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1390 IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, VOL. 52, NO.

8, AUGUST 2005

Detection of Rapid-Eye Movements in Sleep Studies


Rajeev Agarwal*, Member, IEEE, Tomoka Takeuchi, Suzie Laroche, and Jean Gotman

Abstract—One of the key features of rapid-eye movement


(REM) sleep is the presence of bursts of REMs. Sleep studies
routinely use REMs to classify sleep stages. Moreover, REM count
or density has been used in studies involving learning and various
psychiatric disorders. Most of these studies have been based
on the visual identification of REMs, which is generally a very
time-consuming task. This and the varying definitions of REMs
across scorers have warranted the development of automatic
REM detection methodologies. In this paper, we present a new
detection scheme that combines many of the intrinsic properties Fig. 1. Electrode placement for EOGs.
of REMs and requires minimal parameter adjustments. In the
proposed method, a single parameter can be used to control
the REM detection sensitivity and specificity tradeoff. Manually eyes causes the cornea and the retina to change position and
scored training data are used to develop the method. We assess the the electrodes register a change in potential. Standard electrode
performance of the method against manual scoring of individual placement to register these potentials includes electrodes on
REM events and present validation results using a separate data the left outer canthus (LOC) and right outer canthus (ROC)
set. The ability of the method to discriminate fast horizontal ocular slightly displaced from the horizontal (one above and the other
movement in REM sleep from other types of events is highlighted.
A key advantage of the presented method is the minimal a priori below the horizontal) and referenced to the nasion as shown in
information requirement. The results of training data (recordings Fig. 1. With such an electrode placement it is possible to record
from five subjects) show an overall sensitivity of 78.8% and speci- horizontal and vertical eye movements.
ficity of 81.6%. The performance on the testing data (recording Sleep studies routinely use REMs to categorize sleep stages.
from five subjects different from the training data) showed overall Moreover, there is evidence suggesting that REM count abnor-
sensitivity of 67.2% and specificity of 77.5%.
malities exist in several psychiatric syndromes when compared
Index Terms—Automatic detection, rapid-eye movement to normal controls. For example, REM density measures have
(REM), sleep studies, validation.
been used to separate normal subjects from schizophrenic pa-
tients [1]. These measures have also been used as indicators
I. INTRODUCTION of severe depressive syndromes [2], [3]. Manual scoring of eye
movements (EMs) is a tedious and time-consuming task that is
B ASED on electrophysiological measurements, sleep
has been divided into two distinct stages—the
rapid-eye-movement (REM) stage and the nonrapid eye
subject to significant scorer bias. Due to these difficulties and the
lack of a widely accepted definition of REMs, REM count infor-
mation has not been utilized extensively, although some studies
movement (NREM) stage. REM sleep is characterized by
have been done using manual REM scoring to examine the rela-
relatively low-voltage, mixed frequency EEG in conjunction
with atonia and episodic bursts of REMs. Even in the absence tionship between REM and learning [4]. There is clearly a need
of atonia, REMs recorded with the standard EOG electrode set for objective and reliable automatic EM detection methods. In
this paper, we describe a method for automatically detecting fast
(Fig. 1), have become the cardinal sign for the classification of
horizontal ocular activity in any sleep stage. We also present val-
the REM sleep stage. EOG recordings are based on a potential
difference between the front and the back of the eye. The idation results using training and testing data.
cornea is positive with respect to the retina; thus, the eye can A. Literature Review
be modeled as a dipole source within a volume conductor. The
movement of the eyeball is measured with electrodes placed The tedious nature of manual REM scoring as well as the in-
beside the eyes. The electrode nearest the cornea will register consistency in the manual scoring has led to the development
a positive potential, while the electrode nearest the retina will of various automatic REM detection methods for adult sub-
register a negative potential. Therefore, the movement of the jects [5]–[9]. The development of most of these techniques is
based on EM models with several parameters. Additionally, ar-
tifact contamination due to physiological (EEG, EMG, EKG)
Manuscript received February 23, 2004; revised November 14, 2004. Asterisk
indicates corresponding author. and nonphysiological (electrode and body movements) sources
*R. Agarwal is with Stellate Systems, 376 Victoria Ave., Suite 200, Montreal, plays an important role in their utility. The application of fil-
QC H3Z 1C3 Canada (e-mail: ragarwal@stellate.com). ters can reduce some of these artifacts; however, this can also
T. Takeuchi is with Centre d’etude du Sommeil, Hospital de Sacre-Coeur,
Montreal, QC G1N 2W1 Canada (e-mail: t-takeuchi@CRHSC.UMontreal.CA). change the shape and amplitude of the EOG signals related
S. Laroche is with Ahuntsic College, Montreal, QC H2M 1Y8 Canada to REMs. In [5], Smith et al. presented a multichannel hybrid
(e-mail: suzie.laroche@collegeahuntsic.qc.ca). system of REM detection. Their EM model uses the left and
J. Gotman is with Stellate Systems, Montreal, QC H3Z 1C3 Canada (e-mail:
jgotman@stellate.com). right EOG channels (LOC and ROC); the EMs must be syn-
Digital Object Identifier 10.1109/TBME.2005.851512 chronous in both channels, must meet a minimum amplitude
0018-9294/$20.00 © 2005 IEEE

