arXiv subjects

Kaare B. Mikkelsen

Publications and source records attributed to Kaare B. Mikkelsen.

4 recordsLinked to original sources

arXiv2026

Unsupervised domain transfer: Overcoming signal degradation in sleep monitoring by increasing scoring realism

Objective: Investigate whether hypnogram 'realism' can be used to guide an unsupervised method for handling arbitrary types of signal degradation in mobile sleep monitoring. Approach: Combining a pretrained, state-of-the-art 'u-sleep' model with a 'discriminator' network, we align features from a target domain with a feature space learned during pretraining. To test the approach, we distort the source domain with realistic signal degradations, to see how well the method can adapt to different types of degradation. We compare the performance of the resulting model with best-case models designed in a supervised manner for each type of transfer. Main Results: Depending on the type of distortion, we find that the unsupervised approach can increase Cohen's kappa with as little as 0.03 and up to 0.29, and that for all transfers, the method does not decrease performance. However, the approach never quite reaches the estimated theoretical optimal performance, and when tested on a real-life domain mismatch between two sleep studies, the benefit was insignificant. Significance: 'Discriminator-guided fine tuning' is an interesting approach to handling signal degradation for 'in the wild' sleep monitoring, with some promise. In particular, what it says about sleep data in general is interesting. However, more development will be necessary before using it 'in production'.

cs.LG↗

arXiv2026

Fully-automated sleep staging: multicenter validation of a generalizable deep neural network for Parkinson's disease and isolated REM sleep behavior disorder

Isolated REM sleep behavior disorder (iRBD) is a key prodromal marker of Parkinson's disease (PD), and video-polysomnography (vPSG) remains the diagnostic gold standard. However, manual sleep staging is particularly challenging in neurodegenerative diseases due to EEG abnormalities and fragmented sleep, making PSG assessments a bottleneck for deploying new RBD screening technologies at scale. We adapted U-Sleep, a deep neural network, for generalizable sleep staging in PD and iRBD. A pretrained U-Sleep model, based on a large, multisite non-neurodegenerative dataset (PUB; 19,236 PSGs across 12 sites), was fine-tuned on research datasets from two centers (Lundbeck Foundation Parkinson's Disease Research Center (PACE) and the Cologne-Bonn Cohort (CBC); 112 PD, 138 iRBD, 89 age-matched controls. The resulting model was evaluated on an independent dataset from the Danish Center for Sleep Medicine (DCSM; 81 PD, 36 iRBD, 87 sleep-clinic controls). A subset of PSGs with low agreement between the human rater and the model (Cohen's $κ$ < 0.6) was re-scored by a second blinded human rater to identify sources of disagreement. Finally, we applied confidence-based thresholds to optimize REM sleep staging. The pretrained model achieved mean $κ$ = 0.81 in PUB, but $κ$ = 0.66 when applied directly to PACE/CBC. By fine-tuning the model, we developed a generalized model with $κ$ = 0.74 on PACE/CBC (p < 0.001 vs. the pretrained model). In DCSM, mean and median $κ$ increased from 0.60 to 0.64 (p < 0.001) and 0.64 to 0.69 (p < 0.001), respectively. In the interrater study, PSGs with low agreement between the model and the initial scorer showed similarly low agreement between human scorers. Applying a confidence threshold increased the proportion of correctly identified REM sleep epochs from 85% to 95.5%, while preserving sufficient (> 5 min) REM sleep for 95% of subjects.

cs.LG↗

arXiv2021

Light-weight sleep monitoring: electrode distance matters more than placement for automatic scoring

Modern sleep monitoring development is shifting towards the use of unobtrusive sensors combined with algorithms for automatic sleep scoring. Many different combinations of wet and dry electrodes, ear-centered, forehead-mounted or headband-inspired designs have been proposed, alongside an ever growing variety of machine learning algorithms for automatic sleep scoring. In this paper, we compare 13 different, realistic sensor setups derived from the same data set and analysed with the same pipeline. We find that all setups which include both a lateral and an EOG derivation show similar, state-of-the-art performance, with average Cohen's kappa values of at least 0.80. This indicates that electrode distance, rather than position, is important for accurate sleep scoring. Finally, based on the results presented, we argue that with the current competitive performance of automated staging approaches, there is an urgent need for establishing an improved benchmark beyond current single human rater scoring.

q-bio.QM↗

arXiv2016

Threshold games and cooperation on multiplayer graphs

Objective: The study investigates the effect on cooperation in multiplayer games, when the population from which all individuals are drawn is structured - i.e. when a given individual is only competing with a small subset of the entire population. Method: To optimize the focus on multiplayer effects, a class of games were chosen for which the payoff depends nonlinearly on the number of cooperators - this ensures that the game cannot be represented as a sum of pair-wise interactions, and increases the likelihood of observing behaviour different from that seen in two-player games. The chosen class of games are named "threshold games", and are defined by a threshold, $M > 0$, which describes the minimal number of cooperators in a given match required for all the participants to receive a benefit. The model was studied primarily through numerical simulations of large populations of individuals, each with interaction neighbourhoods described by various classes of networks. Results: When comparing the level of cooperation in a structured population to the mean-field model, we find that most types of structure lead to a decrease in cooperation. This is both interesting and novel, simply due to the generality and breadth of relevance of the model - it is likely that any model with similar payoff structure exhibits related behaviour. More importantly, we find that the details of the behaviour depends to a large extent on the size of the immediate neighbourhoods of the individuals, as dictated by the network structure. In effect, the players behave as if they are part of a much smaller, fully mixed, population, which we suggest an expression for.

cs.GT↗