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Enterprise AI Analysis: Diagnostic accuracy of artificial intelligence for obstructive sleep apnea detection: a systematic review

Enterprise AI Analysis

Diagnostic accuracy of artificial intelligence for obstructive sleep apnea detection: a systematic review

Publication: BMC Medical Informatics and Decision Making

Authors: Sara Haghighat, Muhammed Joghatayi, Julien Issa, Sarina Azimian, Janet Brinz, Ali Ashkan, Akhilanand Chaurasia, Zahra Rahimian, Linda Sangalli

Date: 2025

Executive Impact: Key Metrics

This systematic review highlights the transformative potential of AI in medical diagnostics. Here are the core findings:

0 Highest Accuracy for OSA Detection
0 Total Participants Across Studies
0 Diverse AI Algorithms Evaluated
0 Studies Included in Review

Deep Analysis & Enterprise Applications

Select a topic to dive deeper, then explore the specific findings from the research, rebuilt as interactive, enterprise-focused modules.

AI Model Performance
AI Model Diversity
Clinical Adoption & Challenges
Methodology
98.60% Highest Diagnostic Accuracy Achieved for OSA
AI vs. PSG: Bridging the Diagnostic Gap
Feature AI Model Advantages PSG Limitations
Accessibility & Cost
  • Accessible, cost-effective alternatives
  • Suitable for home testing, reducing wait lists
  • Expensive, specialized facilities required
  • Limited access in low-resource settings
Time & Comfort
  • Automated, less time-consuming analysis
  • Improved patient comfort (fewer sensors)
  • Time-consuming overnight monitoring
  • Inconvenient and uncomfortable for patients
Pattern Recognition
  • Captures complex temporal/spatial patterns from raw data
  • Leverages large datasets for high accuracy
  • Manual analysis can be prone to variability
  • Requires trained personnel for interpretation

AI Model Classification Workflow

Traditional ML (Handcrafted Features)
Deep Learning (Raw Data Patterns)
Hybrid Models (ML + DL Integration)
OSA Diagnostic Output
21 Unique AI Algorithms Explored Across Studies (10 ML, 6 DL, 5 Hybrid)

The XAI Imperative: Building Trust in AI Diagnostics

The study highlights that AI outputs can be perceived as opaque, hindering adoption. Clinicians need to understand the reasoning behind AI decisions, making Explainable AI (XAI) frameworks critical for clinical integration. Without transparency, skepticism among clinicians and patients will persist, impacting real-world trust and deployment.

Key Finding: Only 5 out of 13 studies provided access to source code, limiting reproducibility and independent validation.

Overcoming AI Adoption Hurdles
Challenge Impact on Adoption
Transparency & Explainability
  • Skepticism from clinicians and patients
  • Hindered integration into workflow
Data Requirements
  • Large datasets and high computational power needed
  • Limits implementation in smaller clinics or low-resource settings
Generalizability & Bias
  • Variability across demographic groups, fairness concerns
  • Requires diverse training datasets and external validation
7 Studies Assessed with Low Risk of Bias (Indicating High Reliability)

Systematic Review Workflow

Database Search
Duplicate Removal & Screening
Eligibility Assessment
Data Extraction & Synthesis
Risk of Bias Assessment

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