Fusion of Millimeter-wave Radar and Pulse Oximeter Data for Low-burden Diagnosis of Obstructive Sleep Apnea-Hypopnea Syndrome

Objective: The aim of the study is to develop a novel method for improved diagnosis of obstructive sleep apnea-hypopnea syndrome (OSAHS) in clinical or home settings, with the focus on achieving diagnostic performance comparable to the gold-standard polysomnography (PSG) with significantly reduced monitoring burden. Methods: We propose a method using millimeter-wave radar and pulse oximeter for OSAHS diagnosis (ROSA). It contains a sleep apnea-hypopnea events (SAE) detection network, which directly predicts the temporal localization of SAE, and a sleep staging network, which predicts the sleep stages throughout the night, based on radar signals. It also fuses oxygen saturation (SpO2) information from the pulse oximeter to adjust the score of SAE detected by radar. Results: Experimental results on a real-world dataset (>800 hours of overnight recordings, 100 subjects) demonstrated high agreement (ICC=0.9870) on apnea-hypopnea index (AHI) between ROSA and PSG. ROSA also exhibited excellent diagnostic performance, exceeding 90% in accuracy across AHI diagnostic thresholds of 5, 15 and 30 events/h. Conclusion: ROSA improves diagnostic accuracy by fusing millimeter-wave radar and pulse oximeter data. It provides a reliable and low-burden solution for OSAHS diagnosis. Significance: ROSA addresses the limitations of high complexity and monitoring burden associated with traditional PSG. The high accuracy and low burden of ROSA show its potential to improve the accessibility of OSAHS diagnosis among population.

Detection of Sleep Apnea-Hypopnea Events Using Millimeter-wave Radar and Pulse Oximeter

Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) is a sleep-related breathing disorder associated with significant morbidity and mortality worldwide. The gold standard for OSAHS diagnosis, polysomnography (PSG), faces challenges in popularization due to its high cost and complexity. Recently, radar has shown potential in detecting sleep apnea-hypopnea events (SAE) with the advantages of low cost and non-contact monitoring. However, existing studies, especially those using deep learning, employ segment-based classification approach for SAE detection, making the task of event quantity estimation difficult. Additionally, radar-based SAE detection is susceptible to interference from body movements and the environment. Oxygen saturation (SpO2) can offer valuable information about OSAHS, but it also has certain limitations and cannot be used alone for diagnosis. In this study, we propose a method using millimeter-wave radar and pulse oximeter to detect SAE, called ROSA. It fuses information from both sensors, and directly predicts the temporal localization of SAE. Experimental results demonstrate a high degree of consistency (ICC=0.9864) between AHI from ROSA and PSG. This study presents an effective method with low-load device for the diagnosis of OSAHS.