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Automated non-contact detection of central apneas using video

Geertsema, EE; Visser, GH; Sander, JW; Kalitzin, SN; (2020) Automated non-contact detection of central apneas using video. Biomedical Signal Processing and Control , 55 , Article 101658. 10.1016/j.bspc.2019.101658. Green open access

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Abstract

Central apneas occurring in the aftermath of epileptic seizures may lead to sudden death. Contact-sensors currently used to detect apneas are not always suitable or tolerated. We developed a robust automated non-contact algorithm for real-time detection of central apneas using video cameras. One video recording with simulated apneas and nine with real-life apneas associated with epileptic seizures, each recorded from 3 to 4 angles, were used to develop the algorithm. Videos were preprocessed using optical flow, from which translation, dilatation and shear rates were extracted. Presence of breathing motions was quantified in the time-frequency spectrum by calculating the relative power in the respiratory range (0.1–1 Hz). Sigmoid modulation was calculated over different scales to quantify sigmoid-like drops in respiratory range power. Each sigmoid modulation maximum constitutes a possible apnea event. Two event features were calculated to enable distinction between apnea events and movements: modulation maximum amplitude and total spectral power modulation at the time of the event. An ensemble support vector machine was trained to classify events using a bagging procedure and validated in a leave-one-subject-out cross validation procedure. All apnea episodes were detected in the signals from at least one camera angle. Integrating camera inputs capturing different angles increased overall detection sensitivity (>90%). Overall detection specificity of >99% was achieved with both individual cameras and integrated camera inputs. These results suggest that it is feasible to detect central apneas automatically in video, using this algorithm. When validated, the algorithm might be used as an online remote apnea detector for safety monitoring.

Type: Article
Title: Automated non-contact detection of central apneas using video
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.bspc.2019.101658
Publisher version: https://doi.org/10.1016/j.bspc.2019.101658
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Epilepsy, Event detection, Pattern recognition, SUDEP, Video analysis
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Experimental Epilepsy
URI: https://discovery.ucl.ac.uk/id/eprint/10082582
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