Abstract--Non-intrusive monitoring of vital signs has become increasingly important in a variety of healthcare settings. In this paper, we present PulseFi, a novel low-cost non-intrusive system that uses Wi-Fi sensing and artificial intelligence to accurately and continuously monitor heart rate and breathing rate, as well as detect apnea events. PulseFi operates using low-cost commodity devices, making it more accessible and cost-effective. It uses a signal processing pipeline to process Wi-Fi telemetry data, specifically Channel State Information (CSI), that is fed into a custom low-compute Long Short-T erm Memory (LSTM) neural network model. We evaluate PulseFi using two datasets: one that we collected locally using ESP32 devices and another that contains recordings of 118 participants collected using the Raspberry Pi 4B, making the latter the most comprehensive data set of its kind. Our results show that PulseFi can effectively estimate heart rate and breathing rate in a seemless non-intrusive way with comparable or better accuracy than multiple antenna systems that can be expensive and less accessible. Non-intrusive monitoring of vital signs (such as heart, breathing rate, and sleep apnea) has become increasingly important, particularly for home care, elderly care, and managing chronic conditions. As the global population ages and chronic disease rates increase, there is a growing need for continuous and accurate vital sign monitoring systems that can be easily deployed across the healthcare continuum, including hospitals, long-term care and home care settings [1]. Breathing and heart rate provides critical information about an individual's respiratory and cardiovascular health. Furthermore, detection of apnea, characterized by temporary pauses in breathing (typically lasting 10 seconds or longer) [2], is critical as conditions like sleep apnea affect millions worldwide and can lead to serious health complications if undiagnosed [3]. Thus, non invasive monitoring of these cardiopulmonary variables is necessary. Traditional approaches for vital sign monitoring have relied heavily on contact-based sensors such as pulse oximeters, heart rate belts, chest straps, or highly specialized medical equipment, such as polysomnography (PSG) or electrocardiogram (ECG) devices.

Sleep is essential for maintaining human health and quality of life. Analyzing physiological signals during sleep is critical in assessing sleep quality and diagnosing sleep disorders. However, manual diagnoses by clinicians are time-intensive and subjective. Despite advances in deep learning that have enhanced automation, these approaches remain heavily dependent on large-scale labeled datasets. This study introduces SynthSleepNet, a multimodal hybrid self-supervised learning framework designed for analyzing polysomnography (PSG) data. SynthSleepNet effectively integrates masked prediction and contrastive learning to leverage complementary features across multiple modalities, including electroencephalogram (EEG), electrooculography (EOG), electromyography (EMG), and electrocardiogram (ECG). This approach enables the model to learn highly expressive representations of PSG data. Furthermore, a temporal context module based on Mamba was developed to efficiently capture contextual information across signals. SynthSleepNet achieved superior performance compared to state-of-the-art methods across three downstream tasks: sleep-stage classification, apnea detection, and hypopnea detection, with accuracies of 89.89%, 99.75%, and 89.60%, respectively. The model demonstrated robust performance in a semi-supervised learning environment with limited labels, achieving accuracies of 87.98%, 99.37%, and 77.52% in the same tasks. These results underscore the potential of the model as a foundational tool for the comprehensive analysis of PSG data. SynthSleepNet demonstrates comprehensively superior performance across multiple downstream tasks compared to other methodologies, making it expected to set a new standard for sleep disorder monitoring and diagnostic systems.

Polysomnography (PSG) is a type of sleep study that records multimodal physiological signals and is widely used for purposes such as sleep staging and respiratory event detection. Conventional machine learning methods assume that each sleep study is associated with a fixed set of observed modalities and that all modalities are available for each sample. However, noisy and missing modalities are a common issue in real-world clinical settings. In this study, we propose a comprehensive pipeline aiming to compensate for the missing or noisy modalities when performing sleep apnea detection. Unlike other existing studies, our proposed model works with any combination of available modalities. Our experiments show that the proposed model outperforms other state-of-the-art approaches in sleep apnea detection using various subsets of available data and different levels of noise, and maintains its high performance (AUROC>0.9) even in the presence of high levels of noise or missingness. This is especially relevant in settings where the level of noise and missingness is high (such as pediatric or outside-of-clinic scenarios).

