esada_instructions:sas_scoring_instructions

Differences

This shows you the differences between two versions of the page.

Link to this comparison view

Both sides previous revision Previous revision
Next revision		 Previous revision
esada_instructions:sas_scoring_instructions [2023/07/11 14:08] – katrinheraesada_instructions:sas_scoring_instructions [2024/05/21 14:07] (current) – old revision restored (2024/04/24 12:58) kristinao
Line 6: Line 6:
  
 ===== The SAS scoring procedure ===== ===== The SAS scoring procedure =====
 +
 +
 +
 +**Acceptable recording:** 
 +
 +  - At least 4 hours of sleep and with good quality EEG signal
 +  - With valid signal from oximeter during the 4 hours mentioned
 +  - With at least two out of three signals from
 +       * Cannula
 +       * Thorax belt
 +       * Abdomen belt
 +
 +
 +
 +
 +
  
 The downloaded recordings can be found in the recording library. Start by choosing an unscored recording, marked as “New” in the Status column, to work with (fig 1.). Double click on the recording to open it. The downloaded recordings can be found in the recording library. Start by choosing an unscored recording, marked as “New” in the Status column, to work with (fig 1.). Double click on the recording to open it.
Line 13: Line 29:
 The work order you should use can be seen in our SR scoring layout (fig.2- SR SAS Scoring layout).  The work order you should use can be seen in our SR scoring layout (fig.2- SR SAS Scoring layout). 
  
-<figure> {{: esada_instructions:scoring_layout.png?700 |Figure 2}} <caption> In the worksheet layout you can see 4 tabs that are in the following order: SAS-EEG, Breathing, PLM sheet and Arousal sheet. </caption></figure>+<figure> {{:esada_instructions:esada_layout.png?400 |Figure 2}} <caption> In the worksheet layout you can see 5 tabs that are in the following order: SAS-EEG, Respiratory, PLM sheet, Arousal and ECG sheet. </caption></figure>
  
-You should already have imported the SleepRevolution workspace (SR scoring layout). See separate instruction “How to import SR ESADA scoring layout” link   To select the correct layout you click on the icon as seen in Figure 3 and select SR ESADA scoring layout.+We have already have imported the SleepRevolution workspace (SR scoring layout). You can also set it up locally on your computer. See separate instruction “How to import SR ESADA scoring layout” link   To select the correct layout you click on the icon as seen in Figure 3 and select SR ESADA scoring layout.  IT IS VERY IMPORTANT TO USE THE SLEEP REVOLUTION WORKSPACE NOT THE ONE THAT OPENS AUTOMATICALLY!
  
-<figure> {{: esada_instructions:scoring_layout2.png?200 |Figure 3}} <caption> SR scoring layout. </caption></figure>+<figure> {{:esada_instructions:esada_workspace.png?400|Figure 3}} <caption> SR scoring layout. </caption></figure>
  
-In the worksheet layout you can see 4 tabs that are in the following order: SAS-EEG, Breathing, PLM sheet and Arousal sheet.  This is the same order as our scoring procedure, we start by scoring the EEG and arousals (sleep staging) in the first tab, then we score breathing events (the EEG channels and arousal scoring can be seen at the top the page), next up is scoring of leg movements and finally we classify the arousals (see fig. 2). +In the worksheet layout you can see 5 tabs that are in the following order: SAS-EEG, Respiratory, PLM, Arousal and ECG sheet.  This is the same order as our scoring procedure, we start by scoring the EEG and arousals (sleep staging) in the first tab, then we score breathing events (the EEG channels and arousal scoring can be seen at the top the page), next up is scoring of leg movements and finally we classify the arousals (see fig. 2). 
 It is easy to rearrange the signals within each tab if you want it to look the way you are used to but keep all filter settings like they are in the SR ESADA scoring layout. It is easy to rearrange the signals within each tab if you want it to look the way you are used to but keep all filter settings like they are in the SR ESADA scoring layout.
  
