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November 3rd, 2009, 07:35 GMT · By

New Method for Diagnosing Sleep Apnea

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Comparative analysis between polysomnography and the new sleep apnea diagnostics method
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Sleep apnea is a very widespread condition today, especially among people living in highly urbanized areas and subjected to large amounts of pollution. It is characterized by regular breathing stopping from time to time during sleep, mostly because of blockages that appear in the respiratory pathways. The reason why this is so dangerous is that it cuts the oxygen supply to the brain and other organs. The people who have the condition do not know that they are actually suffocating while they are sleeping. Now, a team of researchers has devised a new method of detecting the elusive condition.

In a paper published in the November issue of the respected journal Sleep, the Eckhard-Pfeiffer Professor of Computer Science at the University of Houston, Ioannis Pavlidis, and University of Texas Health Science Center (UTHSC) Division of Pulmonary Critical Care Sleep Medicine Assistant Professor of Medicine Jayasimha N. Murthy, describe a less invasive diagnosis method.
At this point, polysomnography (sleep study) is the only method of detecting the condition, the experts say. Essentially, some people keep an eye on you as you sleep, and look for pauses in your breath.

“It's not as simple as paying a visit to the doctor in the morning for an hour and walking away with a prescription. You have to undergo overnight monitoring in a sleep lab. The subject is wired and sleeps there. Sometimes, the subject has to spend more than one night,” Pavlidis, who has also been a co-investigator for the new research, explains. “During a sleep study a subject has an average of more than 20 sensors attached to the head and body. It's a very complex procedure where many physiological parameters are simultaneously monitored to help in the diagnosis of sleep disorders. However, these sensors can disturb sleep and contribute to the patient's anxiety,” Murthy adds.

In the new method, a thermal infrared camera is used to detect the breathing waveforms that a patient produces as he or she sleeps. The airflow the breath creates is also analyzed, in a much less intrusive manner than that polysomnography uses. The next stage is to process the readings using computational algorithms. The research team says that investigations have demonstrated the fact that the diagnostics obtained with the new method are just as accurate as the ones obtained with sleep studies. The innovation therefore holds the potential of making millions sleep better and lead a healthier life.

“In contrast to the traditional one-dimensional methods, this new method is an imaging one and thus, multi-dimensional. We now can see how airflow is distributed locally throughout the extent of the nostril. We get not a single, but multiple values for each nostril at every point in time and this makes a lot of difference when it comes to appreciating subtle pathology,” Pavlidis concludes. Partial funding for the new research came from the US National Science Foundation (NSF).

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Comment #1 by: Mark Rosen on 06 Nov 2009, 23:37 UTC reply to this comment

I am glad that what I proposed 10 years ago is finally becoming a reality!

The presentation that was attached to the e-mail below can be found on my website.
http://www.gap-s.net/medphysics.htm


----- Original Message -----
From: Mark Rosen
To: Ioannis Pavlidis
Sent: Monday, August 15, 2005 8:45 AM
Subject: IR Imaging and Sleep Studies

Dear Prof. Pavlidis,

For almost 6 years, I have been trying to prod the people in the sleep research community to investigate the potential of IR imaging as a “perfect” non-contact monitoring technology for sleep studies. I have attached the presentation I put together which I presented to the Children’s Sleep Lab at Yale in 1999 and distributed to the sleep research community in 2002.* You and your colleagues have done some outstanding work, actually solving what I consider the toughest challenge in being able to monitor heart rate and breathing. I would greatly appreciate it if you could keep me informed of your progress (preprints or Acrobat pdf files).

Wishing you the very best in your research efforts.

With my very best regards,

Mark Rosen, Ph.D.
mdarosen@post.harvard.edu
www.GAP-s.net

Comment #1.1 by: Don on 12 Feb 2011, 06:09 GMT

Dear Dr. Mark:
Many thanks for your comments. Curent methods for diagnosing sleep apnea are an insult to human dignity by Sleep Doctors who surely must feel superior making a diagnosis from a dozen graph traces.
I have sleep aphea and I am very aware of it without a sleep study. One night of oximeter recording and extreme fatigue should be enough to diagnose but a doctor won't write a perscription withour a "sleep study." I'm an engineer and not a doctor so I may be overly critical of medical procedures.
Infra red makes infinite sense. Please keep telling the story.
Thank you,
Don Oliason


Comment #2 by: Don on 12 Feb 2011, 05:58 UTC reply to this comment

I happen to be a recipient of two polysomnigraph studies (sleep studies) by medical doctors who have never taken a sleep study themselves.
Here is how it's done. A nurse glues 22 electrodes to different places on your body from your legs to your head -- mostly on your head (yes, in your hair). Then she turns the lights out and you retire to a bed -- not just any bed. This is a sleep study bed. It has lumps uniformly spread throughout the mattress. You will not be able to find a comfortable spot so don't bother to try. You will have two prongs inserted in each nostril and one in your mouth put in place by rubber bands around your ears. There will be an air conditioner (for your comfort) that blows air for 24 seconds and shuts off for 12 seconds. You will come to feel relief for the 12 seconds that the sound of the air blowing disappears. You will not sleep for six hours and then you will be released. It is not as bad as water boarding. There is a medical culture who is economically dependent on the polysonmigraphy method. THERE ARE OTHER METHODS. INFRARED IS ONE. INSIST ON A DIFFERENT METHOD in the interst of your personal health.
Sincerely,
Donald Oliason
oliason@msn.com

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