SleepFM-2 is a foundation model trained on 282,511 polysomnography recordings, covering over two million hours of multimodal sleep physiology. It outperforms its predecessor in disease prediction, sleep scoring, and event detection, and its representation improves performance across diverse tasks—including wearable sensing, subjective sleep reports, and transfer to other EEG modalities. When combined with age, sex, and BMI, the model meets stringent discrimination criteria for 215 EHR phenotypes, adding reproducible information beyond demographics for 155 of them.
By Rahul Thapa, Christopher Sun, William Theodor Lehn-Schioler, Sophia Claire Kivelson, Umaer Hanif, Hyatt Moore IV, Harrison G. Zhang, Hafsa Ahmed, Marcus Dige, Niels R. Lorenzen, Elisabeth Roxane M. Heremans, Adrien Specht, Ulysse Gimenez, Robin Guillard, Andreas Brink-Kjaer, James Zou, Emmanuel Mignot
arXiv:2602.15042v2 Announce Type: replace-cross
Abstract: Reliable sleep staging remains challenging for lightweight wearable devices such as single-channel electroencephalography (scEEG) or photople...
By Jiawei Wang, Liang Xu, Shuntian Zheng, Yu Guan, Kaichen Wang, Ziqing Zhang, Chen Chen, Laurence T. Yang, Sai Gu, M. Jamal Deen
arXiv:2512. 14461v2 Announce Type: replace Abstract: Sleep is essential for health, yet studying its dynamics requires manual sleep staging, a labor-intensive step in research and clinical care.
By Niklas Grieger, Jannik Raskob, Siamak Mehrkanoon, Stephan Bialonski
The study compares six state‑of‑the‑art sleep‑staging foundation models on the MESA polysomnography dataset under three signal conditions: EEG only, ECG only, and EEG+ECG. Results show that EEG alone yields the highest accuracy (BIOT macro‑F1 = 0.7237), while switching to ECG alone incurs a consistent accuracy loss of about 0.35 macro‑F1 and reduces data rate to one‑third. Adding ECG to EEG offers little benefit for most models, indicating that EEG carries most of the sleep‑staging signal and that wearable‑compatible ECG alone is a viable but less accurate alternative.
By Hassan Mehdi, Riku Klen, Ayse Kosal Bulbul, Suzanne Timmons, Abdulhamit Subasi, Wei Chen, Zou Zhu, Muhammad Irfan
arXiv:2608. 00943v1 Announce Type: cross Abstract: Automated sleep staging assigns discrete stage labels to successive time epochs throughout an overnight recording; conventionally each window spans at least 30 seconds, reflecting the minimum temporal resolution of the clinical scoring standard.
By Shuntian Zheng, Jiawei Wang, Cong Fu, Huan Yu, Chen Chen, Yu Guan, Sai Gu
arXiv:2606. 18506v1 Announce Type: new Abstract: Objective sleep assessment relies on polysomnography (PSG), yet clinical impact is often better reflected in patient-reported outcomes (PROs) such as sleepiness and fatigue.
By Saba A. Farahani, Elahe Khatibi, Manoj Vishwanath, Amir M. Rahmani, Hung Cao
arXiv:2607. 23284v1 Announce Type: new Abstract: Automated sleep staging is increasingly used in large-scale studies to derive sleep-architecture endpoints: total sleep time, REM latency, sleep efficiency, and bout-duration statistics.
By Juntang Wang, Yihan Wang, Hao Wu, Jiayu Gao, Shixin Xu, Dongmian Zou
arXiv:2607. 07720v2 Announce Type: replace-cross Abstract: Sleep physiology arises from the coordinated dynamics of the central nervous system (CNS) and autonomic nervous system (ANS), as reflected by multimodal polysomnography signals including EEG, EOG, EMG, ECG, and respiration.
By Zhoujie Hou, Song Wang, Kexin Lou, Mo Wang, Chen Wei, Quanying Liu
arXiv:2607. 07720v1 Announce Type: cross Abstract: Sleep physiology arises from the coordinated dynamics of the central nervous system (CNS) and autonomic nervous system (ANS), as reflected by multimodal polysomnography signals including EEG, EOG, EMG, ECG, and respiration.
By Zhoujie Hou, Song Wang, Kexin Lou, Mo Wang, Chen Wei, Quanying Liu
arXiv:2508. 11664v2 Announce Type: replace-cross Abstract: Sleep stage classification is critical for diagnosing and managing disorders like sleep apnea and insomnia.
By Zahra Mohammadi, Parnian Fazel, Siamak Mohammadi
arXiv:2603. 26738v3 Announce Type: replace-cross Abstract: While automated sleep staging has achieved expert-level accuracy, its clinical adoption is hindered by a lack of auditable reasoning.
By Guifeng Deng, Pan Wang, Mengfan Niu, Jiquan Wang, Shuying Rao, Junyi Xie, Xi'ang Chen, Sha Zhao, Gang Pan, Wanjun Guo, Tao Li, Haiteng Jiang
arXiv:2609.05550v1 Announce Type: cross
Abstract: Near-infrared (NIR) video is a promising modality for contactless sleep monitoring, but recent video-based sleep staging methods often use it as a ro...
By Kunmin Jang, You Rim Choi, Hun Heo, Heonjun Lee, Suahn Bae, Dongik Park, Hyun-Woo Shin, Hyung-Sin Kim