A robust deep learning system for screening of obstructive sleep apnea using T-F spectrum of ECG signals

Kapil Gupta

Computer Methods in Biomechanics and Biomedical Engineering, 2025, vol. 28, issue 14, 2137-2149

Abstract: Obstructive sleep apnea (OSA) is a non-communicable sleep-related medical condition marked by repeated disruptions in breathing during sleep. It may induce various cardiovascular and neurocognitive complications. Electrocardiography (ECG) is a useful method for detecting numerous health-related disorders. ECG signals provide a less complex and non-invasive solution for the screening of OSA. Automated and accurate detection of OSA may enhance diagnostic performance and reduce the clinician’s workload. Traditional machine learning methods typically involve several labor-intensive manual procedures, including signal decomposition, feature evaluation, selection, and categorization. This article presents the time-frequency (T-F) spectrum classification of de-noised ECG data for the automatic screening of OSA patients using deep convolutional neural networks (DCNNs). At first, a filter-fusion algorithm is used to eliminate the artifacts from the raw ECG data. Stock-well transform (S-T) is employed to change filtered time-domain ECG into T-F spectrums. To discriminate between apnea and normal ECG signals, the obtained T-F spectrums are categorized using benchmark Alex-Net and Squeeze-Net, along with a less complex DCNN. The superiority of the presented system is measured by computing the sensitivity, specificity, accuracy, negative predicted value, precision, F1-score, and Fowlkes-Mallows index. The results of comparing all three utilized DCNNs reveal that the proposed DCNN requires fewer learning parameters and provides higher accuracy. An average accuracy of 95.31% is yielded using the proposed system. The presented deep learning system is lightweight and faster than Alex-Net and Squeeze-Net as it utilizes fewer learnable parameters, making it simple and reliable.

Date: 2025
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DOI: 10.1080/10255842.2024.2359635

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