Automatic Sleep Staging of EEG Signals: Recent Development, Challenges, and Future Directions
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Abstract (arXiv)
Modern deep learning holds a great potential to transform clinical practice on human sleep. Teaching a machine to carry out routine tasks would be a tremendous reduction in workload for clinicians. Sleep staging, a fundamental step in sleep practice, is a suitable task for this and will be the focus in this article. Recently, automatic sleep staging systems have been trained to mimic manual scoring, leading to similar performance to human sleep experts, at least on scoring of healthy subjects. Despite tremendous progress, we have not seen automatic sleep scoring adopted widely in clinical environments. This review aims to give a shared view of the authors on the most recent state-of-the-art development in automatic sleep staging, the challenges that still need to be addressed, and the future directions for automatic sleep scoring to achieve clinical value.
Key facts. Cited by 41 papers in the map (data through 7 Oct 2026). Builds on 72 of its 203 references that are in the map. First posted on arXiv 3 Nov 2021.
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72 of 203 references.
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50 most cited of 72 All 72 (JSON)
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Citing papers per year: 2022: 3; 2023: 7; 2024: 12; 2025: 12; 2026: 7.
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- 2024CBraMod: A Criss-Cross Brain Foundation Model for EEG Decodingcited by 188
- 2025CSBrain: A Cross-scale Spatiotemporal Brain Foundation Model for EEG Decodingcited by 46
- 2022Modeling Multivariate Biosignals With Graph Neural Networks and Structured State Space Modelscited by 29
- 2023L-SeqSleepNet: Whole-cycle Long Sequence Modelling for Automatic Sleep Stagingcited by 21
- 2023BIOT: Cross-data Biosignal Learning in the Wildcited by 20
- 2024Brant-X: A Unified Physiological Signal Alignment Frameworkcited by 16
- 2022SleepPPG-Net: a deep learning algorithm for robust sleep staging from continuous photoplethysmographycited by 13
- 2024Promoting cross-modal representations to improve multimodal foundation models for physiological signalscited by 13
- 2022Automatic Sleep Scoring from Large-scale Multi-channel Pediatric EEGcited by 5
- 2024wav2sleep: A Unified Multi-Modal Approach to Sleep Stage Classification from Physiological Signalscited by 5
- 2026OmniEEG-Bench: A Standardized Evaluation Benchmark for EEG Foundation Modelscited by 5
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29 more
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- 2023A novel dual-stream time-frequency contrastive pretext tasks framework for sleep stage classificationcited by 3
- 2024A Deep Generative Model for Five-Class Sleep Staging with Arbitrary Sensor Inputcited by 3
- 2025MSA-CNN: A Lightweight Multi-Scale CNN with Attention for Sleep Stage Classificationcited by 3
- 2023SleepEGAN: A GAN-enhanced Ensemble Deep Learning Model for Imbalanced Classification of Sleep Stagescited by 2
- 2024Evaluating the Influence of Temporal Context on Automatic Mouse Sleep Staging through the Application of Human Modelscited by 2
- 2023aSAGA: Automatic Sleep Analysis with Gray Areascited by 1
- 2024Label-Efficient Sleep Staging Using Transformers Pre-trained with Position Predictioncited by 1
- 2024Mamba-based Deep Learning Approach for Sleep Staging on a Wireless Multimodal Wearable System without Electroencephalographycited by 1
- 2025EEG Artifact Detection and Correction with Deep Autoencoderscited by 1
- 2025SPICED: A Synaptic Homeostasis-Inspired Framework for Unsupervised Continual EEG Decodingcited by 1
- 2025AnySleep: a channel-agnostic deep learning system for high-resolution sleep staging in multi-center cohortscited by 1
- 2026STDA-Net: Spectrogram-Based Domain Adaptation for cross-dataset Sleep Stage Classificationcited by 1
