Sleep Sound Event Detection Powered by Learnable Multi-Resolution Adaptive Line Enhancer

Obstructive sleep apnea (OSA) is a sleep disorder that affects nearly one billion people globally and significantly elevates cardiovascular risk. Traditional diagnosis through polysomnography is resource-intensive and limits widespread access, creating a critical need for accurate and efficient alternatives. In this paper, we introduce KindSleep, a deep learning framework that integrates clinical knowledge with single-channel patient-specific oximetry signals and clinical data for precise OSA diagnosis. KindSleep first learns to identify clinically interpretable concepts, such as desaturation indices and respiratory disturbance events, directly from raw oximetry signals. It then fuses these AI-derived concepts with multimodal clinical data to estimate the Apnea-Hypopnea Index (AHI). We evaluate KindSleep on three large, independent datasets from the National Sleep Research Resource (SHHS, CFS, MrOS; total n = 9,815). KindSleep demonstrates excellent performance in estimating AHI scores (R2 = 0.917, ICC = 0.957) and consistently outperforms existing approaches in classifying OSA severity, achieving weighted F1-scores from 0.827 to 0.941 across diverse populations. By grounding its predictions in a layer of clinically meaningful concepts, KindSleep provides a more transparent and trustworthy diagnostic tool for sleep medicine practices.

Automatic speech recognition produces words but drops the non-verbal content of a recording: the breaths, coughs, sighs and laughter of the speaker, and the horns, music or barking around them. We describe Speech Event Detector, a 5.8-million-parameter convolutional-Transformer model that outputs probabilities every 40 ms for 54 event classes (20 speaker vocalizations and 34 background sounds), together with post-processing that converts these probabilities into timestamped events and a procedure for merging the events into a Whisper transcript. The model is trained on material drawn from seven public datasets whose labels come in incompatible forms: single detected regions, free-text tags with timestamps, temporally strong ontology labels, symbols embedded in transcripts, isolated recordings and environmental recordings. We unify them using rule-based label mapping, recover timestamps for transcript-embedded labels through CTC forced alignment, locating 6,360 of 8,620 sounds, and combine about 168 hours of real annotated training recordings with synthetic mixtures and augmentation using real background noise. Per-class thresholds for two operating profiles are tuned on real held-out recordings, and performance is estimated using two-fold cross-validation. On whole held-out recordings from four datasets, considering the 48 classes with at least ten held-out events, the sensitive profile detects an average of 49 percent of a class's events, covering 67 percent of all 9,367 events, at a macro precision of 0.30. The balanced profile achieves a macro recall of 0.37 at a precision of 0.36, with macro event F1 scores of 0.32 and 0.33, respectively. The detector runs about 39 times faster than real time on eight CPU threads.

Sound Event Detection (SED) plays a vital role in audio understanding, with applications in surveillance, smart cities, healthcare, and multimedia indexing. However, conventional SED systems operate under a closed-world assumption, limiting their effectiveness in real-world environments where novel acoustic events frequently emerge. Inspired by the success of open-world learning in computer vision, we introduce the Open-World Sound Event Detection (OW-SED) paradigm, where models must detect known events, identify unseen ones, and incrementally learn from them. To tackle the unique challenges of OW-SED, such as overlapping and ambiguous events, we propose a 1D Deformable architecture that leverages deformable attention to adaptively focus on salient temporal regions. Furthermore, we design a novel Open-World Deformable Sound Event Detection Transformer (WOOT) framework incorporating feature disentanglement to separate class-specific and class-agnostic representations, together with a one-to-many matching strategy and a diversity loss to enhance representation diversity. Experimental results demonstrate that our method achieves marginally superior performance compared to existing leading techniques in closed-world settings and significantly improves over existing baselines in open-world scenarios.