Automatic sleep staging plays a vital role in assessing sleep quality and diagnosing sleep disorders. Most existing methods rely heavily on long and continuous EEG recordings, which poses significant challenges for data acquisition in resource-constrained systems, such as wearable or home-based monitoring systems. In this paper, we propose the task of resource-efficient sleep staging, which aims to reduce the amount of signal collected per sleep epoch while maintaining reliable classification performance. To solve this task, we adopt the masking and prompt learning strategy and propose a novel framework called Mask-A ware Sleep Staging (MASS). Specifically, we design a multi-level masking strategy to promote effective feature modeling under partial and irregular observations. To mitigate the loss of contextual information introduced by masking, we further propose a hierarchical prompt learning mechanism that aggregates unmasked data into a global prompt, serving as a semantic anchor for guiding both patch-level and epoch-level feature modeling. MASS is evaluated on four datasets, demonstrating state-of-the-art performance, especially when the amount of data is very limited. This result highlights its potential for efficient and scalable deployment in real-world low-resource sleep monitoring environments.

The most successful deep learning systems in this domain combine convolutional and recurrent layers to extract useful features to model temporal relations.

Manual sleep staging from polysomnography (PSG) is labor-intensive and prone to inter-scorer variability. While recent deep learning models have advanced automated staging, most rely solely on raw PSG signals and neglect contextual cues used by human experts. We propose a two-stage architecture that combines a Transformer-based per-epoch encoder with a 1D CNN aggregator, and systematically investigates the effect of incorporating explicit context: subject-level clinical metadata (age, sex, BMI) and per-epoch expert event annotations (apneas, desaturations, arousals, periodic breathing). Using the Sleep Heart Health Study (SHHS) cohort (n=8,357), we demonstrate that contextual fusion substantially improves staging accuracy. Compared to a PSG-only baseline (macro-F1 0.7745, micro-F1 0.8774), our final model achieves macro-F1 0.8031 and micro-F1 0.9051, with event annotations contributing the largest gains. Notably, feature fusion outperforms multi-task alternatives that predict the same auxiliary labels. These results highlight that augmenting learned representations with clinically meaningful features enhances both performance and interpretability, without modifying the PSG montage or requiring additional sensors. Our findings support a practical and scalable path toward context-aware, expert-aligned sleep staging systems.

Neural Information Processing Systems http://nips.cc/

Electroencephalography (EEG) is widely used for recording brain activity and has seen numerous applications in machine learning, such as detecting sleep stages and neurological disorders. Several studies have successfully shown the potential of EEG data for re-identification and leakage of other personal information. Therefore, the increasing availability of EEG consumer devices raises concerns about user privacy, motivating us to investigate how to safeguard this sensitive data while retaining its utility for EEG applications. To address this challenge, we propose a transformer-based autoencoder to create EEG data that does not allow for subject re-identification while still retaining its utility for specific machine learning tasks. We apply our approach to automatic sleep staging by evaluating the re-identification and utility potential of EEG data before and after anonymization. The results show that the re-identifiability of the EEG signal can be substantially reduced while preserving its utility for machine learning.

Abstract--Introduction: This study presents FetalSleepNet, the first published deep learning approach to classifying sleep states from the ovine electroencephalogram (EEG). Fetal EEG is complex to acquire and difficult and laborious to interpret consistently. However, accurate sleep stage classification may aid in the early detection of abnormal brain maturation associated with pregnancy complications (e.g. Methods: EEG electrodes were secured onto the ovine dura over the parietal cortices of 24 late-gestation fetal sheep. A lightweight deep neural network originally developed for adult EEG sleep staging was trained on the ovine EEG using transfer learning from adult EEG. A spectral equalisation-based domain adaptation strategy was used to reduce cross-domain mismatch. Results: We demonstrated that while direct transfer performed poorly, full fine-tuning combined with spectral equalisation achieved the best overall performance (accuracy: 86.6%, macro F1-score: 62.5), outperforming baseline models. Conclusions: T o the best of our knowledge, FetalSleepNet is the first deep learning framework specifically developed for automated sleep staging from the fetal EEG. Beyond the laboratory, the EEG-based sleep stage classifier functions as a label engine, enabling large-scale weak/semi-supervised labeling and distillation to facilitate training on less invasive signals that can be acquired in the clinic, such as Doppler Ultrasound or electrocardiogram data. FetalSleepNet's lightweight design makes it well suited for deployment in low-power, real-time, and wearable fetal monitoring systems. LEEP state patterns reflect fetal neurophysiological function and development [1], and are clinically relevant for detecting abnormal neurodevelopment, which may result from conditions such as chronic hypoxia, infection or hypertensive disorders of pregnancy (HDP) [2]-[4]. J. V argas-Calixto, N. Katebi, and G. D. Clifford are with the Department of Biomedical Informatics, Emory University, Atlanta, USA. Nhi Tran, R. Galinsky and S. B. Kelly are with the Ritchie Centre, Hudson Institute of Medical Research, Melbourne, Australia. G. D. Clifford is also with the Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, USA.

Breakthroughs, discoveries, and DIY tips sent every weekday. The ticking tyranny of 2 a.m. after you climbed into bed–responsibly–at 11. As the minutes go by, all you can think about is the importance of good sleep for function, mood, and productivity. What's worse, the big white letters on your sleep score will read "poor" like a middle school quiz. And while health-tracking devices have helped many gain insight into their bodies, hyperfixation on sleep metrics can backfire.

Automation of sleep analysis, including both macrostructural (sleep stages) and microstructural (e.g., sleep spindles) elements, promises to enable large-scale sleep studies and to reduce variance due to inter-rater incongruencies. While individual steps, such as sleep staging and spindle detection, have been studied separately, the feasibility of automating multi-step sleep analysis remains unclear. Here, we evaluate whether a fully automated analysis using state-of-the-art machine learning models for sleep staging (RobustSleepNet) and subsequent spindle detection (SUMOv2) can replicate findings from an expert-based study of bipolar disorder. The automated analysis qualitatively reproduced key findings from the expert-based study, including significant differences in fast spindle densities between bipolar patients and healthy controls, accomplishing in minutes what previously took months to complete manually. While the results of the automated analysis differed quantitatively from the expert-based study, possibly due to biases between expert raters or between raters and the models, the models individually performed at or above inter-rater agreement for both sleep staging and spindle detection. Our results demonstrate that fully automated approaches have the potential to facilitate large-scale sleep research. We are providing public access to the tools used in our automated analysis by sharing our code and introducing SomnoBot, a privacy-preserving sleep analysis platform.

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].

Sleep is an essential component of human physiology, contributing significantly to overall health and quality of life. Accurate sleep staging and disorder detection are crucial for assessing sleep quality. Studies in the literature have proposed PSG-based approaches and machine-learning methods utilizing single-modality signals. However, existing methods often lack multimodal, multilabel frameworks and address sleep stages and disorders classification separately. In this paper, we propose a 1D-Vision Transformer for simultaneous classification of sleep stages and sleep disorders. Our method exploits the sleep disorders' correlation with specific sleep stage patterns and performs a simultaneous identification of a sleep stage and sleep disorder. The model is trained and tested using multimodal-multilabel sensory data (including photoplethysmogram, respiratory flow, and respiratory effort signals). The proposed method shows an overall accuracy (cohen's Kappa) of 78% (0.66) for five-stage sleep classification and 74% (0.58) for sleep apnea classification. Moreover, we analyzed the encoder attention weights to clarify our models' predictions and investigate the influence different features have on the models' outputs. The result shows that identified patterns, such as respiratory troughs and peaks, make a higher contribution to the final classification process.