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AGARWAL et al.: DETECTION OF REMs IN SLEEP STUDIES 1391

criterion and have time duration of 0.33 to 1 s (1–3 Hz band- the fourth REM periods were used for the detection analysis. In
pass filter). Padovan and Pansini [10] showed the advantage of the cases where there was no clear fourth REM period, the third
a three channel montage in determining the direction of EMs. REM period was used. All NREM epochs within each 15-min
Degler et al. [6] used the techniques of [5] and [10] to deter- REM periods were excluded from analysis. Independently from
mine the direction of EMs. Ktonas and Smith [7] modified the any algorithm development, an experienced sleep technologist
techniques of [5] and [6] and analyzed a random selection of (one of the authors) manually scored the presence of REM events.
stage REM epochs in adult PSGs. Ninety-one of ninety-seven The only clear criterion that was used in the manual scoring was
manually marked REMs were correctly identified. Doman et that no two REM events be closer than 0.5 s.
al. [11], presented a method based on amplitude and slope of
deflection and showed acceptable performance using ten ran- B. REM Detection Methods
domly selected 1-min REM sleep epochs. However, no details We present a method of automatic detection of fast horizontal
were provided as to how the manual and the automatically de- ocular activity in any sleep stage. Subsequent processing can
tected EMs were matched. Minard and Krausman [12] presented subclassify the detections into various sleep stages to isolate
a detector using the high speed leading edge and out-of-phase only those that occur in the REM stage. The method attempts
characteristics of REMs (degree of synchrony between left and to incorporate the various EM features that have been used in
right outer-canthi recordings could be specified). The detector some previously published techniques. Two salient features of
did not use a REM amplitude criterion; however, tuning was the horizontal REMs are the rapid change in amplitude (fast de-
required for different recording settings. No analysis was pre- flections from baseline) and the phase-reversed synchrony in the
sented. McPartland and Kupfer [13] developed a detector using left and right EOG channels. Thus, the proposed method uses
a minimum amplitude criterion and the requirement that the two EOG channels (LOC and ROC) with the underlying ratio-
two EOG channels (left and right) have conjugate movements nale that the REMs must occur in synchrony in the two channels,
(synchrony with opposite polarity within 100 ms of each other). be phase-reversed and be of sufficient amplitude. Detections are
There have been other methods presented in the literature, but made on a block-by-block basis where the duration of the de-
most are variations of the above. More recently, a matched fil- tection block is the same as the duration of the staging epoch.
tering technique [9] based on morphology of neonate REMs has The basic principle in this detection method is to generate a set
been presented. This approach requires the preselection of REM of candidate REMs (CREMs) that can be subsequently filtered
templates. It is well known that the matched filters (MFs) are such that only those that have characteristic properties identi-
optimal in the presence of white noise; however, the presence fying REMs are retained. The following describes the different
