Domain Invariant Representation Learning and Sleep Dynamics Modeling for Automatic Sleep Staging

Sleep staging has become a critical task in diagnosing and treating sleep disorders to prevent sleep related diseases. With rapidly growing large scale public sleep databases and advances in machine learning, significant progress has been made toward automatic sleep staging. However, previous studies face some critical problems in sleep studies; the heterogeneity of subjects' physiological signals, the inability to extract meaningful information from unlabeled sleep signal data to improve predictive performances, the difficulty in modeling correlations between sleep stages, and the lack of an effective mechanism to quantify predictive uncertainty. In this study, we propose a neural network based automatic sleep staging model, named DREAM, to learn domain generalized representations from physiological signals and models sleep dynamics. DREAM learns sleep related and subject invariant representations from diverse subjects' sleep signal segments and models sleep dynamics by capturing interactions between sequential signal segments and between sleep stages. In the experiments, we demonstrate that DREAM outperforms the existing sleep staging methods on three datasets. The case study demonstrates that our model can learn the generalized decision function resulting in good prediction performances for the new subjects, especially in case there are differences between testing and training subjects. The usage of unlabeled data shows the benefit of leveraging unlabeled EEG data. Further, uncertainty quantification demonstrates that DREAM provides prediction uncertainty, making the model reliable and helping sleep experts in real world applications.