Emmanuel Mignot

Magnus Ruud Kjaer, Rahul Thapa, Gauri Ganjoo et al.

Polysomnography (PSG), the gold standard test for sleep analysis, generates vast amounts of multimodal clinical data, presenting an opportunity to leverage self-supervised representation learning (SSRL) for pre-training foundation models to enhance sleep analysis. However, progress in sleep foundation models is hindered by two key limitations: (1) the lack of a shared dataset and benchmark with diverse tasks for training and evaluation, and (2) the absence of a systematic evaluation of SSRL approaches across sleep-related tasks. To address these gaps, we introduce Stanford Sleep Bench, a large-scale PSG dataset comprising 17,467 recordings totaling over 163,000 hours from a major sleep clinic, including 13 clinical disease prediction tasks alongside canonical sleep-related tasks such as sleep staging, apnea diagnosis, and age estimation. We systematically evaluate SSRL pre-training methods on Stanford Sleep Bench, assessing downstream performance across four tasks: sleep staging, apnea diagnosis, age estimation, and disease and mortality prediction. Our results show that multiple pretraining methods achieve comparable performance for sleep staging, apnea diagnosis, and age estimation. However, for mortality and disease prediction, contrastive learning significantly outperforms other approaches while also converging faster during pretraining. To facilitate reproducibility and advance sleep research, we will release Stanford Sleep Bench along with pretrained model weights, training pipelines, and evaluation code.

Niels R. Lorenzen, Poul J. Jennum, Emmanuel Mignot et al.

Wearable accelerometers are widely used for continuous monitoring of physical activity. Supervised machine learning and deep learning algorithms have long been used to extract meaningful activity information from raw accelerometry data, but progress has been hampered by the limited amount of labeled data that is publicly available. Exploiting large unlabeled datasets using self-supervised pretraining is a relatively new and underexplored approach in the field of human activity recognition (HAR). We used a time-series transformer masked autoencoder (MAE) approach to self-supervised pretraining and propose two novel spectrogram-based loss functions: the log-scale meanmagnitude (LMM) and log-scale magnitude variance (LMV) losses. We compared these losses with the mean squared error (MSE) loss for MAE training. We leveraged the large unlabeled UK Biobank accelerometry dataset (n = 109k) for pretraining and evaluated downstream HAR performance using a linear classifier in a smaller labelled dataset. We found that pretraining with the LMM loss improved performance compared to an MAE pretrained with the MSE loss, with 12.7% increase in subject-wise F1 score when using linear probing. Compared with a state-of-the-art ResNet-based HAR model, our LMM-pretrained transformer models performed better (+9.8% F1) with linear probing and comparably when fine-tuned using an LSTM classifier. The addition of the LMV to the LMM loss decreased performance compared to the LMM loss alone. These findings establish the LMM loss as a robust and effective method for pretraining MAE models on accelerometer data for HAR and show the potential of pretraining sequence-based models for free-living HAR.

Stanislas Chambon, Valentin Thorey, Pierrick J. Arnal et al.

Electroencephalography (EEG) during sleep is used by clinicians to evaluate various neurological disorders. In sleep medicine, it is relevant to detect macro-events (> 10s) such as sleep stages, and micro-events (<2s) such as spindles and K-complexes. Annotations of such events require a trained sleep expert, a time consuming and tedious process with a large inter-scorer variability. Automatic algorithms have been developed to detect various types of events but these are event-specific. We propose a deep learning method that jointly predicts locations, durations and types of events in EEG time series. It relies on a convolutional neural network that builds a feature representation from raw EEG signals. Numerical experiments demonstrate efficiency of this new approach on various event detection tasks compared to current state-of-the-art, event specific, algorithms.