of artifacts can degrade their performance. Using a Chi-square components of the algorithm.
analysis, an overall accuracy of 72.1% ( , ) 1) Data Preprocessing: The EMs are generally of two
was reported, though no discussion was presented describing types: 1) the slow components known as the slow-eye move-
how computer and the visually detected REMs were matched ments (SEMs) and 2) fast components know as the REMs. To
or how the templates were selected. separate the REMs from SEMs, prior to any detection, the two
channels of EOG data are filtered using a fourth-order digital
II. METHODS Butterworth bandpass filter with cutoffs at 1 and 5 Hz to yield
the filtered EOG data, and . This effectively
A. Subjects: Data Acquisition minimizes false detections due to SEMs as REMs as well as any
In the development and the analysis of the REM detection high frequency noise. It is possible that the use of a relatively
method, 10 complete night-sleep recordings (total of 82.5 h) narrowband filter may cause ringing due to impulsive noise,
were randomly selected from an existing set previously recorded and hence cause further false detections. However, by using
(approximately 8–10 yr prior to this study) with the Stellate additional properties of REMs (effectively several layers of
(Montreal, Canada) acquisition system at a 128-Hz sampling artifact rejection), this can be minimized. In our data analysis,
rate and calibrated to 7.5 . The 10 recordings were from we did not see this to be an issue.
different subjects (seven males, three females) ranging from 14 to 2) Candidate REM Detection: The REM detection criterion
60 yr in age ( , ). The only inclusion crite- is generated as the negative instantaneous product of the two
rion was that the recordings included two EOG channels (left and filtered EOG sequences
right EOGs) and REM periods. The EOG channel derivation was
slightly different from that described in the introduction—LOC (1.1)
and ROC were referenced to the ipsilateral ear. No record of
data acquisition filters was retained; however, the laboratory where n is the discrete time index. To remove all negative
routinely uses second-order filters with highpass cutoff at 0.1 peaks (in-phase activity) and the baseline noise around zero, a
Hz and a lowpass cutoff of 35 Hz. We expect this was the case threshold is applied to such that
for the considered EOG data. All recordings were staged using
20-s epochs according to the Rechtschaffen and Kales sleep (1.2)
staging criteria [14] prior to any development or analysis. The
10 recordings were randomly split into two groups: five for the Fig. 2 illustrates the detection of CREMs and the derivation
development of the REM detection method and five for the testing of using a 20-s staging epoch. A peak detection method is
of the method. In all recordings, the first 15 min of the second and applied to to generate candidate REMs (CREMs) using a

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1392 IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, VOL. 52, NO. 8, AUGUST 2005

Fig. 2. Detection of CREMs. (a) Left and right EOG signals. (b) Bandpass
filtered signal in (a). (c) Product of bandpass filtered EOGs in (b). (d) Final
CREM detection criterion with the sliding window of 2L around the current
sample. The window in the figure represents 1 s, but has been made larger for
illustration.

