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Dash: Deep-Learning-Based Apnea Screening with AHI Estimation from Single-Lead ECG

  • Won Seok Hong
  • , Seunghun Choi
  • , Kwon Hong
  • , Woo Hyun Lee
  • , Hyun Soo Choi
  • Seoul National University of Science and Technology (SNUST)
  • Kangwon National University Hospital

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Obstructive sleep apnea (OSA) is a prevalent sleep disorder with serious health risks, but its gold-standard diagnosis, polysomnography (PSG), is resource-intensive and limits accessibility. To address these limitations, we present DASH (Deep-learning-based Apnea Screening with AHI estimation), a web-integrated end-to-end system for apnea-hypopnea index (AHI) estimation using only single-lead electrocardiography (ECG). DASH consists of three stages: (1) per-segment apnea detection using a fine-tuned ECG-DualNet model, (2) AHI calculation via event aggregation and time normalization, and (3) severity classification based on AHI thresholds. Evaluated on a large-scale PSG-labeled dataset from Kangwon National University Hospital (KNUH), our model demonstrated robust performance, achieving an AUROC of 0.931 (segment-level) and an F1 score of 0.926 (severe-stage). In addition, we developed an interactive web interface for real-time screening and visualization. The results demonstrate that DASH offers a scalable, accurate, and accessible alternative to PSG for OSA detection using only ECG data.

Original languageEnglish
Title of host publicationProceedings - 2025 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2025
EditorsJuan Liu, Jingshan Huang, Xiaowo Wang, Fa Zhang, Xiufen Zou, Tian Tian, Xiaohua Hu, Bin Hu, Yi Xiong
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages3668-3671
Number of pages4
ISBN (Electronic)9798331515577
DOIs
StatePublished - 2025
Event2025 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2025 - Wuhan, China
Duration: 15 Dec 202518 Dec 2025

Publication series

NameProceedings - 2025 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2025

Conference

Conference2025 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2025
Country/TerritoryChina
CityWuhan
Period15/12/2518/12/25

Keywords

  • AHI
  • ECG-DualNet
  • Electrocardiography (ECG)
  • Obstructive Sleep Apnea (OSA)

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