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Journal of Sensors
Volume 2018, Article ID 8210502, 8 pages
https://doi.org/10.1155/2018/8210502
Research Article

The Development of a Dual-Radar System with Automatic Hypopnea Threshold Optimization for Contact-Free Sleep Apnea-Hypopnea Syndrome Screening

1Department of Planning and Development, TAU GIKEN Co. Ltd., 814 Saedo-cho, Tsuzuki-ku, Yokohama, Kanagawa 224-0054, Japan
2Faculty of System Design, Tokyo Metropolitan University, 6-6 Asahigaoka, Hino, Tokyo 191-0065, Japan
3Tomei Atsugi Hospital, 243-8571 232 Funako, Atsugi, Kanagawa, Japan

Correspondence should be addressed to Shinji Gotoh; pj.nekiguat@hotog-s

Received 29 August 2017; Accepted 10 December 2017; Published 8 January 2018

Academic Editor: Romeo Bernini

Copyright © 2018 Shinji Gotoh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Full-night polysomnography (PSG) examination is regarded as the gold standard for the diagnosis of sleep apnea-hypopnea syndrome (SAHS). However, PSG requires the placement of multiple sensors on the head, face, and chest, which can impose a heavy strain on patients. Therefore, in the present study, we aimed to develop a contact-free, stand-alone SAHS screening system that eliminates body movement artifacts based on automatic optimization of the hypopnea threshold. Doppler radar sensors were placed beneath a mattress. In order to achieve high sensitivity and specificity, the hypopnea was based on the average amplitude of respiration during the full sleep period. The threshold was determined via receiver operating characteristic (ROC) analysis using PSG as a reference. We conducted full-night clinical tests of the proposed system in 27 patients with suspected SAHS (49 ± 12 years) at Tomei Atsugi Hospital. When predicting the severity of SAHS with an apnea-hypopnea index (AHI) of >30/h using PSG as a reference, the proposed system achieved a sensitivity of 100% and a specificity of 100%. These results represent a drastic improvement over those of our previous study (sensitivity: 90%; specificity: 79%).