sample-by-sample sliding window of s as illustrated in Fig. 2


(for illustration purpose the window is not drawn to scale). That
is, a peak in is detected at the ith sample if in a window
of s, is maximum . With this strategy
no two peaks can be located within s of each other. The re-
sulting CREMs are all events in which there is phase-reversed Fig. 3. Example of slope measure calculation.
synchrony of high amplitude.
3) REM Detection Features: A setof featuresis generatedfor The coordinates correspond to the time index and the
each CREM event. These features will be used in the subsequent EOG voltage, respectively, and N is the smallest integer number
postprocessing procedure to extract the final REM detections. of samples of , where is the sampling rate. The slope is
Artifact Measure (ART). This is defined as the maximum ab- evaluated using a fixed duration epoch for the recordings that
solute amplitude in the two EOG channels for each detection have been calibrated for 7.5 sensitivity; therefore the
block issue of signal amplification and paper speed is not relevant.
4) REM Detection Criteria: We used the training data to ex-
(1.3) amine the relationship between CREMs and their features and
developed rules for the final detection of REM events. REM de-
Negative Instantaneous Product (NIP). This is defined as the tection rules were derived such that sensitivity and specificity
value of the detection criterion at the detection time. For performance tradeoff was balanced. The rules are applied in the
a CREM at the ith instant, it is defined as . sequence defined below.
Correlation Coefficient (CC). Correlation coefficient of the Artifact rejection. Reject all CREMs in which the artifact
two EOG data channels over the entire detection block corre- measure (ART) for the corresponding detection block exceeds a
sponding to the considered CREM. threshold. For the data that we have used in the training set, an
Deflection Angle (DA). This is defined as the angle from the artifact threshold value of 500 provided adequate rejection
positive horizontal axis of the best-fit straight line through 0.2 of epochs that were marred by high amplitude artifacts.
s of data on the left and right side of the detection instant for Correlation Coefficient. It is expected that the two EOG chan-
the two channels as illustrated in Fig. 3. Therefore, for each nels will exhibit high negative correlation due to atonia, low
CREM there are four values: the deflection angle of the data amplitude EEG and high amplitude phase-reversed EM activity
on the left and right side of CREM for the LOC and the same during REM periods. We can use this idea to limit the detection
for the ROC. In the context of fixed amplitude calibration and of REMs to a subset of staging epochs in the recording. That
fixed time duration the deflection angle is more intuitive than the is, exclude staging epochs in which the correlation coefficient
velocity expressed in terms of . The best-fit straight line between the left and right EOG channel is greater than some
through these points is evaluated using the least-squares method. threshold . Based on the assessment of the training data,
The deflection angle is defined as , where is was selected to provide good rejection of epochs
the slope of the best-fit line with no REMs. It is therefore possible to reduce false detections.
Negative Instantaneous Product. To exclude the low ampli-
tude CREMs, we use the NIP as defined earlier. All CREMs with
(1.4) a NIP less than some prespecified value are rejected from fur-
ther considerations. As can be seen in Fig. 4, a threshold of 120

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AGARWAL et al.: DETECTION OF REMs IN SLEEP STUDIES 1393

