# On Improving PPG-Based Sleep Staging: A Pilot Study

arXiv: https://arxiv.org/abs/2508.02689 · HTML: https://mlsanity.com/paper/2508.02689/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 8 of its 23 references that are in the map.
- First posted on arXiv 23 Jul 2025.

## Builds on (most cited first, 8 of 8)

- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2006.11239/) (2020)
- [Hierarchical Text-Conditional Image Generation with CLIP Latents](https://mlsanity.com/paper/2204.06125/) (2022)
- [DeepSleepNet: a Model for Automatic Sleep Stage Scoring based on Raw Single-Channel EEG](https://mlsanity.com/paper/1703.04046/) (2017)
- [CardioGAN: Attentive Generative Adversarial Network with Dual Discriminators for Synthesis of ECG from PPG](https://mlsanity.com/paper/2010.00104/) (2020)
- [Region-Disentangled Diffusion Model for High-Fidelity PPG-to-ECG Translation](https://mlsanity.com/paper/2308.13568/) (2023)
- [SleepPPG-Net: a deep learning algorithm for robust sleep staging from continuous photoplethysmography](https://mlsanity.com/paper/2202.05735/) (2022)
- [Performer: A Novel PPG-to-ECG Reconstruction Transformer for a Digital Biomarker of Cardiovascular Disease Detection](https://mlsanity.com/paper/2204.11795/) (2022)

## Built on by (most cited first, 2 of 2)

- [Combining scEEG and PPG for reliable sleep staging](https://mlsanity.com/paper/2602.15042/) (2026)
- [Rethinking PPG-based Sleep Staging: Datasets, Metrics, and Benchmarks](https://mlsanity.com/paper/2608.00943/) (2026)

## Abstract (arXiv)

Sleep monitoring through accessible wearable technology is crucial to improving well-being in ubiquitous computing. Although photoplethysmography(PPG) sensors are widely adopted in consumer devices, achieving consistently reliable sleep staging using PPG alone remains a non-trivial challenge. In this work, we explore multiple strategies to enhance the performance of PPG-based sleep staging. Specifically, we compare conventional single-stream model with dual-stream cross-attention strategies, based on which complementary information can be learned via PPG and PPG-derived modalities such as augmented PPG or synthetic ECG. To study the effectiveness of the aforementioned approaches in four-stage sleep monitoring task, we conducted experiments on the world's largest sleep staging dataset, i.e., the Multi-Ethnic Study of Atherosclerosis(MESA). We found that substantial performance gain can be achieved by combining PPG and its auxiliary information under the dual-stream cross-attention architecture. Source code of this project can be found at https://github.com/DavyWJW/sleep-staging-models