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Nasal pressure recordings for automatic snoring detection

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An Erratum to this article was published on 27 October 2016

Abstract

This study presents a rule-based method for automated, real-time snoring detection using nasal pressure recordings during overnight sleep. Although nasal pressure recordings provide information regarding nocturnal breathing abnormalities in a polysomnography (PSG) study or continuous positive airway pressure (CPAP) system, an objective assessment of snoring detection using these nasal pressure recordings has not yet been reported in the literature. Nasal pressure recordings were obtained from 55 patients with obstructive sleep apnea. The PSG data were also recorded simultaneously to evaluate the proposed method. This rule-based method for automatic, real-time snoring detection employed preprocessing, short-time energy and the central difference method. Using this methodology, a sensitivity of 85.4 % and a positive predictive value of 92.0 % were achieved in all patients. Therefore, we concluded that the proposed method is a simple, portable and cost-effective tool for real-time snoring detection in PSG and CPAP systems that does not require acoustic analysis using a microphone.

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References

  1. Al-Khalidi FQ, Saatchi R, Burke D, Elphick H, Tan S (2011) Respiratory rate monitoring methods: a review. Pediatr Pulmonol 46:523–529

    Article  CAS  PubMed  Google Scholar 

  2. Antonescu-Turcu A, Parthasarathy S (2010) CPAP and Bi-level PAP therapy: new and established roles. Respir Care 55:1216–1229

    PubMed  PubMed Central  Google Scholar 

  3. Ayappa I, Norman RG, Krieger AC, Rosen A, O’malley RL, Rapoport DM (2000) Non-invasive detection of respiratory effort-related arousals (RERAs) by a nasal cannula/pressure transducer system. Sleep 23:763–771

    CAS  PubMed  Google Scholar 

  4. Azarbarzin A, Moussavi ZM (2011) Automatic and unsupervised snore sound extraction from respiratory sound signals. IEEE Trans Biomed Eng 58:1156–1162

    Article  PubMed  Google Scholar 

  5. Azarbarzin A, Moussavi Z (2013) Intra-subject variability of snoring sounds in relation to body position, sleep stage, and blood oxygen level. Med Biol Eng Comput 51:429–439

    Article  PubMed  Google Scholar 

  6. Banno K, Kryger MH (2007) Sleep apnea: clinical investigations in humans. Sleep Med 8:400–426

    Article  PubMed  Google Scholar 

  7. Cavusoglu M, Kamasak M, Erogul O, Ciloglu T, Serinagaoglu Y, Akcam T (2007) An efficient method for snore/nonsnore classification of sleep sounds. Physiol Meas 28:841–853

    Article  CAS  PubMed  Google Scholar 

  8. Dafna E, Tarasiuk A, Zigel Y (2013) Automatic detection of whole night snoring events using non-contact microphone. PLoS ONE 8:e84139

    Article  PubMed  PubMed Central  Google Scholar 

  9. Dalmasso F, Prota R (1996) Snoring: analysis, measurement, clinical implication and applications. Eur Respir J 9:146–159

    Article  CAS  PubMed  Google Scholar 

  10. de Almeida FR, Ayas NT, Otsuka R, Ueda H, Hamilton P, Ryan FC, Lowe AA (2006) Nasal pressure recordings to detect obstructive sleep apnea. Sleep Breath 10:62–69

    Article  PubMed  Google Scholar 

  11. de Oliveira CBG, da Silva DGV, Moriya HT, Skomro R, Alencar AM, Lorenzi-Filho G (2011) Snoring: the silent signal in sleep medicine. Sleep Sci 4:21–27

    Google Scholar 

  12. Duckitt WD, Tuomi SK, Niesler TR (2006) Automatic detection, segmentation and assessment of snoring from ambient acoustic data. Physiol Meas 27:1047–1056

    Article  CAS  PubMed  Google Scholar 

  13. Ekici M, Ekici A, Keles H, Akin A, Karlidag A, Tunckol M, Kocyigit P (2008) Risk factors and correlates of snoring and observed data. Sleep Med 9:290–296

    Article  PubMed  Google Scholar 

  14. Gottlieb DJ, Yai Q, Redline S, Ali T, Mahowald MW (2000) Does snoring predict sleepiness independently of apnea and hypopnea frequency? Am J Respir Crit Care Med 162:1512–1517

    Article  CAS  PubMed  Google Scholar 

  15. Grover SS, Pittman SD (2008) Automated detection of sleep disordered breathing using a nasal pressure monitoring device. Sleep Breath 12:339–345

