and a recurrent neural network for classification as well as early fusion and late fusion of these networks. Experimental results on the LITIS-Rouen dataset show that some scenes can be reliably recognized with a few seconds while other scenes require significantly longer durations. In addition, model fusion is shown to be the most beneficial when the signal length is short.

Huy Phan, Oliver Y. Chén, Philipp Koch et al.

We propose a multi-label multi-task framework based on a convolutional recurrent neural network to unify detection of isolated and overlapping audio events. The framework leverages the power of convolutional recurrent neural network architectures; convolutional layers learn effective features over which higher recurrent layers perform sequential modelling. Furthermore, the output layer is designed to handle arbitrary degrees of event overlap. At each time step in the recurrent output sequence, an output triple is dedicated to each event category of interest to jointly model event occurrence and temporal boundaries. That is, the network jointly determines whether an event of this category occurs, and when it occurs, by estimating onset and offset positions at each recurrent time step. We then introduce three sequential losses for network training: multi-label classification loss, distance estimation loss, and confidence loss. We demonstrate good generalization on two datasets: ITC-Irst for isolated audio event detection, and TUT-SED-Synthetic-2016 for overlapping audio event detection.

Huy Phan, Fernando Andreotti, Navin Cooray et al.

Automatic sleep staging has been often treated as a simple classification problem that aims at determining the label of individual target polysomnography (PSG) epochs one at a time. In this work, we tackle the task as a sequence-to-sequence classification problem that receives a sequence of multiple epochs as input and classifies all of their labels at once. For this purpose, we propose a hierarchical recurrent neural network named SeqSleepNet. At the epoch processing level, the network consists of a filterbank layer tailored to learn frequency-domain filters for preprocessing and an attention-based recurrent layer designed for short-term sequential modelling. At the sequence processing level, a recurrent layer placed on top of the learned epoch-wise features for long-term modelling of sequential epochs. The classification is then carried out on the output vectors at every time step of the top recurrent layer to produce the sequence of output labels. Despite being hierarchical, we present a strategy to train the network in an end-to-end fashion. We show that the proposed network outperforms state-of-the-art approaches, achieving an overall accuracy, macro F1-score, and Cohen's kappa of 87.1%, 83.3%, and 0.815 on a publicly available dataset with 200 subjects.

Huy Phan, Fernando Andreotti, Navin Cooray et al.

Correctly identifying sleep stages is important in diagnosing and treating sleep disorders. This work proposes a joint classification-and-prediction framework based on CNNs for automatic sleep staging, and, subsequently, introduces a simple yet efficient CNN architecture to power the framework. Given a single input epoch, the novel framework jointly determines its label (classification) and its neighboring epochs' labels (prediction) in the contextual output. While the proposed framework is orthogonal to the widely adopted classification schemes, which take one or multiple epochs as contextual inputs and produce a single classification decision on the target epoch, we demonstrate its advantages in several ways. First, it leverages the dependency among consecutive sleep epochs while surpassing the problems experienced with the common classification schemes. Second, even with a single model, the framework has the capacity to produce multiple decisions, which are essential in obtaining a good performance as in ensemble-of-models methods, with very little induced computational overhead. Probabilistic aggregation techniques are then proposed to leverage the availability of multiple decisions. We conducted experiments on two public datasets: Sleep-EDF Expanded with 20 subjects, and Montreal Archive of Sleep Studies dataset with 200 subjects. The proposed framework yields an overall classification accuracy of 82.3% and 83.6%, respectively. We also show that the proposed framework not only is superior to the baselines based on the common classification schemes but also outperforms existing deep-learning approaches. To our knowledge, this is the first work going beyond the standard single-output classification to consider multitask neural networks for automatic sleep staging. This framework provides avenues for further studies of different neural-network architectures for automatic sleep staging.