Sleep apnea (SA) is a significant respiratory condition that poses a major global health challenge. Previous studies have investigated several machine and deep learning models for electrocardiogram (ECG)-based SA diagnoses. Despite these advancements, conventional feature extractions derived from ECG signals, such as R-peaks and RR intervals, may fail to capture crucial information encompassed within the complete PQRST segments. In this study, we propose an innovative approach to address this diagnostic gap by delving deeper into the comprehensive segments of the ECG signal. The proposed methodology draws inspiration from Matrix Profile algorithms, which generate an Euclidean distance profile from fixed-length signal subsequences. From this, we derived the Min Distance Profile (MinDP), Max Distance Profile (MaxDP), and Mean Distance Profile (MeanDP) based on the minimum, maximum, and mean of the profile distances, respectively. To validate the effectiveness of our approach, we use the modified LeNet-5 architecture as the primary CNN model, along with two existing lightweight models, BAFNet and SE-MSCNN, for ECG classification tasks. Our extensive experimental results on the PhysioNet Apnea-ECG dataset revealed that with the new feature extraction method, we achieved a per-segment accuracy up to 92.11 \% and a per-recording accuracy of 100\%. Moreover, it yielded the highest correlation compared to state-of-the-art methods, with a correlation coefficient of 0.989. By introducing a new feature extraction method based on distance relationships, we enhanced the performance of certain lightweight models, showing potential for home sleep apnea test (HSAT) and SA detection in IoT devices. The source code for this work is made publicly available in GitHub: https://github.com/vinuni-vishc/MPCNN-Sleep-Apnea.

Obstructive sleep apnea (OSA) is a prevalent sleep disorder affecting approximately one billion people world-wide. The current gold standard for diagnosing OSA, Polysomnography (PSG), involves an overnight hospital stay with multiple attached sensors, leading to potential inaccuracies due to the first-night effect. To address this, we present SlAction, a non-intrusive OSA detection system for daily sleep environments using infrared videos. Recognizing that sleep videos exhibit minimal motion, this work investigates the fundamental question: "Are respiratory events adequately reflected in human motions during sleep?" Analyzing the largest sleep video dataset of 5,098 hours, we establish correlations between OSA events and human motions during sleep. Our approach uses a low frame rate (2.5 FPS), a large size (60 seconds) and step (30 seconds) for sliding window analysis to capture slow and long-term motions related to OSA. Furthermore, we utilize a lightweight deep neural network for resource-constrained devices, ensuring all video streams are processed locally without compromising privacy. Evaluations show that SlAction achieves an average F1 score of 87.6% in detecting OSA across various environments. Implementing SlAction on NVIDIA Jetson Nano enables real-time inference (~3 seconds for a 60-second video clip), highlighting its potential for early detection and personalized treatment of OSA.

Obstructive Sleep Apnea Syndrome (OSAS) is the most common sleep-related breathing disorder. It is caused by an increased upper airway resistance during sleep, which determines episodes of partial or complete interruption of airflow. The detection and treatment of OSAS is particularly important in stroke patients, because the presence of severe OSAS is associated with higher mortality, worse neurological deficits, worse functional outcome after rehabilitation, and a higher likelihood of uncontrolled hypertension. The gold standard test for diagnosing OSAS is polysomnography (PSG). Unfortunately, performing a PSG in an electrically hostile environment, like a stroke unit, on neurologically impaired patients is a difficult task; also, the number of strokes per day outnumbers the availability of polysomnographs and dedicated healthcare professionals. Thus, a simple and automated recognition system to identify OSAS among acute stroke patients, relying on routinely recorded vital signs, is desirable. The majority of the work done so far focuses on data recorded in ideal conditions and highly selected patients, and thus it is hardly exploitable in real-life settings, where it would be of actual use. In this paper, we propose a convolutional deep learning architecture able to reduce the temporal resolution of raw waveform data, like physiological signals, extracting key features that can be used for further processing. We exploit models based on such an architecture to detect OSAS events in stroke unit recordings obtained from the monitoring of unselected patients. Unlike existing approaches, annotations are performed at one-second granularity, allowing physicians to better interpret the model outcome. Results are considered to be satisfactory by the domain experts. Moreover, based on a widely-used benchmark, we show that the proposed approach outperforms current state-of-the-art solutions.

Good training data is a prerequisite to develop useful ML applications. However, in many domains existing data sets cannot be shared due to privacy regulations (e.g., from medical studies). This work investigates a simple yet unconventional approach for anonymized data synthesis to enable third parties to benefit from such private data. We explore the feasibility of learning implicitly from unrealistic, task-relevant stimuli, which are synthesized by exciting the neurons of a trained deep neural network (DNN). As such, neuronal excitation serves as a pseudo-generative model. The stimuli data is used to train new classification models. Furthermore, we extend this framework to inhibit representations that are associated with specific individuals. We use sleep monitoring data from both an open and a large closed clinical study and evaluate whether (1) end-users can create and successfully use customized classification models for sleep apnea detection, and (2) the identity of participants in the study is protected. Extensive comparative empirical investigation shows that different algorithms trained on the stimuli are able generalize successfully on the same task as the original model. However, architectural and algorithmic similarity between new and original models play an important role in performance. For similar architectures, the performance is close to that of using the true data (e.g., Accuracy difference of 0.56\%, Kappa coefficient difference of 0.03-0.04). Further experiments show that the stimuli can to a large extent successfully anonymize participants of the clinical studies.