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Toward Interpretable Sleep Stage Classification Using Cross-Modal Transformers
Jathurshan Pradeepkumar; Mithunjha Anandakumar; Vinith Kugathasan; Dhinesh Suntharalingham; Simon L. Kappel; Anjula C. De Silva; Chamira U. S. Edussooriya

Abstract
Accurate sleep stage classification is significant for sleep health assessment. In recent years, several machine-learning based sleep staging algorithms have been developed , and in particular, deep-learning based algorithms have achieved performance on par with human annotation. Despite improved performance, a limitation of most deep-learning based algorithms is their black-box behavior, which have limited their use in clinical settings. Here, we propose a cross-modal transformer, which is a transformer-based method for sleep stage classification. The proposed cross-modal transformer consists of a novel cross-modal transformer encoder architecture along with a multi-scale one-dimensional convolutional neural network for automatic representation learning. Our method outperforms the state-of-the-art methods and eliminates the black-box behavior of deep-learning models by utilizing the interpretability aspect of the attention modules. Furthermore, our method provides considerable reductions in the number of parameters and training time compared to the state-of-the-art methods. Our code is available at https://github.com/Jathurshan0330/Cross-Modal-Transformer. A demo of our work can be found at https://bit.ly/Cross_modal_transformer_demo.
Code Repositories
Benchmarks
| Benchmark | Methodology | Metrics |
|---|---|---|
| automatic-sleep-stage-classification-on-sleep-1 | Epoch Cross-Modal Transformer | Accuracy: 80.8 Cohen’s Kappa score: 0.736 Number of parameters (M): 0.32 |
| automatic-sleep-stage-classification-on-sleep-1 | Sequence Cross-Modal Transformer-15 | Accuracy: 84.3 Cohen’s Kappa score: 0.785 Number of parameters (M): 4.05 |
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