Light-weight sleep monitoring: electrode distance matters more than placement for automatic scoring
Modern sleep monitoring development is shifting towards the use of unobtrusive sensors combined with algorithms for automatic sleep scoring. Many different combinations of wet and dry electrodes, ear-centered, forehead-mounted or headband-inspired designs have been proposed, alongside an ever growing variety of machine learning algorithms for automatic sleep scoring. In this paper, we compare 13 different, realistic sensor setups derived from the same data set and analysed with the same pipeline. We find that all setups which include both a lateral and an EOG derivation show similar, state-of-the-art performance, with average Cohen's kappa values of at least 0.80. This indicates that electrode distance, rather than position, is important for accurate sleep scoring. Finally, based on the results presented, we argue that with the current competitive performance of automated staging approaches, there is an urgent need for establishing an improved benchmark beyond current single human rater scoring.
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