was found to provide the best tradeoff between the de-


tection sensitivity and specificity. If necessary, the NIP threshold
can be adjusted to limit the number of detections. That is, it can
be used to control the sensitivity and specificity performance
tradeoff.
Deflection Angle. Application of the above rules eliminated a
large number of false detections, however, some EM events with
slow deflections were still detected. To reduce this we applied
a rejection scheme based on a measure of the slope of the EOG
signals in the neighborhood of each candidate REM. The angle
between the horizontal axis and the best-fit straight lines are
evaluated to be , , , where the sign of the
slope is preserved in the angles and the first subscript refers to
the left or right channel while the second subscript refers to the
left or right side (LS/RS) of the CREM. By using these four
quantities, we develop a rule of limiting the detections to those
that are sufficiently fast. The absolute difference between the LS
and RS angle for each EOG channel is evaluated as Fig. 4. Sensitivity and Specificity vs. Negative Instantaneous Product
Threshold for training data.
(1.5)
(1.6)
the scorer’s criterion (EM_FD). Thus, the FD errors can be as-
These two parameters can provide some measure of the speed sessed in two ways: 1) Type A error consisting of all original
of the EM deflection. From our training data it is observed that FDs and 2) Type B error consisting of FDs with the EM_FD ex-
if there is at least a 45 change in the deflection between the left cluded (i.e., excluding FDs that may or may not be considered
and right sides of the CREM for both channels then it is likely valid REMs). Table III presents the summary of this analysis.
to be a valid REM. It is also often observed in valid REMs that Using the Type B false detection classification, the detection
only one channel has a very fast deflection while in the other it is specificity increased by 5% to 82.5%.
somewhat slower. Using these observations the following rules In addition to the above analysis, we wanted to assess whether
were derived to exclude CREMs that may not be rapid. A CREM the detected REM events were restricted to REM stages. All five
is therefore considered to be a valid REM if the following rule test data recordings (complete night recordings) were processed
is satisfied. by the proposed REM detector. This consisted of a total of 37.5
h of PSG data. Table IV presents the total detection distribu-
If and
tion across sleep stages for the test data. In all five cases, it is
Valid Detection
clear that most of the detections were made in REM stage (mean
Elseif and
of 77% across subjects) with only 5.9% detections in the Wake
Valid Detection
stage. The other significant (mean of 12.4% of detections) de-
Elseif and
tection category was others, which consisted primarily of un-
Valid Detection
staged epochs at the beginning and end of the night. Almost no
Else
detections were made in slow-wave sleep and a mean of 3.7%
Not REM.
of detections were made in Stage 2.
III. RESULTS
IV. DISCUSSION
A set of algorithm parameters that yielded the best detection
performance, based on the training data, was employed to assess In contrast to the other types of sleep events, the defining fea-
the REM detection algorithm with the test data set. The detec- tures of REMs are not clear and vary significantly across labo-
tion performance on test data is presented in Table I. The overall ratories and reviewers. Interestingly, even intra-reviewer differ-
sensitivity is 67.2% with a specificity of 77.5%. As can be ex- ences can be significant. To get a flavor for this difference, the
pected, the testing data performance is lower than the training training data was rescored (with more than a 12-mo gap between
data results (Table II). The sensitivity of REM detections for the two scorings) by the same reviewer that originally scored the
the testing data is clearly lower than the training data, while the data. REM events in the two manually scored sets were consid-
specificity is only marginally lower. In an effort to understand ered to be matching if they occurred within 0.5 s of each other.
the lower performance for the test data, the automatically de- Indeed, the overall agreement between the two sets of manual
tected REM events were visually reviewed by the scorer who scoring of REMS on the training data set showed less than per-
had originally scored the data. At the same time, all automati- fect agreement. Average agreement in the two sets of manually
cally scored events that did not match manually marked events scored data for these five records was 79.6% ( 10.3). When
[i.e., false detections (FDs)] were visually reclassified into two comparing the second set of manual REM scoring to the auto-
categories: events that were real FDs (REAL_FD) and those that matically detected events, a consistent increase in the number of
were ambiguous (likely valid REMs) but did not clearly meet manually marked events was observed. Overall, 14% decrease

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1394 IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, VOL. 52, NO. 8, AUGUST 2005

TABLE I
TESTING DATA RESULTS WITH OPTIMAL PARAMETERS

TABLE II
TRAINING DATA RESULTS WITH OPTIMAL PARAMETERS

TABLE III
TESTING DATA RESULTS AFTER ASSESSMENT OF ERRORS

TABLE IV
PERCENTAGE OF REM EVENT DETECTION IN EACH SLEEP STAGE FOR THE TEST DATA

in sensitivity was observed; however, many of the newly scored scoring of these events is tedious and very time-consuming, a
events were in fact detected by the automatic algorithm as sug- situation that has fueled the development of automatic detec-
gested by an overall increase of 7.5% in specificity. The in- tion methods. However, there are no commercially available
creased count in manual REM count was likely due to increased REM detection packages. Various sleep research laboratories
vigilance as the scorer was aware of the objective. Needless have developed their own REM detector with varying defini-
to say, the interscorer as well as the intrascorer variability can tions of REMs.
be great in the visual identification of individual REM events Many of the reported strategies of REM detection rely of
and can create significant scorer bias. Furthermore, the manual EM models that typically include such features as binocular