- 2026Rethinking Random Transformers as Adaptive Sequence Smoothers for Sleep Stagingcited by 1
- 2024Data-Efficient Sleep Staging with Synthetic Time Series Pretrainingcited by 0
- 2024Automatic Classification of Sleep Stages from EEG Signals Using Riemannian Metrics and Transformer Networkscited by 0
- 2025Multi-task deep-learning for sleep event detection and stage classificationcited by 0
- 2025From Sleep Staging to Spindle Detection: A Case Study on End-to-End Automated Sleep Analysiscited by 0
- 2025A Systematic Evaluation of Self-Supervised Learning for Label-Efficient Sleep Staging with Wearable EEGcited by 0
- 2025NAPS: Attention-Based Fusion of Heterogeneous Physiological Signalscited by 0
- 2025Estimating the Event-Related Potential from Few EEG Trialscited by 0
- 2025NeuroSketch: A Practical Design Recipe for Neural Decodingcited by 0
- 2025A Context-Aware Temporal Modeling through Unified Multi-Scale Temporal Encoding and Hierarchical Sequence Learning for Single-Channel EEG Sleep Stagingcited by 0
- 2026Unsupervised domain transfer: Overcoming signal degradation in sleep monitoring by increasing scoring realismcited by 0
- 2026A Sliced-Wasserstein Framework on Correlation Matrices for EEG Decodingcited by 0
- 2026NanoSleep: A Parameter-Efficient Hybrid Temporal Convolutional Network for Single-Channel Sleep Stage Classificationcited by 0
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- 2026NanoSleep: A Parameter-Efficient Hybrid Temporal Convolutional Network for Single-Channel Sleep Stage Classification19 Aug 2026
- 2026A Sliced-Wasserstein Framework on Correlation Matrices for EEG Decoding4 Jun 2026
- 2026OmniEEG-Bench: A Standardized Evaluation Benchmark for EEG Foundation Models30 May 2026
- 2026Rethinking Random Transformers as Adaptive Sequence Smoothers for Sleep Staging11 May 2026
- 2026STDA-Net: Spectrogram-Based Domain Adaptation for cross-dataset Sleep Stage Classification7 May 2026
- 2026Unsupervised domain transfer: Overcoming signal degradation in sleep monitoring by increasing scoring realism15 Apr 2026
- 2025A Context-Aware Temporal Modeling through Unified Multi-Scale Temporal Encoding and Hierarchical Sequence Learning for Single-Channel EEG Sleep Staging28 Dec 2025
- 2025AnySleep: a channel-agnostic deep learning system for high-resolution sleep staging in multi-center cohorts16 Dec 2025
- 2025NeuroSketch: A Practical Design Recipe for Neural Decoding10 Dec 2025
- 2025Estimating the Event-Related Potential from Few EEG Trials28 Nov 2025
- 2025NAPS: Attention-Based Fusion of Heterogeneous Physiological Signals5 Nov 2025
29 more
- 2025A Systematic Evaluation of Self-Supervised Learning for Label-Efficient Sleep Staging with Wearable EEG9 Oct 2025
- 2025SPICED: A Synaptic Homeostasis-Inspired Framework for Unsupervised Continual EEG Decoding22 Sep 2025
- 2025CSBrain: A Cross-scale Spatiotemporal Brain Foundation Model for EEG Decoding29 Jun 2025
- 2025From Sleep Staging to Spindle Detection: A Case Study on End-to-End Automated Sleep Analysis8 May 2025
- 2025EEG Artifact Detection and Correction with Deep Autoencoders12 Feb 2025
- 2025Multi-task deep-learning for sleep event detection and stage classification16 Jan 2025
- 2025MSA-CNN: A Lightweight Multi-Scale CNN with Attention for Sleep Stage Classification6 Jan 2025
- 2024Mamba-based Deep Learning Approach for Sleep Staging on a Wireless Multimodal Wearable System without Electroencephalography20 Dec 2024
- 2024CBraMod: A Criss-Cross Brain Foundation Model for EEG Decoding10 Dec 2024
- 2024wav2sleep: A Unified Multi-Modal Approach to Sleep Stage Classification from Physiological Signals7 Nov 2024
- 2024Promoting cross-modal representations to improve multimodal foundation models for physiological signals21 Oct 2024
- 2024Automatic Classification of Sleep Stages from EEG Signals Using Riemannian Metrics and Transformer Networks18 Oct 2024
- 2024Brant-X: A Unified Physiological Signal Alignment Framework28 Aug 2024