    Article  PubMed  Google Scholar 

  16. Hosselet JJ, Norman RG, Ayappa I, Rapoport DM (1998) Detection of flow limitation with a nasal cannula/pressure transducer system. Am J Respir Crit Care Med 157:1461–1467

    Article  CAS  PubMed  Google Scholar 

  17. Iber C, Ancoli-Israel S, Chesson AL Jr, Quan SF (2007) The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications, 2nd edn. American Academy of Sleep Medicine, Westchester

    Google Scholar 

  18. Jané R, Solà-Soler J, Fiz J A, Morera J (2000) Automatic detection of snoring signals: validation with simple snorers and OSAS patients. In: Proceedings of 22nd annual EMBS international conference, pp 3129–3131

  19. Karunajeewa AS, Abeyratne UR, Hukins C (2008) Silence-breathing-snore classification from snore-related sounds. Physiol Meas 29:227–243

    Article  PubMed  Google Scholar 

  20. Lee H-K, Lee J, Kim H, Lee K-J (2013) Automatic snoring detection from nasal pressure data. Conf Proc IEEE Eng Med Biol Soc 2013:6870–6872

    PubMed  Google Scholar 

  21. Nakano H, Furukawa T, Nishima S (2008) Relationship between snoring sound intensity and sleepiness in patients with obstructive sleep apnea. J Clin Sleep Med 4:551–556

    PubMed  PubMed Central  Google Scholar 

  22. Navajas D, Duviview C, Farré R, Peslin R (2000) A simplified method for monitoring respiratory impedance during continuous positive airway pressure. Eur Respir J 15:185–191

    Article  CAS  PubMed  Google Scholar 

  23. Prasad B, Carley DW, Herdegen JJ (2010) Continuous positive airway pressure device-based automated detection of obstructive sleep apnea compared to standard laboratory polysomnography. Sleep Breath 14:101–107

    Article  PubMed  Google Scholar 

  24. Pevernagie D, Aarts RM, De Mayer M (2010) The acoustic of snoring. Sleep Med Rev 14:131–144

    Article  PubMed  Google Scholar 

  25. Rofail LM, Wong KK, Unger G, Marks GB, Grunstein RR (2010) The role of single-channel nasal airflow pressure transducer in the diagnosis of OSA in the sleep laboratory. J Clin Sleep Med 6:349–356

    PubMed  PubMed Central  Google Scholar 

  26. Sériès F, Narc I (1999) Nasal pressure recording in the diagnosis of sleep apnoea hypopnoea syndrome. Thorax 54:506–510

    Article  PubMed  PubMed Central  Google Scholar 

  27. Shin H, Cho J (2014) Unconstrained snoring detection using a smartphone during ordinary sleep. Biomed Eng Online 13:116

    Article  PubMed  PubMed Central  Google Scholar 

  28. Solà-Soler J, Jané R, Fiz J A, Morera J (2000) Towards automatic pitch detection in snoring signals. In: Proceedings of 22nd annual EMBS international conference, pp 2974–2976

  29. Steltner H, Staats R, Timmer J, Vogel M, Guttmann J, Matthys H, Christian Virchow J (2002) Diagnosis of sleep apnea by automatic analysis of nasal pressure and forced oscillation impedance. Am J Respir Crit Care Med 165:940–944

    Article  PubMed  Google Scholar 

  30. Vaughn BV, Giallanza P (2008) Technical review of polysomnography. Chest 134:1310–1319

    Article  PubMed  Google Scholar 

  31. Wilson K, Stoohs RA, Mulrooney TF, Johnson LJ, Guilleminault C, Huang Z (1999) The snoring spectrum: acoustic assessment of snoring sound intensity in 1,139 individuals undergoing polysomnography. Chest 115:762–770

    Article  CAS  PubMed  Google Scholar 

  32. Yadollahi A, Moussavi Z (2010) Automatic breath and snore sounds classification from tracheal and ambient sound recordings. Med Eng Phys 32:985–990

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by the Technology Innovation Program (10040408, Development of CPAP for sleep apnea) funded by the Ministry of Trade, Industry and Energy (MOTIE, Korea).

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Correspondence to Kyoung-Joung Lee.

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An erratum to this article is available at http://dx.doi.org/10.1007/s11517-016-1588-4.

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Lee, HK., Kim, H. & Lee, KJ. Nasal pressure recordings for automatic snoring detection. Med Biol Eng Comput 53, 1103–1111 (2015). https://doi.org/10.1007/s11517-015-1388-2

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  • DOI: https://doi.org/10.1007/s11517-015-1388-2

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