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Paper · arXiv

Staging by the Book: Automatic Sleep Stage Classification Using Scoring Rules

Automated sleep staging is commonly approached as a supervised machine learning problem, with deep learning methods dominating recent research. While machine learning models achieve near-human level agreement with human-scored reference sleep stages, their decisions are typically opaque and not designed to follow clinical scoring rules. We propose a transparent alternative: a deterministic, rule-based sleep staging method that explicitly operationalizes the American Academy of Sleep Medicine's (AASM) scoring logic as executable code, coupled with epoch-level natural-language justifications derived from an explanation trace. We evaluate the approach on 50 polysomnography recordings with a ...

AuthorsEmil Hardarson, Konstantin Popov, Sigridur Sigurdardottir et al.
Primary categoryeess.SP
Published19 May 2026
Last updated at source19 May 2026
eess.SPcs.AI
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