-1. Start by running automatic analysis: Analysis -> “Nox SAS and Respiratory Analysis” (fig. 4). It will not overwrite the previous sleep staging.+The study opens automatically as “default-scoring -1” – you need to choose **aSAGAalgorithm_uncertain**.  There are tabs on the right side of the screen and one of them is called “Scoring” – you click on the tab and there you can chose the correct scoring file to work on, you can then or later save the scoring as shown in point 9 below. 
 + 
 + 
 +{{:esada_instructions:scoring_tab2.png?400|}} 
 + 
 +**1.** Start by running automatic analysis (it is needed for the respiratory and arousal scoring): Analysis -> “Nox SAS and Respiratory Analysis” (fig. 4). It will not overwrite the previous sleep staging.
  
-<figure> {{: esada_instructions:analysis.png?300 |Figure 4}} <caption> Nox SAS and Respiratory analysis. </caption></figure>+<figure> {{: esada_instructions:analysis.png?500 |Figure 4}} <caption> Nox SAS and Respiratory analysis. </caption></figure>
  
-2. Adjust the timeframe (start and stop times for the correct analysis period) on the Recording results tab by dragging the analysis start and stop bar on each side of the study overview, this can be adjusted further when you are in the scoring tabs.+**2.** Adjust the timeframe (start and stop times for the correct analysis period) on the Recording results tab by dragging the analysis start and stop bar on each side of the study overview, this can be adjusted further when you are in the scoring tabs.
  
-3. Score sleep epochs marked as “_uncertain”. Other parts should not need editing but ok to do a quick review. (tab: SR SAS EEG), see fig 5.  +**3.** Score sleep epochs marked as “_uncertain”. Other parts should not need editing but ok to do a quick review. (tab: SR SAS EEG), see fig 5.  
  
-<figure> {{: esada_instructions:uncertain.png?300 |Figure 5}} <caption> Grey areas appear as “uncertain” epochs in the EEG sheet. </caption></figure>+<figure> {{: esada_instructions:uncertain.png?700 |Figure 5}} <caption> Grey areas appear as “uncertain” epochs in the EEG sheet. </caption></figure>
  
-4. Score respiratory events using the recommended rules by the latest AASM version (currently v.3.0). (tab: SR Respiratory)+**4.** Score respiratory events using the recommended rules by the latest AASM version (currently v.3.0). (tab: SR Respiratory)
  
-5. Score LM events (tab: SR PLM)+**5.** Score LM events (tab: SR PLM)
  
-6. Use Tools -> Update PLM (PLM events are made from the LM events where appropriate) (fig 6). LM events that are counted in the PLM series are changed to PLMS events, whereas those that are not a part of the series are still labelled as LM events (they don´t fit the criteria and are therefore not counted in the series, like an event that occurs during a respiratory event). See fig.7 and text below for clarification. Unmark the “starting in a movement event” when running the Update PLM tool (fig. 8) since it often causes many actual LM events to be left out. +**6.** Use Tools -> Update PLM (PLM events are made from the LM events where appropriate) (fig 6). LM events that are counted in the PLM series are changed to PLMS events, whereas those that are not a part of the series are still labelled as LM events (they don´t fit the criteria and are therefore not counted in the series, like an event that occurs during a respiratory event). See fig.7 and text below for clarification. Unmark the “starting in a movement event” when running the Update PLM tool (fig. 8) since it often causes many actual LM events to be left out. 
  
