Fully Automated Detection of Isolated Rapid-Eye-Movement Sleep Behavior Disorder Using Actigraphy

Publikation: Bidrag til bog/antologi/rapportKonferencebidrag i proceedingsForskningfagfællebedømt

  • Andreas Brink-Kjaer
  • Joseph Winer
  • Jamie M. Zeitzer
  • Helge B.D. Sorensen
  • Jennum, Poul
  • Emmanuel Mignot
  • Emmanuel During
Isolated rapid-eye-movement (REM) sleep behavior disorder (iRBD) is caused by motor disinhibition during REM sleep and is a strong early predictor of Parkinson’s disease. However, screening questionnaires for iRBD lack specificity due to other sleep disorders that mimic the symptoms. Nocturnal wrist actigraphy has shown promise in detecting iRBD by measuring sleep-related motor activity, but it relies on sleep diary-defined sleep periods, which are not always available. Our aim was to precisely detect iRBD using actigraphy alone by combining two actigraphy-based markers of iRBD - abnormal nighttime activity and 24-hour rhythm disruption. In a sample of 42 iRBD patients and 42 controls (21 clinical controls with other sleep disorders and 21 community controls) from the Stanford Sleep Clinic, the nighttime actigraphy model was optimized using automated detection of sleep periods. Using a subset of 38 iRBD patients with daytime data and 110 age-, sex-, and body-mass-index-matched controls from the UK Biobank, the 24-hour rhythm actigraphy model was optimized. Both nighttime and 24-hour rhythm features were found to distinguish iRBD from controls. To improve the accuracy of iRBD detection, we fused the nighttime and 24-hour rhythm disruption classifiers using logistic regression, which achieved a sensitivity of 78.9%, a specificity of 96.4%, and an AUC of 0.954. This study preliminarily validates a fully automated method for detecting iRBD using actigraphy in a general population.Clinical relevance— Actigraphy-based iRBD detection has potential for large-scale screening of iRBD in the general population.
OriginalsprogEngelsk
Titel2023 45th Annual International Conference of the IEEE Engineering in Medicine and Biology Conference, EMBC 2023 - Proceedings
Antal sider5
ForlagInstitute of Electrical and Electronics Engineers Inc.
Publikationsdato2023
ISBN (Elektronisk)9798350324471
DOI
StatusUdgivet - 2023
Begivenhed45th Annual International Conference of the IEEE Engineering in Medicine and Biology Conference, EMBC 2023 - Sydney, Australien
Varighed: 24 jul. 202327 jul. 2023

Konference

Konference45th Annual International Conference of the IEEE Engineering in Medicine and Biology Conference, EMBC 2023
LandAustralien
BySydney
Periode24/07/202327/07/2023
NavnProceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS
ISSN1557-170X

Bibliografisk note

Funding Information:
VI. ACKNOWLEDGMENTS This research was supported by U19-AG071754 to E.M., F32AG074625 and P30AG066515 to J.W, and by the Feldman Foundation CA to E.D.

Publisher Copyright:
© 2023 IEEE.

ID: 396107440