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Biomedical subjects

Eero Huupponen

Publications and source records attributed to Eero Huupponen.

14 recordsLinked to original sources

Topographic differences in mean computational sleep depth between healthy controls and obstructive sleep apnoea patients.

In this work, topographic differences in computational sleep depth between healthy controls and obstructive sleep apnoea syndrome (OSAS) patients have been examined. Sleep depth estimation was based on continuous monitoring of the mean frequency of the EEG. During the experiments, all-night sleep EEG recordings of carefully age and gender matched sets of 16 healthy controls and 16 OSAS patients were compared on six electrode locations (Fp1-M2, Fp2-M1, C3-M2, C4-M1, O1-M2, and O2-M1). To optimise the diagnostic ability of the method, we examined the influence of 45 sets of adjustable analysis parameters on the ability of the method to show differences in computational sleep depth between the diagnostic groups. The results show clearly that although the visual scores for a set of epochs are the same for both clinical groups, computational sleep depth measure still shows deeper local sleep for healthy controls, both during NREM and REM sleep. Although the best achievable performance in different sleep stages is reached in different EEG derivations and with different parameter values, computation of sleep depth with 1-s output resolution in non-overlapping segments of 2s (400 samples) with maximum analysis band frequency of 20.5 Hz and 51-point moving median smoothing on Fp2-M1 or O1-M2 leads to near-optimal performance in deep sleep or wakefulness/light sleep, respectively.

Adult↗

Apnea patients show a frontopolar inter-hemispheric spindle frequency difference.

Sleep apnea syndrome is known to disturb sleep. The purpose of the present work was to study spindle frequency in apnea patients. All-night sleep EEG recordings of 15 apnea patients and 15 control subjects with median ages of 47 and 46 years, respectively, were studied. A previously presented and validated multi-channel spindle analysis method was applied for automatic detection and frequency analysis of bilateral frontopolar and central spindles. Bilateral frontopolar spindles of apnea patients were found to show lower frequencies on the left hemisphere than on the right. Such an inter-hemispheric spindle frequency difference in apnea patients is a novel finding. It could be that the hypoxias and hypercapnias caused by apneic episodes result in local disruption in the regulation of sleep in the frontal lobes.

Adult↗

Computer program for automated sleep depth estimation.

In this article, we present a new implementation of an amplitude-independent method for continuous-scale sleep depth estimation. Having been implemented as an add-on analysis module under commercially available biosignal recording and analysis software, it can be easily applied in clinical routine. The software gives the user full freedom to change all the analysis parameters inside theoretical limits. Computational sleep depth profiles produced by the presented software compare favourably with visual classifications. Future work will concentrate on systematic optimization of analysis parameters, further evaluation of the method with disturbed sleep and application of the method for automated adaptive sleep analysis.

Electronic Data Processing↗

Determination of dominant simulated spindle frequency with different methods.

Accurate analysis of EEG sleep spindle frequency is challenging. The frequency content of true sleep spindles is not known. Therefore, simulated spindle activity was studied in the present work. Five types of simulated test signals were designed, all containing a dominant spindle represented by a 13-Hz sine wave as such or with a waxing and waning pattern accompanied by a secondary spindle activity in three test signals. Background EEG was included in four test signals, modeled either as small additional sinusoids across the spindle frequency range or as filtered Gaussian noise segments. The purpose of this study was to investigate how accurately the dominant spindle frequency of 13 Hz could be resolved with different methods in the presence of the interfering waveforms. A matching pursuit (MP) based approach, discrete Fourier transform (DFT) with Hanning windowing with and without zero padding, Hankel total least squares (HTLS) and wavelet methods were compared in the analyses. MP method provided best overall performance, followed closely by DFT with zero padding. Comparative studies like this are important to decide the method of choice in clinical sleep EEG analysis.

Algorithms↗

Automatic detection of spiking events in EMFi sheet during sleep.

