SleepGMUformer: A gated multimodal temporal neural network for sleep staging

Sleep staging is a central aspect of sleep assessment and research the accuracy of sleep staging is not only relevant to the assessment of sleep quality [3] but also key to achieving early intervention for sleep disorders and related psychiatric disorders [4]. Polysomnography is a multi-parameter study of sleep [5], a test to diagnose sleep disorders through different types of physiological signals recorded during sleep, such as electroencephalography (EEG), cardiography (CG), electrooculography (EOG), electromyography (EMG), oro-nasal airflow and oxygen saturation [6]. According to the Rechtschaffen and Kales (R&K) rule, PSG signals are usually divided into 30-second segments and classified into six sleep stages, namely wakefulness (Wake), four non-rapid eye movement stages (i.e., S1, S2, S3, and S4), and rapid eye movement (REM). In 2007, the American Academy of Sleep Medicine (AASM) adopted the Rechtschaffen & Kales (R&K) sleep staging system for Non-Rapid Eye Movement (NREM) sleep. Sleep specialists typically utilize these criteria for the manual classification of sleep stages, a process that is not only labor-intensive but also prone to subjective bias [7]. Therefore, automated sleep staging is a more efficient alternative to manual methods and has more clinical value [8].