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Session Schedule

Find a specific presentation in the course by navigating to the timestamp indicated below.

0:00:00
Introduction

0:01:00
Sleep and sleep apnea testing in the home – Contactless solutions and validation
Indu Ayappa (United States)

0:16:15
Under-mattress devices for assessment of sleep stages and sleep-disordered breathing
Clete Kushida (United States)

0:32:20
Multi-night assessment of OSA: Implications for diagnosis and cardiovascular outcomes
Danny Eckert (Australia)

0:49:05
Contactless and longitudinal monitoring of sleep and circadian rhythms in ageing and dementia
Derk-Jan Dijk (United Kingdom)

1:08:10
From pillow to pulse: Developing digital biomarkers from contactless sleep technologies
Yue Leng (United States)

1:24:45
Question and answer

Summary

As sleep disorders become increasingly prevalent and the global population ages, there is a critical need for non-intrusive, user-friendly, and scalable approaches to sleep assessment. Contactless sleep technologies offer a transformative solution for long-term, real-world monitoring in home settings, overcoming limitations of traditional methods such as polysomnography (PSG) and wearables. This symposium brings together clinicians and researchers from three continents to discuss the latest advancements in contactless sleep technologies and their implications for sleep medicine and broader healthcare applications.

Session Overview

The symposium will begin with an introduction by Dr. Indu Ayappa, who will provide an overview of home-based contactless sleep and sleep apnea testing. Her presentation will focus on the evolution of these technologies, the validation challenges they face, and factors to consider when choosing specific devices.

Dr. Clete A. Kushida will follow with a deep dive into under-mattress devices. His talk will highlight their ability to measure sleep stages, heart rate, and breathing rate. He will also discuss the applications and accuracy of under-mattress devices in identifying sleep-disordered breathing, and the integration of these devices into clinical practice.

Next, Dr. Danny Eckert will address the importance of multi-night assessments of obstructive sleep apnea (OSA). He will discuss how night-to-night variability impacts diagnosis and explore the implications for cardiovascular health outcomes, emphasizing the advantages of contactless monitoring for capturing longitudinal data in home settings.

Dr. Derk-Jan Dijk will present on the application of contactless monitoring for sleep and circadian rhythms in ageing and dementia. He will explore how these technologies can improve our understanding of sleep disturbances and circadian misalignment in older adults and individuals at risk for neurodegenerative diseases.

Finally, Dr. Yue Leng will explore the role of artificial intelligence (AI) and machine learning in developing digital biomarkers from contactless sleep technologies. Her presentation will highlight how these biomarkers can inform the management of psychiatric and neurodegenerative diseases, advancing precision medicine.

Key Themes and Impact

This symposium will:

Highlight the capabilities of emerging contactless technologies, including under-mattress, under-pillow, and radar systems, for sleep stage assessment, sleep-disordered breathing detection, and multi-night variability analysis.
Illustrate their unique advantages for long-term, at-home monitoring, particularly in vulnerable populations such as older adults and individuals with cognitive impairments.
Examine the integration of AI-driven digital biomarkers into clinical and research settings, showcasing opportunities to personalize sleep medicine and improve patient outcomes.
Given the exciting opportunities that contactless technologies have brought to the field, it is essential to have a comprehensive discussion of ways to best leverage these technologies, in consideration of their principles, unique advantages, and limitations. Through these discussions, attendees will gain a comprehensive understanding of how contactless technologies are transforming sleep medicine and beyond. These innovations offer a pathway to enhance accessibility, accuracy, and patient experience while generating high-quality data for research.

Learning Objectives:

Upon completion of this CME activity, participants will be able to:
• Summarize types of new contactless technologies for evaluating sleep and sleep-disordered breathing in the home and discuss validation methods and factors to consider when choosing specific devices
• Define the principles of under-mattress devices in assessing sleep stages, heart rate, and breathing rate
• Discuss the applications and accuracy of under-mattress devices in identifying sleep-disordered breathing
• Recognize the importance of multi-night assessment of OSA and its implications for cardiovascular outcomes and recognize the unique strengths of contactless sleep technologies for multi-night at-home sleep monitoring
• Describe the use of contactless sleep technologies, including under-mattress devices and bedside radar for unobtrusive, low burden long-term at-home monitoring
• Illustrate the application of contactless sleep technologies in specific populations such as older adults and those living with dementia
• Evaluate the overall impact of emerging contactless sleep technologies on the field of sleep medicine and beyond
• Discuss the potential of developing digital biomarkers from contactless sleep technologies to facilitate prediction and monitoring of health/disease outcomes in real-world settings