- 2024A Deep Generative Model for Five-Class Sleep Staging with Arbitrary Sensor Input9 Aug 2024
- 2024FreqRISE: Explaining time series using frequency masking19 Jun 2024
- 2024Evaluating the Influence of Temporal Context on Automatic Mouse Sleep Staging through the Application of Human Models6 Jun 2024
- 2024SleepVST: Sleep Staging from Near-Infrared Video Signals using Pre-Trained Transformers4 Apr 2024
- 2024Label-Efficient Sleep Staging Using Transformers Pre-trained with Position Prediction29 Mar 2024
- 2024Data-Efficient Sleep Staging with Synthetic Time Series Pretraining13 Mar 2024
- 2023A novel dual-stream time-frequency contrastive pretext tasks framework for sleep stage classification15 Dec 2023
- 2023aSAGA: Automatic Sleep Analysis with Gray Areas3 Oct 2023
- 2023Structure-Preserving Transformers for Sequences of SPD Matrices14 Sep 2023
- 2023SleepEGAN: A GAN-enhanced Ensemble Deep Learning Model for Imbalanced Classification of Sleep Stages4 Jul 2023
- 2023Deep Learning-Enabled Sleep Staging From Vital Signs and Activity Measured Using a Near-Infrared Video Camera6 Jun 2023
- 2023BIOT: Cross-data Biosignal Learning in the Wild10 May 2023
- 2023L-SeqSleepNet: Whole-cycle Long Sequence Modelling for Automatic Sleep Staging9 Jan 2023
- 2022Modeling Multivariate Biosignals With Graph Neural Networks and Structured State Space Models21 Nov 2022
- 2022Automatic Sleep Scoring from Large-scale Multi-channel Pediatric EEG30 Jun 2022
- 2022SleepPPG-Net: a deep learning algorithm for robust sleep staging from continuous photoplethysmography11 Feb 2022
- 2024CBraMod: A Criss-Cross Brain Foundation Model for EEG Decodingcited by 188
- 2025CSBrain: A Cross-scale Spatiotemporal Brain Foundation Model for EEG Decodingcited by 46
- 2023L-SeqSleepNet: Whole-cycle Long Sequence Modelling for Automatic Sleep Stagingcited by 21
- 2023BIOT: Cross-data Biosignal Learning in the Wildcited by 20
- 2024Brant-X: A Unified Physiological Signal Alignment Frameworkcited by 16
- 2022SleepPPG-Net: a deep learning algorithm for robust sleep staging from continuous photoplethysmographycited by 13
- 2024Promoting cross-modal representations to improve multimodal foundation models for physiological signalscited by 13
- 2022Automatic Sleep Scoring from Large-scale Multi-channel Pediatric EEGcited by 5
- 2024wav2sleep: A Unified Multi-Modal Approach to Sleep Stage Classification from Physiological Signalscited by 5
- 2026OmniEEG-Bench: A Standardized Evaluation Benchmark for EEG Foundation Modelscited by 5
- 2023Structure-Preserving Transformers for Sequences of SPD Matricescited by 4
- 2024SleepVST: Sleep Staging from Near-Infrared Video Signals using Pre-Trained Transformerscited by 4
12 most cited of 39 All 39 (JSON)
- 2026Learnable Time-Frequency Masks for Explaining Time-Series Classifiers24 Sep 2026
- 2026NanoSleep: A Parameter-Efficient Hybrid Temporal Convolutional Network for Single-Channel Sleep Stage Classification19 Aug 2026
- 2026A Sliced-Wasserstein Framework on Correlation Matrices for EEG Decoding4 Jun 2026
- 2026OmniEEG-Bench: A Standardized Evaluation Benchmark for EEG Foundation Models30 May 2026
- 2026Rethinking Random Transformers as Adaptive Sequence Smoothers for Sleep Staging11 May 2026
- 2026STDA-Net: Spectrogram-Based Domain Adaptation for cross-dataset Sleep Stage Classification7 May 2026
- 2026Unsupervised domain transfer: Overcoming signal degradation in sleep monitoring by increasing scoring realism15 Apr 2026
- 2025A Context-Aware Temporal Modeling through Unified Multi-Scale Temporal Encoding and Hierarchical Sequence Learning for Single-Channel EEG Sleep Staging28 Dec 2025
- 2025AnySleep: a channel-agnostic deep learning system for high-resolution sleep staging in multi-center cohorts16 Dec 2025
- 2025NeuroSketch: A Practical Design Recipe for Neural Decoding10 Dec 2025
- 2025Estimating the Event-Related Potential from Few EEG Trials28 Nov 2025
- 2025NAPS: Attention-Based Fusion of Heterogeneous Physiological Signals5 Nov 2025
12 newest of 39 All 39 (JSON)