# Introducing Multimodal Paradigm for Learning Sleep Staging PSG via General-Purpose Model

arXiv: https://arxiv.org/abs/2509.22810 · HTML: https://mlsanity.com/paper/2509.22810/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 24 of its 55 references that are in the map.
- First posted on arXiv 26 Sep 2025.

## Builds on (most cited first, 24 of 24)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [A ConvNet for the 2020s](https://mlsanity.com/paper/2201.03545/) (2022)
- [MaxViT: Multi-Axis Vision Transformer](https://mlsanity.com/paper/2204.01697/) (2022)
- [All Models are Wrong, but Many are Useful: Learning a Variable's Importance by Studying an Entire Class of Prediction Models Simultaneously](https://mlsanity.com/paper/1801.01489/) (2018)
- [Large Brain Model for Learning Generic Representations with Tremendous EEG Data in BCI](https://mlsanity.com/paper/2405.18765/) (2024)
- [CBraMod: A Criss-Cross Brain Foundation Model for EEG Decoding](https://mlsanity.com/paper/2412.07236/) (2024)
- [DeepSleepNet: a Model for Automatic Sleep Stage Scoring based on Raw Single-Channel EEG](https://mlsanity.com/paper/1703.04046/) (2017)
- [Transformer-based Spatial-Temporal Feature Learning for EEG Decoding](https://mlsanity.com/paper/2106.11170/) (2021)
- [Large-scale Training of Foundation Models for Wearable Biosignals](https://mlsanity.com/paper/2312.05409/) (2023)
- [ECG-FM: An Open Electrocardiogram Foundation Model](https://mlsanity.com/paper/2408.05178/) (2024)
- [U-Time: A Fully Convolutional Network for Time Series Segmentation Applied to Sleep Staging](https://mlsanity.com/paper/1910.11162/) (2019)
- [XSleepNet: Multi-View Sequential Model for Automatic Sleep Staging](https://mlsanity.com/paper/2007.05492/) (2020)
- [SleepTransformer: Automatic Sleep Staging with Interpretability and Uncertainty Quantification](https://mlsanity.com/paper/2105.11043/) (2021)
- [Neuro-GPT: Towards A Foundation Model for EEG](https://mlsanity.com/paper/2311.03764/) (2023)
- [Brain-JEPA: Brain Dynamics Foundation Model with Gradient Positioning and Spatiotemporal Masking](https://mlsanity.com/paper/2409.19407/) (2024)
- [SleepEEGNet: Automated Sleep Stage Scoring with Sequence to Sequence Deep Learning Approach](https://mlsanity.com/paper/1903.02108/) (2019)
- [Multi-View Spatial-Temporal Graph Convolutional Networks with Domain Generalization for Sleep Stage Classification](https://mlsanity.com/paper/2109.01824/) (2021)
- [SalientSleepNet: Multimodal Salient Wave Detection Network for Sleep Staging](https://mlsanity.com/paper/2105.13864/) (2021)
- [Brain Foundation Models: A Survey on Advancements in Neural Signal Processing and Brain Discovery](https://mlsanity.com/paper/2503.00580/) (2025)
- [Interpretable and Robust AI in EEG Systems: A Survey](https://mlsanity.com/paper/2304.10755/) (2023)

## Built on by (most cited first, 1 of 1)

- [DEFT: Disentanglement-Enhanced Fine-Tuning for EEG Foundation Models](https://mlsanity.com/paper/2610.14497/) (2026)

## Abstract (arXiv)

Sleep staging is essential for diagnosing sleep disorders and assessing neurological health. Existing automatic methods typically extract features from complex polysomnography (PSG) signals and train domain-specific models, which often lack intuitiveness and require large, specialized datasets. To overcome these limitations, we introduce a new paradigm for sleep staging that leverages large multimodal general-purpose models to emulate clinical diagnostic practices. Specifically, we convert raw one-dimensional PSG time-series into intuitive two-dimensional waveform images and then fine-tune a multimodal large model to learn from these representations. Experiments on three public datasets (ISRUC, MASS, SHHS) demonstrate that our approach enables general-purpose models, without prior exposure to sleep data, to acquire robust staging capabilities. Moreover, explanation analysis reveals our model learned to mimic the visual diagnostic workflow of human experts for sleep staging by PSG images. The proposed method consistently outperforms state-of-the-art baselines in accuracy and robustness, highlighting its efficiency and practical value for medical applications. The code for the signal-to-image pipeline and the PSG image dataset will be released.