In this paper we present a new method for detection of spiking events caused by the increased respiratory resistance (IRR) from ballistocardiographic (BCG) data recorded with EMFi sheet. Spiking is a phenomenon where BCG wave complexes increase in amplitude during IRR. In this study data from six patients with a total of 1503 visually scored spiking events were studied. The algorithm monitors amplitude levels of BCG complexes and detects large relative increases. In this work 10 different variations of the algorithm were compared in order to find the best variation, which can cope with different recordings. The best variation of the algorithm was able to detect spiking events with 80% true positive and 19% false positive rates. The detection is not dependent on absolute waveform amplitudes and therefore does not require any recording-specific tuning prior to application. It is important to recognize spiking events in order to evaluate the severity of respiratory disturbance during sleep.

Algorithms↗

Automated frequency analysis of synchronous and diffuse sleep spindles.

BACKGROUND: Sleep spindles have different properties in different localizations in the cortex. OBJECTIVES: First main objective was to develop an amplitude-independent multi-channel spindle detection method. Secondly the method was applied to study the anteroposterior frequency differences of pure synchronous (visible bilaterally, either frontopolarly or centrally) and diffuse (visible bilaterally both frontopolarly and centrally) sleep spindles. METHODS: A previously presented spindle detector based on the fuzzy reasoning principle and a level detector were combined to form a multi-channel spindle detector. RESULTS: The spindle detector had a 76.17% true positive rate and 0.93% false-positive rate. Pure central spindles were faster and pure frontal spindles were slower than diffuse spindles measured simultaneously from both locations. CONCLUSIONS: The study of frequency relations of spindles might give new information about thalamocortical sleep spindle generating mechanisms.

Adult↗

Anteroposterior difference in EEG sleep depth measure is reduced in apnea patients.

In the present work, mean frequencies of FFT amplitude spectra from six EEG derivations were used to provide a frontopolar, a central and an occipital sleep depth measure. Parameters quantifying the anteroposterior differences in these three sleep depth measures during the night were also developed. The method was applied to analysis of 30 all-night recordings from 15 healthy control subjects and 15 apnea patients. Control subjects showed larger differences in sleep depth between frontopolar and central positions than the apnea patients. The relatively reduced frontal sleep depth in apnea patients might reflect the disruption of the dynamic sleep process caused by apneas.

Adult↗

Automatic quantification of light sleep shows differences between apnea patients and healthy subjects.

A fully automatic method to quantify sleep depth during the night was developed in the present work. The method was tested using 20 all-night recordings from 10 healthy control subjects and 10 sleep apnea patients. The results showed statistically significant differences in sleep depth between control subjects and sleep apnea patients. The overall sleep was lighter in apnea patients than in healthy control subjects, most likely indicating a disturbed sleep caused by apneas. The automatic parameters presented provide a method to quantify the light sleep and could in the future possibly be used in clinical sleep studies and follow-up of treatment.

Adult↗

Spindle frequency remains slow in sleep apnea patients throughout the night.

BACKGROUND: Our previous data suggested that in normal sleep the frequency of individual sleep spindles would be related to sleep depth and possibly to sleep pressure. Thus far spindle frequency patterns in patients with sleep disorders have not been studied. It would be expected that the spindle frequencies might be affected by sleep fragmentation disturbing the sleep process. METHODS: Twelve apnea patients with age- and sex-matched control subjects were studied with whole-night sleep recordings. Sleep spindles were visually selected and their frequency was determined by spectral analysis. RESULTS: Sleep spindles of the patients were in general slower than in the control subjects. As in our previous study, the frequency of the spindles in the middle-part of the non-rapid eye movement (NREM) sleep episodes increased towards the end of the night in the control group, whereas in the patient group no such increase was found. CONCLUSIONS: The slow spindle frequencies in apnea patients could indicate disturbed sleep and altered neural mechanisms in the structures regulating sleep spindle activity.

Adult↗

Spindle frequency remains slow in sleep apnea patients throughout the night.

