mlsanityData to 14 Oct 2026

SLEEPYLAND: trust begins with fair evaluation of automatic sleep staging models

arXiv 2506.08574 ↗First posted 10 Jun 2025cs.LGcited by 8

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Abstract (arXiv)

Despite advances in deep learning for automatic sleep staging, clinical adoption remains limited due to challenges in fair model evaluation, generalization across diverse datasets, model bias, and variability in human annotations. We present SLEEPYLAND, an open-source sleep staging evaluation framework designed to address these barriers. It includes more than 220'000 hours in-domain (ID) sleep recordings, and more than 84'000 hours out-of-domain (OOD) sleep recordings, spanning a broad range of ages, sleep-wake disorders, and hardware setups. We release pre-trained models based on high-performing SoA architectures and evaluate them under standardized conditions across single- and multi-channel EEG/EOG configurations. We introduce SOMNUS, an ensemble combining models across architectures and channel setups via soft voting. SOMNUS achieves robust performance across twenty-four different datasets, with macro-F1 scores between 68.7% and 87.2%, outperforming individual models in 94.9% of cases. Notably, SOMNUS surpasses previous SoA methods, even including cases where compared models were trained ID while SOMNUS treated the same data as OOD. Using a subset of the BSWR (N=6'633), we quantify model biases linked to age, gender, AHI, and PLMI, showing that while ensemble improves robustness, no model architecture consistently minimizes bias in performance and clinical markers estimation. In evaluations on OOD multi-annotated datasets (DOD-H, DOD-O), SOMNUS exceeds the best human scorer, i.e., MF1 85.2% vs 80.8% on DOD-H, and 80.2% vs 75.9% on DOD-O, better reproducing the scorer consensus than any individual expert (k = 0.89/0.85 and ACS = 0.95/0.94 for healthy/OSA cohorts). Finally, we introduce ensemble disagreement metrics - entropy and inter-model divergence based - predicting regions of scorer disagreement with ROC AUCs up to 0.828, offering a data-driven proxy for human uncertainty.

Key facts. Cited by 8 papers in the map (data through 14 Oct 2026). Builds on 10 of its 57 references that are in the map. First posted on arXiv 10 Jun 2025.

Builds on

10 of 57 references.

References · 10

  1. 2017Attention Is All You Needcited by 60,361
  2. 2015Deep Residual Learning for Image Recognitioncited by 52,096
  3. 2021SleepTransformer: Automatic Sleep Staging with Interpretability and Uncertainty Quantificationcited by 84
  4. 2017Neural network an1alysis of sleep stages enables efficient diagnosis of narcolepsycited by 41
  5. 2023L-SeqSleepNet: Whole-cycle Long Sequence Modelling for Automatic Sleep Stagingcited by 21
  6. 2021A Large Collection of Real-world Pediatric Sleep Studiescited by 20
  7. 2020Automatic sleep stage classification with deep residual networks in a mixed-cohort settingcited by 16
  8. 2022U-Sleep's resilience to AASM guidelinescited by 12
  9. 2022Multi-Scored Sleep Databases: How to Exploit the Multiple-Labels in Automated Sleep Scoringcited by 4
  10. 2023Bridging AI and Clinical Practice: Integrating Automated Sleep Scoring Algorithm with Uncertainty-Guided Physician Reviewcited by 1

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Cited by year (2026 to 14 Oct)

Citing papers per year: 2025: 2; 2026: 6.

8 papers.