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AGARWAL et al.: DETECTION OF REMs IN SLEEP STUDIES 1395

synchrony, velocity, duration or amplitudes requiring the se-


lection of thresholds and parameters. Additionally, due to the
varying definition of EM models and interscorer variability, it
has been difficult to compare the performance of the different
automatic REM detection methods in the literature. To the
best of our knowledge, no research work presents a formal
performance analysis of REM detections. Of the works that
do report some results, the details of the analysis are not
clear (i.e., the separation of training/testing data, criterion for
matching manually and automatically detected events, etc.)
and more importantly the results presented are based on very
limited amounts of data. In this paper, we present an automatic Fig. 5. Examples of missed detections in subject H. (a) Questionable manual
REM detection method in which several parameters can be scoring of REM. (b) Manually marked REMs that were not automatically
detected. Right channel is of low amplitude and REMs do not have a clear fast
adjusted to optimize the detections. However, our experience component (circled).
with the algorithm suggests that in fact the NIP parameter is the
most sensitive in controlling the detection of individual REM
events and therefore the sensitivity/specificity tradeoff. It is the requirement of two EOGs for REM detection would be vio-
for this reason that this method can be effectively considered lated and the method may not be applicable.
to be tunable with a single parameter. The performance of The reviewer that initially scored the data reassessed the auto
the algorithm is analyzed with a data set different from the detections for all five subjects to qualify the errors. The false
one used for training the method. detections were classified into Type A and Type B errors (see
In our analysis, an automatically detected REM event is con- Section III for details). As shown in Table III, the additional re-
sidered a good detection if it is within 0.25 s of a visually classification of FDs as Type A and Type B improves the overall
identified REM event. The test data results are shown in Table I. specificity by approximately 5%. It was also observed that some
As one might expect, the performance is lower on a data set dif- errors were due to inconsistencies in the manual scoring. This
ferent from the one used for training the method. The detection is to be expected as no clear REM definition, other than the al-
sensitivity is approximately 10% lower than the training data lowable proximity of events (two events must be separated by
(Table II), while the specificity is approximately 4% lower. Ex- at least 500 ms), was provided to the scorer. The overall results
amination of the data revealed that the poorer performance is suggest the need to increase the detection sensitivity. In applica-
primarily due to Subject H. For this subject, 86.1% of the total tion of the method in different laboratories or different data sets,
detections are in agreement with manually marked events; how- the sensitivity can always be adjusted to meet user preferences.
ever, only 34.4% of the manually marked events are automati- This can effectively be controlled using a single parameter.
cally detected. Upon reviewing the EOG data it was remarked Table IV shows the distribution of REM detections across the
that a significant percentage of missed detections are due to low different sleep stages. The majority of REMs (76.9%) are de-
amplitude signal in the right EOG channel where the EMs are tected in the REM stage. This clearly suggests the ability of the
not as clear as in the left channel. It is here that visual scoring method to differentiate the rapid deflection EM from other types
tends to be biased and based on context, where an event may of events that may resemble REMs. The restriction of detections
be obvious in one channel but only marginally present in the to REM stage can be primarily attributed to the correlation co-
other channel. Visually, a scorer is more likely to mark such an efficient feature where it is hypothesized that EOGs will have
event whereas the automatic detection method will fail to do a higher negative correlation in REM stage compared to other
so. Additionally, some of the manually marked events that were stages. Furthermore, the slope measure aids in filtering the re-
not detected (missed detections) may arguably be considered to maining events that do not exhibit a fast deflection. Many of the
be lacking the necessary fast component of REMs (see Fig. 5 missed events in Subject H had clear high amplitude fast deflec-
for examples). Similar observations, though on a smaller scale, tions in one channel, however the corresponding events in the
are valid for other subjects. It is important to understand that in other channel were of low amplitude and not very rapid in de-
such scenarios, the value of automatic detection methods is sig- flection. The deflection angle criterion for such events are likely
nificant because they introduce a consistency that is likely to be to be not satisfied, hence the missed detections.
absent in manual scoring. As described earlier, in the absence of The total number of automatic detections for each subject in
a clear definition of REM events, even intrascorer consistency Table I and Table II is roughly proportional to the number of
may be lacking. events manually marked. That is, the algorithm detects fewer
The low-level signal in the right EOG of Subject H may be REMs for a subject in whom fewer REMs exist. Such consis-
due to poor electrode placement or another technical factor. Un- tency is important for applications where the relative counts of
fortunately, due to the long elapsed time between recording and REMs may be of interest (as in pre and post treatment REM
analysis, we were unable to ascertain the exact cause. It is ex- analysis). We feel that qualitatively the number and type of de-
pected that all technical reasons for poor data quality would nor- tections made by the algorithm is satisfactory. The poorer detec-
mally be resolved at the start of the recording and therefore are tion performance of the test data compared to that of the training
not a limitation of the method. If, however, subjects have eye-re- data is a result of the combination of scorer inconsistencies, lack
lated problems (resulting in low level signal in one of the EOGs) of clear REM definition and the variability of the data. In actual