-<figure> {{: esada_instructions:update_plm.png?300 |Figure 6}} <caption> Under Tools you can update PLM. </caption></figure>+<figure> {{: esada_instructions:update_plm.png?500 |Figure 6}} <caption> Under Tools you can update PLM. </caption></figure>
  
-<figure> {{: esada_instructions:plm.png?300 |Figure 7}} <caption> The light-green labelled events are PLMS events. One LM event (purple) is seen, and that one is less than 5 sec from the start of the prior event and therefore not counted as a part of the PLM series (grey bar seen between the right and left leg). </caption></figure>+<figure> {{: esada_instructions:plm.png?700 |Figure 7}} <caption> The light-green labelled events are PLMS events. One LM event (purple) is seen, and that one is less than 5 sec from the start of the prior event and therefore not counted as a part of the PLM series (grey bar seen between the right and left leg). </caption></figure>
  
-<figure> {{: esada_instructions:plm_settings.png?300 |Figure 8}} <caption> Update PLM settings. </caption></figure>+<figure> {{: esada_instructions:plm_settings.png?500 |Figure 8}} <caption> Update PLM settings. </caption></figure>
  
-7. Use Tools - > Arousal Tool (fig. 9) (arousals are classified: respiratory arousals, LM arousals, PLM arousals). Before running the tool change the <5 by clicking on the number and write 10 instead (fig.10). +**7.** Use Tools - > Arousal Tool (fig. 9) (arousals are classified: respiratory arousals, LM arousals, PLM arousals). Before running the tool change the <5 by clicking on the number and write 10 instead (fig.10). 
  
-<figure> {{: esada_instructions:arousal_tool.png?300 |Figure 9}} <caption> Under Tools you use the Arousal Tool. </caption></figure>+<figure> {{: esada_instructions:arousal_tool.png?700 |Figure 9}} <caption> Under Tools you use the Arousal Tool. </caption></figure>
  
-<figure> {{: esada_instructions:arousal_tool_settings.png?300 |Figure 10}} <caption> Arousal Tool settings. </caption></figure>+<figure> {{: esada_instructions:arousal_tool_settings.png?500 |Figure 10}} <caption> Arousal Tool settings. </caption></figure>
  
-8. Review the arousals in the arousal classification tab to review if the arousals are correctly classified and correct if needed (SR Arousals).+**8.** Review the arousals in the arousal classification tab to review if the arousals are correctly classified and correct if needed (SR Arousals).
  
-9. To save the scoring choose: “Save scoring as”: use your initials (fig. 11) and be careful to save it in the end so there is not “(modified)” behind your initials.+**9.** To save the scoring choose: “Save scoring as”: use your initials (fig. 11) and be careful to save it in the end so there is not “(modified)” behind your initials.
  
-<figure> {{: esada_instructions:scoring.png?300 |Figure 11}} <caption> Save scoring. </caption></figure>+<figure> {{: esada_instructions:scoring.png?700 |Figure 11}} <caption> Save scoring. </caption></figure>
  
-10. In the “Recording Results” tab change the status of the scored recording from “New” to “Scored” (fig. 12). This will help you keep an overview of your scored studies in the recording library.+**10.** In the “Recording Results” tab change the status of the scored recording from “New” to “Scored” (fig. 12). This will help you keep an overview of your scored studies in the recording library.
  
-<figure> {{: esada_instructions:status.png?300 |Figure 12}} <caption> Set the appropriate status of the scoring. </caption></figure>+<figure> {{: esada_instructions:status.png?500 |Figure 12}} <caption> Set the appropriate status of the scoring. </caption></figure>
  
-11. Reports: see separate [[esada_instructions:esada_reports|instructions]].+**11.** Reports: see separate [[esada_instructions:esada_reports|instructions]].
  
-12. To end scoring chose File -> Close & Save Workspace (fig. 13).+**12.** To end scoring chose File -> Close & Save Workspace (fig. 13).
  
-<figure> {{: esada_instructions:close.png?300 |Figure 13}} <caption> Close and save workspace. </caption></figure>+<figure> {{: esada_instructions:close.png?500 |Figure 13}} <caption> Close and save workspace. </caption></figure>
  
  
  • esada_instructions/sas_scoring_instructions.1689084523.txt.gz
  • Last modified: 2023/07/11 14:08
  • by katrinhera