1996
DOI: 10.1093/sleep/19.1.26
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Sleep Stage Scoring Using the Neural Network Model: Comparison Between Visual and Automatic Analysis in Normal Subjects and Patients

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Cited by 139 publications
(97 citation statements)
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“…Characterization of sleep in terms of these discrete stages is a methodological concept that attempts to standardize analysis across reviewers and laboratories; it is not a biological fact [2]. The exact time of change of state is highly subjective and leaves room for interpretation by the scorer, who will score transitional epochs (e.g., Stage 1 and Stage 3) differently on different occasions [3]. Studies have shown interscorer agreement ranging from 67% to 91% [4]- [7] depending on different scoring epoch lengths and number of readers.…”
Section: Introductionmentioning
confidence: 99%
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“…Characterization of sleep in terms of these discrete stages is a methodological concept that attempts to standardize analysis across reviewers and laboratories; it is not a biological fact [2]. The exact time of change of state is highly subjective and leaves room for interpretation by the scorer, who will score transitional epochs (e.g., Stage 1 and Stage 3) differently on different occasions [3]. Studies have shown interscorer agreement ranging from 67% to 91% [4]- [7] depending on different scoring epoch lengths and number of readers.…”
Section: Introductionmentioning
confidence: 99%
“…Ray et al [17] have developed an expert system with good performance on a limited data set. Schaltenbrand et al [3] presented a neural network model of automatic staging with results ranging from 84.5% for normal group to 81.0% for insomniac group using 30-s epochs. Gath and Bar-On [18] presented the feasibility of a method based on fuzzy clustering of variable length segments.…”
Section: Introductionmentioning
confidence: 99%
“…Nevertheless, the various neural network-based systems reviewed were as efficient as non connectionist systems developed by other groups (Gaillard and Tissot, 1973;Smith et al, 1978;Ray et al, 1986;Itowi et al, 1990;Witting et al, 1996). Furthermore, performances of connectionist classifiers were often similar to those of experts (Mamelak et al, 1991;Robert et al, 1996;Schaltenbrand et al, 1996).…”
Section: Discussionmentioning
confidence: 93%
“…While no impairment of the artificial neural network classifier was observed by Mamelak et al (1991), Grö zinger et al (1995) and Schaltenbrand et al (1996) reported the need to alter their system. Although the systems developed by Roberts and Tarassenko (1992), Grö zinger et al (1995) and Robert et al (1996) mainly relied on a single EEG channel to establish an hypnogram, these systems are limited in that they can not be used in protocols which induce dissociation between EEG patterns and the behaviour of the subject.…”
Section: Discussionmentioning
confidence: 95%
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