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1396 IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, VOL. 52, NO. 8, AUGUST 2005

application of the method in different laboratories, it is antici- [10] I. Padovan and M. Pansini, “New possibilities of analysis in electronys-
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the literature since no standardized criterion of performance has digital recording and analysis,” Int. J. Biomed. Comput., vol. 38, pp.
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clear. Doman et al. [11] showed a 90% sensitivity and 93% vol. 31, pp. 99–102, 1971.
[13] R. J. McPartland and D. J. Kupfer, “Computerised measures of electro-
specificity of REM detections on ten 1-min REM sleep epochs. oculographic activity during sleep,” Int. J. Biomed. Comput., vol. 9, pp.
However, this is a very small data set and the details of how 409–419, 1978.
manually scored and automatically detected events were com- [14] A. Rechtschaffen and A. Kales, A Manual of Standardized Termi-
nology, Techniques and Scoring System for Sleep Stages of Human
pared are not reported. Our method has been evaluated on a rela- Subjects. Los Angeles: Brain Information Service/Brain Research
tively large independent data set and it offers several key advan- Institute, Univ. California, 1968.
tages: 1) the possibility of tailoring the detection sensitivity by
adjusting a single threshold; 2) the method does not explicitly
require amplitude levels or any other REM properties to make Rajeev Agarwal (M’88) received the M.A.Sc. and
Ph.D. degrees, both in electrical engineering, in 1991
detections; 3) epochs containing artifacts are automatically re- and 1995, from Concordia University, Montreal, QC,
jected; 4) the method is robust in minimizing REM detection Canada.
in NREM sleep as described in Table IV; and 5) the method is He spent one year as a Postdoctoral Fellow
with the Montreal Neurological Institute, McGill
computationally very simple and can easily be implemented in University, Montreal, followed by a two-year
real-time. The major advantage of this method is the minimal NSERC-supported Industrial Research Fellowship
a priori information required for REM detection. For example, at Stellate Systems, Montreal. He is currently the
Director of Research and Development at Stellate
a more recently published approach [9] used matched filtering Systems and holds an Adjunct Associate Professor
techniques. In such approaches, it is necessary to use REM tem- appointment with Concordia University. His research interests include biomed-
plates for the detection. The robustness of such a method is re- ical signal processing (particularly, pattern detection in the EEG of epileptic
patients, analysis of polysomnograms, ICU EEG monitoring, and evoked
stricted by the design/selection of the templates. potentials), statistical signal processing, signal detection, and estimation.

