Electroencephalography and Clinical Neurophysiology, 1979, 46:727--730
© Elsevier/North-Holland Scientific Publishers, Ltd.
Technical contribution
AN OPTICAL SCAN SYSTEM FOR ENCODING AND TABULATION OF VISUALLY
SCORED SLEEP DATA 1
G. FEIN and I. FEINBERG
Psychiatry Service (116A), San Francisco Veterans Administration Hospital, and University of California at
San Francisco, San Francisco, Calif. 94121 (U.S.A.)
(Accepted for publication: December 13, 1978)
727
Most systems for visual scoring of all-night sleep
records recommend scoring by successive epochs or
pages of record. These typically range in duration
from 20 sec to 1 min (Feinberg et al. 1967; Recht-
schaffen and Kales 1968; Williams et al. 1974). A
given epoch may receive more than one score (for
example, stage 1 EEG with eye movement or body
movement, etc.). Thus, the record of a single night
might consist of 1500 20-sec epochs of record (500
rain) which, with multiple scores, could generate
2000--2500 data entries. Since subjects in sleep
investigations are typically studied over several nights
within a single condition, a massive volume of data
rapidly accumulates.
A major obstacle to computer analysis of visually
scored sleep data has been the time, expense and the
possible error involved in introducing this voluminous
information into the computer. A number of systems
have been developed in an attempt to systematize the
tabulation and data analysis of visually scored sleep
data (Anders and Zangen 1972; Tassone et al. 1973;
Stanley 1974; Walker and Reite 1976). All of these
systems require input of the visually scored sleep data
as an operation separate from the visual scoring. In
addition, these systems do not have the dual capabil-
ity of retaining the original data by individual poly-
graph sleep data (PSD) page and the indexing of
events in real time. This capability permits the inte-
gration of visually scored sleep staging with computer
analyses of the EEG wave form (Feinberg et al.
1978).
We present here a new system -- OPSCAN -- which
overcomes these limitations. It consists of two parts.
The first part is an input system in which specially
designed scoring sheets are optically scanned and data
directly entered into the computer. However, these
entries must be monitored by the operator since the
OPSCAN sheets sometimes contain human error. To
1 This work was supported by research funds from
the Veterans Administration.
facilitate this monitoring, we have included extensive
error and edit-checking as described below. The sec-
ond part consists of a data base for the visually scored
PSD. The visually scored data base (VSDB) is orga-
nized by NREM and REM periods but retains within
those units the original coding of each epoch (PSD
page) of sleep. Organization of data by REMPs and
NREMPs has proved both efficient and informative
in previous studies (Feinberg et al. 1967; Feinberg
1974; Feinberg and Floyd 1979).
We thought the OPSCAN programs might be use-
ful to other investigators. For this reason, those vari-
ables which often differ among laboratories (number
of seconds per PSD page, length criteria for NREM
and REM periods, etc.) were made specifiable pro-
gram parameters. From the optically scanned input,
with 3 additional cards of key punched data, the
OPSCAN system yields scores for virtually all sleep
variables. Data are provided both for the entire night
and for successive NREM and REM periods. All data
are entered directly into the Statistical Package for
the Social Sciences (SPSS) (Nie et al. 1975) for anal-
ysis. Among the analyses we routinely include are the
computation of means and standard deviations, both
by cycles across the nights and by nights within and
across conditions; the testing for trends within nights
and for differences across conditions in both cycle
trends and all-night mean values.
The program described above could prove useful
to any laboratory engaged in the visual scoring of
all-night sleep records. In addition, by establishing an
intermittent correspondence between real-time and
PSD page (e.g., using a time-code generator or wall
clock) the VSDB can be indexed by real-time and
real-time correlates of specific PSD pages can be
sought. For example, we have developed programs
that combine the VSDB with our period-amplitude
analysis data base (Feinberg et al. 1978) also indexed
in real time, enabling us to examine the wave form
characteristics of record visually classified as stages
2, 3, 4, NREM or REM. An additional advantage to
the use of a highly accurate and uninterrupted time