BACKGROUND: Our previous data suggested that in normal sleep the frequency of individual sleep spindles would be related to sleep depth and possibly to sleep pressure. Thus far spindle frequency patterns in patients with sleep disorders have not been studied. It would be expected that the spindle frequencies might be affected by sleep fragmentation disturbing the sleep process. METHODS: Twelve apnea patients with age- and sex-matched control subjects were studied with whole-night sleep recordings. Sleep spindles were visually selected and their frequency was determined by spectral analysis. RESULTS: Sleep spindles of the patients were in general slower than in the control subjects. As in our previous study, the frequency of the spindles in the middle-part of the non-rapid eye movement (NREM) sleep episodes increased towards the end of the night in the control group, whereas in the patient group no such increase was found. CONCLUSIONS: The slow spindle frequencies in apnea patients could indicate disturbed sleep and altered neural mechanisms in the structures regulating sleep spindle activity.

Adult↗

Sleep depth oscillations: an aspect to consider in automatic sleep analysis.

The automatic sleep analysis aims at providing an accurate description of sleep process. We found that there exist so far poorly known sleep depth oscillations constantly. Quantitative analysis of these oscillations was done in this work via a mean frequency measure and FFT. Overall charasteristics of these oscillations were studied, focusing on the waves with period times of 5-150 s. These sleep depth oscillations have a relatively large amplitude and they should be considered in future sleep analysis systems. The results of this study give directions to automated sleep analysis regarding optimal estimation of sleep depth.

Adult↗

Occurrence of periodic sleep spindles within and across non-REM sleep episodes.

Sleep spindles have been reported to occur both as single events and periodically in sequences. However, there is no systematic description about the occurrence of spindles in sequences in relation to time of night. The aim of the present study was to examine the temporal occurrence of periodic sleep spindles during the night. Sleep spindles of 19 healthy subjects were selected visually. A minimum of three consecutive spindles was required to form a spindle sequence. A 5-second upper time interval limit was applied as the longest duration between spindles belonging to a spindle sequence. The number of spindles and time occupied by spindle sequences increased from the first to the fourth non-REM (NREM) sleep episode. Within NREM sleep episodes, the number of spindles and spindle sequences dominated at the beginning. In the first two NREM sleep episodes with high slow-wave activity (SWA), there were few spindle sequences and they decreased with increasing SWA. In the third and fourth NREM sleep episode with less SWA, there were more spindle sequences and they were more evenly distributed. It is possible that in the first NREM sleep episodes, hyperpolarization of the thalamocortical cells deepens so rapidly that the NREM sleep level, where spindle sequences arise, is passed and spindle sequences are not formed. Spindle sequences could be regarded as markers of the evolution of the NREM sleep process and their lack or excess in relation to time of night and NREM sleep episode can hopefully be used to indicate changes in brain mechanisms behind NREM sleep.

Adult↗

Fuzzy detection of EEG alpha without amplitude thresholding.

Intelligent automated systems are needed to assist the tedious visual analysis of polygraphic recordings. Most systems need detection of different electroencephalogram (EEG) waveforms. The problem in automated detection of alpha activity is the large inter-individual variability of its amplitude and duration. In this work, a fuzzy reasoning based method for the detection of alpha activity was designed and tested using a total of 32 recordings from seven different subjects. Intelligence of the method was distributed to features extracted and the way they were combined. The ranges of the fuzzy rules were determined based on feature statistics. The advantage of the detector is that no alpha amplitude threshold needs to be selected. The performance of the alpha detector was assessed with receiver operating characteristic (ROC) curves. When the true positive rate was 94.2%, the false positive rate was 9.2%, which indicates good performance in sleep EEG analysis.

Adult↗

A study on gender and age differences in sleep spindles.

In the present work, gender differences in sleep spindle topography were examined in 40 subjects. Their median age was 32 years (range 22-49 years). Spindles were detected from 3,306,060 s of visually scored stage 2 sleep EEG by a previously validated automatic fuzzy detector at 1-second intervals. A total of 271,168 spindles were found from the six EEG channels analyzed. Females showed a significantly higher percentage of spindles in the left frontal channel than males (Fp1-A2; p = 0.026). To confirm that this difference was gender and not age related, the subjects were divided into two age groups. No significant differences in spindle activity of the frontal channels were found between the groups. However, the interindividual spindle variability seemed to be at least as large as that stemming from gender.

Adult↗