V. CONCLUSION
Tomoka Takeuchi received the Ph.D. degree in behavioral neuroscience from
It appears that automatic detection of REMs can be achieved the Division of Engineering, Hiroshima University, Japan, in 1997. In 2002, she
with reasonable performance and with a robust and easily ad- received the chercheur-boursier, junior 1, clinique et épidémiologie from the
justable method. It will be necessary to perform a more exten- Fonds de la recherche en santé du Québec, QC, Canada.
She worked as a Postdoctoral Fellow in Brock University, Ontario, ON,
sive evaluation on a varied subject group, although the important Canada, supported by the Japan Society for the Promotion of Sciences during
lack of a standard definition of REMs may render this validation 1997–2000. In 2001, she moved to Montreal as a Postdoctoral Fellow with the
disputable. Centre d’étude du Sommeil, Hospital du Sacré-Coeur de Montréal. Currently,
she is an Assistant Professor of research, Département de Psychiatrie, Univer-
sité de Montréal, and a researcher with the Centre d’étude du Sommeil, Hôspital
REFERENCES du Sacré-Coeur de Montréal. Her current interest includes mechanisms of
parasomnia dreaming, and individual vulnerability to sleep disturbances.
[1] R. J. McPartland, B. L. Weiss, and D. J. Kupfer, “An objective measure
of REM activity,” Physiolog. Psychol., vol. 2, pp. 441–443, 1974.
[2] F. G. Foster, D. J. Kupfer, P. Coble, and R. J. McPartland, “Rapid eye
movement sleep density. An objective indicator in severe medical-de- Suzie Laroche received the diploma in electrophysiology in 1995 from
pressive syndromes,” Arch. Gen. Psych., vol. 33, pp. 1119–1123, 1976. Ahuntsic College, Montreal, QC, Canada.
[3] R. J. McPartland, D. J. Kupfer, P. Coble, D. H. Shaw, and D. G. Spiker, From 1995 to 1999, she was a Technician with the Polysomnographic (PSG)
“An automated analysis of REM sleep in primary depression,” Biol. Laboratory, Ottawa General Hospital, Ottawa, ON, Canada, and during the last
Psych., vol. 14, pp. 767–776, 1979. three of these years, she took part in teaching courses in PSG at the hospital.
[4] C. Smith and L. Lapp, “Increases in number of REMS and REM density From 1999 to 2003, she was with the Technical Support Team and participated in
in humans following an intensive learning period,” Sleep, vol. 14, pp. the activities of the Research and Development team at Stellate Systems, Mon-
325–330, 1991. treal. She is currently an instructor in electrophysiology at Ahuntsic College.
[5] J. R. Smith, M. J. Cronin, and I. Karacan, “A multichannel hybrid system
for rapid eye movement detection (REM detection),” Comput. Biomed.
Res., vol. 4, pp. 275–290, 1971.
[6] H. E. Degler Jr., J. R. Smith, and F. O. Black, “Automatic detection Jean Gotman received the engineering degree
and resolution of synchronous rapid eye movements,” Comput. Biomed. from Ecole Superieure d’Electricite, Paris, France,
Res., vol. 8, pp. 393–404, 1975. in 1969, the Master’s degree in engineering from
[7] P. Y. Ktonas and J. R. Smith, “Automatic REM detection: modifications Dartmouth College, Hanover, NH, in 1971, and the
on an existing system and preliminary normative data,” Int. J. Biomed. Ph.D. degree in neurological sciences from McGill
Comput., vol. 9, pp. 445–464, 1978. University, Montreal, QC, Canada, in 1976.
[8] J. Martinerie, J. P. Joseph, and M. Naillon, “Computerized detection of He is currently working at the Montreal Neuro-
rapid eye movements during paradoxical sleep,” Int. J. Biomed. Comput., logical Institute and Hospital and is a Professor with
vol. 11, pp. 163–171, 1980. the Departments of Neurology and Biomedical Engi-
[9] G. M. Hatzilabrou, N. Greenberg, R. J. Sclabassi, T. Carroll, R. D. neering of McGill University. He is also the founder
Guthrie, and M. S. Scher, “A comparison of conventional and matched and president of Stellate Systems. His research inter-
filtering techniques for rapid eye movement detection of the newborn,” ests center on signal processing and pattern recognition of the EEG, particularly
IEEE Trans. Biomed. Eng., vol. 41, no. 10, pp. 990–995, Oct. 1994. in the field of epilepsy and of long-term monitoring in the intensive care unit.

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